Botox for Hyperhidrosis (Excessive Sweating) Q&A

  • Our body naturally produces sweat as a way to control body temperature and release excess substances or toxins. However, this mechanism is overactive in some individuals. Hyperhidrosis is the medical term used for excessive or abnormal sweating, independent of exposure to high temperatures. Commonly affected areas include the armpits, palms, and soles. Patients who have hyperhidrosis will often soak through clothing and visibly drip sweat. This can result in stained clothing, uncomfortable social encounters, and other negative impacts on quality of life. Unfortunately, over-the-counter antiperspirants are usually not effective in controlling this condition.

  • Botox really is a breakthrough treatment for patients suffering from hyperhidrosis. It works by temporarily blocking the overactive nerves that are responsible for stimulating your sweat glands. Keep in mind that sweating is prevented only in the areas that Botox is injected.

  • When used for hyperhidrosis, Botox may last up to six months or more. This is in comparison to Botox used for prevention of fine lines and wrinkles, which lasts an average of three months.

  • During your treatment, we will apply professional strength numbing cream to minimize discomfort. Skin cooling with cold air and ice packs are also used to make the procedure as painless as possible. The entire treatment should take less than 20 minutes.

  • You may resume normal activities immediately after Botox treatment. A visible reduction of sweat in the area injected is achieved in approximately three to ten days. Keep in mind that Botox is not a permanent solution for hyperhidrosis and will require regular maintenance treatments.

  • You may experience some mild redness, swelling, and/or bruising in the area, as with any treatment that requires the introduction of a needle into the skin. Consider reviewing our treatment tips for ways to minimize the risk of bruising prior to your treatment.

  • Other treatment options for hyperhidrosis treatment include prescription topical treatments (drysol) and/or oral medication (robinul or glycopyrrolate). In addition, ask about exciting new Genius (microneedling with radiofrequency heat) treatments! The Genius works by heating up and destroying the sweat glands without damaging the surrounding tissue. In 2 to 3 treatments, most people see a significant reduction in excess sweating. Because sweat glands do not regenerate, the results will be semi-permanent. Genius can be combined with other hyperhidrosis treatments such as Botox if needed. After a thorough consultation and careful examination of your, the highly trained team at ShanthiMD will help you to understand the risks and benefits of each treatment option and formulate a treatment plan that works best for you.