Botox for Sweating

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Sweating is a physiological condition, but excessive sweating is a condition that affects people's daily life negatively. There is no effective therapy against whole-body sweating, but local sweating can be managed with botox treatment. Botox is used to prevent excessive sweating in the palms, feet, and underarms. In this page, you will find information about the sweating treatment with Botox.

What is sweating and how does it occur?

Controlling body temperature is one of the important mechanisms of thermoregulation, and perspiration is a vital function. Increased body temperature can cause permanent damage if a person does not sweat in hot conditions. Sweat is secreted by the sweat glands. There are as many as 2-6 million of them in our bodies. Sweat glands are of two types: eccrine and apocrine. Eccrine glands are distributed throughout the whole body in the lower layers of skin, especially in palms, feet, armpits, and forehead. Apocrine glands are located mainly in the armpit, genital, and nipple areas.


Sweat is odorless when secreted.

The smell is caused by the bacteria in these areas.

What is excessive sweating?

Excessive sweating is called hyperhidrosis. It is common among people. If all parts of the body sweat excessively then the cause of sweating is a factor affecting the entire body. High fever, pregnancy, menopause, diabetes, damage to the thyroid gland, hypoglycemia, parkinsonism, acromegaly can cause excessive sweating of the whole body. However, local sweating is more common. Especially armpits, palms, and feet are most often sweating. This is usually a genetic feature that is not associated with any disease. Sometimes zonal sweating can cause tremendous discomfort. Ever wet skin, wet spots on clothes, and the persistent smell of sweat can also disturb people around.

What are the treatment options for excessive sweating?

There is no one solution. Anticholinergic drugs can be used for general sweating, but they have side effects such as dry mouth, dizziness, constipation, palpitations, and urination. Suppression of sympathetic nerves and suppression of nervous stimulation of sweat glands is used, especially in palm sweating. Antiperspirants prevent sweating by blocking sweat glands. They contain aluminum chloride hexahydrate that can irritate the skin and damage clothing. We should not forget that deodorants do not prevent sweating. They prevent unpleasant odor by slowing down the growth of bacteria. The iontophoresis technique is a method used for sweating palms and feet.

How does botox affect excessive local sweating?

Botox injection is an FDA-approved method of treating local hyperhidrosis. Botox injections prevent palms and feet sweating for 6 months. This method is especially effective for armpit sweating. By suppressing the secretion of acetylcholine in nerve cells Botox blocks the local function of perspiration.

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What is the sweating test before Botox?

Terleme testi

Sweat glands are not evenly distributed in any particular area. In order for Botox treatment to be effective, we need to determine the foci of sweat gland concentration. For this purpose iodine-starch test is used. Before the test, the armpit hair should be shaved off and the use of antiperspirant drugs and creams should be stopped 7 days prior to the test. Iodine solution is applied to the test area. After application, it needs to dry completely. The temperature in the room is raised so that the patient can sweat. A thin layer of starch is sprayed over the localized zone.

After about 5 minutes sweat protruding on the surface of the skin will stain the starch and thereby limit the area of ​​excessive sweating.

How is the Botox treatment performed?

The appropriate dose of Botox is injected into the skin at the concentration sites of sweat glands with very fine needles. The effect shows itself within 2-3 days and reaches its maximum in 10 days. The effect of blocking the nerves of the sweat glands with the help of Botox injections ensures a very comfortable life due to the complete cessation of local sweating for about 6 months.

Who should not use Botox injections to prevent sweating?

Botox treatment should not be applied to pregnant and lactating women, in the case of infection in the treated area, to patients with myasthenia, patients taking aminoglycosides and penicillamine.

You can watch how the sweating treatment with Botox injections is performed in our clinic: