Excessive sweating is a serious problem for many people, both men and women. It makes them embarrass and enforces them to change their clothes many times during the day and damage the fabric. It commonly cause excessive moisture in palms of hands, face, armpits, and sole of feet or can target any other areas of the body. This place adverse effect on the personal style, self-confidence causes embarrassment.

CosmeDocs is a specialist in providing Botox treatments specifically targeted at controlling the problem of excessive sweating. We are also a member of International Society for Hyperhidrosis, hence we are committed to provide you with the highly effective hyperhidrosis treatments which will help to make a real difference in your life.

To address this problem, we have opened special clinics for treating excessive sweating problem where we have experience and competent experts to take care of the problem and give best results. We not only deal the problem of sweating in common areas like armpits, palms and forehead but also treat the more complex areas like nose, upper lips, cheeks, feet. We also specialise in treating the compensatory sweating problem in focal areas which may arise due to the past hyperhidrosis surgery -ETS [Endoscopic Thoracic Sympathectomy].

Hyperhidrosis is also referred to as polyhidrosis or sudorrhea is a disease characterizied by abnormally high levels of sweating which generally target the face, underarms, palms of hands and soles of feet. It is a problem because it causes displeasure, dissatisfaction and embarrassment.

According to one estimate, almost 2-3 % of people in west suffer from the problem of hyperhidrosis in armpits or in the palms or hands or soles of feet. The problem of underarm sweating in most cases initiate in early adolescence while the excessive sweating in hands and palms starts earlier almost around 13 years of age, on average. If this problem is left untreated, it may remain throughout the lifespan.

This problem is a cause of embarrassment in public as it stains your clothes, cause an unpleasant smell, and destroy your romantic and social life. In case of severe hyperhidrosis, it can have serious consequences in practical life. It can even make harder for people to do normal chores in life like holding a pen, shaking hands with others, gripping the car steering etc.

Previously, only surgical treatment was available for hyperhidrosis but now the availability of non-invasive treatment for excessive sweating has revolutionised the treatment and reduced it to few Botox injections.

Types of Hyperhidrosis

Hyperhidrosis has been categorised into two general categories:

Focal or Primary Hyperhidrosis: There is no underlying cause of excessive sweating. It is neither due to medical conditions nor due to its side effects. In fact, it is idiopathic in nature (spontaneous occurrence) equally effecting both sides of the body. It targets specific body areas causing excessive sweating like face, underarms, feet and hands.

Generalized or Secondary Hyperhidrosis: The underlying medical conditions or its side effects are a cause of excessive sweating. This type of hyperhidrosis affects the complete body instead of specific parts.

Some Causes of Primary or Focal Hyperhidrosis

It can be caused due to following reasons;

  • Primary Idiopathic Hyperhidrosis
  • Gustatory Sweating [Frey’s Syndrome]
  • Neurologic Issues [Neuropathies and Spinal Injury]

Some causes of Generalized or Secondary Hyperhidrosis

Some underlying causes of generalized hyperhidrosis are given below;

  • Cardiovascular Disorders [Shock, Heart Failure]
  • Drugs [Fluoxetine, Venlafaxine, Doxepin]
  • Endocrine [Acromegaly, Carcinoid Syndrome, Diabetes Mellitus, Hyperthryoidism, Hyperpituitarism, Menopause, Pheochromocytoma, and Pregnancy]
  • Infection
  • Malignant Disease [Hodgkin’s Disease, Myeloprofilerative Disorders]
  • Neurologic [Cerebrovascular Accident, Parkinson’s Disease, Spinal Cord Injury]
  • Respiratory Failure
  • Toxicity [Alcoholism, Substance Abuse]

According to the reports of NHS (National Health Services), UK, it is estimated that approximately 3% of the UK population is affected by problem of excessive sweating.

A comprehensive diagnosis is conducted before the excessive sweating treatment. In the first step, generally, Hyperhidrosis Disease Severity Scale (HDSS) is used to measure the severity of patient’s problem. It evaluates how much the problem of excessive sweating is interfering their daily routine life and regular activities.

The responses are rated on a 4 point scale from which the patients is required to select the best possible personal experience which best reflects their excessive sweating condition.

Hyperhidrosis Disease Severity Scale (HDSS)

Score
My sweating is never noticeable and never interferes with my daily activities.1
My sweating is tolerable but sometimes interferes with my daily activities.2
My sweating is barely tolerable and frequently interferes with my daily activities.3
My sweating is intolerable and always interferes with my daily activities.4

 

If patient rates low scores of 1-2 then it indicates mild to moderate hyperhidrosis. The higher score means more severe problem. These scores are then utilized by your doctor to tailor a treatment plan accordingly and to do a follow up later on about your condition.

Botox for Excessive Sweating Treatment

Botox is no longer just a beauty enhancing treatment. It is now recognized as a miraculous drug used for effectively treating variety of medical conditions including hyperhidrosis.

When the excessive sweating problem becomes worse and the topical medication and other treatments fails to provide effective results, then botox treatment for excessive sweating prove highly beneficial. Even if you have a surgical treatment for hyperhidrosis, it can result in the appearance of compensatory hyperhidrosis in other body parts in almost 30% -40% of patients.

By making use of Botox such complications can be efficiently controlled. According to one of the study Botox is 20% more effective in treating the moderate to severe forms of primary/ focal axillary hyperhidrosis as compared to the topical aluminium chloride (source: Flanagan KH, King R, Glaser DA. Botulinum toxin type a versus topical 20% aluminum chloride for the treatment of moderate to severe primary focal axillary hyperhidrosis. J Drugs Dermatol. 2008 Mar. 7(3):221-7.)

Side Effects

The treatment can cause muscle weakness, bruising and swelling in the treated area. But these conditions usually wear off in few days. In some rare cases, it can cause flu-like symptoms, arm and neck ache in those patients who have Botox injections in their arm-pits.

Botox Hyperhidrosis Treatment Procedure

A complete initial consultation session will be conducted by our expert and professional cosmetic doctor, who will provide guidance about the treatment and will answer your concerns and questions. An examination will be conducted to determine the extent of the problem. Then the area of treatment will be thoroughly cleaned and disinfected to prevent any infections. Then the area is marked and our expert and experienced cosmetic doctor will inject small quantities of Botox.

After the treatment, the doctor will provide you with the after treatment care and advice. There is no downtime of the treatment.

Other Treatment Option

Depending on the severity of hyperhidrosis, different treatment options are available starting from topical medications.

Topical medications /Anti-perspirants:

This is inexpensive and non-invasive treatment. There are many different anti-perspirants available ranging from mild to strong prescription antiperspirants which have an anti-bacterial agent to control bad odour or for masking it with fragrance.

The downside: The main side effect they might have is skin irritation. Usually, strong concentrations are needed for palms and hands.

Oral Medications

Pills and oral medications cause a chemical blockage which stops the communication of some specific nerves thus causing a decrease in sweating.

The down side: However, there are certain side effects of these medications such as dryness of mouth, problems in bladder and blurred vision. Only some patients can take advantage from these medications and suggested when other treatment options fail to give results.

MiraDry:

This treatment is intended for destroying axillary sweat glands without the use of surgery. It is an FDA approved treatment. It makes use of the Electromagnetic energy which breakdown the sweat glands through thermolysis (using heat). A simultaneous cooling is provided throughout the procedure which keep the overlying skin unharmed.

One of the major benefits of this treatment is that it gives long lasting results as it destroys the sweat glands. In most cases, two sessions are required for the treatment. Majority of patients has rated 90% satisfaction level with this treatment as it cause 82% reduction in the symptoms.

The downside: The disadvantage of this treatment is its high price exceeding £1000, lack of relevant history and its limited application. It does not treat the excessive sweating problem of hands or feet.

Iontophoresis

This treatment procedure is safe as it has a long history and is primarily useful for treating the excessive sweating problem of palms and soles. The treatment procedure involves placing the hands or feet of patient in a tray in which a mild electrical current is passed through the water. The duration of each session of treatment is from 20-40 minutes and almost 10 sessions are required which are repeated after few days. With improvement in results, the treatment regimen can be decreased to every fortnight.

The downside: This treatment is quite time consuming.

Surgical Treatments

  • Endoscopic Thoracic Sympathectomy: it is a surgical treatment in which the sympathetic nerve trunk located in the thoracic area is damaged. This treatment is usually used for the treatment of focal hyperhidrosis, facial blushing, Raynaud’s disease, and reflex sympathetic dystrophy.
  • Laser Sweat Ablation: this treatment effectively treats the hyperhidrosis in underarms. The treatment procedure takes 2 hours and offers permanent cure for excessive sweating.

The down side: it is only suitable for treating some problem areas and can give variable results in different individuals. There are more risk factors involved as in any other surgical procedure.

Cost of Treatment

The cost of hyperhidrosis treatment varies depending on the area of treatment. Generally, it starts from £250 for the forehead treatment. For other areas treatment cost you can check our price tab or contact us directly for details.

Some Facts Hyperhidrosis Treatment

Hyperhidrosis is chronic disorder that is a cause of excessive sweating mainly in underarms, feet, face, and palms of hands but it can also affect other areas of the body.

Botox treatment for hyperhidrosis has proved to be an excellent treatment in its efficacy. Until recently, most of the excessive sweating treatments involved risks, had a short time effect or ineffective.

For the people suffering in their lives from problem of excessive sweating, Botox excessive sweating treatment has offered them new ray of hope where all other treatments failed to give desired results.

Botox was approved as a treatment of excessive sweating for underarms sweating in September 2011. Botox blocks the release of neurotransmitter, acetylcholine, which acts as trigger for sweat glands. Before Botox, most of the available treatments for underarms sweating were either short lived or ineffective or had significant risk factors involved.

There are many different studies which show that 80% to 90% of the patients responded quite well to the single treatment sessions (Naumann 2001; Lowe 2003; Naumann 2003). Botox injections not only caused reduction in sweating but also improved life quality (Campanati 2003) and considerably reduced body odour (Heckmann 2003) for almost up to 7 months (Naumann 2003).

Another long-term study showed that the treatment has minimal side effects and patients can have repeated Botox injection over 16 months period which is safe and highly effective (Naumann 2003).

If you want to have more information regarding the hyperhidrosis treatment, you can read these articles;

“No Sweat! A New Way to Control Excessive Sweat”, as seen on Canadian Living.com

Flanagan KH, King R, Glaser DA. Botulinum toxin type a versus topical 20% aluminum chloride for the treatment of moderate to severe primary focal axillary hyperhidrosis. J Drugs Dermatol. 2008 Mar. 7(3):221-7 on Medline.

Does the Hyperhidrosis treatment hurt?

The treatment of underarms and face can be well tolerated because very fine needles are used for injections while administering them superficially. However, the palms of hands and soles of feet are the more sensitive areas and numbing anaesthetic cream or cooling device can be used to numb the area.

How much Botox is used during the treatment and do I have to pay more for the extra if required?

The amount of Botox used for the hyperhidrosis treatment varies with the treatment area. Almost about 100-150 units of Botox are used for the treatment of underarms area. Men normally have larger treatment area so the amount of Botox used varies between men and women. We offer complimentary top up appointments in case there are any residual problems of sweating. It is important to note that the treatment reduces excessive sweating to almost 70%-80%.

How many Botox injections do I need to have?

This is quite a common question by patients because many often fear injections. Generally, Botox injections are administered approximately 1-2cm apart so basically the number of injections required for the treatment mainly depends on the size of the treatment area.

Botox is known for relaxing muscle, so will it paralyse my underlying muscles?

The location of sweat glands is between the skin and the underlying fat layer. Low dose injections of Botox are injected into the superficial layer. This leaves behind a visible wheal (bleb) which is temporary and usually settles down, quickly.

There is a possibility that some underlying muscles get partially relaxed such as in the case of forehead which gives an additional benefit of softening the forehead lines, naturally.

In the case of treating palm sweating, there is a possibility that it cause minor weakness in the fingers or in the hands but this is a temporary condition and quickly subsides.

In case of treating underarm hyperhidrosis, the weakness of muscles is quite rare.

Are there any other treatment options available?

Yes, there are different treatment options available. Depending on the severity of your problem our expert and experienced doctors will suggest the treatment. You can check the available options in our ‘Other treatment option for excessive sweating’ section on hyperhidrosis treatment page.

How do you diagnose hyperhidrosis?

We listen to the history of patient as well as assess it through a specially developed hyperhidrosis diagnostic scale on which the patient rates his/ her condition on a 4 point rating scale. Also, our doctors, rule out any other possibilities like medical condition which might be causing the problem.