Primary Hyperhidrosis (excessive sweating)


Primary hyperhidrosis is a condition characterized by excessive sweating on the palms of the hands, the soles of the feet, in the armpits (axillary), in the groin area, and/or under the breasts.

Treatment Options:

For many patients, treatment will begin with topical antiperspirants starting with over-the-counter products, “clinical strength” over-the-counter products (active ingredient often zirconium salts), and then prescription products (active ingredient often aluminum chloride hexahydrate).

If a patient does not adequately respond to topical antiperspirant therapy, or if the side effects of such therapy are intolerable, onabotulinumtoxinA (BOTOX) injections are one of the next lines of treatment. The U.S. Food & Drug Administration (FDA) has approved onabotulinumtoxinA for the treatment of primary axillary hyperhidrosis in patients unable to obtain relief with antiperspirants.

Botox injections offer a minimally invasive treatment option and should be repeated as necessary to control symptoms. Botox is an excellent treatment for patients who complain of excessive and profuse sweating of the armpits, hands or feet.

Dr Kashouty and Dr Yono are highly trained and skilled in performing Botox treatments.


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