What is Hyperhidrosis? Hyperhidrosis is a medical condition that causes excessive sweating beyond what the body needs for temperature regulation. This can occur in various parts of the body, including the underarms, palms, feet, and face. For many people, hyperhidrosis can be uncomfortable and embarrassing, affecting daily life and self-confidence.
Sweating is a normal bodily function that helps regulate temperature, but for those with hyperhidrosis, the sweat glands are overactive. This means they produce more sweat than necessary, even in cool temperatures or when the person is at rest. The exact cause of hyperhidrosis is often unknown, but it can sometimes be linked to other conditions like anxiety, thyroid problems, nerve damage, menopause, or as a side effect of certain medications.
In the past, managing hyperhidrosis was difficult and often required surgical interventions. However, with advances in medical treatments, Botox has emerged as an effective, non-surgical solution.
How Does Botox Help?
Botox is a treatment most commonly known for reducing wrinkles, but it’s also highly effective for treating hyperhidrosis. It works by blocking the chemical signals that nerves send to the sweat glands. When these signals are blocked, the sweat glands stop producing excessive sweat in the treated areas.
Botox has been used safely for medical purposes for over 30 years. It works by targeting the nerve endings that control sweat production. The neurotransmitter acetylcholine, which also triggers muscle contractions, is involved in this process. By reducing the release of acetylcholine, Botox helps to “turn down” the activity of the sweat glands, bringing sweat levels closer to normal.
Unlike topical antiperspirants that only address surface-level sweating, Botox goes deeper, tackling the problem at its source. After a few small injections in the affected area, most patients notice a significant reduction in sweating. Clinical studies have shown that 95% of patients with severe hyperhidrosis experience a substantial decrease in sweating after just one week, with an average reduction of 83%.
Botox treatment won’t completely eliminate sweating—some sweating is necessary for temperature regulation. It may not fully remove body odor either, but it is far more effective than traditional treatments. Areas such as the underarms, hands, and feet respond very well to Botox treatment, and it can even be used in other areas like the scalp, forehead, or neck for off-label purposes when recommended by a healthcare provider.
The Treatment Process
The Botox treatment for hyperhidrosis is straightforward and minimally invasive. The procedure involves injecting small amounts of Botox directly into the areas where excessive sweating occurs, using a very fine needle. The entire process usually takes about 15-30 minutes, depending on the size of the treatment area.
Before the treatment, we may use iodine followed by talcum powder to identify the exact areas where sweat glands are most active. This helps ensure that the Botox is injected precisely where it’s needed. Because iodine can leave a yellowish stain on the skin, we suggest wearing a dark shirt afterward to avoid any visible marks.
What to Expect After Treatment
Results from Botox treatment for hyperhidrosis typically begin to appear within 3-10 days, with the full effects noticeable after about two weeks. The treatment effectively reduces sweating for an average of 4-6 months. When sweating begins to return, the procedure can be repeated.
Some patients may notice that the treated area is completely dry for 1-2 weeks before some minor sweating returns. The effects of Botox last, on average, for about 7 ½ months, and nearly 40% of patients report a reduction in sweating for more than a year. If you notice your symptoms returning, it might be time for another treatment session.
Is It Safe?
Botox is a well-established and extensively studied treatment, making it a safe and effective option for managing hyperhidrosis. Side effects are generally mild and temporary, such as slight bruising, redness, or discomfort at the injection site. In rare cases, patients might experience increased sweating in areas other than where Botox was injected, or temporary hand weakness if the hands are treated.
Botox has been used to treat a variety of medical conditions for over two decades, so its safety profile is well known. If you have any concerns or questions about potential side effects, our team is here to provide answers and ensure you feel comfortable throughout the treatment process.
Who Can Benefit?
Botox treatment is suitable for anyone who experiences excessive sweating that disrupts their daily life. Whether you’re concerned about sweat during important meetings, social events, or simply want to feel more comfortable, Botox offers a reliable and effective solution.
However, there are some individuals who should avoid Botox treatment for hyperhidrosis, including those with conditions like myasthenia gravis, motor neuron disease, or those who are pregnant or breastfeeding. If you have a skin infection at the treatment site, the procedure should also be postponed until the infection clears.
Pre-Treatment Tips:
- Armpits: If you’re having your underarms treated, please shave the area 24 hours before your appointment. Avoid wearing deodorant on the day of treatment so we can see the sweat more clearly.
- Hands: After hand treatment, avoid activities that could increase the risk of infection in your hands for 24 hours, such as gardening without gloves.
- Post-Treatment: You can start using deodorant again the day after treatment, and resume normal activities shortly after.
Final Thoughts
Hyperhidrosis can significantly impact your quality of life, but Botox offers a solution that can help you regain control and confidence. Our clinic is dedicated to helping you feel more comfortable and confident with this safe and effective treatment.
If you’d like to learn more or schedule a consultation, please contact our clinic. We’re here to answer all your questions and guide you through the treatment process.
Botox® treatments work by relaxing facial muscles that cause wrinkles and lines when you smile or frown. Botox® is a prescription medicine containing 100 units of Botulinum Toxin Type A. Botox® has risks and benefits. Ask your doctor if Botox is right for you.
All medicines, medical devices and treatments carry risks and benefits. Individual results will vary. Botox® is not a funded medicine. For product information check with your Cosmetic Nurse or Doctor. For further information visit https://www.medsafe.govt.nz/regulatory/ProductDetail.asp?ID=1753
Supplier Allergan Aesthetics, an Abbvie company, Auckland
The Face Place.
