Dr. Danielle Meagher clinical director of DermaFACE BOTOX photo
Dr. Danielle Meagher
GDip Aesthetic Medicine (London) BDentSc (Trinity College Dublin)
Irish GDC Registration No 9207; UK GDC Registration No 189101
Ireland 01 667 8000
International calls 00 353 1 667 8000
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Hyperhidrosis

Underarm Sweating Treatment
Botox for Excessive Underarm Sweating

Lindsay LohanHyperhidrosis or excess underarm sweating is a debilitating medical condition in which a person sweats excessively and unpredictably.
Patients who suffer from hyperhidrosis may sweat even when the temperature is not hot at all, and is in fact cool or patients can sweat when they are at rest and not active.
Lindsay Lohan has reportedly denied the rumors that she has botoxed her armpits, and confesses she does know someone who has gotten botox shots for their excessive sweating. The cost of Hyperhidrosis treatment is normally €600-€695 and treatment normally takes about 10 minutes. 

USA FDA approved Botox for use to treat excessive underarm sweating also known as primary axillary hyperhydrosis back in 2004.  Botox for hyperhidrosis involves the injection of about 20-25 drops of Botox directly into the skin where the excessive sweating occurs. Mostly within a couple of days after the hyperhidrosis treatment, people have shown remarkable results of up to an 75-85% decrease in excessive sweating in the problem area. Within a week of the treatment the sweating problem is resolved within the majority of the patients having this treatment. Bad body odor resulting from excessive sweating is also eradicated after the treatment as the two go hand in hand and by removing one sweating problem then the resulting body odour is also resolved.

 Hyperhidrosis treatedHyperhidrosis untreated
Botulinum toxin type A (BTX-A) is a prescription only medicine and is not available from a pharmacy.  If you wish to have Botulinum Toxin A or Botox to treat this problem you will need to attend a registered clinician who has undergone additional training in this area because Botox is a medication that is injected subdermally into the skin in the problematic area to treat hyperhidrosis or excessive underarm sweating. Botox works by temporally (4-6 months) blocking neurotransmitters that stimulate the production of sweat in the problematic area. Botox works very well for excessive under arm sweating or using the correct medical term; axillary hyperhidrosis. It is injected at 20-25 sites in the underarm area and it is necessary for patients to shave their underarms prior to attending for this treatment. Reduction in sweating is apparent within 3-14 days after the injections, and normally the results lasts 4-6 months, however repeat treatments are required every 4-6 months in order to maintain the results.

Botulinum Toxin A injections take a few minutes and are not uncomfortable and this therapy is  particularly beneficial in patients with axillary hyperhidrosis or excessive under arm sweating. Cost is another issue since the injections can cost from 600euro upwards and the treatments have to be repeated every 4-6 months, however most patients will say that the cost involved is worth it because the problem is essentially completely eradicated during the period of 4-6 months following treatment thus allowing them to have normal lives where this debilitating problem is kept at bay.

Botox injections also have been used to treat palmar and facial hyperhidrosis with some success. However most patients are reluctant to receive multiple injections in their hands and face. Botox has also been associated with temporary paralysis of the hand muscles.

 sweating treatment

Sweating helps to moderate the body temperature and helps us to stay cool which is perfectly natural in most cases. During warmer temperatures people sweat more, just as they sweat more when they exercise, or in response to situations involve patients feeling nervous, afraid, angry or embarrassed about something.

However in some patients the pattern of sweating is not normal as above, instead excessive sweating occurs without such triggers as listed above and it can be very upsetting and difficult for patients to understand this condition, and even more difficult to live with this condition. This condition of excessive sweating is called hyperhidrosis and patients with hyperhidrosis appear to have overactive sweat glands. The uncontrollable sweating can be very upsetting to live with on a daily basis and can lead to significant discomfort, both physically and emotionally because patients with hyperhidrosis and very self conscious as wet patches of sweat are often seen under the arm pits of their clothes, and in addition although patients may shower daily they can often suffer from body odours not due to lack of hygiene but due to the repeated over excessive swelling.

When excessive sweating affects the armpits it can also affect hands and feet and is called primary hyperhidrosis . Primary hyperhidrosis affects 1.5 - 3.2% of the population, however less than 30% of patients with this hyperhydrois seek medical advice. In most primary hyperhidrosis cases, no cause  direct link or cause can be found, however there is a genetic link and it seems to run in families.

If the sweating occurs as a result of another medical condition, it is called secondary hyperhidrosis. The sweating may be all over the body, or it may be in one area. Conditions that cause second hyperhidrosis can often include more sinister conditions and it is important to attend your General Pracitioner if sweating is due to an underlying medical condition.  However if for example you have had a problem with sweaty arm pits all your life then it is quite possibly a case of hyperhidrosis and such under arm sweating can be successfully treated by having Botox injections into the area which will control the sweating for 5-6 months before a repeat treatment will be needed..

Underarm SweatingHyperhidrosis is often an inherited problem and has been seen in almost every ethnic group. People don’t find it easy to manage the symptoms and patients do not get used to living with hyperhidrosis but they continue to suffer throughout their lives from it.  Under arm sweating is often uncontrollable, embarrassing and not predictable nor can it be anticipated.  As mentioned above the past decade has seen thousands of patients who suffer from excessive underarm sweating successfully treated with Botox thus relieving the problem and allowing patients to have a normal life.

Excessive underarm sweating or underarm hyperhidrosis can have severe physiological consequences on a patient and can also have devastating emotional effects on one’s individual day to day life.

Patients are constantly aware of their excessive under arm sweating condition and often try to modify their lifestyle to mask this problem.  For example they are often afraid to speak in public or give presentations as they know this will trigger excessive underarm sweating and so they avoid situations which can actually limit their ability to perform in the work place and/or rise up through the ranks. This can be very disabling in their professional, academic, personal and social life, causing daily embarrassments. Unfortunately friends and family of affected patients and even many doctors usually do not understand the terrible negative impact that this condition can have on the patient who is suffering from excessive underarm sweating.  Many routine tasks become impossible chores, which can psychologically drain these individuals on a regular basis and really wear a patient down.  However this problem is easily and successfully treated with injections of Botox into the underarm area.  

The medical term given to excessive underarm sweating is axillary hyperhidrosis and in most cases it is accompanied by palmar hyperhidrosis or in lay mans terms sweaty palms. Excessive armpit sweating is linked to and associated with increased activity of the sympathetic nerves that stimulate the sweat glands under the arms.

The problem of excessive sweating can occur with or without stress or anxiety and is completely random in terms of the onset can occur at any time.  Problems with axillary (under arm) hyperhidrosis are mostly social ones and it can be very embarrassing for the patient as the mechanism of sweating is involuntary and is not under one’s self control and therefore one could suddenly notice large patches of sweat on their clothes which could be very upsetting and often is for the individual.

Hyperhidrosis
 

 Medical deodorants can be somewhat effective in treating under arm hyperhidrosis. Botox seems to be the most effective and least invasive and takes just minutes. Another option is surgical resections of the sweat glands by liposuction and this method has also been used to treat this condition, however it is much more invasive and of course carries the risks associated with general anaesthetic.  Fortunately with the recent advances in medicine, many forms of treatment are available to treat hyperhidrosis and Botox definitely seems to be a very predictable and successful treatment that can successfully stop excessive underarm sweating, however repeat treatments every six months will be needed to maintain the stability achieved from having Botox treatment to stop under arm sweating.

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