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Nearly all of us have experienced sweaty palms from time to time, perhaps while taking a standardized test or nervously reaching for a glass on a first date. But for some, excessive sweating can be a lifelong frustration. Hyperhidrosis, or overactive sweat glands in different areas of the body, is a common diagnosis, affecting an estimated 15 million Americans. Sweaty hands can be one of the hardest forms of hyperhidrosis to hide, and can get in the way of simple, everyday activities.

In 2004, Botox was approved by the FDA as an effective treatment for axillary hyperhidrosis (armpit), reducing excessive underarm sweat with Dr. Green bringing this successful treatment to her NYC dermatology office. Since then, Botox treatment of focal hyperhidrosis has been further extended with palmar hyperhidrosis (hands), and plantar hyperhidrosis (feet).

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If you suffer from excessively sweaty palms and think you may be experiencing palmar hyperhidrosis, Botox hyperhidrosis treatment is a solution that can help. Contact the office today to learn how expert dermatologist Dr. Michele Green can reduce your palmar hyperhidrosis and improve your quality of life.

What is Palmar Hyperhidrosis?

Hyperhidrosis is a medical condition in which the body engages in overuse of its natural regulatory cooling system, also known as sweat. Our bodies are typically excellent at maintaining a set body temperature but, unfortunately, sometimes the nervous system can activate sweat glands too much, and this dysregulation can lead to excessive sweating and discomfort.

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Three of the most common forms of Hyperhidrosis are axillary hyperhidrosis, palmar hyperhidrosis, and plantar hyperhidrosis. Axillary hyperhidrosis refers to overactive sweat glands in the underarms, which can be exacerbated due to nerves, sweat, or a hot and humid climate. Plantar hyperhidrosis is defined as overactive sweat glands on the soles of the feet, and it is sometimes coupled with palmar hyperhidrosis.

Palmar hyperhidrosis refers specifically to sweaty palms or sweaty hands. It’s a common form of hyperhidrosis that typically develops in late adolescence or early adulthood. Most patients realize that they have palmar hyperhidrosis after experiencing an impact to their quality of life, such as difficulty writing due to sweating through paper, or embarrassment when shaking hands. Research is ongoing for palmar hyperhidrosis and hyperhidrosis at large, and Botox injections have become an exciting solution to treat the uncomfortable symptoms of palmar hyperhidrosis.

What causes Palmar Hyperhidrosis?

The most common classification of hyperhidrosis, primary focal hyperhidrosis, is defined by nerves that signal sweat glands too frequently, thus leading to overactive sweat glands and excess sweat. Primary focal hyperhidrosis typically worsens with nervousness or stress. Palmar hyperhidrosis is a common part of primary focal hyperhidrosis, which can sometimes be accompanied by sweat on the soles of the feet or the face. Though there is no known cause of primary hyperhidrosis, there is a chance it could be hereditary.

Other forms of hyperhidrosis are often coupled with other medical conditions, such as diabetes, nervous system disorders, menopause, certain cancers, and thyroid problems. In the case of secondary hyperhidrosis, the primary medical condition will be addressed first. Additionally, certain medications can be a primary cause of hyperhidrosis. If hyperhidrosis is prompted by the use of a new medication, it’s good to let your primary care doctor know about this and any other side effects.

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How to Cure Palmar Hyperhidrosis

If you’re wondering how to get rid of palmar hyperhidrosis, there are several treatment options. Common initial treatments include prescription antiperspirants and prescription creams, which are designed to build salt clogs which can stop sweat from ruching the surface. In addition, topical aluminum chloride, nerve block-based medications, and anti-depressants can all be used to treat hyperhidrosis. Another treatment for more moderate palmar hyperhidrosis is iontophoresis, which uses a low-intensity electrical current to reduce the amount of sweating in target areas.  Though these treatments are successful for some, many patients have inconsistent results, and almost all of these treatments require a considerable amount of upkeep.

In severe cases of palmar hyperhidrosis, patients may choose endoscopic thoracic sympathectomy (ETS), which is an invasive surgery intended to permanently interrupt certain nerve signals to eccrine (sweat) glands. However, this treatment has severe side effects, including but not limited to: compulsory sweating all over the body, arrhythmia, heat intolerance, and hypotension. Due to these risks, any decision to engage with ETS should be made with extreme caution.

For many patients, the journey for how to stop palmar hyperhidrosis ends with Botox injections. Botox treatment of palmar hyperhidrosis is an ideal option for those looking for consistent relief of sweaty palms. Current research shows that Botox treatment is 80-90% effective in relieving the symptoms of palmar hyperhidrosis, and Botox can be combined with other treatments to eliminate excessive sweating from the palms. These combination treatments are typically preferred over more extreme treatment options.

Botulinum toxin for Hyperhidrosis

Botox, named for botulinum toxin type A, is a neurotoxin that halts signals to nerve endings. This process was initially developed by Allergan for use in muscle disorders, and shortly thereafter became a popular for cosmetic use in the world of cosmetic dermatology and plastic surgery for treating fine lines and wrinkles. Dr. Green is an expert platinum Botox injector in NYC and quickly expanded her use of Botox from cosmetic indications to treating patients suffering from hyperhidrosis.

When it comes to skincare, Botox is typically used to freeze muscles, thus reducing the appearance of fine lines and dynamic wrinkles. In the case of hyperhidrosis, Botox is able to interrupt the nervous system’s overactive use of sweat glands as a cooling system for the body. Botulinum toxin A will essentially “freeze” sweat glands at or near the injection site, thus reducing excessive sweating and improving your quality of life.

Does Botox work for Palmar Hyperhidrosis?

Yes! Botox treatment for hyperhidrosis has proven to be extremely successful for patients suffering from excessive sweating. Since Botox is not a permanent treatment, and lasts approximately six months when injected in this area, it is recommended to repeat Botox injections on a six-month cycle for optimal results. Botox treatment of palmar hyperhidrosis is an excellent noninvasive method to provide long-lasting relief from sweaty palms.

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When it comes to how to inject Botox for palmar hyperhidrosis, the process is relatively painless and simple. Typically, the process requires using a topical numbing cream one hour before injections, and if a patient is particularly sensitive to pain, nerve-blockers may be recommended for the duration of the treatment. Generally, 20-30 ultra-fine, small needles are used to inject Botox into each palm, and the process takes only about 15 minutes in all. As this treatment is an advanced Botox injector technique, it’s critical that you work with a board-certified medical professional who has experience with Botox injections for hyperhidrosis. Dr. Green is an expert in Botox injections for both cosmetic and medical use, and the safety and satisfaction of her patients is her top priority for any Botox treatment.

After treatment, the most common side effects are mild muscle weakness (a looser grip), and occasional bruising. Most patients leave their appointment requiring no downtime. Relief from excessive sweating is usually in full effect one to two weeks following treatment.

How long does Botox last for Palmar Hyperhidrosis?

As Botox injections are nonpermanent, the results of Botox for palmar hyperhidrosis are also, unfortunately, temporary. However, many patients find that the relief from excessive sweating thanks to one Botox injection treatment can last upwards of six months. For optimal and continual relief from the symptoms of hyperhidrosis, Dr. Green recommends patients continue with routine Botox injections spaced six months apart.

How many units of Botox for Palmar Hyperhidrosis?

On average, patients require a minimum of 100 units of Botox for a single treatment, into both palms. Depending on the size of one’s palm, 0.1 cc aliquots of Botox are injected in 20 to 30 discreet areas of the hand. The injections are spaced approximately 1 cm apart within the areas which are hyperhidrotic.

How much is Botox for palmar hyperhidrosis?

When evaluating the cost of Botox for palmar hyperhidrosis, it’s important to consider how many units of Botox will be necessary to treat the palmar hyperhidrosis. The amount of Botox needed is dependent on individual factor, and the needs of each patient. Men typically have larger hands and stronger muscles than women and require more units of Botox per area.

The cost of Botox for palmar hyperhidrosis also depends on the experience of the treating injector. A board certified expert injector will be more expensive than a nurse injector or medispa.

As hyperhidrosis is a medical condition, Botox may be covered by insurance, though typically this is dependent on several factors. First, the severity of the hyperhidrosis must be determined by a medical professional. Additionally, many patients are required to use at least two other treatment options before receiving coverage for Botox. If you think you may be eligible for coverage for Botox treatment of palmar hyperhidrosis, talk to your insurance company directly to see what documentation is required.

How do I get started with Botox injections for my hyperhidrosis?

If you suffer from severely sweaty palms, Botox treatment of palmar hyperhidrosis can offer relief.  Contact us online today or call 212-535-3088 to learn how Dr. Michele Green can help you on your journey to eliminate sweaty hands, palms, or underarms, and live a more comfortable, confident life.

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