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Botox has been one of the most popular procedures in the private Upper East Side office of NYC cosmetic dermatologist Dr. Michele Green since it was first introduced over 20 years ago. As a Botox platinum provider, Dr. Green was one of the first New York dermatologists to use Botox for cosmetic wrinkles and to extend its use to treat hyperhidrosis, or excessive sweating. In 2004, the FDA approved Botox for the treatment of excessive underarm sweating and it has continues to be a sought after, safe, and effective procedure. Botox for underarm sweating has been described as a “life changing event” by Dr. Green’s patients, since they no longer have to deal with the embarrassment or discomfort caused by excessive sweating.

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Do you experience excessive sweating?

Have you ever lost your confidence when waving hello or raising your hand? Ever had to retire a shirt or silk blouse early due to uncomfortable stains? If you experience excessive sweating in the armpits or underarm area, you’re not alone. According to the U.S. National Institutes of Health, an estimated 15 million Americans are effected by excessive sweating, also known as the medical condition hyperhidrosis. Hyperhidrosis can be a major issue for many people. When deodorants aren’t doing their job, and sweaty armpits are determining your every move, it can feel as if there’s no solution.

This is where Botulinum toxin (Botox) comes into play. When you think about Botox, the first thought that comes to your mind will likely be about cosmetic treatment; botox injections are known for their miraculous effects on the appearance of wrinkles and fine lines. Yet, Botox injections go far beyond cosmetic skincare. Botox has become increasingly known for treating axillary hyperhidrosis – in other words, excessive underarm sweating. If you are tired of excessive underarm sweat, Botox treatments may be right for you. Contact the office today to learn how Dr. Michele Green can help you with excessive sweating at her NYC private dermatology office.

Treating hyperhidrosis with Botox

Excessive sweating is a very common problem and affects the lives of many people on a regular basis. For those suffering with it, this issue can be a truly significant problem that can impact a person’s self-confidence. For some sufferers, the embarrassment from excessive sweating can determine their lifestyle; it becomes the difference between what they choose to wear, or whether they even leave the house at all on a hot, humid day.

In the Summer months when temperature rises outside, the problem can be made much worse as your nervous system tries even harder to keep its body temperature at a normal level. Coupled with the fact that we tend to wear less clothes in hot weather, this can mean that any sweating that does occur is visibly more obvious since it cannot be ‘hidden’ under other layers of clothing. Add to that daily face mask use due to the current Covid-19 pandemic, and the feelings of sweat and discomfort only get worse.

Botox has a unique ability to treat hyperhidrosis due to its active ingredient, botulinum toxin, which is a neurotoxin that interacts with muscles and nerves. It is a popular cosmetic treatment when it comes to the appearance of fine lines and wrinkles due to its ability to “freeze” or limit muscle movement, thus relaxing the muscle and the lines that are caused by overuse of facial muscles. To treat underarm sweating, Botox behaves in a similar manner, but directs its attention to the nervous system: it actually blocks the nerves that are responsible for the activation of sweat glands. When Botox is injected by a dermatologist, the overactive nerves become paralyzed, thus preventing the nerves from signaling sweat glands, so that you can finally stop sweating.

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How do Botox injections work with hyperhidrosis?

Botox is an FDA approved treatment for excessive sweating that can be injected directly into the sweat glands to help block the release of acetylcholine. These injections, in simple terms, shut down the sweat glands that produce the excessive sweating, which in turn effectively disable the sweating process in the location of the injection site.

One of the great things about using Botox to reduce hyperhidrosis is that, as a treatment, it is relatively long lasting, helping to block excessive sweating for between six months. This means that for an individual who suffers with this issue more in the summer months, they can plan ahead and time things to coincide with the upcoming summer heat.

If it works for Chrissy Teigen, will it work for me?

Social media personality Chrissy Teigen was proud to admit it: she used Botox to treat her hyperhidrosis and was able to experience fresh, dry underarms that were truly newsworthy. Though armpit Botox treatments for axillary hyperhidrosis are not for everyone, it’s a revolutionary method that’s worth considering if you’re experiencing excessive sweating.

Here are some frequently asked questions about the process so that you can learn more:

Does Botox in the armpits stop sweating?

When applied to a specific area such as the underarms, Botox is incredibly effective at reducing or eliminating sweat. However, it’s important to note that the sweat-free effects of the treatment will only occur at or near the injection site.

Does Botox in the armpits stop smell?

Underarm Botox injections can in fact stop or lessen smell in the armpits. As Botox treatment is able to shut down sweat glands, it can reduce foul odors caused by sweat when it interacts with natural bacterias on the surface of the skin.

How much is Botox for armpit sweating?

When considering how much Botox in your armpits may cost, it’s important to consider how many units of botox for armpits is necessary. The answer to How much is it to get botox in your armpits? is carefully determined by Dr. Green based on your individual body and particular needs.

How many units of Botox do you need to treat armpit sweating?

As a standard reference point, Dr. Green recommends a dose of Botox in each axilla (more commonly known as an armpit) of 50 units. More injections may potentially be required to cover the area sufficiently, but varies on a per-patient basis.

Does heath insurance cover Botox for hyperhidrosis?

As Botox is FDA-approved for treatment of excessive sweating, certain insurance companies cover some aspects of treatment. If you’re dealing with axillary hyperhidrosis and you’ve attempted all other treatment options, including prescription deodorant, topical treatments, natural supplements, and oral medications, you are a particularly excellent candidate for Botox treatment to be covered by your insurer.

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Does Botox in the armpits hurt?

If you’re a first-time patient receiving Botox for your armpits, numbing cream is applied topically in the area one hour before the injections to ease any discomfort. The process generally causes little to no discomfort, and the treatment is typically completed within ten minutes. A huge benefit of having this treatment is that it is fast to administer, and thus Botox truly is a ‘lunch-hour’ treatment.

How long will it take until I see any results?

Once the injections have taken place, the results are very fast acting. Botox will provide relief from sweating (from the area that was treated) within a few days after the procedure has taken place. While it is not a permanent cure for excessive sweating, it can be used to help mitigate the issue and manage it more effectively. This importantly can help reduce the stress and anxiety of excessive sweating in the individual.

Alternative treatments for hyperhidrosis (excessive sweating)

There are a number of treatments for excessive sweating out on the market, including specialized antiperspirant deodorants such as Drysol which can be helpful. For some these treatments are sufficient, but for many they do not always solve the problem. Oral medications can also be taken but these can sometimes have notable side effects that many prefer to avoid.

MiraDry treatment for hyperhidrosis

MiraDry is a radiofrequency system designed to permanently eliminate sweat glands via a process known as thermolysis after 1-2 treatments. However, this treatment is more invasive than Botox treatments, and some patients experience a return to sweating 2-3 weeks post treatment.

While BOTOX® is a treatment that might not immediately spring to mind when it comes to hyperhidrosis, because it is well known primarily as a way to reduce wrinkles, Botox is a sure-fire, innovative method to reduce excessive sweating.

Social media and Botox

With the advent of social media, people are now talking about Botox more and more and it is an accepted part of our daily conversations. Instagram, Facebook, Youtube and social media are filled with photos and explanations of Botox for cosmetic indications. Now, thanks to increased social media and google, the medical conditions for Botox, such as hyperhidrosis, bladder control, or migraines, are being more commonly understood and patients know about these effective options.

Side Effects of armpit Botox

There is no downtime after Botox treatment, and the process is rather painless. However, some common side effects of Botox include localized irritation or bruising. More serious side effects, which are extremely rare (occurring in fewer than 1% of patients), include muscle weakness, difficulty breathing, and trouble with bladder control. Due to these potential side effects, it’s crucial that any Botox procedure be done with a board-certified dermatologist or plastic surgeon. Dr. Green is an expert in Botox treatments and will prioritize your safety and goals in equal measure.

After your hyperhidrosis treatment, you’ll notice an improvement in your quality of life. You will be able to wear silk clothing again without being self-conscious about any sweat stains that people will notice. In all cases, your doctor will recommend a follow-up appointment 4-6 weeks later for any maintenance or injection of Botox that is needed.

In extremely rare cases, some patients have reported compensatory sweating, or increased sweating on other areas of the body. However, studies in regard to compensatory sweating due to botox for underarms are inconclusive at this point.

Because the effects of Botox are temporary, you will need future injections to keep up with your treatment. Of course, each case is different, and Dr. Green will work with you to discuss a treatment plan that best fits your needs. The bottom line: Botox injections are the best move for treating hyperhidrosis when prescription antiperspirants and/or over-the-counter antiperspirants fail to stop sweating from occurring.

Can Botox be used in other areas to treat excessive sweating?

Botox can be used to treat excessive sweating in the palms of your hands and the soles of your feet. Many patients are embarrassed to shake hands and are concerned with going to social gatherings because of this condition. Botox can effectively treat this hyperhidrosis, by the same mechanisms as done for underarm sweating. Dr. Green utilizes Botox to treat palmar hyperhidrosis and finds the effects can last up to six months in duration. Clinical studies have showed that it can reduce more than 75% of palmar hyperhidrosis with a single treatment and is extremely effective.

How to get started with Botox for excessive sweating?

If you are concerned about excessive sweating / hyperhidrosis and wish to consider a treatment that might include Botox, Dr. Green is here to both discuss your options and see if you are a good candidate for Botox treatment. Dr. Green offers virtual visits and in-person appointments to accommodate a variety of patient needs. Contact us online today or call 212-535-3088 to learn more about whether BOTOX® as a solution for hyperhidrosis is an option for you.

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