Why is Botox Needed Every 6 Month for Hyperhidrosis?
- Asked by lovlife
- 1 year ago
does Botox disappear after 6 month what happens to the amount that they first inject? Im 23 years old if i inject Botox every six month for the rest of my life where is all the Botox store? does it disappear? My doctor says the sweat has to come out some how and if i stop the sweet from my hands, feet and armpit will I be sweeting in other areas of my body like my back etc??.. he recommended a different technique call Iontopheresis, have you try this technology with your patients?
Botox for hyperhidrosis typically lasts between 3-6 months with most patients lasting closer to 6 months than 3 months. Its effects end when the botox no longer binds to the sweat gland and normal function of gland resumes.
Repeated Botox injections for hyperhidrosis
Botox injections for hyperhidrosis typically last 4-6 months. Like most medications, Botox is not stored long term in the body. It binds to receptors then is metabolized and breaks down. Usually with repeated treatments the frequency of Botox injections can be decreased. When it is for hyperhidrosis, insurance usually covers the costs.
Web reference: http://www.aglowdermatology.com
Botox injections and need for repeat injections
The current Botox 'neurotoxin' wears off and needs to be replenished to garner the desired effect. Rest assured that another company is working on a variant that has a longer lasting effect - I am sure they are investing hundreds of millions of dollars to fgure it out - it would be like taking a medication for high blood pressure (like Toprol) 3 times a day and then developing an extended release medication that is taken once a day (Toprol XL). It is the same issue with Botox and another version that lasts longer. However, the down side of that is that if it lasts longer and you don't like the effect, you are stuck with it ... Having said that, Botox has helped millions of people with over 22 FDA indications and growing yearly and you can keep getting it without known undue side effects or complications that we are aware of to date.
Web reference: http://www.AdvanceYourBeauty.com
Recent Hyperhidrosis Treatment Reviews
Botox can suppress sweating in the underarms for about six months
It is often recognized that the botox effect of less sweating in the underarms or palms / soles can last longer than the relaxation effect of facial muscles for wrinkles. Botox is not stored year after year if you continue to have the treatment. The molecule is metabolized and the effect wears off.
Web reference: http://www.thenyac.com/botox/index.html
Treatment options available for Hyperhidrosis
Botox injections are helpful for axillary hyperhidrosis, but only last about 4-6 months in my experience. I have also treated the palms and soles, which is a bit more painful and doesn't last as long, most likely because it is a larger treatment area (50 units per hand/axilla/sole). Some insurance companies will cover the cost of this, so you might want to look into it, however, if you are treating 3 sites (axilla, palms and soles) that would be quite expensive. There are other treatments to consider: Drysol, Drionic device, and oral medications (Pro-Banthine, glycopyrrolate, diltiazem, clonidine) may be helpful. Drionic is also known as Iontophoresis and is a simple device which uses tap water soaked pads to pass a low level electric current through the tissues, shutting off the sweat glands. The cost is $198.00 for the underarm pair of pads. You can go to their web site for more information (below). I do use it and for many patients it works well. I note that you also have palmar and plantar hyperhidrosis and they have pads for these areas also. It is a single unit for hand/foot treatment and it is less than the cost for the axillary pads ($180.00).
MiraDry is the newest treatment for axillary hyperhidrosis using microwave energy and it should be permanent. There is also literature out on using Ulthera (Ultherapy) for treating axillary hyperhidrosis. Ulthera uses focused ultrasound and can target deeper tissues than MiraDry. The treatment should be permanent since the sweat glands are destroyed. The Ulthera protocol that has been reported I believe is 100 lines dual plane for each axilla (200 lines first visit) and this is repeated a month later (400 lines total). The cost should be around $3,000.00 similar to MiraDry ($3,000.00 - $4,000.00).
Surgery involves upper thoracic sympathectomy, and this should not be taken lightly. I have had patients that have had this done and while it does improve axillary hyperhidrosis some patients shift the sweating to other areas, such as the abdomen or flanks.
Your dermatologist can review all of these treatment options, many of which are covered by insurance. I hope this helps you! Good luck!
Web reference: http://www.drionic.com
Botox for hyperhidrosis
The general idea is that after a certain number of treatments, the Botox will work for longer periods of time. It would be wonderful if your insurance would cover the treatment although I have not been very successful for getting insurance coverage for Botox for treating this particular problem.
Web reference: http://www.kassmd.com
Botox frequency and duration for hyperhidrosis (excessive sweating)
Botox has been used safely and successfully for a number of years now in millions of people with hyperhidrosis, along with many other uses (e.g. cerebral palsy, club foot, urinary incontinence, migraines, cosmetic, etc). I find that in hyperhidrosis it lasts anywhere from 6-12 months depending on amount injected and injection technique. Hyperhidrosis is excessive and inappropriate sweating, the armpits for instance representing 2% total body surface area, so reduced sweating in this area does not exacerbate sweating in other areas. The Botox is broken down after 6-12 months, and does not stay in the body nor does it cause any harm.
Botox and other methods for hyperhidrosis
Botox is not stored in the body--it acts on the receptors in the skin and then the effects gradually wear off. It is a very easy and relatively painless procedure to perform in the armpits. It's also covered by most insurance plans and the doctor can help you with the necessary steps to get this covered. However, if you have a high deductible, you may end up paying for most of it anyway so you may want to talk to the doctor to find out if there is a discount for paying cash. The longevity of Botox is dose dependent--if a higher concentration or amount (number of units) is injected then it will last longer. It can last 9-12 months depending on how much is injected. Iontophoresis takes a lot of commitment and is difficult to maintain. Botox is much more painful for hyperhidrosis of the hands so that's one area you might want to consider iontophoresis. But since the armpits are basically painless with Botox and so easy to do, Botox would seem the better course for the armpits. MiraDry is a new microwave device that actually permanently destroys the sweat glands after 2-3 treatments--it can only be used on the armpits. Cellulaze is a new laser device by Cynosure used for cellulite but can also destroy the sweat glands underneath the armpits helping to control hyperhidrosis.
Underarm Botox injections
In my experience, Botox for underarms lasts longer, up to one year, so that helps defray some of the costs. Additionally, some insurances will cover it, but you can only go to specific doctors who are covered to do it on the plans, which usually means they charge much more to the insurance than they would for cash paying patients, so if you have a deductible or coinsurance, you could still end up with significant bills. With Botox to the underarms I have not seen patients then sweat more in other places. The injections don't totally stop you from sweating, it just inhibits some of the glands that are in abundance, so you will sweat a normal amount, not an excessive amount. Additionally Botox isn't stored in the body no matter where you inject it. The body simply metabolizes the neurotoxin over time and it leaves your body. It isn't stored anywhere. I have not tried Iontopheresis, but really, am not all that impressed with it and find it requires a great deal of patient commitment, time, and energy, which most people just won't do. If you can afford the Botox injections, I would start there, go as long as you can (hopefully one year) and then do it again.
BOTOX and sweat reduction
Everybody responds differently to BOTOX for hyperhidrosis. It certainly can be difficult fiscally if you need to do it 2 times a year. However, it is a covered procedure in many insurance plans, and that should help defray the expense. Iontopheresis is not my choice for therapy. I use Robinul orally, and have had success with surgically scraping the underside of the underarm skin. Miradry is a new therapy with some success.
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.