Can Botox Treat Facial Sweating?

Hello,There are a variety of techniques to decrease sweating under the arms:

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

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. Duration also depends on dose and technique, but can vary from 3-6 months. I would visit with a plastic surgeon experienced with hyperhidrosis to be evaluated and treated as this is area is a more nuanced procedure.

There have been studies that show that Botox can help with hyperhidrosis (or excessive sweating) of the face.  I would make sure you see a board-certified dermatologist for this so that one can avoid asymmetries that can happen when inappropriate techniques and dilutions are applied.

Intradermal Botox can be quite effective at reducing oiliness in the T-zone and the hairline.  However if your excessive sweating is due to medications, it may be useful to speak to your physician about medication alternatives.  

Thank you for your question. Botox works very well for hyperhidrosis (excessive sweating), especially for under the arms. No, Botox will not cause you to sweat more in other areas.  Botox will relieve sweating by 80%. I recommend having a consultation with an expert to discuss your concerns and to determine the best treatment plan for you. Best of Luck!

Firstly, the hyperhydrosis you describe that is limited to your face should be evaluated by your medical doctor to be sure your body is not harboring toxins such as pesticides or the sweating is the result of an underlying disease. Sweating at night or without exercise could be signs of malignancy, hypertension, thyroid disease, or even heart ischemia. Please get a full physical exam first by your medical doctor.If your health is good, then hyperhydrosis for cosmetic reasons on the face could be addressed with botox in the forehead. A possible microinjection of botox all over the face using a new fine needle microdelivery device called Aquagold fine touch might also be effective. This would be an off-label use of botox and might diminish sweating.This treatment is currently being studied and has not been proven.Please don't give up, I think a solution can be found.

Botox can be used to treat facial hyperhidrosis. The Botox must be injected superficially so as to not affect the muscles if expression. This is done with multiple small injections with dilute Botox. 

Botox is very effective in treating facial hyperhidrosis and I use it routinely for patients with hyperhidrosis of the face, scalp and neck.

Dear mm1425k, Botox is very effective in treating excessive sweating of the face & scalp. It has to be repeated every 6 months , or so. The injections are done in the office with no need for anaesthesia. Make sure that your dermatologist/plastic surgeon is familiar with this particular usage for Botox , to guarantee the best outcome & avoid side effects

 Yes, I have used Botox injected across the nose to decrease excessive nasal sweating.