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See your dermatologist, new paper that Co2 with Botox later can help. You can use erbium laser or Co2 in Drill Mode. Botox stops or reduces sweating, we have been doing this for the past 5 years, but recent papers confirm that this is a better step forward to increase remission and reduce recurrence. As syringmomas are recurrent, having a remission plan makes sense. DR Davin Lim. Brisbane. Australia.