Hyperhidrosis: man excessively sweating from armpits


What is hyperhidrosis?
Hyperhidrosis refers to a condition of abnormally excessive sweating. This can be generalized (all over) or localized to specific areas, most commonly the axilla (armpits) or palms. In most cases, localized hyperhidrosis is a condition that occurs without a known cause. In rare cases, it may be related to internal problems. Consultation with a physician is recommended before considering medical treatments for hyperhidrosis to rule out this concern.

How can hyperhidrosis be treated?
Treatment options for localized hyperhidrosis vary depending on the area to be treated. Persistent hyperhidrosis that does not respond to topical antiperspirants like Drysol® or Certain Dry® may be treated with Botox® injections.

What areas can be treated with Botox®?
Botox® is most commonly used to treat hyperhidrosis of the armpits, palms of hands and soles of feet, although it can be used anywhere where excessive sweating occurs.

How does Botox® work for hyperhidrosis?
Botox® temporarily blocks the nerves that stimulate sweating in the armpits, palms or other localized areas where it is injected. It is directly injected via a very small needle into the skin in the area that is sweating excessively. Normal activity can be resumed immediately; however, heavy exercise should be avoided for several hours.

How soon does the treatment work and how long does it last?
After a few days, significant reduction in sweating is seen in many patients with the full effect being seen within one week. On average most patients see a reduction in perspiration for approximately 4-6 months with one injection; but some patients can get up to a year of reduced sweating from one injection.

Are there any risks or side effects?
Side effects are minimal in the axilla but may include tiny bruises which will fade in a few days and small persistent areas of sweating that may need a second treatment.

Additionally, treatment of the palms may result in transient muscle weakness in some patients.

How much do Botox® treatments cost?
A consultation is required to evaluate other potential causes of excessive sweating that could indicate a potentially serious underlying disease that requires other forms of treatment. The cost of the consultation is the cost of a usual office visit.

The cost of the actual treatment is based on the amount of Botox® used. Typically, 100 units are needed to treat both armpits and 200 units are needed to treat both palms (100 per hand). There is also an injection charge at each visit. Your doctor can give you a more accurate estimate at your consultation visit.

Will my insurance cover this treatment?
This will depend on your individual insurance plan. Our office will assist you with researching your benefits before treatment is started. However, if our office does not participate with your insurance carrier, then payment for treatment is payable at the time it is performed and any insurance reimbursement will be sent to you directly.