Botox - Excessive Sweating

Did you realize that Botox or other botulinum toxins are used for many other things besides to make facial wrinkles less prominent?  For example, if you suffer from primary axillary hyperhidrosis, excessive armpit sweating, you may want to consider Botox or other neurotoxins as a choice of therapy.  This condition affects more than 7 million people in America.  It severely affects the quality of life of these individuals and with a quick Botox treatment (treatment may last up to 6 months or longer), you may get relief or control for 6 months or longer.  

Additional procedures are done with Botulinum Toxins as well, such as for palmar or plantar hyperhidrosis (palm of the hand or sole of the foot sweating).

Questions and Answers:  

Can I get Botox for excessive sweating of my axilla (armpits) since I can’t seem to stop sweating?

Well, that really depends and there are some criteria that should be met to be a good candidate for the procedure.  First, secondary causes do need to be ruled out such as hyperthyroidism, diabetes, malignancies, etc, so it's important to see your primary care provider.  Other criteria should be met as well and will be discussed at your initial evaluation with Dr. Twigg.

What is the goal of treatment for axillary hyperhydrosis or what should I expect after treatment?

The goal for this treatment is complete cessation of armpit sweating or reduction of its severity so that symptoms can be managed with over-the-counter antiperspirants.

How long does it take to work?

Results occur with significant or complete reduction of sweating in 1-2 weeks after treatment.

How long do the effects typically last?

Perspiration gradually returns for most in about 6 months, although, some are poor responders and find the dose wears off early.  In those individuals, often the dose will need to be increased to have this long-lasting effect.  

My hands are always sweaty.  Can I get this done?

Yes.  The same applies to the hands, and in the same way--the feet-- as does the axillary (armpit) region.  The hands and feet tend to be a more sensitive areas, so numbing agents and ice are utilized more often prior to injections. 

Will I grow out of this?

Unfortunately, this condition is not usually something one grows out of.   It is presumed to be due to hyperactivity or dysregulation of the sympathetic nervous system that results in excessive perspiration.  You do not have increased sweat glands.  They are just being stimulated more readily.

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