Are Botox injections into the axillaries for hyperhydrosis performed safely under anesthesia while have a TT, lipo, and a BBL?

I have an upcoming surgery for a round 2 BBL, TT, and liposculpture. I have also asked to include Botox injections for my hyperhydrosis, and was told it can be done safely while doing the other procedures. I'd like some input on these from other doctors, because during my round 1 BBL, I was told that I could not have the Botox under anesthesia, and I'd have to do it the day before or after. I can't see myself getting so many injections into my axillaries awake, can this be done together? Thanks!

Doctor Answers 9

Botox for hyperhidrosis

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Botox to treat excessive sweating is a wonderful treatment.  There would be no medical reason why you couldn't have it while you are under general anesthesia.   

Toronto Plastic Surgeon
4.9 out of 5 stars 521 reviews


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The botox can certainly be injected at the same time as your other procedures.  Best of luck with your surgery.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Axillary Botox under anesthesia

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Without question Botox can be administered under anesthesia especially in the axillary region. Here we are looking to address the sweat glands rather than facial muscles where for some observing the active muscle function at the time of injection may be helpful. This latter situation may be why some less experienced injectors say Botox should not be administered under anesthesia. 

Paul Buhrer, MD
Annapolis Plastic Surgeon

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Axillary hyperhidrosis injections while under anesthesia?

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It is perfectly safe to do under anesthesia. It is actually quite comfortable though. I have invented a way to do it that takes 45 secs per underarm - See Link.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
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Botox under anesthesia

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There is no reason why Botox can't be performed while you are under general anesthesia. They will want to mark the area that they are going to treat prior to you going into the operating room, but the injections can be safely performed while you are asleep.

Andrew Campbell, M.D.

Quintessa Aesthetic Centers

Andrew Campbell, MD
Milwaukee Facial Plastic Surgeon
4.7 out of 5 stars 25 reviews

Botox while under anesthesia

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Thank you for your question FutureBaezBarbie87. Botox is a purified protein used to address wrinkles associated with facial expressions. It can also be used in other areas such as the underarms, palms, and soles to treat excessive sweating. If my patient were to ask me this question I would find no reason why the Botox cannot be done while under anesthesia for a surgery. Please consult with a doctor for specific recommendations. Good luck!

Botox under anesthesia

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If the botox were on the face i would want to do it with you awake because I like my patients to demonstrate their active wrinkle for me. Under the arms, and away from the actual surgical site I think botox for hyperhidrosis would be ok.  I would be inclined to do it last after the TT/BBL are completed.

There are no rules here, it is really about the comfort level of your PS.

Best wishes.

Adam Tattelbaum, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 115 reviews

Botox Under General Anesthesia

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Thanks for your question!  There is no reason why you can't receive Botox injections for hyperhydrosis while under general anesthesia.  Best of luck!

Are Botox injections into the axillaries for hyperhydrosis performed safely under anesthesia while have a TT, lipo, and a BBL

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The only reason why not to do it at the same time is that the anesthesiologist as well as the operating room will be charging the surgeon based on time. Although the Botox will not take long to inject into your axilla, it will take time and either he will charge you more to do it in the same setting or he will accept that he will pay for anesthesia and operating room fees out of his pocket in order to perform it 

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.