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?

Sort: Date | Helpful
8 answers to “Botox injections on the scalp to...”

A: Boxot for scalp sweat might not work

Steven Wallach, MD

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.

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

Hratch Karamanoukian, MD

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... more

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

David Shafer, MD

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

A: Sweat Stream? A Little Stab'll Do 'Ya

Athleo Louis Cambre, MD

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... more

A: Dry up your brow

Kenneth R. Francis, MD

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!

A: Yes, Botox can work for hyperhidrosis of the scalp.

Bryan K. Chen, MD

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... more

A: Botox for a Sweaty Scalp

Michael A. Persky, MD

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

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

Stephen A. Goldstein, MD

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... more

Comments

drbanda
95 posts
11 Dec 2008

There is no question in my mind that Botox would work for hyperhidrosis of the scalp. One would run into the problem of dosing. You need fairly high doses of Botox injected in a relatively small area to effectively treat hyperhidrosis. We routinely perform a starch test before injecting Botox for this problem. It is quite possible that the test would show the scalp hyperhidrosis to be coming from a small area and not the whole scalp. In that case I'd feel encouraged to treat. My suggestion is for you to consult with a physician willing to try this.

Post your question
Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.