Why is Botox Needed Every 6 Month for Hyperhidrosis?

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?

Doctor Answers 16

Miradry instead...

Our office specializes in Miraday. Miradry just got FDA clearance for elimination of all hair colors under the arm. It also has clearance for the elimination of underarm sweating and odor. Much cheaper than botox and permanent.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 34 reviews

Botox or Miradry for Sweating Problems

Botox effects goes away and it is not stored, rather broken down and eliminated slowly by your body. Miradry is the best way to correct your problem. Excess sweat (hyperhydrosis), and smelly armpits (bromhydrosis) are caused by eccrine (sweat) and apocrine glands whose secretion is modified by bacteria causing a bad odor. Miradry eliminates these glands permanently and solves both problems. You will never need to use deodorant again.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 76 reviews

Botox, a temporary treatment for hyperhidrosis.

Boxtox will typically give relief for hyperhidrosis for 4-6 months, it is broken down by the body and no longer blocks the nerve terminals, after that time. Sweating from the armpit, is less than 2 % of the body surface area. Stopping sweating in that area, is unlikely to effect sweating in other areas of the body.

Sweat glands can be permanently removed, through a process known as retro-dermal curettage. The procedure can be done with local anesthesia and typically improves the sweating 80-95% with only one treatment required.
15% of the patients undergo a local touch up, if required.

The cost is usually equivalent to 4-5 Botox treatments.

You should consider cellulaze or smartlipo for axillary hyperhidrosis.

Botox typical lasts 6 months. it works very well but it is expensive and has to be repeated. 

i have used the cellulaze system, off label, for hyperhydrosis of the axillary region with good results. 
it appears to last many years and may be permanent, so it is much more cost effective. you should be able to
return to the work the next day. you will be in and out of the procedure in about 30-45 minutes. 

david berman md
plastic surgeon
northern va

David E. Berman, MD
Sterling Plastic Surgeon
5.0 out of 5 stars 34 reviews

Why is Botox Needed Every 6 Month for Hyperhidrosis?

Botox is not a permanent treatment and usually lasts 3-6 months to help control Hyperhidrosis, once your body metabolizes the product, you’ll start to notice the effects wear off 

Botox Duration

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.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 101 reviews

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.

Dina D. Strachan, MD
New York Dermatologist
3.5 out of 5 stars 10 reviews

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.

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.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
5.0 out of 5 stars 34 reviews

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!

Curt Samlaska, MD
Las Vegas Dermatologist
5.0 out of 5 stars 4 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.