Excessive sweating or hyperhidrosis is a common condition affecting millions worldwide. People with hyperhidrosis sweat excessively, even when not engaging in strenuous activity or when it is not hot outside. This condition can be embarrassing and cause social anxiety. Fortunately, various treatments are available for hyperhidrosis, including OnabotulinumtoxinA injections, commonly known as Botox®. 

What Is OnabotulinumtoxinA and How Does It Work?

OnabotulinumtoxinA is a neurotoxin that is derived from the bacterium Clostridium botulinum. It works by blocking the release of acetylcholine, a neurotransmitter that stimulates sweat glands. When injected, OnabotulinumtoxinA temporarily blocks the signals between the nerves and sweat glands, reducing the amount of sweat produced in the treated area. 

OnabotulinumtoxinA injections are commonly used to treat hyperhidrosis in the underarms, palms, and soles of the feet. They also treat other medical conditions, such as migraines, cervical dystonia, and muscle spasms.

What Happens during an OnabotulinumtoxinA Injection Procedure?

OnabotulinumtoxinA injections are performed in a doctor’s office or clinic. Before the procedure, the doctor may apply a topical anesthetic or use ice to numb the treatment area. The injection sites are then marked and cleaned with an antiseptic solution. 

The doctor will then use a thin needle to inject OnabotulinumtoxinA just under the skin in the affected area. The number of injections required will depend on the size of the treatment area. The procedure usually takes about 15 to 30 minutes, and patients can go home immediately after. 

What Should You Expect after an OnabotulinumtoxinA Injection?

After an OnabotulinumtoxinA injection, patients may experience mild discomfort, redness, or swelling at the injection site. However, these symptoms usually subside within a few days. Patients are advised to avoid strenuous activity and excessive sweating for the first 24 hours after the procedure. They should also avoid rubbing or massaging the treated area, as this can cause the neurotoxin to spread to other areas.

The effects of OnabotulinumtoxinA injections typically last for three to six months, after which the treatment needs to be repeated. With regular treatment, the effects of the injections may last longer.

Are OnabotulinumtoxinA Injections Safe?

OnabotulinumtoxinA injections are generally safe when performed by a qualified and experienced healthcare provider. However, like any medical procedure, there are some risks involved. Some common side effects of OnabotulinumtoxinA injections include headache, dry mouth, and local muscle weakness. 

In rare cases, the neurotoxin can spread to other areas of the body and cause more severe side effects such as difficulty breathing, swallowing, or speaking. Patients should seek immediate medical attention if they experience these symptoms after an OnabotulinumtoxinA injection.

Conclusion

OnabotulinumtoxinA injections are a safe and effective treatment for hyperhidrosis. They block the signals between the nerves and sweat glands, reducing the sweat produced in the treated area. 

While the procedure is generally safe, patients should choose a qualified and experienced healthcare provider. They should also be aware of the risks and seek medical attention immediately if they experience severe side effects. With regular treatment, the effects of OnabotulinumtoxinA injections can last longer, relieving excessive sweating and improving quality of life.

Melinda Silva, MD, is a San Diego-based anti-aging and wellness medical spa in Chula Vista, specializing in bioidentical hormones, weight loss, and CoolSculpting. If you want to get rid of tired-looking eyes and crow’s feet, our anti-aging doctors in San Diego can help! Get in touch with us to schedule a consultation!