WHAT IS HYPERHIDROSIS?

Sweating is a natural occurrence that we all deal with. Unfortunately, too much of it can take a toll on our self-esteem, leaving us with sweat stains, body odor, and clammy hands. If this sounds familiar, you are not alone. In fact, excessive sweating affects 1-3% of the population and is classified as a medical condition called hyperhidrosis.

Hyperhidrosis is a condition in which certain areas of the body, primarily the underarms, hands, and feet, produce excess sweat, resulting in both physical and social discomfort.

Botox was FDA approved for hyperhidrosis in 2004. When injected into the sweat glands located throughout the skin, the botulinum toxin disables neurotransmitters and prevents the glands to secrete sweat. As a result, patients are left sweat-free for 4 – 6 months.

Botox for excessive sweating is a quick, convenient, and effective procedure that involves limited side effects and zero downtime. Current research based on randomized controlled trials demonstrates that Botox is 80% – 90% effective in treating symptoms of hyperhidrosis in only one treatment.

WHAT ARE THE CAUSES OF INVOLUNTARY SWEATING?

Sweating is a normal function of the body to regulate body temperature during exercise, heat, stress, anxiety, and anything else that may raise one’s body temperature. In 1-3% of the population, nerves signal the sweat glands too frequently, resulting in overactivity of the glands and in turn, excessive sweating.

The three most common forms of this condition are axillary hyperhidrosis: overactivity in the armpits; palmar hyperhidrosis: overactivity in the hands; and plantar hyperhidrosis: overactivity in the soles of the feet.

There are two major types of Hyperhidrosis:

  • Primary focal hyperhidrosis, which affects specific areas of the body such as the hands, feet, and underarms caused by overactive sweat glands;
  • Secondary generalized hyperhidrosis, which is the result of an underlying medical condition such as diabetes or a nervous system disorder. Rather than a specific region of the body, secondary generalized hyperhidrosis occurs in larger areas across the body, such as the back.
  • How common is it to overproduce sweat?
    Statistics show that 1-3% of the population suffer from excessive sweating, which makes up 15 million Americans.
  • Does severe axillary perspiration go away?
    While there are a variety of options to treat axillary sweating, it typically does not go away on its own. However, the elimination of excessive sweating can be maintained with regular botox follow up sessions every 4 – 6 months.

HOW DO BOTULINUM TOXIN INJECTIONS WORK FOR SWEAT REDUCTION?

Botox is FDA approved for involuntary sweat production. It works by blocking the release of acetylcholine, a neurotransmitter that is responsible for nerve signals to the sweat glands causing the body to sweat. Once the sweat glands are shut down, the excessive sweat production is stopped, leading to a chain reaction eliminating all the uncomfortable symptoms associated with underarm sweating. Because excessive sweating occurs due to overactive sweat glands, botox is an excellent solution to mitigate the root of the problem.

Botox hyperhidrosis

Botulinum toxin is a medical treatment best known for its ability to reduce and eliminate fine lines and facial wrinkles. However, being that this condition affects 15 million Americans, it is no surprise that Botulinum toxin type A is also well known as a procedure used to battle excessive sweating, which can have a serious effect on one’s quality of life.

  • Social media and Botox
    Neurotoxin injections have become socially accepted as a part of daily conversation amongst the beauty industry and social media. A large variety of platforms such as Instagram and YouTube are filled with photos and videos explaining how botox works to treat various conditions, including unusual sweating.
  • If it works for Chrissy Teigen, will it work for me?
    Model and social media influencer Chrissy Teigen is all about being open and honest with her fans and followers and happens to be one of the many individuals suffering from excessive underarm sweating. Chrissy recently opened up about how Botox has been incredibly helpful for her to show off her full-sleeved shirts without the fear of being judged for her sweat stains and encourages her fans to normalize the condition, rather than hiding from it. If you suffer from excessive underarm sweat like Chrissy Teigen does, any type of neurotoxin may also be a solution for you.

WHO IS A CANDIDATE FOR BOTOX TO DECREASE HYPERHIDROSIS?

An overall healthy individual who is suffering from uncontrolled sweating in one or more areas of the body including the underarms, hands, and feet, is likely a candidate for Botox to treat overactivity of the sweat glands. If you suffer from this condition, you will notice abnormal sweat production with topical antiperspirants not doing the job for you. You may also experience uncomfortable symptoms such as unpleasant body odor.

Be sure to schedule a consultation with your provider beforehand to confirm that you are a candidate before scheduling your actual appointment.

Botox excessive sweating

WHAT IS THE PREPARATION FOR BOTOX TO REDUCE HYPERHIDROSIS?

Typically this procedure does not require any preparation, however, Dr. Schwarzburg recommends avoiding blood thinners such as Aleve and Aspirin one week prior to your appointment to avoid excessive bruising.

If you are getting axillary botox (for armpit sweat or excessive axillary sweating) you should shave 2 days before your session.

You will also be provided with a topical numbing cream which will be applied 30 – 45 minutes prior to your injections.

REDUCING HYPERHIDROSIS WITH BOTOX

Your botox appointment for excessive palmar sweating will start with a consultation with Dr. Schwarzburg in which you will be able to discuss your goals and medical history to confirm that you are a candidate for hyperhidrosis treatment and establish a custom treatment plan.

The injection technique is different from the one used to target facial wrinkles. Instead of placing the botulinum toxin into the muscle fibers, it is infused into the dermal layer where the sweat glands are. The injection process itself takes 20 – 40 minutes. There is no downtime after your procedure, meaning that you can return to work and other daily activities immediately after.

  • How many units of Botox to reduce sweating?
    Most patients need at least 100 units per session, with 50 units per side. For example, 40-50 units are injected into each each armpit, for optimal results. For severe primary axillary hyperhidrosis, more units will be necessary.
  • How to inject Botox to paralyze the sweat glands?
    To treat severe palmer perspiration and other areas of the body, the medicine is injected through a nano-needle in a grid-like pattern into a superficial dermal layer using multiple (20-30) injection points which are spaced out by approximately 1cm.
  • How long is the procedure?
    The numbing cream will be left on the affected area for 30 – 45 minutes. Once numb, the botulinum toxin injections themselves will take 10 – 20 minutes, making the overall session time 40 minutes to 1 hour.

WHAT IS THE AFTERCARE FOR BOTOX TO TREAT HYPERHIDROSIS?

While there is typically no post care involved in botulinum toxin for sweating, patients should not exercise or expose the treated area to heat for 24 – 48 hours to avoid excessive swelling and bruising.

DOES BOTOX FOR SWEAT REDUCTION HURT?

Botox for involuntary perspiration can hurt, since most of the injection sites are in more sensitive skin areas. This is why a topical numbing cream is usually applied before the injection process, to make everything more tolerable. After the procedure, you may experience some weakness in the area, though the pain should not carry on beyond the time of injection.

CAN BOTOX BE USED IN OTHER AREAS TO TREAT HYPERHIDROSIS?

Neurotoxins are most commonly injected in the soles of the feet, palms of the hands, underarms, and face to treat excessive sweating. In some cases it can be injected in other areas, such as the back, though this is uncommon, since excessive sweating in such large areas is typically secondary to a systemic disease, which may need to be treated first.

  • Can I get botox to treat my sweaty hands?
    Yes, palmar hyperhidrosis refers to sweaty palms or sweaty hands and is one of the primary treatment areas for sweat botox. It is usually secondary to situational anxiety during important business meetings or other stressful life events.
  • Can I get botox for face sweat?
    Yes, onabotulinum toxin type A can be used in the face to reduce sweating. When patients get botox for wrinkle relaxation in the forehead, one of the beneficial “side effects” is the sweat reduction.

WHAT ARE THE SIDE EFFECTS ASSOCIATED WITH UNDERARM BOTOX INJECTIONS?

Onabotulinum toxin type A axillary or palmar skin injections do not carry any side effects except minimal bruising when correctly administered by a board certified physician. The most serious primary side effect is related to improper technique resulting in inadvertent muscular injection. This leads to muscle weakness particularly in the hands, which is manifested by a loose grip. Additionally, patients may experience compensatory sweating where other areas of the body begin to sweat.

WHEN WILL I STOP SWEATING AFTER MY BOTOX INJECTIONS?

Patients report evident results within 4 – 6 days after your sweat botox injections.

HOW LONG DOES BOTOX LAST FOR PLANTAR PERSPIRATION?

Botulinum toxin for sweaty feet will last 4 – 6 months just as it does for all other areas. However, your results can be prolonged by repeating treatment through regular “touch-up” sessions.

WHAT WILL MY BEFORE AND AFTER SWEAT GLAND BOTOX RESULTS LOOK LIKE?

Before your botox for sweating, you will likely have excessive sweating in areas including your feet, hands, and underarms. This can lead to sweat stains, body odor, and general discomfort physically and in social settings. After your neurotoxin session, these problems will be resolved and your body will no longer produce sweat in the treated area until the effect of botulinum toxin wears off.

  • Does botox in the armpits stop sweating?
    Yes, when injected by a board certified physician experienced in neurotoxins for sweat reduction, neuromodulator in the armpits will stop sweating.
  • Does botox in the armpits stop smell?
    Yes, neurotoxin in the armpits stops the smell. Body odor is caused by bacteria on the skin, combined with sweat. When this bacterial sweat evaporates, it may cause an unwelcome smell, making social situations incredibly uncomfortable and embarrassing. A major benefit is that along with the decrease of sweating, there will be near complete elimination in body odor.

HOW MUCH DOES BOTOX TO STOP SWEATING COST?

The cost of botox to treat excessive perspiration varies depending on a variety of factors including the size of the area being treated and the severity of the problem, both of which make up the number of units needed, as well as outside factors such as the experience of your injector and your geographical location. A board certified surgeon will likely charge more than a nurse, due to their extensive and highly sought after knowledge and expertise. Overall the average cost ranges $1000 – $1500.

DOES BOTOX WORK FOR SWEATING?

Yes, onabotulinum toxin type A is FDA approved for the treatment of various types of this condition including axillary, palmar, and plantar hyperhidrosis. Clinical studies demonstrate that botox for excessive sweating is 80% – 90% effective for both primary focal and secondary generalized hyperhidrosis.

IS BOTOX IN THE UNDERARMS SAFE?

Onabotulinum toxin type A is FDA approved as a safe and effective option to treat hyperhidrosis in the underarm area. There are no safety issues or concerns when treatment is administered by a board certified physician.

This procedure is considered an advanced form of injection because of the complicated anatomy; for example a 1 mm deviation in the depth of the injection may cause muscular paralysis of the hands resulting in diminished ability to perform professional duties or activities of daily living.

IS BOTOX FOR SWEAT PREVENTION COVERED BY INSURANCE?

Because botulinum toxin for involuntary sweating is considered a medical condition, it is covered by insurance.

TAKEAWAY

Botox is a minimally invasive procedure used to treat hyperhidrosis, a condition causing patients to sweat excessively. Botox for hyperactive sweating requires no preparation and no downtime, but must be performed by a trained, qualified, and skilled board certified cosmetic surgeon or physician in order to achieve safe and effective results. Always be sure to consult with your doctor before getting botox injections, to confirm that you are a candidate for the treatment.

HOW CAN I GET STARTED

If you are looking for the best place to get your botox for hyperhidrosis, then come to Skinly Aesthetics located on the Upper East Side of Manhattan, New York. Owned and run by Dr. Schwarzburg, a board certified cosmetic physician, Skinly offers a variety of cosmetic and medical treatments. With over ten years of experience and skill, Dr. Schwarzburg is one of the most sought after doctors in NYC.

To schedule your one on one consultation with Dr. Schwarzburg at Skinly Aesthetics, you can call the office at (212) 774-4264, or email us at info@skinlyaesthetics.com.