Botox has stopped working for axillary hyperhidrosis

It is uncommon but possible for patients to become non-responding to Botox for axillary hyperhidrosis.  A couple of options.  1)  You could try Dysport or Xeomin to see if they work.  Some patients that do not respond will respond to these injections2)  Botox injections at another clinic.  It is possible the clinic you are using is having an issue with their Botox3)  Miradry.  It will less costly and easier on your lifestyle long term4)  SurgeryI hope this helps.  

I am so sorry that this is happening to you. I would suggest two thing:  1) try a Botox alternative like Dysport or Xeomin and 2) try a different surgeon/injector. Hope this helps, Dr. Nazarian

Thank you for your question. If Botox has worked for you previously, it should work again. Speak with your injector and discuss your results. Perhaps you will consider another injection to your axilla and assess results - it may have been the Botox or injection technique?All the best,

I find that a procedure like vaser or smart lipo with scraping of the glands gets rid of most the sweating then the botox helps get the rest.  If botox isn't working switch to dysport.  Also try glycopyrrolate.   I suggest you see an expert, most cosmetic procedures are not covered by insurance.  Best, Dr. Emer.

Thank you for your question, and I am sorry that your hyperhidrosis has resumed.  If you have developed a resistance to Botox, you may wish to consider other medications in the same family for treatment, including Dysport and Xeomin.  Oftentimes patients resistant to one of these medications find symptomatic improvement with use of the others.  Hope this helps. 

In the long term Botox will cost more.  There are other options such as Thermi RF or for the ultimate result the area can be surgically excised.i would talk to a board certified Plastic surgeon who can offer these options.good luck!

There is a remote but possible probability to become resistant to Botox injections for axillary hyperhidrosis. You still have several alternatives:1. Try Botox at another facility. The Botox that you are getting might have an issue at that facility or is being diluted too much.2. You can always do a trial of Xeomin or Dysport. They are the competition of Botox. Some patients that are resistant to Botox are not necessarily resistant to Xeomin and/or Dysport.3. If Miradry is too expensive for you. Try to see look for a physician that is able to do PrecisionTX (SmartLipo device) on you armpits. There is an indication for the SmartLipo device to be utilized for reduction of sweeting on the armpits that works just as good as Miradry. You might find a physician that provides this at a lesser expense than Miradry.Hope this helps,Dr. Gus Diaz

If you liked the results from Botox injection, but are no longer seeing the same results, my first suggestion would be to consider one of the other agents such as Dysport or Xeomin.  In patients who have developed a resistance to Botox, making this switch can solve the problem.Additionally, you can consider have Miradry.  This technology destroys the sweat glands and can permanently solve your excess sweating.I'd suggest you discuss these options with your physician.Best of luck.

Treatment with Miradry would be my recommendation.  It is likely not covered by insurance but is reported to be very effective at reducing axillary sweating.  Other suggested treatments such as surgery or sub-dermal laser are more invasive with higher risks.  

I am sorry that your Botox treatments have stopped working for your hyperhidrosis. Sometimes, switching to Dysport can be of benefit; however, a permanent solution is possible with Miradry. Many people are getting a significant reduction in sweating with only one treatment when the High volume anesthesia technique is used due to increased safety and the ability to increase the energy used with each treatment. Most people have not needed a second treatment when we use this method and this translates into a savings for you. Care credit is an option in many offices that offers typically a 6mo period of no interest to help make the treatment more affordable.  I hope this helps!Dr. Quenby Erickson