BOTOX® Cosmetic for localized hyperhidrosis

UW Medical Center is the region's leader in cosmetic surgery, including treatment for hyperhidrosis.

What is localized 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. When severe, localized hyperhidrosis can lead to significant effects on quality of life, necessitating frequent clothing changes and causing significant stress and/or impairment in social or work situations. 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 for this reason.

What are the treatment options for hyperhidrosis?
Options for treatment of localized hyperhidrosis vary depending on the area to be treated. Consultation with a physician (e.g. dermatologist) who is knowledgeable about this condition is recommended.

Use of Aluminum Chloride (Drysol®) liquid is effective in some people. This is a medication available through the pharmacy. Devices are available (iontophoresis) which may help block the excess sweating for some people.

For the axillae (armpits), surgery has been described to remove the skin in the armpits or even to do liposuction to try and destroy the sweat glands. Surgery to destroy the nerves that supply the sweat glands may also be a very useful permanent solution in some patients. This is called thoracic sympathectomy.

Finally BOTOX® has been shown in several medical studies to be a very effective treatment for patients with localized hyperhidrosis, especially in the axilla.

How does BOTOX® work for hyperhidrosis?
BOTOX® blocks the nervous system stimulation of the sweat glands in the armpits or palms or other localized areas. It is directly injected into the skin in the area that is sweating excessively. After a few days, significant and often dramatic reduction in sweating is seen in many patients. The duration of effect lasts on average 4-6 months, but some patients get up to a year of reduced sweating from an injection. Side effects are minimal in the axilla though transient muscle weakness can occur in the palms.

If you'd like to with the most talented cosmetic surgeons to ensure that your outcomes are the best that they can be, UW Medical Center provides exceptional healthcare, including cosmetic surgery. Call 206-598-8111.