Botox Didn't Work For Underarm Sweating?

Question

i had a botox injection in my armpit and after 4 days it worked amazing and sweating stopped 90% ... but after 2 weeks the effect stopped and the sweating came back as always .. why is that ? my doctor didnt know why and she said come back after 2 month to do it again .. will it work if i do it again ? i'm sure that the botox is real and not a fake product so what is the problem ? please help me i'm so sad + i'm a girl so sweating is a really big problem for me

Jerome Edelstein, MD · Answer

It appears that while your treatment did work, it didn't last very long. Please talk to your injector about increasing the number of units administered. Best of luck.

Kenneth Hughes, MD · Answer

It would be very helpful to know how many units were applied. The recommended dosage for hyperhidrosis is usually 50 units on each underarm, a total of 100 units for full correction. It may be you need more units applied or need a touch up, let your medical provider know about the situation, i'm sure they will be more then happy to see you for a follow up. 

	Best regards

George T. Boris, MD, FRCS · Answer

I find that Botox is a great answer to axillary hyperhidrosis (excessive underarm sweating). It would be interesting to know how many units were injected to each underarm. Every individual is different in their need, but it could be that you needed more. Usually it takes anywhere from 2.5-4 months for botox to be metabolized through the body. Best of luck!

Michael A. Zadeh, MD, FACS · Answer

The average number of units of Botox to treat excessive underarm sweating is 50 Units per underarm. That being said, some people may require more and some may require less. Sometime's it takes more than one treatment session to figure out what the right dosing is for you. The effects of Botox usually last 3-4 months, but for some people it may last less. You may either require an increased dose or a shorter interval between your treatments. This is best discussed with your doctor. Good luck to you!

Michael I. Echavez, MD · Answer

Since you say you did notice an effect for a few weeks after the Botox for underarm sweating, I would look at the dosage that was used to treat you.  It is possible that enough was not used to give you a longer lasting result.

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