What treatment is used for excessive sweating of the face, head and neck?

Greetings,There are a variety of techniques to decrease sweating:

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

Thanks for this question. MiraDry and miraSmooth are only FDA approved for the underarm area. For treating sweat of the head and neck region, Botox would be more appropriate. Best, Dr. ALDO

As of right now Botox, Dysport, and Xeomin can be used to address your concerns.  Please see a reputable provider with plenty of experience for optimal results. Hope this helps.

If oral anticholinergic medications don't reduce excessive sweating in the craniofacial area, Botox injections are ideal for this condition. micro ETS is another option. However, it is associated with compensatory hyperhidrosis.Read my free ebook about craniofacial hyperhidrosis on the link below. Hratch L Karamanoukian MD FACS

miraDry is not currently indicated for treatment of excessive sweat anywhere except the armpits, although it will be interesting to see if the company expands its utility in the future.Botox injections may be a possible, although temporary, solution to reduce sweating in targeted areas of the face, head, and neck.Hope this is helpful, and good luck,Dr. Lim

Sweating of the face, head and neck can be very frustrating and is unfortunately often difficult to manage. Currently, the most common treatments for these areas are certain prescription topical medications, prescription oral anti-cholinergic medications, or Botox injections. Good luck!