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Hyperhidrosis (Sweat Reduction) Treatment
GOAL
Substantially eliminate the sweating of underarms or palms temporarily
PRODUCTS
Botox, Dysport, Xeomin
DOWNTIME
Typically none
COST
TARGET AREAS
You can treat excessive sweating in the areas of your body that are prone to Hyperhidrosis, such as the armpits, hands, scalp, or feet.
You can treat excessive sweating in the areas of your body that are prone to Hyperhidrosis, such as the armpits, hands, scalp, or feet.
Stop Underarm Sweating
Prevent Sweaty Feet
Treat Palmar Hyperhydrosis
Extend your Blowouts with Scalp Botox
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2 Promotions are only valid for advanced online purchases and reflect instant rebates provided by Aspire and Merz Experience. Offer requires clients to sign up for Aspire and/or Experience.
HYPERHIDROSIS
Classic Areas of Excessive Sweating
Dr. Talat, Board-Certified
Dr. Afnan Talat, MD, is a board-certified family medicine physician with over 9 years of experience in medical practice. She is an expert in anti-aging and aesthetic medicine, specializing in Botox, fillers, weight loss, and sexual health management. Dr. Talat's has also worked at prestigious skincare brands' labs, such as Estée Lauder and Clinique, where she formulated and tested the best, clean skincare products. Dr. Talat is committed to a holistic approach to patient care.
Dr. Alcarez, DO
Dr. Kathryn Alcarez is a highly experienced Primary Care Physician with a remarkable focus on injectable treatments for over 5 years. With an educational background from Boston University, she has cultivated her expertise in a range of specialized areas, including Fillers, Radiesse, and Sculptra for body and hand rejuvenation. Dr. Alcarez is also extremely-versed in wellness and weight loss treatments. With her holistic approach, Dr. Alcarez strives to provide comprehensive care that addresses both the physical and motional well-being of her patients.
Dr. Garelick, Board-Certified
Dr. Maria Garelick, MD, is a board-certified physician with over 20 years of exceptional experience in the field. She specializes in the art of aesthetic medicine, with extensive experience as an injector of toxins and fillers, and anti-aging treatments such as Sculptra and Radiesse, as well as buttocks enhancement and correction with injectables. Her commitment to comprehensive wellness extends beyond aesthetics, as she also specializes in rejuvenation and sexual enhancement treatments, mole removal, and more, providing holistic care to her patients.
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FREQUENTLY ASKED QUESTIONS
HOW DOES SWEATING TREATMENT WORK?
Hyperhidrosis means excessive sweating. Perspiration is a normal bodily function, controlled by the autonomic nervous system. Sweat glands are found in the skin throughout the body, however are present in higher numbers in the skin of the hands, feet, armpits and the genital regions. Perspiring is a normal physiologic response of the body when the internal or body temperature rises. This response is characteristically seen with either exercise, or exposure to high environmental temperatures. Stressful situations can also stimulate the autonomic nervous system which then increases sweat production by the glands highly concentrated in the hands, feet, or other regions. In most people, the autonomic response in the sweat glands to stress is not excessive. Unfortunately in patients with hyperhidrosis (approximately 2-3% of Americans), the autonomic stimulation of the sweat glands in response to stress is hyperactive.
Botox injections are used to disable the sweat glands. Botox acts by blocking acetyl choline release at the nerve endings that stimulate the sweat glands thus shutting down the sweat process on the injected sites. The effects can last from 6-12 months depending on the site of injections. The procedure when used for underarm sweating has been approved by the FDA, thus giving new hope for people who after failing to respond to topical treatments were compelled to face surgery.*
Our doctors identify the hyperactive sweat area or areas with Minor’s Starch Iodine test and then, 10 to 15 sites, approximately 2 cm apart, are injected into each axilla. The whole procedure may take 20-30 minutes including the Botox preparation.*
50 units of Botox are usually needed for each axilla. The number of units required may vary depending on the individual patient. Visible results are usually seen in just a few days.*
Note: our doctor team uses Preserved Normal Saline for reconstitution of Botox which decreases the discomfort of the injections.
Botox injections are used to disable the sweat glands. Botox acts by blocking acetyl choline release at the nerve endings that stimulate the sweat glands thus shutting down the sweat process on the injected sites. The effects can last from 6-12 months depending on the site of injections. The procedure when used for underarm sweating has been approved by the FDA, thus giving new hope for people who after failing to respond to topical treatments were compelled to face surgery.*
Our doctors identify the hyperactive sweat area or areas with Minor’s Starch Iodine test and then, 10 to 15 sites, approximately 2 cm apart, are injected into each axilla. The whole procedure may take 20-30 minutes including the Botox preparation.*
50 units of Botox are usually needed for each axilla. The number of units required may vary depending on the individual patient. Visible results are usually seen in just a few days.*
Note: our doctor team uses Preserved Normal Saline for reconstitution of Botox which decreases the discomfort of the injections.
WHAT CAUSES UNDERARM SWEATING?
Excessive sweating, or hyperhidrosis, is caused by stimulation of the sweat glands by nerve endings which descend from higher centers in the brain. These nerves respond to emotional stresses; like intimate social situations, public speaking, physical stresses, and increased body temperature that comes with exercise or hot humid weather.
Most people with excessive sweating are bothered primarily when they are emotionally stressed, physically active, or over-heated. Botox® can prevent sweating for months by blocking the release of the neurotransmitter, i.e., acetylcholine, from the nerve endings, that causes the glands to produce sweat.
Most people with excessive sweating are bothered primarily when they are emotionally stressed, physically active, or over-heated. Botox® can prevent sweating for months by blocking the release of the neurotransmitter, i.e., acetylcholine, from the nerve endings, that causes the glands to produce sweat.
HOW IS BOTOX® ADMINISTERED?
Fifteen to twenty drops of Botox® are injected via a very small needle into the hair-bearing skin of each underarm. Normal activity can be immediately resumed, while heavy exercise should be avoided for several hours.
WHEN WILL BOTOX® TAKE EFFECT FOR HYPERHIDROSIS TREATMENT BROOKLYN?
Underarm sweating will be decreased by 90% within 48 hours and full effect will be seen within one week. There may be simultaneous disappearance of odor associated with decreased sweating, but this is not consistent.
HOW LONG DOES BOTOX® LAST?
Most patients will obtain the benefit of dryness with one treatment of Botox® for six to ten months.
WHAT ARE THE RISKS AND COMPLICATIONS?
Complications from injection into the axillary skin include tiny bruises which fade in a few days, and small persistent areas of sweating that may need a second treatment. There is no risk of numbness or permanent change in the axillary skin.
WHAT ARE ALTERNATIVE TREATMENTS?
Deodorants and antiperspirants
Aluminum chloride hexahydrate and salts are used in topical antiperspirant sticks, creams, lotions and solutions. These prevent sweating by clogging the sweat ducts in the skin. These products can be irritating with continued use and are largely ineffective in people with excessive sweating.
Anticholinergic drugs and tranquilizers
Oral medications currently used often provide relief but can cause dry mouth and blurry vision. Tranquilizers may minimize one's anxiety, but do little to diminish actual sweating.
Tap Water Iontophoresis
Battery-powered electrical devices that use water, consist of a moist pad and a prickly electrical current held against skin for several hours. Although they decrease sweating in some people, they are time consuming and they need to be repeated on a daily or a weekly basis. Iontophoresis is mildly effective for severe cases.
Surgery - ETS technique
Surgical alternatives include cutting the sweat glands from the skin of the underarms, therein leaving visible scars and permanent numbness of the skin for decreased sweating. Neurosurgeons now use a fiberoptic surgical tube, to cut nerves in the neck which lead to the axillary sweat glands, i.e. endoscopic sympathectomy.
Risk and side effects of ETS procedure:
Infection, bleeding, and damage to the nerves.
Compensatory sweating: When this occurs the body "makes up" for the decreased sweating in the treated area by producing more sweat in other areas of the body. Approximately 85% of patients will experience some degree of compensatory sweating. It is important to note that compensatory sweating does not improve with time and is the main cause of dissatisfaction with the procedure.
Gustatory Sweating: Increased sweating when patients eat.
Horner’s Syndrome: Presents with unilateral decreased facial sweating, drooping of the eyelid, and enlarged pupils.
Pneumothorax: Air or gas can collect in the chest cavity, which may cause the lung to collapse.
For more information on Botox for Hyperhidrosis you may check https://www.botox.com/
*Results can vary based on individual conditions
Aluminum chloride hexahydrate and salts are used in topical antiperspirant sticks, creams, lotions and solutions. These prevent sweating by clogging the sweat ducts in the skin. These products can be irritating with continued use and are largely ineffective in people with excessive sweating.
Anticholinergic drugs and tranquilizers
Oral medications currently used often provide relief but can cause dry mouth and blurry vision. Tranquilizers may minimize one's anxiety, but do little to diminish actual sweating.
Tap Water Iontophoresis
Battery-powered electrical devices that use water, consist of a moist pad and a prickly electrical current held against skin for several hours. Although they decrease sweating in some people, they are time consuming and they need to be repeated on a daily or a weekly basis. Iontophoresis is mildly effective for severe cases.
Surgery - ETS technique
Surgical alternatives include cutting the sweat glands from the skin of the underarms, therein leaving visible scars and permanent numbness of the skin for decreased sweating. Neurosurgeons now use a fiberoptic surgical tube, to cut nerves in the neck which lead to the axillary sweat glands, i.e. endoscopic sympathectomy.
Risk and side effects of ETS procedure:
Infection, bleeding, and damage to the nerves.
Compensatory sweating: When this occurs the body "makes up" for the decreased sweating in the treated area by producing more sweat in other areas of the body. Approximately 85% of patients will experience some degree of compensatory sweating. It is important to note that compensatory sweating does not improve with time and is the main cause of dissatisfaction with the procedure.
Gustatory Sweating: Increased sweating when patients eat.
Horner’s Syndrome: Presents with unilateral decreased facial sweating, drooping of the eyelid, and enlarged pupils.
Pneumothorax: Air or gas can collect in the chest cavity, which may cause the lung to collapse.
For more information on Botox for Hyperhidrosis you may check https://www.botox.com/
*Results can vary based on individual conditions
LOCATIONS & DIRECTIONS
