Is Gold Needle Effective in the Treatment of Excessive Sweating (Hyperhidrosis)?

Excessive sweating (hyperhidrosis) is a chronic condition that directly affects the quality of life of individuals and can lead to social, psychological and physical problems. In addition to traditional methods (topical products, botulinum toxin injections, surgical applications), in recent years, microneedle fractional radiofrequency (RF) treatment known as Gold Needle has emerged as an effective alternative in the management of hyperhidrosis.

In this article, you can find how hyperhidrosis is controlled with Gold Needle treatment and answers to the most frequently asked questions.

How Does Gold Needle Treatment Work in Hyperhidrosis?

Gold Needle (Fractional Microneedle RF) technology delivers radiofrequency energy directly through isolated microneedles 0.5–3.5 mm below the skin.
This energy targets the eccrine sweat glands, reducing their size and function.
While creating minimal damage on the skin surface, sweat production is reduced in deep tissue thanks to thermal effects.
Histological studies have shown that there is a significant decrease in the size and number of eccrine and apocrine sweat glands in the treated areas.

In Which Areas is the Gold Needle Used Against Excessive Sweating?

The Gold Needle method is particularly effective in the treatment of hyperhidrosis in the following areas:

Axillary region (armpit)
Palmar region (palm)
Plantar region (sole of the foot)
Craniofacial region (face and head circumference)
Safe and successful results have been obtained, especially in excessive sweating in the armpits and palms.

How Many Sessions Are Required in Gold Needle Treatment?

Studies show that 3 to 4 sessions provide effective results.
Sessions are usually performed at 3-4 week intervals.
Recovery progresses gradually after each session and the first effects are usually felt within 1-2 months.

How Much Does Sweating Decrease After Gold Needle?

Various clinical studies have reported a 50% to 80% decrease in the amount of sweating after Gold Needle treatment.
In particular, significant improvements have been observed in HDSS (Hyperhidrosis Disease Severity Scale) scores in treatments applied to axillary hyperhidrosis.

In some studies, a 1-2 point decrease in HDSS was achieved in 79% of patients.

Does Recurrence Occur in the Area Treated with Gold Needle?

The recurrence rate after Gold Needle is quite low.
Although partial recurrence may be observed in some patients after 1 year, it has been stated that the effectiveness is reduced in these patients because their body mass index (BMI) is usually high.
This risk can be minimized with regular follow-up and, if necessary, supportive sessions.

Is Gold Needle Treatment Safe? Are There Any Side Effects?

Gold Needle treatment is minimally invasive and serious side effects are rare.
Possible side effects observed are as follows:

Mild redness (erythema)
Swelling
Pint hemorrhages
Temporary hyperpigmentation
Mild pain or tenderness
These effects usually disappear on their own within a few days. Serious side effects have been observed very rarely.

How Does Gold Needle Treatment Compare to Botulinum toxin?

Studies have shown that botulinum toxin injections have a slightly higher success rate in axillary hyperhidrosis than Gold Needle.
However, Gold Needle treatment offers advantages such as longer-lasting effect, minimal risk of complications, and no need for repeated injections.
In addition, Gold Needle treatment provides a more natural healing process.

What Advantages Does Gold Needle Offer in Hyperhidrosis Treatment?

Permanent results: Provides long-term reduction in sweat gland function.
Minimal recovery period: You can quickly return to social life after the procedure.
Suitable for all skin types: Can be applied regardless of light or dark skin.
Low risk of complications: It is a safer alternative to surgical interventions.
Comfortable sessions: A comfortable application is provided with local anesthetic creams.
Who Is Gold Needle Treatment Not Suitable For?

Those with active infection
Pregnant and breastfeeding women
Those with serious heart disease or pacemaker
Those with a history of advanced keloid scar development
Those who have used isotretinoin (Roaccutane) in the last 6 months
In such cases, a physician evaluation should definitely be performed.

Is There Scientific Evidence About Golden Needle Hyperhidrosis Treatment?

Yes.
Numerous clinical studies have shown the effectiveness and reliability of microneedle RF treatment in both axillary and palmar hyperhidrosis.

A study conducted in Iran reported a significant decrease in HDSS scores and high patient satisfaction in axillae treated with RF.
In a study from Germany, a 72% decrease in sweating was observed in 90% of patients after 6 months.
Another study conducted in Korea found that long-term RF application with low energy yielded more effective results.
These data support that the Golden Needle method is a safe and effective option in the treatment of hyperhidrosis.

Conclusion

Hyperhidrosis Treatment with Gold Needle is a powerful alternative for those who want to control their excessive sweating problem in a minimally invasive, safe and effective way.