Severe underarm sweating, also known as severe primary axillary hyperhidrosis, is a condition in which the body sweats more than it has to in order to regulate body temperature. The severity of the condition is based on the extent it interferes with your daily activities. Some of our patients seek treatment due to the social embarrassment they may feel or the permanent stain their perspiration leaves behind on their clothing.
Treatment consists of about 50 units of Botox per side. The process takes about 10 minutes, starts working in usually 7-10 days, and lasts about 6 months (individual responses vary.) If applicable, we can also apply a betadine mix before procedure to determine which sweat glands are most active, to administer higher doses in those areas, and less in areas that are less active.
Another area that can have a similar negative impact on social interactions is sweaty palms, especially when individuals avoid hand shakes due to their self consciousness. The botox dose for treatment of hands can vary from 25 to 75 units per hand and can also last about 6 months (individual responses vary).
Bra Fat Treatment
A common area of concern in both young and mature individuals is the area of fat that bulges out around bra straps. This area can be treated off-label with Kybella, a fat dissolving agent that has been FDA approved for double chin treatment. Depending on the intensity, 1 to 2 vials of Kybella are usually necessary per side at each treatment. At least 3 treatments are usually advised, each 6 weeks apart. After the third session, a permanent decrease in the fatty pouch in this area can be achieved.