What's the recovery time after botox treatment for hyperhidrosis?

Question

I am being treated for palmar hyperhidrosis with botox and am getting a nerve block to help with the pain, I was wondering how long it took for the nerve block to wear off?

Anil R. Shah, MD · Answer

Hello, There are many treatments to treat excessive sweating. Please see below.

Botox- Botox is helpful in that it can decrease the production of sweat but not odor.  It typically lasts about 6 months in the under arm area.
Miradry-  Miradry uses microwave energy to destroy apocrine and eccrine glands.  It is better at eccrine gland destruction than apocrine and is currently only used on the underarm area.
RF needling- Can be used anywhere on the body and can destroy both apocrine and eccrine glands.  Has become the procedure of choice in my practice for hyperhidrosis due to its effectiveness.
Nerve ablation-Not commonly performed anymore as side effects are often worse than treatment and effectiveness is often limited.
Oral medications- Too many side effects to be effective.
Topical medications- Works by blocking glands.  Many patients state how not effective mechanism.

Best,
Anil Shah

Jason Emer, MD · Answer

There is no need for nerve blocks.  You can do this with topical creams and icing and vibration.  The nerve blocks if done take a few hours to wear off.  Please see an expert.  Best, Dr. Emer.

Hratch Karamanoukian, MD, FACS · Answer

There is no need for anesthetic blocks.I have injected Botox in the hands over 800 times over a course of 10 years or more. I have taken care of hyperhidrosis patients for over 13 years as of this writing in 2012. Very rarely, patients get weakness of a finger but it seems to go away very quickly - within 2 weeks. Because hand muscles are used very frequently, the effect of Botox in causing muscle paresis (weakness) dissipates quickly. Again, a practitioner with a lot of experience is needed to inject Botox for palmar hyperhidrosis because depth of injection is critical - it is done quickly with 5-8 injections for each syringe until ice is applied in between syringe refills and therefore experience in putting the needle in a proper depth is critical. There is not much time wasted because icing in between syringe refills keeps the skin cold and provides proper anesthetic. There is no need for anesthetic blocks. You can drive home with this technique and return to work the next morning. Read my ebook on the link below. H Karamanoukian MD #RealSelf100 Member

Rita Rakus, MBBS - Account Suspended · Answer

Thanks for your question. Nerve blocks last for around 6 hours however for this treatment you do not need a block just topical anaesthetic cream

What's the recovery time after botox treatment for hyperhidrosis?

Answers (4)

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