Should you consider BOTOX for Hyperhidrosis (Excessive Sweating)?

Managing excess sweating or hyperhidrosis can be a challenge especially without proper attention from a qualified physician/ dermatologists.  A dermatologist can come in to offer both a comprehensive assessment and diagnosis of a particular excessive sweating problem, and also discuss all the treatment options including: prescription lotions, prescription pills, over the counter treatments, Botox® (botulinum toxin) injections or surgery.

BOTOX (onabotulinumtoxinA) is approved by U.S. Food & Drug Administration (FDA) for the treatment of severe primary axillary hyperhidrosis in patients unable to obtain relief using antiperspirants. Normally, the body produces sweat to regulate body temperature. Sometimes, the nerves that control the sweat glands become overactive and excess sweat is produced. It can have a significant impact on self-confidence and can affect one's quality of life. 

In the case of administering Botox®, the procedure aims at blocking the communication between nerves and sweat glands. This treats areas such as the underarms, palms, soles, scalp and forehead, and groin, in fact, pretty much any area with excessive sweating responds to treatment.

The procedure involves administering tiny injections of Botox®  to the affected area, taking between 10-20 minutes to perform with only tiny pinpricks been felt  however, but if need be, an anaesthetic cream can be applied beforehand to numb the skin or ice during the procedure. Taking acetaminophen 1hr before the procedure can also reduce discomfort.

The Injections can be administered in a physician's office and require relatively little time, about 10 Minutes while the  results in reduction of sweating begin to take effect in the first few days, but it may take 7-14 days to reach full effectiveness and last for up-to 12 Months when a repeat treatment can be administered as the effects begin to wane.

For best results the use of Botox for the treatment of hyperhidrosis can be  should be performed by a physician who has received special training and has experience with the procedure.

Dr Pancholi is a qualified Skin dermatologist practicing as a cosmetic dermato-surgeon at Avane Dermatology Clinic, located at Yaya Center Nairobi.