5 Things to Know About Botox for Axillary Hyperhidrosis | ExpatWoman.com
 

5 Things to Know About Botox for Axillary Hyperhidrosis

Dr Allen Rezai, Consultant Plastic, Aesthetic & Reconstructive Surgeon in Dubai, shares with you 5 things to know about Botox for axillary hyperhidrosis.

Posted on

26 April 2018

Last updated on 20 October 2019
5 Things to Know About Botox for Axillary Hyperhidrosis

Sweating is normal and necessary to regulate the body’s temperature. However, some individuals suffer from Excessive Underarm Sweating also known as Axillary Hyperhidrosis. They may find themselves constantly changing clothes that have been soaked with sweat and deliberately missing out on social gatherings or activities. This condition makes them rethink everything: the clothes they wear, the places they go or even the career they choose. The sweating is often uncontrollable, embarrassing and not anticipated.

Hyperhidrosis is caused by the overactivity of nerves that control the sweat glands resulting in production of more sweat than the body actually needs. The overactivity of the glands can occur even though they haven't been triggered by any physical activity, stress or a rise in temperature, however, these factors can make it worse.

There are two types of Hyperhidrosis: primary hyperhidrosis, which refers to localised excessive sweating for example in palms, soles, face, scalp and underarms. And secondary hyperhidrosis which refers to sweating that occurs as a result of another medical issue or condition like menopause (i.e., hot flashes), diabetes mellitus, hyperthyroidism, and others. Primary Hyperhidrosis has no known underlying cause, but many times people who suffer from this condition, have other family members who also battle this problem.

Botox is normally known to treat facial line and wrinkles, but it is also FDA approved for hyperhidrosis and has been effectively used to control excessive sweating for years.

Unfortunately, not much information exists around the topic of Botox for hyperhidrosis. To help you make a more informed decision, Dr Allen Rezai, Consultant Plastic, Aesthetic & Reconstructive Surgeon, shares with you 5 things to know about Botox for axillary hyperhidrosis. As with any other procedure, a thorough, one to one, consultation is necessary to discuss all aspects of treatment, including possible risks and side effects, and to determine your suitability for this treatment.

1. How Does Botox Work On Hyperhidrosis?

How Does Botox Work On Hyperhidrosis?

Botox works by temporarily blocking the neurotransmitter, Acetylcholine, which is responsible for sending signals between the brain and the sweat glands, telling the glands to produce sweat.

Botox injections in underarms will interrupt the transmission, temporarily preventing the glands to produce sweat in the area. Although Botox will significantly reduce production of sweat, it will not eliminate sweating completely. It should also be noted that Botox injections are local and will have no impact whatsoever on the sweating ability of other areas of your body, meaning that your body’s temperature will still be regulated.

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2. How is Botox Treatment in Underarms Carried Out?

How is Botox Treatment in Underarms Carried Out?

To make the treatment as comfortable as possible, we numb the area with local anaesthetic cream, and start the treatment once the area is suitably numb.

Using a very fine needle, adequate amount of Botox, normally up to 50 units per underarm, is administered in a gentle and systematic manner, into 10 to 15 places about 1 cm apart, spread evenly in each underarm. Number of injections and amount of Botox used would depend on the size of the treatment area. The treatment takes about 10 - 15 minutes.

Comprehensive pre and post treatment care instructions are provided at the time of scheduling your consultation, so you know how to prepare for treatment and what to expect and how to take care of the area, following treatment.

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3. How effective is Botox for Excessive / Severe Sweating and How Long Does It Last?

How effective is Botox for Excessive / Severe Sweating and How Long Does It Last?

Botox is generally very effective for hyperhidrosis, a significant reduction in sweating, many times up to 90%, is achieved by most patients. Results normally lasts around 6 months and sometimes even longer. Patients generally start noticing the effects of the treatment within the first week and a significant reduction in underarm sweating is usually evident within 4 weeks. Body odor generally improves as a direct result of the reduced sweating, however this is not always the case.

It should be noted that patients may react differently to Botox thus the duration of the results vary between individuals. Sometimes exercise and stress may reverse the effects of Botox faster than usual.

I normally advise my patients to repeat treatment once or twice per year, depending on the severity of their condition and when the effects of Botox wear off. It has happened that in very sever types of axillary hyperhidrosis, patient has had to have injections every 4 months. But this is not common.

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4. Is The Treatment Right For You?

Is The Treatment Right For You?

This can only be answered after a one to one consultation with a specialist. However, if you suffer from heavy underarm sweating, it affects your daily life and you have tried other treatment options like prescription antiperspirants and still experience excessive sweating then it is time to see a specialist to discuss Botox treatment. It is important to be honest and open with your doctor regarding your medical history and any mediation or supplements that you currently take.

Botox is not suitable for people with neuromuscular transmission disorders (e.g. Myasthenia Gravis), chronic respiratory problems, coagulation disorders, pregnant women, breast feeding mums, or if there is a history of allergy to the injection ingredients or infection at the injection site.

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5. Advice from Dr Allen Rezai when considering Botox for Hyperhidrosis

Advice from Dr Allen Rezai when considering Botox for Hyperhidrosis

Thoroughly research your Practitioner/Clinic. Word of mouth and recommendations from people you know are usually the most reliable guide. Treatment should be carried out in a medical setting using sterile needles and syringes.

Beware of Cheap Botox providers. Cheap Botox usually comes at a price. It usually means it is counterfeit, diluted, or administered by an inexperienced, non-qualified practitioner.
Treatments should only be carried out in a clean, safe and appropriate clinical environment to avoid infection and permanent physical damage. Treatments should be carried out in a clinical facility and NOT in a home setting or, for example, a nail bar or tattoo parlour.

A good practitioner will have a thorough initial consultation with you, check your medical history, listen to your concerns, cover all aspects of the procedure, including possible risks and complications, and provide you with a bespoke treatment plan to achieve the best possible outcome. You should always be given enough time to make an informed decision and you should NEVER feel rushed.

Aftercare is an important aspect of any treatment. You should always ask the practitioner about the aftercare provided, especially if anything were to go wrong.

Never feel pressured into undergoing a treatment without fully understanding all the implications.

To find out more about treatment of Hyperhidrosis at Elite Plastic & Cosmetic Surgery Group or to book a Consultation please call +971 4 431 2396.

Elite Plastic & Cosmetic Surgery Group
Sponsored by
Elite Plastic & Cosmetic Surgery Group
Elite Plastic & Cosmetic Surgery Group is headed by Dr.Allen Rezai, a leading Consultant Plastic & Reconstructive Surgeon of international renown, who has for many years led a distinguished career both from his well-known clinic in Harley Street, London, UK and worldwide.

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