I have had 3 total treatments for hyperhydrosis in my armpits over the last 7 months. Each time the dose was increased as I told the clinic I felt like it wasn’t working. I was told there wasn’t much they can do now as that’s the max they can administer and that is just doesn’t work on some people so well. Is this true? Is there anything I can do? Obviously left feeling frustrated at the cost of the procedure and the fact it’s not worked. Thank you in advance for any help/advice.
April 19, 2023
Answer: Botox for hyperhidrosis I would say this is an unusual outcome. Neurotoxins like Botox and others have an amazing track record for reducing sweating by as much as 80%. The dilution of the chosen neurotoxin is important in this procedure because the dilution affects the diffusion. In addition, you might want to consider trying Dysport which may diffuse a smidge more than Botox. Finally, the placement of each injection is critical. Too deep, and the small muscles of the eccrine sweat glands are bypassed as the Botox is injected into deeper tissues. Too far apart and there will be a zone of sweat surrounding each injection site. All of these factors determine treatment outcome, which for most patients, is overwhelmingly successful. For reference, a typical dose for Botox of the armpits would be 100 units divided amongst both armpits. Best wishes.
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April 19, 2023
Answer: Botox for hyperhidrosis I would say this is an unusual outcome. Neurotoxins like Botox and others have an amazing track record for reducing sweating by as much as 80%. The dilution of the chosen neurotoxin is important in this procedure because the dilution affects the diffusion. In addition, you might want to consider trying Dysport which may diffuse a smidge more than Botox. Finally, the placement of each injection is critical. Too deep, and the small muscles of the eccrine sweat glands are bypassed as the Botox is injected into deeper tissues. Too far apart and there will be a zone of sweat surrounding each injection site. All of these factors determine treatment outcome, which for most patients, is overwhelmingly successful. For reference, a typical dose for Botox of the armpits would be 100 units divided amongst both armpits. Best wishes.
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March 5, 2023
Answer: Botox for hyperhidrosis I am sorry you are having such a frustrating experience! It is unusual for individuals to not respond at all to Botox. I would suggest that a starch iodine test be done to be identify the areas that are still sweating. Typically, most individuals do well with 100 units of Botox per armpit (200 units total), although I do have a few patients that require 150 units per armpit (300 units total). While I am sure your physician is well versed in Botox, another potential failure with Botox is injecting it too deeply. The injection must be very superficial in order to have good effect. It might be interesting to treat one armpit alone, so you would have the other side as a control to really judge whether you have improvement. Finally, I would suggest that you consider miraDry treatment instead - especially if you are paying out of pocket for this treatment. miraDry is the only FDA approved permanent solution for underarm sweating.
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March 5, 2023
Answer: Botox for hyperhidrosis I am sorry you are having such a frustrating experience! It is unusual for individuals to not respond at all to Botox. I would suggest that a starch iodine test be done to be identify the areas that are still sweating. Typically, most individuals do well with 100 units of Botox per armpit (200 units total), although I do have a few patients that require 150 units per armpit (300 units total). While I am sure your physician is well versed in Botox, another potential failure with Botox is injecting it too deeply. The injection must be very superficial in order to have good effect. It might be interesting to treat one armpit alone, so you would have the other side as a control to really judge whether you have improvement. Finally, I would suggest that you consider miraDry treatment instead - especially if you are paying out of pocket for this treatment. miraDry is the only FDA approved permanent solution for underarm sweating.
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