BOTOX® is FDA–approved for severe underarm sweating that is inadequately managed with topical agents. BOTOX® helps control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands don’t receive chemical signals, the severe sweating stops.
Severe underarm sweating is a medical condition known as severe primary axillary hyperhidrosis, which involves overactive sweat glands. Sweat is your body’s temperature regulator. In severe primary axillary hyperhidrosis, sweating significantly exceeds the body’s normal requirements for cooling.
Susan Stevens Tanne, M.D. can diagnose severe underarm sweating (severe primary axillary hyperhidrosis) that is not being effectively managed with topical agents. Be prepared to tell Dr. Tanne about your medical history, family history, and when you first noticed your severe underarm sweating. You may be asked to answer a self–assessment question regarding the extent to which severe underarm sweating affects your daily activities. This is known as the Hyperhidrosis Disease Severity Scale (HDSS). Once a diagnosis has been made, Dr. Tanne will discuss whether BOTOX® is the correct treatment option for you.
A small volume of BOTOX® solution is injected into the affected underarm area through a very fine needle. You will receive multiple injections based on Dr. Tanne’s assessment of the area that needs to be treated. Dr. Tanne usually uses topical numbing cream in the area to be treated, so there is usually no discomfort.
After treatment with Botox you should notice a significant reduction in underarm sweating within 4 weeks of your first treatment. There is a possibility that some sweat glands may be missed, and you may continue to experience some sweating from the untreated areas. If you do not see a significant reduction in sweating, you should contact Dr. Tanne and request a follow–up consultation.
In a key clinical study, half of the patients had a treatment duration of at least 201 days or 6.7 months. It is not a cure; your symptoms will return gradually, and you will know when the time is right for another treatment. Dr. Tanne will recommend a treatment strategy to ensure that you receive the best possible results with BOTOX® treatment.
If you decide not to have further treatment, there will be no lasting change in the treated areas. The effects of BOTOX® treatment will gradually wear off, and your underarm sweating will resume.