Hyperhidrosis Treatment: Q&A

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Botox Injections on the Scalp to Treat Hyperhidrosis?

I sweat profusely from my head. It is so bad that people assume I wear hair gels. I am almost always wet. Oddly, I have average perspiration from my armpits. I don't see why you couldn't inject Botox into the scalp (I can't wiggle my ears anyway.) I simply can't find anything on the Internet that references the practice. If it could be done, how many units would be required?

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10 Doctor Answers | Asked by NotLuke in Charlotte, NC
+3

Scalp Hyperhidrosis and Botox; Excessive Sweating - Treatment for Scalp Sweat

Scalp Hyperhidrosis and Botox, Excessive Sweating - Treatment for Scalp Sweat Botox can work for hyperhidrosis of any site and requires at least 100 -200 units when applied for hyperhidrosis of the scalp. Anyone who has used it for this indication knows that it is a large area and therefore many injections are necessary to accomplish the goal. It is my professional opinion that Botox is most practical for hyperhidrosis of the underarm followed by treatments for hyperhidrosis of the palms... more
+2

Dry up your brow

Extrapolating Botox treatments for sweating of the armpits, palms, and soles to the scalp is not a long shot.  It should be just as effective.  Since it is a relatively large surface it may require a large amount of Botox.  I would bank on at least 100units.  Good luck!
+2

The scalp is probably too broad of an area for Botox treatment

This is a very unique question. Botox is very effective in treating hyperhidrosis (sweating) in defined anatomical areas such as the palms of the hands, soles of the feet, armpits, etc. It is my opinion that the scalp is too broad of an area to treat. However, it would be simple enough to perform a small trial run. I would check into other medical or metabolic causes of excessive sweating such as hyperthyroidism. Thanks for your question.
+1

Botox Scalp

Botox is an effective treatment for scalp perspiration. You will need to identify which areas of the scalp you are sweating from (usually the hairline is a good place to start) and plan a treatment accordingly. You may need a couple sessions to determine how much and where you need to inject. Good luck!
+1

Hyperhidrosis of the Scalp

There are many options for neurotoxins that work on the scalp for hyperhidrosis. These options include: Botox Medical Xeomin Dysport All three options will exact a benefit for hyperhidrosis.
+1

Botox is very effective to stop sweating - even from the scalp

You are in luck - Botox is very effective to stop sweating - even from the scalp. Botox is commonly used to stop sweating and the scalp is no exception. You should be able to find a plastic surgeon locally who will inject your scalp for you. David Shafer, MD Manhattan
+1

Botox for a Sweaty Scalp

Hi Not Luke, It would be helpful if you could narrow down the exact area of your scalp where the main sweating is coming from.  Botox has been very successful in decreasing hyperhidrosis in the hands and armpits.  It should work as well in the scalp.  Good luck. Dr. P
+1

Boxot for scalp sweat might not work

Although Botox is used for hyperhydrosis of the axilla and hands, I suppose it could be used for the scalp.  However, normally 100-200 units is used for treating the more common areas. It may be a bit too much to try to treat the scalp, and I am not sure if it would work well on such a large area.
+1

Sweat Stream? A Little Stab'll Do 'Ya

Since the mechanism of action of sweating is similar to the nerve stimulation that produces unwanted muscle activity, there is no reason why Botox could not be used to treat it. Botox has proven to be effective for treatment of sweaty palms and excess underarm perspiration as well. Because of the large surface area involved, I would recommend starting with a very dilute dose so that the Botox can be spread throughout the scalp, rather than concentrated in small areas as it would be with a... more
+1

Yes, Botox can work for hyperhidrosis of the scalp.

I treated an individual who had profuse sweating, primarily of the parietal and temporal scalp (sides of the head) with Botox and he was very satisfied with the treatments. The number of units depends on how widespread the hyperhidrosis is. To my patient, I administered 40 units to each side of the scalp, and the effects lasted 6 months.
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Comments (1)

I suffer from excessive sweating too and had my scalp injected with about 50 shots of botox. I think it helped my sweating but my face just dropped. It was as if my eyebrows and eye lids had nothing to support them!! Very uncomfortable. I am now planing on having it injected on the back of the scull and see if it helps at least in that area without affecting my face. Wish me luck .... or why don“t you try it and let me know???

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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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