Botox or iontophososis: Which one gives a better result?

I have coauthored a textbook on hyperhidrosis and continue to see very positive results with injections of Botox to the areas of excessive sweat. Best, Dr. Karamanoukian Los Angeles

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. For the armpit region, you may also want to consider miraDry as it provides a longer lasting relief and in the long run is more cost-effective.  Iontophoresis is much less predictable with effectiveness.

The short answer is neither is the most effective way to treat your problem.  Miradry is the best way to correct your problem. Excess sweat (hyperhydrosis), and smelly armpits (bromhydrosis) are caused by eccrine (sweat) and apocrine glands whose secretion is modified by bacteria causing a bad odor. Miradry eliminates these glands permanently and solves both problems. You will never need to use deodorant again.