Hyperhidrosis is a psychologically harrowing condition which affects virtually every aspect of its sufferers' lives. There have been multiple treatments advanced over the years, from using Botox to aluminum salts to meditation and hypnosis. All of them work to some degree, but the (relatively) recent advent of endoscopic thoracic sympathectomy has revolutionized the treatment of this condition. One problem that develops in a small minority of patients is that of reflex hyperhidrosis, in which the patient gets compensatory hyperhidrosis which in some cases is dramatically worse than the original problem.
One of our playas has used a system called Miradry which is an energy based system which eliminates the eccrine and apocrine glands by a combination of heating and cooling. She reports no compensatory hyperhidrosis in her patients. It will be interesting to see how this procedure works in the long run.