Botox is the commercial name of the toxin generated from botulism toxin. Hyperhidrosis means excessive sweating. In normal situations, a person sweats in order to regulate the temperature of the body. But in certain cases, it happens that the nerves which are responsible for controlling the sweat glands, become over-active, resulting in profuse sweating, which has a negative impact on the efficiency and self-confidence of a person.

Hyperhidrosis is caused due to overstimulated eccrine glands. Botox can be used for the treatment of excessive sweating or hyperhidrosis, especially in the case of armpits by blocking the chemical transmitters responsible for sweating. It is known to be very less useful in treating palmar hyperhidrosis in the palms and plantar hyperhidrosis in the foot to a small extent but the process is known to be painful. It is not FDA approved for treatment of palmar or plantar hyperhidrosis.

Besides, this Botox is also used for the treatment of Raynaud disease and Raynaud syndrome, Migraine and tension headaches, Temporomandibular Joint (TMJ) pain, and Bruxism (teeth grinding), cerebral palsy and clubfoot in children, bladder dysfunction, spasticity, blepharospasm, and various other medical conditions.

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Types of Hyperhidrosis:

There are two types of Hyperhidrosis:

1.Focal or Primary Hyperhidrosis:

The reason behind profuse sweating is not a medical condition or its side-effects, but it is idiopathic which occurs spontaneously and evenly effects either sides of the body. This affects certain parts more than other parts such as underarms, face, palms of hands and feet sole which sweat more than normal conditions.

Causes of Primary Hyperhidrosis:

• Primary Idiopathic Hyperhidrosis
• Gustatory Sweating which is also known as Frey’s Syndrome.
• Neurologic problems such as Neuropathies and Spinal Injury.

2.Generalized or secondary hyperhidrosis:

In this case, the reason behind excess sweating is the medical conditions and its side-effects that have an impact on the whole body, instead of specific parts.

Causes of Generalized Hyperhidrosis:

• Cardiovascular Disorders such as Shock, Heart Failure.
• Toxicity caused due to alcoholism, substance abuse.
• Malignant Disease such as Hodgkin’s Disease, Myeloproliferative Disorders.
• Neurologic issues such as Cerebrovascular Accident, Parkinson’s Disease, Spinal Cord Injury.
• Endocrine problems such as Acromegaly, Carcinoid Syndrome, Diabetes Mellitus, Hyperthyroidism, Hyperpituitarism, Menopause, Pheochromocytoma
• Pregnancy
• The occurrence of respiratory Failure
• Use of drugs such as Fluoxetine, Venlafaxine, Doxepin.

Evaluation of hyperhidrosis:

It is necessary to evaluate and diagnose the hyperhidrosis before initiating any treatment. The evaluation is performed using Hyperhidrosis Disease Severity Scale (HDSS) which is used for setting benchmarks to gauge the extremity of the patient’s condition and how far it interferes with the daily activities of a patient.

The treatment process of Botox for hyperhidrosis:

• With Botox, it is possible to treat underarms, palms, soles, scalp and forehead, groin or any other area where profuse sweating is experienced. With a good dermatologist, one can get safe and effective results
• The treatment is done by administering the Botox shot for about 10-20 minutes in the target area.
• 3 out of the 10 pricks can be slightly painful, which can be avoided by application of an anesthetic cream to make the skin numb, before starting the treatment procedure.
• The swelling resulting from the shot vanish in a few days.
• The total effect of the treatment would be visible after 7-14 days of the treatment, though it begins to appear gradually within the first few days. The effect varies from person to person.
• The impact of the injection lasts for about 6-12 months in which a person experiences reduced sweating. After this, the treatment can be repeated to have the same effects.

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Side-effects of Botox for hyperhidrosis:

When Botox is used for the treatment of hyperhidrosis, you can encounter certain side-effects which are enumerated below:

1. If you are allergic to any component used in Botox, you might face a problem.
2. If you have a history of neuromuscular disorder such as myasthenia gravis, then taking Botox shots can be troublesome.
3. Pregnant women can develop chances of harming the unborn if they take Botox shots.
   Even the lactating mothers can harm the newborn by taking Botox shots, as it might pass through the milk.
4. It can interact with other drugs and cause a negative impact. So, it is necessary to inform about the medications that you are taking, before the Botox treatment.
5. Since the effect is temporary, one has to undergo the treatment process again, in order to reduce hyperhidrosis.
6.  It is very painful, when administered for palmar (hands) and plantar (feet) hyperhidrosis

Read Also:- Botox Side Effects

Other treatment methods of hyperhidrosis:

1. Use of Topical Medication or Deodorants:
   When such products are used moderately, they can cover-up the body odor due to their anti-bacterial characteristics.
2. Taking oral medication:
   This usually taken in conjugation with other treatments, to block the chemicals responsible for communication between the nerves. Thus it reduces sweating. Such medications have certain side-effects such as a dried mouth, problems related to bladder and blurred vision.
3. MiraDry:
   This method works by destroying the auxiliary sweat glands without surgery. It can’t cure hyperhidrosis in the hands and feet.
4. Endoscopic Thoracic Sympathectomy(ETS):
   In this method, the destruction of the sympathetic truck nerve situated in the thoracic region occurs. It is generally used in case of focal hyperhidrosis, Raynaud’s disease, facial blushing, and reflex sympathetic dystrophy.
5. Laser Sweat Ablation:
   This is used for underarm hyperhidrosis. The process needs 2hours to be completed and the impact of the treatment last for a longer time

Our cosmetic store supplies various Botox products such as injections for skin, crow’s feet, ampoules and hair products. 3 brands of Botox are available with us i.e Allergan, Xeomin and Dysport.

We do not carry out the procedures, so you need to find a good dermatologist to get the procedure done.