Botox in Fingers for Hyperhidrosis

Question

Hello. About two months ago I received botox in both of my palms for the treatment of hyperhidrosis. I am having a problem- my fingers are still sweating badly. My doctor stated that he did not feel comfortable doing the treatment in fingers, however I have seen others have had their fingers treated with success and I would really like to look into it. I am wondering- since I already have 50 units in each hand and 50 units in each underarm- is looking into getting my fingers done safe right now?

Young R. Cho, MD, PhD · Answer

Thank you for your question. Botox is a very effective treatment for hyperhidrosis (armpit, hands, feet, scalp/face, etc). The dosing is typically based on areas treated but can vary around 50 - 100 units per side depending on how large the treatment area. Duration also depends on dose and technique, but can vary from 3-6 months. You can still get your fingers treated.  I would recommend that you visit with an experienced plastic surgeon who has done finger treatments before.

Raffy Karamanoukian, MD, FACS · Answer

Botox to the fingertips and sides of the fingers works well. I would suggest having the procedure done with someone who is comfortable with the treatment. Best, Dr. Karamanoukian Los Angeles

Hratch Karamanoukian, MD, FACS · Answer

Botox can be safely added to the pulp of your fingertips at any time, whether or not you have had it done elsewhere - safe and easy for the trained hyperhidrosis expert. Actually, FYI, it is VERY safe to have it injected in that area.

Jill Tomlinson, MBBS, FRACS · Answer

Great question: yes, it would be safe to have your fingers done now given that they haven't been treated effectively. You would not be at risk of a "toxic dose" of botulinum toxin.

	There are no muscles in the fingers (just tendons, arteries, veins, nerves, bones, cartilage and ligaments) so there should be no risk of weakness with botulinum toxin to the fingers. There is a small risk of weakness from injections into the palms, although if done properly the risk is very low because there is a reasonable distance between the palmar skin and the hand muscles.

	If your doctor is not comfortable doing finger injections ask around and find someone who is comfortable and experienced in this area. Good luck!

Benjamin Barankin, MD, FRCPC · Answer

Make sure your injector is an expert injector such as a dermatologist since we routinely treat fingertips without problem. The right areas need to be treated with the right dosing to give great results and longevity of effect. It would be safe to reinject these areas since they clearly haven't responded to the initial dose.

Botox in Fingers for Hyperhidrosis

Answers (5)

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