Hyperhidrosis of the scalp

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

Botox combined with glycopyrrolate can be used to treat sweating on the scalp. Treatment will last 3-6 months. Multiple areas may require nervous system surgical treatment. Please see an expert for evaluation. Best, Dr. Emer

I would treat the scalp with RFM, the Genius, to treat hyperhidrosis. I will give long-term improvements and my also help with hair growth. The RF causes destruction of the eccrine and apocrine glands, which cause the sweating. It might take 2-3 treatments. Minimal downtime with this except for swelling.

This of localized excess sweating is called Craniofacial Hyperhidrosis.   We have had good results using Botox injections for many of our affected patients with this type.   You should seek out and experienced Dermatologist who is trained in this treatment technique.   These results usually last 4-6 months in this location.  I hope this is helpful.Steven Greene MD,  Advanced Dermatology and Laser Institute of Seattle

Craniofacial HH responds best to BOTOX injections. The amount needed is proportional to the area. Injections take 5 minutes to perform and last 3-5 months. Another option is glypyrollate lotion 2-5%-  this can work well in 10-20% of patients. Speak to your dermatologist about other options including short course oxybutin, or p. bromide. Dr Davin Lim. Hyperhidrosis specialist, Brisbane. Australia.