Excessive sweating (hyperhidrosis) treatment with injections

In our clinic, our doctors will develop a treatment plan for hyperhidrosis based on the injection method or MiraDry laser treatment and help you completely get rid of the problem of excessive sweating.

In this article we will look at the injection method for treating hyperhidrosis. This effective and safe method is based on the botulinum toxin blocking the transmission of nerve impulses that stimulate sweating. After the procedure, it is possible to achieve a sharp reduction in the manifestations of hyperhidrosis in the area of injections administration.

During the procedure for treating hyperhidrosis in areas of the body with excessive sweating, injections of drugs based on botulinum toxin type A are administered. The essence of their effect is to block the transmission of nerve impulses from the thermoregulation center in the brain to the sweat glands. As a result, pathological sweating stops.

The first results of the procedure can be assessed already 1-2 days after the injections – the secretion of sweat glands is noticeably reduced. The maximum result should be expected after 10-14 days, when sweating practically stops in the area where the injections was administered. The duration of the effect varies individually, but on average the result will last for 6-7 months, although for some it can last up to 1-1,5 years. After this, the functions of the sweat glands are restored and, if necessary, hyperhidrosis treatment can be repeated.

The procedure has shown its effectiveness and safety for excessive sweating on any part of the body: in the armpits, on the feet or palms, in the groin area, on the back, in the décolleté area.

Normally, the brain sends signals to the sweat glands only during certain periods: during extreme heat, high physical activity, stress and increased body temperature. Hyperhidrosis is a pathological condition of the patient in which sweat production does not stop after eliminating the provoking factors.

Hyperhidrosis can occur due to genetic predisposition, endocrine disorders, neurological or oncological diseases.

Doctor does a Minor test to determine the area with excessive sweating. An iodine solution is applied on the skin of excessive sweating and after it dries, these areas are sprinkled with starch. After sweat is released, a reaction occurs between the compounds applied to the skin, as a result a dark-colored spot appears, which indicates the areas of the most active sweating.

– The skin is treated with a disinfectant solution in the treated area

– For pain relief, topical anesthesia is used using a special anesthetic ointment.

– Microdoses of botulinum toxin are injected under the skin with a syringe in the area of excessive sweating

– The treated area is re-disinfected.

– The duration of the procedure depends on the affected area and averages 30-50 minutes.

• High efficiency. Sweating is eliminated almost immediately; there is no need to undergo a long course of procedures. The injectables are characterized by a deep effect, the nerve endings of the sweat glands are blocked for a long time. The result will appear in 1-2 days.
• Quick results. To cope with unpleasant symptoms, it is enough to carry out 1 procedure.
• Lack of rehabilitation period. After the injections, the patient needs to follow simple rules only for the first few days; otherwise, he can lead a normal lifestyle.
• The procedure is painless and does not require long rehabilitation or surgical intervention.

• Excessive sweating (hyperhidrosis) of the whole body or in a specific area (armpits, palms, feet, face, back, groin area)
• Unpleasant, strong odor

• Pregnancy and lactation
• Individual drug intolerance
• The presence of injues, wounds and infectious skin lesions at the treated area
• Decompensated diabetes mellitus
• Diseases of the nerves and muscles
• Autoimmune and cancer diseases
• Infectious diseases in the acute stage (including colds, intestinal infections, venereal diseases), occurring with severe febrile syndrome
• Chronic diseases in the acute stage
• Blood clotting disorders

– Before the procedure, you need to shave your hair if the procedure is performed in the armpit area

– After administration of botulinum toxin injections, papules remain on the skin, which quickly disappear. Sweating stops after 5 to 7 days. The effects last for a minimum of six months, but for many patients, botulinum toxin injections last for one year.

– During the first week after hyperhidrosis treatment, you should avoid:

• alcohol
• use of deodorants and antiperspirants in the injection area
• taking hot baths, visiting the swimming pool, gym, sauna, solarium
• exercising and heavy physical work
• sun exposure

Botulinum toxin injections are safe for the health?

This method is absolutely safe, since the toxin in the drug is weakened, the dose of the toxin is insignificant and, moreover, it does not penetrate the systemic bloodstream. Injectables based on botulinum toxin are used not only in cosmetology, but also in medicine – for example, for the treatment of children with cerebral palsy and they are absolutely safe when administered in small doses.

How to prepare for the procedure?

The day before, do not drink alcohol and don’t do heavy or exhausting physical work. If the injections will be carried out in the foot area, it is recommended to have a pedicure a few days before to remove rough skin.

Do I need to use deodorants after the procedure?

No, this need will no longer be necessary after botulinum toxin injections . It will be enough to adhere to normal hygiene rules and take a shower regularly.

Are there differences between the types of botulinum toxin injections ?

There are some differences between injectables, in particular the composition, different concentrations of the active substance, and different degrees of diffusion. But the principle of their operation is identical. The drug is selected individually for each patient during the consultation with a doctor.

Is the procedure addictive?

The activity of the sweat glands is normalized due to the procedure, and many patients note that they sweat less even after the effect of the drug has already ended. There is no clinical evidence that botulinum toxin injections are addictive. But if the procedure is carried out too often, without following the doctor’s recommendation, then a patient might become resistant to the action of botulinum toxin and its effectiveness decreases.

Which treatment should I choose: Injections or MiraDry laser treatment?

The decision between MiraDry and injections ultimately depends on individual preferences, expectations, and the areas affected by hyperhidrosis. if you prefer a temporary solution with repeatable treatments, injections may be the ideal choice for you. However, if you seek a more permanent solution that eliminates the need for ongoing treatments, MiraDry offers permanent results. We recommend first to have a consultation with our doctors to determine the most suitable option based on your individual needs.