Treatment of the sweat glands

A sweat gland treatment with Botox aims to reduce excessive sweating (hyperhidrosis). In this method, botulinum toxin is injected into the affected areas, such as the armpits, hands or feet. The Botox blocks the nerves that activate the sweat glands, which reduces sweat production. The effect usually lasts for several months and the treatment can be repeated to maintain the results.

Botox is an effective treatment for excessive sweating (hyperhidrosis) and can reduce sweat production in the treated areas by up to 80-90 %. The effect usually occurs within one to two weeks of injection and usually lasts for several months, often between 4 and 12 months, before a top-up is required. Many patients report a significant improvement in their quality of life as they feel more comfortable in social situations and everyday life. The treatment is generally well tolerated, although possible side effects such as temporary pain at the injection site or temporary muscle weakness may occur.

Botox injections in the armpit are usually carried out by an experienced specialist and involve the following steps:
1. counselling: The first step is a consultation to discuss the symptoms and expectations.
2. disinfection: The armpit is thoroughly disinfected to minimise the risk of infection.
3. marking: The doctor can mark the areas to be injected to ensure targeted treatment.
4th injection: The botulinum toxin is injected into the skin or subcutaneous tissue of the armpit using a fine needle. The injections are carried out in a specific pattern to effectively reach the sweat glands.
5. aftercare: After treatment, the doctor will give instructions on aftercare, including avoiding heavy sweating and physical activity for a few hours.
The entire treatment usually only takes about 30 minutes and is relatively quick and painless.

After a Botox treatment in the armpits, you should avoid intense physical activity and heavy sweating for at least 24 hours to minimise the risk of swelling and bleeding. It is also advisable not to press or rub the treated areas to prevent the Botox from moving. The consumption of alcohol should also be avoided for the first 24 hours, as it can impair healing.

As a rule, between 50 and 100 units per armpit are required for a Botox treatment in the armpits. However, the exact number may depend on various factors, such as the severity of the hyperhidrosis and the individual anatomy. An experienced doctor will determine the required amount during the consultation to achieve optimal results.

Botox should not be injected in the following areas:
1. active infections: Botox should not be injected into skin areas with acute inflammation or infection.
2. pregnant and breastfeeding women: In these cases, use is not recommended as the effects on the unborn child or infant have not been sufficiently investigated.
3. areas with sensitive skin: Botox should only be injected into very thin or sensitive skin with caution and by experienced specialists.
4. near large blood vessels or nerves: Botox should only be injected by experienced specialists, especially around the eyes or in other sensitive areas, in order to avoid complications.
It is important to have the treatment carried out by a qualified doctor who knows the appropriate techniques and safety precautions.

The effect of Botox under the armpits usually sets in within one to two weeks after the injection. Many patients report a noticeable reduction in sweating after just 3 to 5 days. The maximum effect is often achieved after 10 to 14 days and can last for several months, usually between 4 and 12 months, before a top-up is required.

After a sweat gland treatment, especially after a Botox injection, you should refrain from using certain deodorants for some time. It is usually recommended to use a mild, alcohol-free deodorant for the first 24 to 48 hours so as not to irritate the treated areas. Products with antiperspirant properties can also be avoided until your doctor gives the green light. It is advisable to follow the specific recommendations of your practitioner to achieve optimal results.

The effect of Botox for hyperhidrosis usually lasts between 4 and 12 months. For many patients, the effect starts within one to two weeks after the injection, and the maximum effect is often achieved after about two weeks. After this time, sweat production may gradually increase again, so a top-up treatment is usually required to maintain the results.

After a sweat gland treatment, especially after Botox injections, you should refrain from intensive sport and strenuous physical activity for around 24 to 48 hours. This helps to minimise swelling and bruising and ensure that the Botox can work effectively. After this time, you can usually resume your exercise programme, but it is advisable to follow your doctor's specific recommendations.

Sweat gland treatment should be avoided in the following cases:
1. acute infections or inflammations: Treatment is not advisable for active skin infections or inflammation in the treatment area.
2. pregnancy and breastfeeding: Treatment is not recommended during these phases as the effects on the unborn child or infant are not sufficiently known.
3. certain neurological diseases: People with certain neurological diseases should consult their doctor before treatment.
4. allergies to ingredients: If you are allergic to botulinum toxin or other ingredients of the injection, you should avoid the treatment.
5. coagulation disorders: People with blood clotting disorders or who are taking blood-thinning medication should also consult a specialist before treatment.

Botox is considered safe, but in rare cases, long-term effects may occur, such as temporary muscle weakness or irregular results if the treatment is performed improperly. Some people may be allergic to the ingredients, which can lead to skin rashes or other reactions. In addition, some people may develop tolerance, which can cause the effects of Botox to diminish over time.

Yes, Botox can be injected into the hands, armpits, feet and forehead to treat excessive sweating (hyperhidrosis). This treatment aims to block the sweat glands in the hands and thus reduce sweat production. The injections should be carried out by an experienced specialist in order to achieve optimum results.