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How Many Units of Botox Are Needed to Prevent Sweaty Palms?

asked 2 years ago by gonzalez615 in murfreesboro
Latest answer by Jill Tomlinson, MBBS, FRACS
Question viewed 2,002 times
Tags: hands, cc, dosage, units

Just the palms.

14 answers to How Many Units of Botox Are Needed to Prevent Sweaty Palms?

+2

Botox units for sweaty palms: 100 units per palm

Treatment of sweaty palms takes more effort than something like treating the armpit, because the palms are very sensitive. Usually you have to do a local anesthesia, a so-called wrist block. Sometimes just cooling with ice may be ok as well. Patients are most happy when they have their sweating reduced with just one treatment. In my experience 100 U Botox per palm is safe and has a good and lasting effect in just one go. The Canadian Hyperhidrosis Committee recommends 100-150 U per palm.... more
Robert Kasten, MD

Mainz Dermatologic Surgeon
+2

Botox dosing for hyperhydrosis

You can always tell whether there is a definitive answer in medicine when everyone answers the same way. And if you get lots of different answers, you know that the jury is still out. A couple of years ago, I reviewed your question for my own needs. The bottom line is that the best starting dose is 50 units per palm. Dilution was not critical, but most studies use either a 4 cc dilution or a 5 cc dilution. Any dose less than that, and you may suffer from incomplete resolution or... more
Kevin Robertson, MD

Madison Facial Plastic Surgeon
+1

Botulinum toxin injections for sweaty palms

I recommend using 50 units per palm, and increasing the dose (or having a 'top-up') if that is not sufficiently effective for you. I recommend to new patients that they return for a review 2 weeks after the injections to assess whether the treatment dose has been sufficiently effective. Because the hands and fingers are extremely sensitive I recommend having the procedure done with local anaesthetic nerve blocks performed by an experienced practitioner. In the hands of an... more
Jill Tomlinson, MBBS, FRACS

Melbourne Plastic Surgeon
+1

50 units per palm with Botox for hyperhidrosis

About 50 units of Botox is usually required per palm for effective control of excessive sweating. I usually start with this, then see my patients back in 2 weeks for additional injections. Since the sweat glands and our hand muscles are in close proximity, it is possible you may have some minor muscle weakness. The fewer units used, the less likely this will happen. I would recommend going to an experienced injector who can minimize these side effects. The... more
Margaret Mann, MD

Cleveland Dermatologic Surgeon
+1

50 units of Botox to start with for each palm for excessive sweating

50-100 units per palm is a typical dosage for hyperhidrosis of palms. It is better to start with the lowest dose you need to achieve satisfactory relief from excess sweating to minimize expense but also to prevent any subtle effect on fine motor movements, which would be relevant for a violin or piano player.
William Ting, MD

Bay Area Dermatologic Surgeon
+1

Sweaty palms treatment with Botox

The standard usage of Botox in sweaty palms is 50 units per palm, with a total of 100 units per patient. Very rarely would someone need more units. The trick is to map the areas with more sweating & make sure they get enough of the medication. Results usually last 5-9 months.
Khaled El-Hoshy, MD

Detroit Dermatologic Surgeon
+1

Botox for Palmar Hyperhidrosis

For palmar hyperhidrosis, I typically start with 50 units of Botox per hand. If that is not sufficient, then I add more after a week or so.  For the average patient I have found 50 units to greatly reduce sweating with minimal risks.
Jason R. Lupton, MD

San Diego Dermatologist
+1

Palm sweat and Botox

Sweaty palms can easily be treated with Botox. It usually requires about 50 units per hand. This can last a few months and be very satisfying.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Units of Botox for palm hyperhidrosis

If the size of your palm is average then I would start with 50 units per palm. If your hands are not average size, either smaller or larger, then I would vary the amount accordingly. Four to six months longevity is the usual so if you do not get this result the first time, have the doctor use slightly more the second time around.
Lee Robinson, MD

Portland Facial Plastic Surgeon
+1

Botox for hyperhidrosis / sweaty palms

The range appears to be between 50 and 100 units per palm. Most physicians seem to start with 50 units per side and see what result you obtain before increasing the dose. Its effect may last longer than the cosmetic facial Botox treatments, but you shouldn't expect more than six months duration.
Ronald Shelton, MD

Manhattan Dermatologist
+1

Use of Botulinum Toxin for sweaty palms

There are about 100 units per vial of Botox and 300 units per vial of  Dysport per and typically I would use 1 vial of Botox to treat both palms which would amount to about 50 units per palm whereas I would use about 200 total units of Dysport (100 per palm).
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Botox Units for sweaty palms

I have found that 1 vial of Botx (100 units) divided into the 2 palms seems to work very well. That would be 50 units per palm.
Janet M. Neigel, MD

West Orange Oculoplastic Surgeon
+1

About 70 units of Botox for sweaty palms

A European study used 70 units in the palm, or 284 Units of Dysport as a comparison, in each palm. Three quarters of patients noted significant improvement. Your palms may be different, and it could take more or less than these amounts. Best to start with 50-75 units of Botox and see how it goes. You might get by with 50, but you may need 100. Then you need to see how long it lasts for you. Dysport is an alternative. Good luck.
Keith Denkler, MD

Marin Plastic Surgeon
+1

I start with 50 Units per palm

My philosophy is: it is easier to add than subtract. I start with an entire vial of 100 units, dividing it between each palm. I also use a 4cc dilution rather than my usuaI 2 cc for cosmetic use. I have found this works in almost everyone. Good Luck!
Mary Lupo, MD

New Orleans Dermatologist

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