Treatment of hyperhidrosis with botulinum toxin.
Botulinum toxin type A is a safe and effective method for treating focal hyperhidrosis, providing longer-lasting results than topical treatments without the necessity of invasive surgical procedures. Although more useful for axillary hyperhidrosis, botulinum toxin injections can also be effective in treating palmar and plantar disease. The effects of botulinum toxin last for six to nine months on average, and treatment is associated with a high satisfaction rate among patients. In this article, the authors discuss their preferred methods for treating axillary, palmar, and plantar hyperhidrosis. This article serves as guide for pretreatment evaluation, injection techniques, and posttreatment care.
Division of Plastic Surgery, Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA. melissadoft@gmail.com
Melissa A
MA
Doft
Krista L
KL
Hardy
Jeffrey A
JA
Ascherman
D019274:Botulinum Toxins, Type A / Q000008:administration & dosage* / Q000009:adverse effects; D000075202:Contraindications; D006801:Humans; D006945:Hyperhidrosis / Q000188:drug therapy* / Q000503:physiopathology / Q000523:psychology; D007267:Injections; D009465:Neuromuscular Agents / Q000008:administration & dosage* / Q000009:adverse effects; D017060:Patient Satisfaction; D011788:Quality of Life; D013546:Sweating / Q000187:drug effects*; D016896:Treatment Outcome
D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A