Correction of hyperhidrosis or correction of excessive sweating is a cosmetic procedure aimed at solving the problem of occasional or constant increased sweating, which increases during a negative emotional state or stressful situations.
The exact causes of the disease are not known; it is believed that the pathology may be caused by the high activity of reflexes responsible for sweating. The most common forms of the disease are hyperhidrosis of the armpits, palms and feet. Genetics is of great importance in the development of hyperhidrosis - more than 40% of patients have a history of the disease.
Types of hyperhidrosis correction
Currently, the most effective and popular method of treating hyperhidrosis is injection, based on the use of drugs that block the nerve impulses responsible for sweating. To solve a problem that brings psychological and physical discomfort, the following drugs are used:
- Botox is a neurotoxin that blocks the nerve endings of the sweat glands, as a result of which the brain does not receive a signal about the need to secrete sweat;
- Dysport is a complete analogue of Botox in composition, one unit of Botox corresponds to 2.5 - 3 units of Dysport;
- Botulax is the most affordable analogue of Botox.
The essence of the procedure
Sweat glands are “tubes” that lie deep in the skin. For them to work, separate parts of the brain - both the brain and the spinal cord - must send them a command. The signal travels along the nerve fibers of the sympathetic system and “turns on” the gland. This happens with the help of the substance acetylcholine, which is released from the nerve ending into the space between it and the sweat gland.
When botulinum toxin (Botox, Dysport, Xeomin) is injected into the skin, it is absorbed into the nerve endings that connect to the sweat glands. Inside them, it blocks the “flaps” that must open to remove acetylcholine out. As a result, acetylcholine is not released - the sweat gland does not “turn on”.
Why do botulinum toxins take so long to work? The fact is that the body saves its resources. And it is easier for him to create new nerve endings that would connect the sympathetic nervous system with the sweat glands than to “unblock” the “flap” protein. This process of creating nerve terminals occurs over a period of 8-12 months. During this time, sweat is not released in problem areas. After this period, the sweat glands begin to work gradually, so at first you will sweat less. Then hyperhidrosis, if you have not found its cause and eliminated it during this time, will return to its previous level.
Botox or Dysport injections are safe. They do not stop the blood circulation of the sweat glands, but simply turn them off. At the same time, other structures surrounding the glands do not suffer at all - since they have a different mechanism of communication with the nervous system, which botulinum toxins do not affect.
Indications for correction of hyperhidrosis
Hyperhidrosis has symptoms of varying degrees of severity, corresponding to levels of disease severity. At level 1, sweating practically does not interfere with the patient’s activities and proceeds relatively unnoticed. On the 2nd - sweating is still tolerable, but begins to interfere with the patient’s daily life. On the 3rd, the problem causes significant inconvenience, and on the 4th, increased sweating significantly interferes with the usual way of life. The following manifestations are characteristic of an advanced form of hyperhidrosis:
- pain;
- swelling;
- redness;
- cooling of the body as a result of evaporation of liquid;
- psychosomatic problems.
This symptomatology is significantly aggravated if the patient often finds himself in stressful situations, is characterized by increased emotionality, has the habit of drinking alcoholic beverages and foods such as chocolate, coffee, spices, etc.
Contraindications
Despite the safety, Botox injections into the armpits cannot be given to everyone. The procedure is not carried out:
- on the days of menstruation;
- during a cold;
- when chronic diseases worsen;
- if there is a rash, cuts, boils on the skin.
There are also a number of absolute contraindications:
- pregnancy and lactation;
- oncological diseases;
- diabetes;
- epilepsy;
- predisposition to keloid scars;
- impaired skin sensitivity in the treated area;
- blood clotting disorder;
- muscle dystrophy;
- alcoholism;
- intolerance to individual components of the drug.
How is hyperhidrosis corrected?
After identifying the locations with the most increased sweating, an application of cream anesthesia is applied to them. After 15-20 minutes, when the treated area completely loses sensitivity, the injection procedure begins. The drug is injected subcutaneously using a thin needle to a depth of 2 - 3 mm. The duration of the entire procedure, taking into account the Minor test, is 40 - 60 minutes. As a rule, after 2 – 3 weeks the patient is prescribed a repeat procedure, which also involves performing the Minor test.
Treatment of hyperhidrosis
Correction of underarm hyperhidrosis!
Indications
Sweating is regulated by the autonomic nervous system. The brain gives a signal to the glands under the influence of a number of factors:
- physical exercise;
- stress;
- heat;
- increase in body temperature.
Normally, sweating occurs only at specific moments. The factor is eliminated, and sweating stops. If sweating does not stop, then we are talking about a disorder - hyperhidrosis. This is the indication for Botox injections in the armpit area.
Symptoms of increased sweating may occur in the following cases:
- endocrine disorders;
- heart diseases;
- genetic predisposition;
- tumors;
- inflammation;
- neurological problems.
Since not all ailments can be overcome at once with the help of selected treatment, the technique is in great demand for eliminating an unpleasant symptom.
Prices for hyperhidrosis correction
Correction of hyperhidrosis (armpits/palms/feet) with Botox (60 units) NORMAL | 16,000 rubles instead of 23,400 rubles - Promotion! |
Correction of hyperhidrosis (armpits/palms/feet) with Botox (75 units) EXTRA | 20,000 rubles instead of 29,250 rubles - Promotion! |
Correction of hyperhidrosis (armpits/palms/feet) with Dysport (250 units) NORMAL | 18,000 rubles instead of 37,500 rubles - Promotion! |
Correction of hyperhidrosis (armpits/palms/feet) with Dysport (350 units) EXTRA | 22,500 rubles instead of 52,500 rubles - Promotion! |
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Predicted result
Immediately after Botox is injected into the armpit area, the result cannot be assessed. The intensity of the sweat glands will decrease after a few days. The desired effect can be felt in 1–2 weeks.
If sweating does not disappear, then the reason may be hidden in the following:
- individual characteristics of the body;
- insufficient dose of botulinum toxin;
- lack of sensitivity to Botox;
- previous tetanus.
In these cases, it does not always make sense to repeat the procedure to achieve the desired result. Be sure to discuss any questions with your doctor.
How long does the effect of hyperhidrosis correction last?
As a result of the correction of hyperhidrosis, the functioning of the sebaceous glands is normalized, and sweat ceases to be produced even during active physical activity and stress. The average duration of the result is 9 - 11 months and depends on the individual body’s reaction to the injections and on the chosen drug.
It is necessary to understand that hyperhidrosis can be a symptom of deeper diseases (cardiovascular, endocrine, infectious, etc.), therefore, for the best result, the patient should approach solving the problem comprehensively.
Advantages and disadvantages
The main advantage of Botox injections into the armpits is safety. The drug is applied locally and does not cause harm. There are other advantages:
- high efficiency;
- the result is visible after the first procedure;
- painlessness;
- duration of the result;
- absence of any scars or scars after injections;
- There is no recovery period; after a session at the clinic, you can go straight home.
It is important to remember some disadvantages:
- the procedure has contraindications;
- injections should be repeated at regular intervals.
Possible complications
Certified Botox preparations that have passed appropriate clinical trials are harmless to the body. Correct calculation of the dosage, precise adherence to the technique of administering the drug, as well as the patient’s adherence to the doctor’s recommendations allow one to achieve the best result.
In some cases, an allergic reaction is possible. It manifests itself with the following symptoms:
- severe swelling at injection sites;
- painful sensations in the armpits;
- redness of the skin, cyanosis;
- burning sensation and itching;
- muscle weakness.
If the patient exhibits similar symptoms after the procedure and these signs are observed for more than a day, it is imperative to consult a doctor.
Dysport
The drug is an analogue of Botox. 1 bottle of powder contains 300 or 500 units of active substance. Lactose is used as a stabilizer. Sometimes this component causes allergic reactions when administered.
The drug copes well with the treatment of hyperhidrosis, as it has good diffusion.
Injections should only be administered by a qualified specialist with the necessary skills.
If the patient is taking antibiotics or other medications, the doctor must be informed about this. It is advisable to postpone the procedure until the end of the course of treatment.
Dysport is incompatible with alcohol.
Which areas are treated?
Hyperhidrosis manifests itself not only in the armpits; problem areas can also be the heels, palms, skin folds, back or forehead. Theoretically, any zone can be treated; the question here is more about portability. If we are talking about the back, then you must first consult a doctor and try to find the primary cause of such sweating, since it is not recommended to treat too large an area.
Botox against sweating in the heels is also used, but before the session it is necessary to do a thorough pedicure and treat the feet to remove the stratum corneum. The procedure not only removes sweating, but also reduces the risk of fungus, which develops precisely due to excess humidity.
Often the face is also susceptible to sweating, then anti-sweat injections are injected into the forehead, which simultaneously solves two problems at once - sweating and the primary signs of aging. Botulinum toxin can slow down the appearance of facial wrinkles.
Effect duration
Botox does not allow you to maintain the achieved effect for a long period. This is due to the fact that after processing the toxin, the muscles and nerves restore their functions. When using a high-quality drug, the effect lasts 10 months.
The reaction to the toxin may vary. The first procedures do not cause allergies, but due to the constant administration of the drug there is a small chance of developing individual intolerance. Due to the dysfunction of certain muscles, others try to take over their functions. Therefore, the effectiveness of injections decreases each time.
The duration of the effect depends on the drug. It is produced by different companies. The difference lies in price, composition, duration of action and degree of toxicity. The doctor does not always use the most effective drugs, since they have a high concentration of toxin. The choice is made depending on the results of the preliminary inspection.
Excessive sweating is associated with chronic diseases. Therefore, before visiting a cosmetology clinic, you need to undergo an examination. If the cause is not related to chronic diseases, Botox injection is the only way to eliminate discomfort. The toxin cannot be used in all cases; the doctor must list the contraindications. They relate to the period of lactation, pregnancy and breastfeeding. Some skin conditions also prevent injections.
Normally, moderate sweating occurs. In case of hormonal imbalance and the appearance of other diseases with increased activity of the glands.
Injection technology
Use the toxin carefully. It can reduce the tone of any muscles. The procedure is carried out in several stages:
- Preparation. The doctor treats the axillary skin with an antiseptic and marks the injection points with a marker. In some cases, an anesthetic gel is applied to eliminate the likelihood of pain.
- Injection. A cosmetic syringe with a thin needle is used. Small papules form at the puncture site. Over time they dissolve.
- Applying a cooling compress. Even when using a thin needle, damage to blood vessels is possible. Cold helps reduce swelling. The patient should be monitored for 1-2 hours after administration of the drug. This is due to the low likelihood of intolerance to the components used in the manufacture of the drug.
After the procedure, you should not eat fatty or salty foods, or visit the pool or solarium. Exercise and drinking alcohol are also prohibited.
Will the sweat glands become clogged?
This is a common myth, but it has no basis. Botulinum toxin for armpits is injected under the skin and not into the sweat glands, so there can be no blockage. The effect is achieved thanks to the peculiarities of Botox, which disrupts the neuromuscular connections in the treatment area; sweat simply stops being produced, and therefore the gland will not be damaged.
The procedure is completely safe and has a cosmetic effect, relieving the discomfort and problems of hyperhidrosis. Compared to injections, regular antiperspirant is much more dangerous if used frequently.
Injection method for treating hyperhidrosis
Botulinum toxin injections into the armpits will help solve the problem of excessive sweating for a while. The drug injected into the problem area blocks the transmission of nerve impulses, and accordingly, the activity of the sweat glands noticeably decreases.
Therapy is local in nature. It does not affect the process of sweating throughout the body, acting strictly in problem areas. Botulinum toxin serum is injected intramuscularly with an ultra-thin cosmetic needle, which makes the procedure painless and low-traumatic. The first results of botlin therapy can be assessed after 2 – 4 days. In addition to treating hyperhidrosis, Botox injections will also help achieve an aesthetic effect:
- smooth out wrinkles and folds in the armpit area;
- get rid of scars and post-operative scars.
First visit to the clinic
The drugs used are classified as potent toxins. Therefore, the doctor chooses the dosage. For this purpose, tests are carried out at the first visit to the clinic. The degree of manifestation of the problem is determined by:
- The skin is treated with an antiseptic to remove bacteria.
- An iodine-based solution is applied.
- A layer of starch is applied to the treated area of skin.
- To stimulate the action of the sweat glands, the patient performs several exercises.
As you sweat, spots will appear on your skin. They will determine the areas and amount of the drug.
Botox
One of the most famous and popular drugs based on botulinum toxin. Produced by the American company Allergan. On the Russian pharmaceutical market since 1994.
Indications for use are:
- Correction of facial wrinkles;
- Hyperhidrosis;
- Blepharospasm;
- Muscular spastic torticollis;
- Strabismus.
With the introduction of this drug, a minimal number of side effects and complications are observed.
The drug is produced in the form of a lyophilized powder in bottles. Solutions are prepared from it for intramuscular and subcutaneous administration.
For dilution, saline solution is used. The medicine should be stored in the freezer. The solution remaining after the procedure must be disposed of.
The maximum effect occurs after 14 days and lasts from 2 to 4 months. Possible side effects include pain at the injection site and allergic skin rash.
Causes of armpit hyperhidrosis
- Causes of armpit hyperhidrosis:
- High ambient temperature;
- Wearing synthetic clothing;
- Individual characteristics of a particular person;
- Disturbances and changes in the functioning of the body;
- Stress.
Most often, increased sweat production, which is noted in one or two areas of the body, is an individual feature. However, it will not be superfluous to get advice from a specialist and rule out other possible causes. If sweating significantly reduces the quality of life, is observed throughout the body, is very intense and severe, do not delay going to the doctor. If necessary, he will order an examination.
Humidity and unpleasant odor, of course, cause discomfort in everyday life: many people are embarrassed by their problem and have difficulty communicating with colleagues and friends. It is also difficult to choose clothes that would hide this feature. This is why many people are concerned about how to eliminate and cure armpit sweating (hyperhidrosis).
Often axillary hyperhidrosis is combined with palmar hyperhidrosis.