{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:23:52Z","timestamp":1789604632124,"version":"build-2803163510"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100010805","name":"Forskningsr\u00e5det i Syd\u00f6stra Sverige","doi-asserted-by":"publisher","award":["no. FORSS-932159"],"award-info":[{"award-number":["no. FORSS-932159"]}],"id":[{"id":"10.13039\/100010805","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010805","name":"Forskningsr\u00e5det i Syd\u00f6stra Sverige","doi-asserted-by":"publisher","award":["no. FORSS-969108"],"award-info":[{"award-number":["no. FORSS-969108"]}],"id":[{"id":"10.13039\/100010805","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003945","name":"Link\u00f6ping University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003945","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Microwave therapy (Miradry\n                    <jats:sup>\u00ae<\/jats:sup>\n                    ) is an approved treatment for axillary hyperhidrosis (AH). There are several studies in the literature that show favourable safety and efficacy profile, although a few follow up patients under longer period and on larger cohort patients. In the present study, we report three-year results after microwave therapy for AH. At dermatology clinic in \u00d6sterg\u00f6tland 103 patients with severe AH received one or two Miradry\n                    <jats:sup>\u00ae<\/jats:sup>\n                    treatments, between 2020 and 2022. Patients were examined at several intervals during study period. Between March 2024 and June 2025, 87 patients were contacted by post and asked to complete HDSS (Hyperhidrosis Disease Severity Scale) and Hyperhidrosis Quality of Life (HidroQoL\n                    <jats:sup>\u00a9<\/jats:sup>\n                    ); 45 patients have responded to our survey (response rate 51.7%). Statistically significant improvement was observed in both HDSS (from medians 3 at the study inclusion to medians 2 at 3 year) and HidroQoL\n                    <jats:sup>\u00a9<\/jats:sup>\n                    (medians 26 at baseline and medians 6 at 3 year). As a conclusion, our data demonstrate that microwave therapy is a promising long-term efficient treatment for AH and significantly improves quality of life in patients suffering from severe AH.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Level of Evidence II<\/jats:italic>\n                    This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                    .\n                  <\/jats:p>","DOI":"10.1007\/s00266-025-05469-5","type":"journal-article","created":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T22:03:47Z","timestamp":1764626627000},"page":"2006-2011","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Three-Year Results Following Microwave Therapy in Patients with Severe Primary Axillary Hyperhidrosis"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6623-2682","authenticated-orcid":false,"given":"Emanuela","family":"Micu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Fragkou Dragka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Shayesteh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,1]]},"reference":[{"issue":"2","key":"5469_CR1","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1007\/s40257-022-00743-7","volume":"24","author":"K Parashar","year":"2023","unstructured":"Parashar K, Adlam T, Potts G. The impact of hyperhidrosis on quality of life: a review of the literature. Am J Clin Dermatol. 2023;24(2):187\u201398.","journal-title":"Am J Clin Dermatol"},{"issue":"6","key":"5469_CR2","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1159\/000486713","volume":"233","author":"A Shayesteh","year":"2017","unstructured":"Shayesteh A, Janlert U, Nylander E. Hyperhidrosis - sweating sites matter: quality of life in primary hyperhidrosis according to the sweating sites measured by SF-36. Dermatology. 2017;233(6):441\u20135.","journal-title":"Dermatology"},{"issue":"7","key":"5469_CR3","doi-asserted-by":"publisher","first-page":"2899","DOI":"10.1080\/09546634.2022.2089333","volume":"33","author":"AK Gupta","year":"2022","unstructured":"Gupta AK, Venkataraman M, Joshi LT, Cooper EA. Potential use of microwave technology in dermatology. J Dermatolog Treat. 2022;33(7):2899\u2013910. https:\/\/doi.org\/10.1080\/09546634.2022.2089333.","journal-title":"J Dermatolog Treat"},{"issue":"1","key":"5469_CR4","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1097\/DSS.0000000000003276","volume":"48","author":"SQ Chen","year":"2022","unstructured":"Chen SQ, Wang TT, Zhou Y, Li W, Man XY. Comparison of long-term effectiveness and safety of microwave and surgery in the treatment of axillary osmidrosis: a single-center retrospective study. Dermatol Surg. 2022;48(1):126\u201330.","journal-title":"Dermatol Surg"},{"issue":"3-4","key":"5469_CR5","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1080\/14764172.2021.1957115","volume":"23","author":"MJ Lin","year":"2021","unstructured":"Lin MJ, Dubin DP, Genece J, Younessi S, Rai S, Khorasani H. A survey of long-term results with microwave energy device for treating axillary hyperhidrosis. J Cosmet Laser Ther. 2021;23(3\u20134):49\u201351. https:\/\/doi.org\/10.1080\/14764172.2021.1957115.","journal-title":"J Cosmet Laser Ther"},{"key":"5469_CR6","volume":"13","author":"U Tanzella","year":"2024","unstructured":"Tanzella U, Ueberreiter K, Bell A, Krapohl MA, Krapohl BD. Patient satisfaction after miraDry((R)) treatment for axillary hyperhidrosis. Results of an online patient survey after miraDry((R)) treatment to reduce excessive axillary sweating. GMS Interdiscip Plast Reconstr Surg DGPW. 2024;13:Doc06.","journal-title":"GMS Interdiscip Plast Reconstr Surg DGPW"},{"key":"5469_CR7","doi-asserted-by":"publisher","DOI":"10.2340\/actadv.v104.40543","volume":"104","author":"M Pissa","year":"2024","unstructured":"Pissa M, Hashem R, Shayesteh A, Wrisley S, Micu E. Evaluation of quality of life, anxiety, and depression in patients with primary axillary hyperhidrosis undergoing treatment with a microwave device: one-year follow-up. 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