What is Excessive sweating?

Hyperyhdrosis or excessive sweating is common place. In the majority of cases it can be managed with topical antiperspirants but occasionally, even these are insufficient.

What are the non-surgical and surgical options available?

BOTOX is a very useful temporary non-surgical treatment for this problem and is often used prior to the summer months to prevent an increase in symptoms during the warmer part of the year. Multiple injections are given after the placement of numbing cream to the affected patch of skin.
Surgical options involve damaging the nerves that control sweating as they come out of the spinal cord. This is a significant undertaking and is performed by cardiothoracic surgeons.

How long do the results last for?

3-6 months before the BOTOX effect wears off and mild recurrence begins again. Surgical results are permanent.

What are the risks?

Non-surgical treatment has minimal risk. There is a small theoretical risk of an allergic reaction to botulinum toxin if a person has not had these injections before. The injection sites occasionally bruise and can swell. The body, with time, can develop a tolerance to certain toxins and therefore alternatives will need to be used.

What are the success rates?

Very effective but not permanent and some patients develop tolerance to the BOTOX over several years, requiring more frequent treatment.

How much does the surgery cost?

This is from £650

What general advice is there?

Don’t wash for 12 hours after BOTOX injections.