What is Hyperhidrosis?
Usually sweating is a natural process of the human body that regulates our skin temperature. However, those who experience hyperhidrosis (excessive sweating) know how much discomfort this condition causes. The frequent need to change clothes, unpleasant odors and poorly effective therapies is a burden for the patient, and it is likely that he will eventually develop feelings of social exclusion, anxiety, and total dissatisfaction with quality of life. There are two main types of excessive sweating:
- Primary hyperhidrosis. It is genetically inherited, abundant swelling of the armpits, palms and legs, occurring during the day and night.
- Secondary hyperhidrosis.
From the first type it differs from being acquired through life, due to various external factors: spinal trauma, excessive alcohol consumption, diabetes, pregnancy, obesity, malignant tumors, Parkinson's disease, infections (HIV, tuberculosis, malaria) and others.
How can this problem be solved effectively?
Because hyperhidrosis cannot be cured, a number of patients choose local remedies that pollute the body. For example, antiperspirants. Unfortunately, many antiperspirants have metal salts, mostly aluminum chloride, which clog the sweat ducts in the epidermis, resulting in the development of atrophic and vacuolation of the gland cells. Another minus of this method is the short-term effect. Surgical method of sweating (extraction of fat, removal of sweat glands) is only suitable for the armpits. The disadvantages of this method are scarring, possible alopecia and hyperpigmentation, which may cause bruising, swelling and pain after surgery. The good news is that today hyperhidrosis can be effectively curbed by injections of botulinum toxin. It is a new (first used in Lithuania in 2004) and an advanced method that is suitable for the main areas of the body and for all degrees of severity.
What is botulinum toxin and how is it used to treat sweating?
Botulinum is a odorless, tasteless and colorless substance that is used in purified form to cause paralysis of hyperactive muscles. It is applied directly to hyperhidrosis-damaged sites, i. in the skin of the armpits, feet or palms of the skin. The doctor dermatovenerologist marks the area of injections with dots and gradually injects botulinum. Reduced sweating is noticed after 3-5 days, and the full effect takes about two weeks. Every human being and his condition are individual, so how long will the effect of this method be difficult to say. However, it is usually said that excessive sweating disappears from 4 to even 17 months. The most effective and safest way to treat hyperhidrosis (even severe) is the injection of botulinum toxin after evaluating the risk-benefit-risk balance of the various treatments.
Is this method painful?
And yes and no. Without ancillary anesthesia, for example, sweating of the palms or soles of the soles would be very painful. The anesthesia of these areas is light anesthesia, while the armpit area suffices only for the applied anesthetic (local anesthetic). Therefore, each time anesthesia is used, according to the patient's situation and needs.
When can botulinum injections not be done?
There are no additional exceptions. Botulinum toxin injections are not permitted for children, pregnant women, and people with botulinum allergy.