Botox for Hyperhidrosis - Worked Just for 2 Weeks. Normal? Doctor Answers, Tips
Hyperhidrosis Treatment: Q&A
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Botox for Hyperhidrosis - Worked Just for 2 Weeks. Normal?

I had botox injected 3 weeks ago and at first it looked very promising. 2-3 days after injection sweating was minimal but it did not last long. Increased perspiration was clearly visible after 2 weeks and after 3 weeks sweating is so excessive as if i did not have any botox. I was full of hope and now I am devastated. Why it did not work? Should I do it once again? Thank you in advance for your advice. Maggie

14 Doctor Answers | Asked by coris1
+2

Botox for hyperhidrosis is normally very effective

Botox for excessive underarm sweating is normally very effective. Most of my patients have a success rate of over a year of effectiveness, and some even 18 months. I am unsure how many units were injected, what the dilution ratio was, and where the injections were placed. All of this largely determines the effectiveness of Botox for underarm sweating. I would suggest at minimum, you see your injector for an evaluation and discussion.
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Botox for hyperhidrosis is temporary, MiraDry is long lasting

Although Botox can work well for hyperhydrosis, it is temporary and expensive. After years of using it for patients with varying results, I've switched everyone to MiraDry. The costs are similar for something long lasting. The miraDry procedure is an FDA cleared non-invasive method to eliminate the sweat glands in your underarms. It uses microwave energy to destroy the sweat glands, eliminating the excessive sweating problems of people with axillary hyperhidrosis. ... more
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Botox for Hyperhidrosis Worked Just for 2 Weeks. Normal?

Usually the effects of Botox in the axillae for hyperhidrosis lasts 6-12 months. Many factors may be involved to explain why your treatment lasted for 2 weeks. The amount injected, the depth of injection and the area treated could be issues. I suggest you see your injector again for evaluation. (This answer is not intended nor implied to be a substitute for medical advice. The information presented in this posting is for patients’ general education only. ... more
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Botox for Excess Sweating

In humid New Orleans, Botox can be a real benefit for excess sweating. It should last 4-6 months. I usually inject around 30 units per armpit.
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Hyperhidrosis

While BoTox has excellent results for hyperhidrosis of the axillae (armpits), it is only a temporary measure. Depending on how much was used along with the location of the injections, results typically last for 6-12 months on average. Without knowing this information, I am unsure of why yours would have lasted for only a couple of weeks. One option to also consider would be liposuction to the areas, or even subdermal shaving to excise the sweat glands permanently from... more
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Longevity of Botox Is Dose Related

Botox for hyperhidrosis is usually very effective and long lasting. Some excessive forms of hyperhidrosis in large areas may require adjunctive treatments with other medications. It is difficult to comment on your treatment without specifics including how severe, whether testing was performed, the area treated and the dose used. All these factors have an impact. On average for the axillas, 50 units lasts 6-9 months, 100 units 9-12 months and 200 units 12-20 units. more
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Botox works amazingly for Hyperhidrosis

Botox works extremely well for hyperhidrosis, or excessive sweating. Generally speaking, the area injected should last up to 4-6 months. If it seems that it is not working after two weeks you should return to your doctor for her to re-do the area and find out how many units were injected.
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Botox Hyperhydrosis

Typically Botox will last much longer for hyperhydrosis. If injected too deep it may get washed away and wear off too quickly. Botox that has been reconstituted for too long or diluted too much will give less lasting results. It is worth another try. The Cellulaze Sidelaze or Ultrasound treatments will give longer lasting results.
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Short Duration of Botox for Hyperhidrosis. Normal?

Two weeks would be an unusually short duration for Botox treatment. Even though Botox can last six months to a year or longer, it does not cure the condition. We use SmartlipoTriplex laser treatment to permanently ablate the underarm sweat glands. This is a short office procedure done with local anesthetic. Starch iodine is used to demarcate the area of sweat glands, and the laser is used to ablate the sweat glands. This procedure may cost about 3,000, but has a good chance of... more
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How to get the optimum effect from Botox for hyperhidrois

Typically the effect of Botox lasts for at least 4-6 months, stretching almost up to a year in some. A good result depends on proper marking of the area to be treated, using the right concentration and amount of the drug and injecting it at the right depth. If you have had a number of injections in the past, it is possible to develop a tolerance to it, so that the effect last shorter and shorter with each successive injections. If not, it may be worth trying again. more
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Botox Resistance is Rare - Botox Works Well in Most Cases and For 3-6 Months

Botox works very well for most people and it is rare for it to work for several days and dissipate afterwords (and so quickly as you have noted). I have seen one or two people in whom Botox lost effectiveness after 6 weeks but this is only a rare observation as I have treated over a thousand patients with hyperhidrosis for over 13 years. You should have someone else inject Botox to see if it is effective for you before you give up on this treatment modality. If Botox does not... more
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Botulotoxin for hyperhydrosis

Thank you for your question. Botox and other Botulotoxins can reduce production of sweat by decreasing acethylcholine mediation of the apocrine sweat glands. Effect last from 6-12 months (longer than for wrinkles) Around 3% of people will develop resistance to Botox and eventually to other types of Botulotoxins for them effect will be very short or none at all. The best hing to consult your doctor again.
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Botox for Hyperhidrosis. Usually Very Effective

It is hard to determine why this did not work so well for you. It could be dilution, administration, or not enough medicine. There have been instances where the protein broke down and it was ineffective. Please talk with your well trained and experienced injector. Hopefully they will come up with a plan to treat the situation.
+1

Botox for hyperhidrosis - not lasting enough

In my patients, I typically see 6-12 months of minimal sweating after injecting Botox for hyperhidrosis. I would worry that the incorrect dilution or depth of injection was used, and also that too low a dose was used for you. Make sure to see an expert in hyperhidrosis treatment, a dermatologist, to discuss your condition. Rarely, some people don't respond sufficiently to Botox which is also possible, but in these cases we may try a different botulinum toxin, or add an oral or topical... more
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Comments (2)

coris1 1 Aug 2012
Thank you very much for the answers. I had around 16 injections per 1 underarm - maybe not enough? The depth was 2mm. I definetely need to see the injector once again to consult the effects (of no effect) with her. Maggie
AgentTran 3 Aug 2012
Hi Maggie, the effectiveness of Botox will vary from person-to-person. I have heard cases (besides yours) where it lasted 8 months and cases where it lasted 3 weeks. For me, I had it done for my palmar HH it lasted about a month. Having someone with experience in treating HH with Botox helps too and, if your injector has not been trained properly, it could also have an effect on how long it lasts. If this turns out to be the case, the International Hyperhidrosis Society has a directory of doctors that have been trained to diagnose and treat HH that may be able to help in your area. Best of luck to you!

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