Dr. Jihoon Moon – Articles & Photos : Liposuction, Tummy Tuck(Lesarts plastic surgery Korea)

[Hyperhidrosis]How much can axillary hyperhidrosis be reduced?-A combined approach with minimal incision, energy-based sweat gland destruction, and liposuction

lesartsps — Tue, 31 Mar 2026 04:59:50 +0000

[Hyperhidrosis]How much can axillary hyperhidrosis be reduced?-A combined approach with minimal incision, energy-based sweat gland destruction, and liposuction

Hello, this is Dr. Jihoon Moon
from Lesarts Plastic Surgery.

The most common question
from patients with hyperhidrosis
is quite simple.

Hyperhidrosis surgery – Dr. Jihoon Moon, Lesarts Plastic Surgery

“Can surgery completely stop sweating?”

“Will the underarms stay completely dry even in summer?”

The answer is clear.

“It is not possible to remove 100%
of the sweat glands.”

However,
there is also
an important fact.

Surgical approaches for hyperhidrosis – Lesarts Plastic Surgery

Current surgical treatment
aims to reduce sweating
to a level

where daily life
is no longer
significantly affected.

In practice,
results can be achieved
very close to this goal.

The starting point
of surgery is understanding
where the sweat glands are located.

Treatment of axillary hyperhidrosis – Lesarts Plastic Surgery

Surgery for hyperhidrosis
does not begin
with technique,

but with anatomy.

Sweat glands
(eccrine and apocrine)
are distributed

at the boundary
between the lower dermis
and upper subcutaneous layer.

This thin layer
is the exact
target of surgery.

Methods for axillary sweat surgery – Lesarts Plastic Surgery

If the approach
is too superficial,
skin damage may occur.

If it is too deep,
the sweat glands
cannot be effectively targeted.

Ultimately,
the essence of surgery
is one thing.

“To precisely follow
this thin layer
and destroy as many

sweat glands
as possible.”

Effects of hyperhidrosis surgery – Dr. Jihoon Moon, Lesarts Plastic Surgery

1. Minimal incision approach
open small, treat precisely

Current procedures
are performed
through small incisions.

Only a few millimeters
are required
to access the target layer.

Through this approach,
subcutaneous dissection,
energy delivery,

and liposuction
are all performed
within a limited space.

Although it appears simple,
it requires precise control
to preserve the skin

while treating
only the target layer
evenly and accurately.

A small incision
does not only mean
a smaller scar.

It also means
maintaining precision
within a restricted field.

Effects of axillary sweat surgery – Lesarts Plastic Surgery

2. Energy-based sweat gland destruction
precisely targeting the layer

Energy devices
deliver ultrasound, heat,
or laser energy

to the layer
where sweat glands
are located.

This directly
destroys
the gland structure.

The key factor
is not intensity,
but precision.

Accurate depth
and uniform delivery
are essential.

If the layer
is not properly targeted,
effectiveness decreases.

If excessive,
it may lead
to skin damage.

Treatment methods for axillary hyperhidrosis – Dr. Jihoon Moon, Lesarts Plastic Surgery

3. Liposuction
the step that completes the process

After destroying
as many sweat glands
as possible with energy,

leaving the tissue
as it is
is not sufficient.

Liposuction
is not simply
fat removal.

It physically removes
damaged sweat glands
and surrounding tissue,

and evens out
the subcutaneous layer
to reduce irregularities.

In other words,
destruction → removal → uniformity

must work together
to ensure both
stability and consistency

of surgical results.

Quick note,
what about recurrence?

Most cases
of recurrence
occur when

sweat glands
are not sufficiently
removed during the first surgery.

The outcome
of hyperhidrosis surgery
depends on three key factors.

Recurrence after axillary hyperhidrosis surgery – Lesarts Plastic Surgery

First,
accuracy of
the target layer

Second,
uniform treatment
across the entire area

Third,
sufficient removal
and refinement

If these three
are not properly achieved,
sweating may appear

to return
even after surgery.

Therefore,
choosing an experienced
medical professional

is extremely important
for achieving
reliable results.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

More surgery before-and-after photos and selfies to see

[Gynecomastia] Will losing weight reduce the chest? Understanding gynecomastia and personalized treatment

lesartsps — Thu, 26 Mar 2026 02:24:17 +0000

[Gynecomastia] Will losing weight reduce the chest? Understanding gynecomastia and personalized treatment

Hello, this is Dr. Jihoon Moon
from Lesarts Plastic Surgery.

“Will my chest
reduce if I lose weight?”

This is one of
the most common questions
in the consultation room.

And my answer
is always the same.

“It might,
or it might not.”

Gynecomastia and dieting – Dr. Jihoon Moon, Lesarts Plastic Surgery

This may sound
a bit ambiguous,
but there is a reason.

Gynecomastia
cannot be explained
by body weight alone.

The prevalence
among Korean men
ranges from 40% to 60%.

While this has increased
with rising obesity rates,
that is not the only factor.

Many people think
gynecomastia is simply
fat accumulation in the chest.

This is not entirely wrong,
but it is not
fully accurate either.

The male chest
consists of fat tissue,
glandular tissue,

and supporting
connective tissue.

The proportion
and structure
of these components

determine
the overall
chest contour.

The key point
is that this composition
varies between individuals.

Even with the same
body weight
and body fat percentage,

some individuals
have a flat chest,
while others show prominence.

Causes of gynecomastia – Dr. Jihoon Moon, Lesarts Plastic Surgery

These differences
are not simply
about fat quantity.

They are determined
by fat thickness,
presence of glandular tissue,

and the structure
of connective tissue
in the chest area.

On ultrasound,
these differences
become more evident.

In men without gynecomastia,
glandular tissue
is usually not visible.

In contrast,
patients with gynecomastia
show clear glandular tissue

beneath
the nipple
and areola.

This difference
is structural,
not related to weight.

Clinically,
some men
have a narrow waist

and a more
feminine body contour.

Intuitively,
this may suggest
more glandular tissue.

However,
many of these cases
actually show minimal presence.

Some individuals
also present
softer features

in appearance,
overall impression,
and even personality traits.

However, this does not mean
they have
hormonal abnormalities.

Nor does it indicate
an underlying
congenital condition.

In most cases,
test results
remain within normal ranges.

This area
is better understood
as individual variation,

rather than
a defined
medical disorder.

Differences in
fat distribution,
connective tissue arrangement,

and glandular expression
create variations
in body shape.

These differences
may be considered
subtle genetic variations,

similar to
minor changes
at a molecular level.

Therefore, gynecomastia
is not a single condition,
but a broad spectrum.

It ranges from
fat-dominant types
to glandular-dominant forms,

to cases with
dense connective tissue,
or mixed patterns.

Subcutaneous fat in gynecomastia – Lesarts Plastic Surgery

Another important factor
in gynecomastia
is fat thickness.

Even with the same fat,
a uniformly distributed layer
and a localized thick deposit

can appear
completely different
in contour.

A thicker fat layer
in the chest area
is often resistant

to weight loss
and exercise.

As a result,
even after fat reduction,
the chest may appear unchanged.

In some cases,
as surrounding fat decreases,
the chest becomes more prominent.

Treatment of gynecomastia – Lesarts Plastic Surgery

Ultimately, gynecomastia
is not a single condition,
but a broad spectrum.

Therefore, treatment
cannot rely
on a single approach.

The extent of
fat reduction,
glandular removal,

and management
of connective tissue
must all vary.

The key to treatment
is not simple removal,
but structural reconstruction.

Now, returning
to the original question.

Will it disappear
with weight loss?

Gynecomastia surgery and dieting – Dr. Jihoon Moon, Lesarts Plastic Surgery

This is partially true,
but in many cases,
it is not.

The difference
is determined
by structure, not weight.

Ultimately, gynecomastia
is not simply
a weight-related issue.

It is the result
of individual
structural differences.

If the structure differs,
the treatment approach
must also change.

Gynecomastia surgery
does not have
a single fixed solution.

It requires
a personalized approach
for each patient.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

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Mini liposuction – Not ready for liposuction?A minimal approach for contour refinement,minimally invasive liposuction

lesartsps — Thu, 19 Mar 2026 02:50:35 +0000

Mini liposuction - Not ready for liposuction?A minimal approach for contour refinement,minimally invasive liposuction

Hello, this is Dr. Jihoon Moon
from Lesarts Plastic Surgery.

During body contour consultations,
there is something patients
often say to me.

“I’m afraid of liposuction surgery,
but I want to refine
my arm or flank fat.”

In reality, many patients
are interested in body contouring,
but feel burden or fear
toward the idea of surgery.

In these cases,
one option we introduce
is minimally invasive liposuction.

This is commonly referred to
as mini liposuction
during the consultation process.

Some clinics may use
a branded name
for marketing purposes.

However, medically,
it is generally explained as
mini liposuction or local anesthesia liposuction.

Mini liposuction
uses a cannula
to directly remove fat.

The fundamental principle
is the same
as standard liposuction.

However, differences exist
in the amount of fat removed,
the technique, and patient selection.

In simple terms,
standard liposuction
focuses on larger body contour changes.

Whereas mini liposuction
targets smaller areas
for subtle contour refinement.

It is especially suitable
for areas with thinner fat layers,
such as the back of the arms.

It can also be applied
to the flanks or under the chin,
where precise adjustment is needed.

Mini liposuction – Dr. Jihoon Moon, Lesarts Plastic Surgery

Many patients choose
mini liposuction
for a specific reason.

The psychological burden
of the procedure
is relatively lower.

Then what are
the key advantages
of mini liposuction?

It can be explained
in three main points
as follows.

First, the procedure
can be performed
without sedation.

Mini liposuction
is usually done
under local anesthesia.

Only the entry points
for the cannula
are numbed locally.

Since sedation is not used,
the burden of anesthesia
is relatively lower.

Patients can return home
immediately after the procedure,
without extended recovery time.

For those concerned
about anesthesia,
this is a major advantage.

Second, there is
no surgical incision
on the skin.

Mini liposuction
uses only a tiny
entry point.

A much thinner cannula
than standard liposuction
is inserted through it.

The entry point size
is as small as
a tiny dot on the skin.

This reduces concerns
about visible scarring,
and lowers psychological burden.

Third, there is no need
to wear compression garments
after the procedure.

In standard liposuction,
compression garments
are typically required.

However, mini liposuction
removes a smaller amount of fat
from limited areas.

Because of this,
compression garments
are not necessary.

This allows more freedom
in clothing and daily activities,
which many patients appreciate.

For these reasons,
mini liposuction
is a practical option.

It is suitable for patients
who want mild contour refinement
with minimal burden.

Especially in areas
like the back or side of the arms,
it can be an effective choice.

When fat volume is not excessive,
but contour lines are a concern,
it is worth considering.

Then how does
mini liposuction differ
from standard liposuction?

Difference between mini liposuction and standard liposuction – Dr. Jihoon Moon, Lesarts Plastic Surgery

Standard liposuction
is a more fundamental
body contouring method.

It allows removal
of a larger volume of fat
from areas with thicker fat layers.

This includes regions
such as the abdomen
or thighs.

It also enables
designing body lines
with overall balance in mind.

Rather than simply
removing fat,
it focuses on shaping.

It can be described
as a procedure
to create the overall body line.

In contrast,
mini liposuction
has limitations in fat removal.

The amount of fat
that can be removed
is relatively limited.

Therefore, it is more suitable
for refining specific areas
rather than major changes.

For example,
if the arms are generally slim,
but slight fat remains.

Especially in the back
or side of the arms,
affecting the overall line.

In cases where sleeveless clothing
makes the contour noticeable,
mini liposuction can help.

Mini liposuction consultation – Dr. Jihoon Moon, Lesarts Plastic Surgery

However, in areas
with thicker fat layers
such as the abdomen or thighs,

mini liposuction alone
may not achieve
the expected level of change.

In such cases,
standard liposuction
may be a more appropriate option.

Ultimately, these two methods
are not simply comparable
as better or worse options.

They should be selected
based on individual goals
and specific conditions.

They are best understood
as different approaches
to body contouring.

Local anesthesia liposuction case – Dr. Jihoon Moon, Lesarts Plastic Surgery

In body contouring,
what matters most
is not the procedure name.

It is about choosing
the right method
for your body and goals.

If surgery feels burdensome,
but you want to refine
localized fat areas,

mini liposuction
can be a practical
and realistic option.

On the other hand,
if fat volume is higher
or clearer changes are desired,

standard liposuction
may be a more suitable
treatment choice.

Through thorough consultation
with an experienced specialist,
the right approach can be selected.

This helps reduce
unnecessary burden
while achieving natural results.

You can expect
balanced and satisfying
body contour improvement.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

More surgery before-and-after photos and selfies to see

[Gynecomastia] Gym workouts, gynecomastia, and steroid use

lesartsps — Thu, 19 Mar 2026 02:35:53 +0000

[Gynecomastia] Gym workouts, gynecomastia, and steroid use

Why does the chest appear more prominent
despite consistent workouts?

Gym workouts, gynecomastia, and steroid use

Hello, this is Dr. Jihoon Moon
from Lesarts Plastic Surgery.

After starting workouts,
instead of a firm, defined chest shape,
a protruding chest may become noticeable.

In such cases,
it is important to consider
the possibility of gynecomastia.

During consultations,
I often receive
this common question.

“Can consistent exercise
help reduce
chest size?”

Many people believe
that gynecomastia is simply
caused by weight gain.

So they expect
that regular workouts
will naturally improve it.

Effect of chest workouts on improving gynecomastia symptoms – Dr. Jihoon Moon, Lesarts Plastic Surgery

However, in clinical practice,
the results of exercise
are often not as positive.

Even with low body fat
and consistent workouts,
many still struggle with gynecomastia.

Why gynecomastia becomes more noticeable after chest workouts – Dr. Jihoon Moon, Lesarts Plastic Surgery

Exercise can sometimes
make gynecomastia
more noticeable.

With workouts, especially weight training,
the chest muscles,
or pectoralis muscles, develop.

However, when glandular tissue
is present beneath the chest,
muscle growth can push it upward.

As the pectoral muscles enlarge,
the glandular tissue is lifted,
making the area more prominent.

This can cause
the nipple and areola region
to appear more protruded.

What to know before gynecomastia surgery – Dr. Jihoon Moon, Lesarts Plastic Surgery

As body fat decreases,
the chest contour enlarged
by glandular tissue becomes clearer.

The protrusion and shape
tend to appear
more defined and noticeable.

As a result,
some patients mention
a similar concern.

“After starting workouts,
my chest actually
became more noticeable.”

Anabolic steroid side effects – gynecomastia – Dr. Jihoon Moon, Lesarts Plastic Surgery

Anabolic steroids related
to muscle growth

As fitness culture expands,
interest in anabolic steroids
has also increased.

These substances act
similar to male hormones,
promoting muscle growth.

They enhance
protein synthesis
and overall muscle development.

However, these drugs
are classified as prohibited
in sports.

Various side effects
have also been
widely reported.

Common side effects include
the following conditions.

Gynecomastia

Testicular atrophy

Reduced sperm production
and potential infertility

Worsening acne
and hair loss

Abnormal cholesterol levels
and increased cardiovascular risk

Liver function abnormalities

Mood changes
and increased aggression

Anabolic steroids are not simply
drugs that increase muscle mass,
but agents that alter hormone balance.

Because they affect
the body’s hormonal system,
various side effects can occur.

Gynecomastia surgery consultation – Dr. Jihoon Moon, Lesarts Plastic Surgery

Why do anabolic steroids
cause gynecomastia?

Some anabolic steroids
can be converted
into estrogen in the body.

During this process,
male glandular tissue
becomes stimulated.

This can lead
to breast enlargement,
resulting in gynecomastia.

Quick note,
this is different
from medical steroids.

Because of the term “steroid,”
many people confuse
them with therapeutic drugs.

Steroids used in hospitals
for skin or allergy treatment
are mostly corticosteroids.

These medications help
reduce inflammation
and regulate immune responses.

In contrast, anabolic steroids
enhance muscle growth
and male hormone effects.

Although the names are similar,
their purpose and action
are completely different.

Then how is this different
from testosterone therapy?

Testosterone injections,
commonly known treatments,
are used medically.

They are prescribed
for hormone deficiency
in clinical settings.

However, when used
for muscle enhancement,
they are banned in sports.

They can also affect
hormonal balance
(testosterone → estradiol).

As a result,
various side effects,
including gynecomastia, may occur.

Effects of gynecomastia surgery and before-and-after differences – Dr. Jihoon Moon, Lesarts Plastic Surgery

“Gynecomastia cannot be resolved
through exercise alone.”

When glandular tissue
is the underlying cause,
exercise cannot eliminate it.

Workouts can reduce fat
and build muscle,
but cannot reduce developed glandular tissue.

In some cases,
the more you exercise,
the more prominent the chest appears.

Exercise is
a very healthy habit
for overall well-being.

However, using unverified substances
to build muscle quickly
can lead to additional problems.

If you are concerned
about your chest shape,
it is important to evaluate.

Rather than assuming
it is just a matter of exercise,
check for actual gynecomastia.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

More surgery before-and-after photos and selfies to see

[Hyperhidrosis] What are the causes, symptoms, and treatment options for stress-related sweating, hyperhidrosis?

lesartsps — Thu, 19 Mar 2026 02:14:11 +0000

[Hyperhidrosis]What are the causes, symptoms, and treatment options for stress-related sweating, hyperhidrosis?

Hello, this is Dr. Jihoon Moon
from Lesarts Plastic Surgery.

Some people experience constant dampness
in their hands, feet, or underarms,
causing significant daily stress.

In more severe cases,
it can interfere with daily activities,
making simple tasks uncomfortable.

Rather than leaving it untreated,
it is important to consider
the possibility of hyperhidrosis.

Palmar sweating, underarm sweating, plantar sweating, hyperhidrosis treatment – Dr. Jihoon Moon, Lesarts Plastic Surgery

What is hyperhidrosis?

It is a condition where
excessive sweating occurs persistently
beyond what the body requires.

This can interfere with
social interactions, work, and hygiene,
affecting overall daily life.

Areas and symptoms of hyperhidrosis – Dr. Jihoon Moon, Lesarts Plastic Surgery

1. What are the main areas and typical symptoms?

Excessive sweating mainly occurs
in the palms, soles, and underarms,
and is usually bilateral in presentation.

Symptoms tend to worsen
in situations involving tension
or emotional stress.

In particular,
palmar hyperhidrosis often leads
to avoiding handshakes with others.

The hands may become slippery,
making it difficult to handle tools
or perform precise tasks.

Plantar hyperhidrosis can worsen foot odor
and may progress
to fungal infections.

Axillary hyperhidrosis may cause
visibly soaked clothing,
leading to social discomfort.

When combined with bromhidrosis,
it can cause unpleasant odor
and even discoloration of clothing.

Underarm sweating concerns in summer, causes and treatment of hyperhidrosis – Dr. Jihoon Moon, Lesarts Plastic Surgery

2. What causes hyperhidrosis?

Sweat glands are largely divided
into two types: eccrine and apocrine glands.

Excessive secretion from
the eccrine sweat glands
is the main cause of hyperhidrosis.

However, the exact cause
is not simply a gland abnormality,
but rather related to regulation.

It is believed to result
from overactivation of the
sympathetic nervous system,

which becomes more active
during tension or stress situations
beyond normal temperature control.

Is hyperhidrosis hereditary? – Dr. Jihoon Moon, Lesarts Plastic Surgery

Quick note, is hyperhidrosis hereditary?

A single gene causing hyperhidrosis
has not been clearly identified,
but a family history is commonly observed.

In addition,
endocrine or metabolic disorders
may also be underlying causes.

These include conditions such as
hyperthyroidism, diabetes,
menopause, or pheochromocytoma.

Infections or tumors,
such as tuberculosis or lymphoma,
especially with night sweating,

as well as certain medications
like SSRI or SNRI antidepressants,
can also be contributing factors.

Therefore, proper evaluation
through medical consultation
is necessary for accurate diagnosis.

Diagnosis methods for hyperhidrosis – Dr. Jihoon Moon, Lesarts Plastic Surgery

3. How is hyperhidrosis diagnosed?

When symptoms are localized
to areas such as hands, feet,
or underarms, and show bilateral patterns,

especially in younger patients,
and when sweating decreases
or disappears during sleep,

a diagnosis can often be made
through outpatient consultation
without additional testing.

However, if accompanied by
systemic symptoms, night sweating,
or unexplained weight loss,

further evaluation and testing
may be required
for accurate diagnosis.

4. How is hyperhidrosis treated?

Topical treatments

Aluminum chloride (AlCl₃) solutions
are particularly effective
for axillary hyperhidrosis.

They are easy to use
and relatively inexpensive,
but may cause skin irritation.

There is also a risk
of contact dermatitis,
and effectiveness on hands and feet is limited.

Botulinum toxin (Botox)

This treatment is highly effective
for underarm hyperhidrosis,
with high patient satisfaction.

However, the duration is limited,
typically lasting several months,
requiring repeated treatments.

Energy-based local treatments (laser)

These include external applications
such as microwave, laser,
or radiofrequency devices.

They aim to reduce
eccrine sweat glands
in the underarm area.

However, there are limitations
in reaching deeper dermal layers
or subcutaneous tissues.

Surgical treatment

A. Endoscopic Thoracic Sympathectomy (ETS)

An endoscope is used
to access the thoracic sympathetic chain,
reducing nerve signals.

This is achieved through
cutting, clipping, or cauterization
of the sympathetic nerves.

It is particularly effective
for palmar hyperhidrosis,
showing significant symptom improvement.

However, compensatory sweating
may occur after surgery,
affecting other body areas.

B. Surgery to reduce sweat glands
(axillary hyperhidrosis)

This procedure targets
eccrine sweat glands
within the underarm skin layers.

If bromhidrosis is present,
apocrine glands may also
be removed as the cause.

Using laser or ultrasound energy,
the glands are physically destroyed
and then suctioned out.

As the number of sweat glands decreases,
overall sweating is reduced,
leading to noticeable improvement.

The procedure is performed
under sedation anesthesia,
with a small incision.

A probe is inserted
through the incision
near the underarm or inner arm.

Energy is delivered
to the lower dermis
and upper subcutaneous layer.

This process aims to destroy
as many causative
eccrine sweat glands as possible.

Residual debris and liquefied fat
are then removed
using liposuction techniques.

The procedure is completed
with skin closure,
taking approximately one hour.

Hyperhidrosis can cause
significant discomfort
in everyday life.

If symptoms are concerning,
it is recommended to seek consultation
and consider appropriate treatment.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

Dr. Jihoon Moon – Articles & Photos : Liposuction, Tummy Tuck(Lesarts plastic surgery Korea)

[Hyperhidrosis]How much can axillary hyperhidrosis be reduced?-A combined approach with minimal incision, energy-based sweat gland destruction, and liposuction

[Hyperhidrosis]How much can axillary hyperhidrosis be reduced?-A combined approach with minimal incision, energy-based sweat gland destruction, and liposuction

“It is not possible to remove 100%of the sweat glands.”

1. Minimal incision approachopen small, treat precisely

2. Energy-based sweat gland destructionprecisely targeting the layer

3. Liposuctionthe step that completes the process

Doctor’s Note by Dr. Jihoon Moon

[Gynecomastia] Will losing weight reduce the chest? Understanding gynecomastia and personalized treatment

[Gynecomastia] Will losing weight reduce the chest? Understanding gynecomastia and personalized treatment

Doctor’s Note by Dr. Jihoon Moon

Mini liposuction – Not ready for liposuction?A minimal approach for contour refinement,minimally invasive liposuction

Mini liposuction - Not ready for liposuction?A minimal approach for contour refinement,minimally invasive liposuction

Doctor’s Note by Dr. Jihoon Moon

[Gynecomastia] Gym workouts, gynecomastia, and steroid use

[Gynecomastia] Gym workouts, gynecomastia, and steroid use

Gynecomastia

Doctor’s Note by Dr. Jihoon Moon

[Hyperhidrosis] What are the causes, symptoms, and treatment options for stress-related sweating, hyperhidrosis?

[Hyperhidrosis]What are the causes, symptoms, and treatment options for stress-related sweating, hyperhidrosis?

What is hyperhidrosis?

1. What are the main areas and typical symptoms?

2. What causes hyperhidrosis?

Quick note, is hyperhidrosis hereditary?

3. How is hyperhidrosis diagnosed?

4. How is hyperhidrosis treated?

Doctor’s Note by Dr. Jihoon Moon

“It is not possible to remove 100%
of the sweat glands.”

1. Minimal incision approach
open small, treat precisely

2. Energy-based sweat gland destruction
precisely targeting the layer

3. Liposuction
the step that completes the process