How much botox can be given to the groin area for excessive sweating and will the sweat move elsewhere?

Question

I had a sympathectomy 10 years ago and since have had compensatory sweating in my groin area, stomach and back. That said, I had my first botox injection for groin sweat almost 4 weeks ago and it seems the sweating has moved to under the buttocks. My concern is, will this compensatory sweating continue to move around and find another place to sweat as I get more injections with botox? I was given 100 units to the area already. An iodine-starch test was done to determine the precise area.

Ava T. Shamban, MD · Answer

It's safe to receive more than
     100 units but difficult to predict how much compensatory sweating you'll
     have in other untreated areas.  Since our bodies all adjust
     differently to sympathectomies and Botox for hyperhidrosis, the only way
     to know for sure is to treat the affected areas and see how your body
     responds.  Good luck!

Jason Emer, MD · Answer

I do this frequently, especially in athletes and people who have chronic rubbing and irritation in the buttock, groin areas.  I typically start with 50-100 units in the groin.  If this is enough then I increase, there is no reason you cannot do more.  Best, Dr. Emer.

John Louis Ratz, MD · Answer

I don't know if anyone can assure you that compensatory hyperhidrosis will not occur after treatment of the active area. Compensatory hyperhidrosis is probably the most common "side-effect" of any treatment. The real plus for sympathectomy is that it's result is permanent. You might want to consider going that route again.             jlr

Jawed Tahery, FRCS · Answer

Hi,usually 1-2 units per square cm would be enough!bwjawed Taheryconsulatant ENT/Facial Pmadtic SurgeonChester, UK

How much botox can be given to the groin area for excessive sweating and will the sweat move elsewhere?

Answers (4)

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How much botox can be given to the groin area for excessive sweating and will the sweat move elsewhere?

Answers (4)

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