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Are Botox Injections for Hyperhidrosis Painful?

Or, do you "pre-numb" the areas being treated with some type of topical agent so it is less uncomfortable for the patient?

Doctor Answers (22)

Are Botox Injections for Hyperhidrosis Painful?

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My office provides numbing cream before treatment to ensure as little pain as possible, mowt patients feel little too nothing when treating for hperhidrosis  

Los Angeles Plastic Surgeon
5.0 out of 5 stars 148 reviews

Botox for Sweating Pain Level

+1

Generally speaking, botox injections are well tolerated.  We use a combination of a topical numbing + ice + a Zimmer cryo freeze to help make the injections as comfortable as possible.

Web reference: http://www.shahfacialplastics.com/latestnews/05-22-10/underarm-sweating-blog.html

Chicago Facial Plastic Surgeon
5.0 out of 5 stars 56 reviews

Pain control with botox for sweating

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Botox under the armpits for sweating is relatively well tolerated. You can place numbing cream beforehand and supplement this with a cold pack prior to applying it. You can also consider some form of distraction like vibration or tapping in the vicinity of the armpits as this will help confuse the brain with additional stimulation. Good luck

Houston Plastic Surgeon
5.0 out of 5 stars 8 reviews

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Numbing the palms for Botox hyperhidrosis

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In our office in Los Angeles, we use topical numbing cream and apply a Zimmer cryo freeze to the skin prior to Botox injections for excessive sweating and hyperhidrosis. 

Web reference: http://www.surgery90210.com

Los Angeles Plastic Surgeon
5.0 out of 5 stars 43 reviews

Hyperhidrosis botox, painful

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Application of a topical anesthetic and ice help to diminish the pain from the small needle pinches required to inject Botox or Dysport.

New York Plastic Surgeon
4.0 out of 5 stars 11 reviews

Botox for Hyperhidrosis is not painful

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Botix in the underarms is very tolerable when injected by an experienced practitioner. It is more painful in the hands and feet.

Web reference: http://www.EliminateSweating.com

Buffalo General Surgeon
4.5 out of 5 stars 6 reviews

Are Botox Injections for Hyperhidrosis Painful?

+1

Surprisingly, the superficial Botox injections for sweating are not that uncomfortable. I use a topical numbing cream and this significantly reduces the discomfort. The injections only take about one minute per armpit and most patients do not describe this as a bad experience. If it was painful, they wouldn't keep coming back! I hope this is helpful.

Stephen Weber MD, FACS

Web reference: http://weberfacialplasticsurgery.com/botox-dysport-xeomin-neuromodulators

Denver Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

Botulinum Toxin Injections for Hyperhidrosis

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The degree of discomfort or pain varies depending on the body part.

For the arm pits most patients find that either ice or topical EMLA (a local anaesthetic cream) is all that is required to have a comfortable procedure.

For injections to the hands or feet I recommend local anaesthetic nerve blocks prior to treatment because the skin in these areas is much more sensitive. The nerve blocks provide safe, reliable and complete pain relief when performed by an experienced practitioner who understands the anatomy of the area being treated.

Melbourne Plastic Surgeon

Botox for hyperhidrosis

+1

Botox treatments for hyperhidrosis of the armpits are very well tolerated with topical local anesthesia (EMLA).  Most patients seem pleasantly surprised at how little this hurts.  The same cannot be said for hyperhidrosis of the palms.  The skin of the palm and fingers is dense and and very painful to inject without preliminary local anesthesia.  I will typically block the two main nerves to the hand with local anesthetic, which then renders the entire palm numb.  At that point the Botox injections are completely painless.  Bear in mind that a permanent solution to hyperhidrosis can be achieved by means of a surgical procedure (sympathectomy).

Web reference: http://www.bolithomd.com

San Diego Plastic Surgeon
5.0 out of 5 stars 7 reviews

Injection of Botox for hyperhidrosis generally not painful

+1

All and all injection of Botox for hyperhidrosis is well tolerated.

However for some patients this procedure is painful and in those cases we use topical numbing cream, ice and vibration to make this a tolerable procedure

Irvine Dermatologic Surgeon
5.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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