Hyperhidrosis (excessive sweating) is a result of hyperactivity of one of the types of sweat glands (members of exocrine glands group). Such glands are located almost on the entire body surface, but a great number of them can be found on the palms of hands, feet and in the underarm area. Very many factors can contribute to correct perspiration. However, the very same factors can cause excessive sweating – the only difference being the amount.

Hyperhidrosis is triggered by such factors as:

  • physical activity 

  • heat or cold 

  • alcohol, coffee, tea, smoking, very warm or spicy food 

  • stress, fear or strong emotions 

  • some times of the day 


Patients with hyperhidrosis may produce massive amounts of sweat. This means that their hands, feet, chest or armpits (depending on the body part affected by the medical condition) may be constantly moist. It makes it very hard to go about everyday business and can be a cause of numerous embarrassing professional or social situations.

It should be noted, however, that it is incorrect to claim that hyperhidrosis is associated with unpleasant body odour. The unpleasant smell that reputedly is inherent in excessive sweating is, in fact, caused by bacteria colonising the areas remaining sweaty for too long.


In this case, Botox is a medicine injected into the skin. It is the recommended treatment for hyperhidrosis. Moreover, for many years it has been used to treat spasms of eye, face and neck muscles. 

With a very thin needle, a doctor injects a small volume (0.1-0.2 ml) of Botox into 10-15 sites, keeping the distance of 1 cm, thus covering evenly the area of both armpits. In some cases a dye is used to identify the areas that sweat most. These are where the injections should be made. One session takes approx. 30 minutes. After injection of a small dose into the skin, the product blocks the activity of the nerves supporting exocrine glands. This prevents them from producing sweat.


Effects
 

Reponses to treatment vary in each patient. In one clinical trial, sweat production decreased by 87% within a week from the procedure. Moreover, in 95% of patients sweat volume was reduced by at least a half. The Botox-induced blocking of nerve endings lasts for more than 10 weeks. Afterwards, new nerve endings develop, replacing the previously deactivated ones. This means that the treatment effects can be appreciated for a few months, but eventually disappear. Another session can be performed once the effects of the previous one discontinue, which occurs after 7-12 months, on average.


Contraindications

strict: 

  • disorders of neuromuscular conduction (myasthenia gravis, Lambert–Eaton myasthenic syndrome) 

  • hypersensitivity to specific ingredients (human albumin)

  • use of the following drugs (up to one week from the last taken dose): aminoglycosides (streptomycin, gentamicin, amikacin, kanamycin, etc.), aminoquinolines (chloroquine, hydroxychloroquine), D-penicillamine (Cuprenil), cyclosporine, tubocurarine, pancuronium, gallamine, succinylcholine, lincomycin , tetracycline, polymyxin 

  • local skin infections 

  • pregnancy and breast-feeding 
     

 relative: 

  • blood clotting disorders 

  • use of anticoagulants (e.g. aspirin)

 

List of the preparations we use:

  • Botox

  • Bocouture

  • Azzalure