Sweating (hidrosis) is a natural metabolic function that is controlled by the autonomous nervous system transmitting to the muscles and glands, and keeps the body temperature, water and salt ratio in balance. There are two to five million sweat glands in the human body that secrete viscous/fragrant and clear/odorless sweat. Sensory stimuli (fear, excitement, stress, anger) and/or heat stimuli (warm external environment, intense physical activity, hormones) produced in the brain are transmitted to the sweat glands by the sympathetic nervous system which is the sub-system of the autonomous nervous system, and the sweat glands react and produce liquid. The high level of reaction of the sweat glands, on the other hand, causes excessive sweating (hyperhidrosis). Excessive sweating (secondary hyperhidrosis) may be an indicator of hyperthyroidism, diabetes, hypoglycemia, menopause, Parkinson's disease, infection, heart failure, respiratory failure, obesity diseases or psychological disorders. Still, uncontrolled and excessive sweating can be seen in people who do not have any health problems (idiopathic localized hyperhidrosis).
Although different methods are used for the treatment of excessive sweating, the most effective and common treatment method is treatment with botox procedure.
When stimulations are transmitted by the nervous system, a chemical called acetylcholine is released from the nerve ends. Acetylcholine adheres to receptors on sweat glands and stimulates them. The receptors stimulated by acetylcholine make the sweat glands work and secrete liquid. Botox, a purified protein-containing toxin produced from Clostridium Botulinum bacteria in a laboratory environment, blocks the nerve ends by preventing secretion of acetylcholine by the nerves in the area where it is injected, weakens sweat glands, prevents stimulations and liquid production.
The liquid produced by the sweat glands is odorless in the first place and has an acidic structure. With the effect of time, heat and micro-organic activities of the body, the acidic liquid turns into ammonia containing a base structure. This transformation causes the smell of sweat.
Since the number of glands that secrete clear sweat in areas other than the genital area and armpit is ten times higher than the number of glands that secrete viscous sweat, they suppress viscous sweat. Since the number of viscous sweat glands is equal to the number of clear sweat glands in the armpits, the glands that secrete viscous sweat become dominant and the sweat produced becomes smelly. In addition, the axillary area has a tissue structure where bacteria can rapidly multiply.
Since axillary sweat glands are glands that react to both sensory and heat stimuli and produce smelly sweat, the most common complaint related to excessive sweating is axillary sweating. In addition, sweating marks can be seen by other people and cause discomfort. Medical solutions are often preferred, as even anti-sweat and smell-preventing products cannot be a remedy.
Patients who resort to our hospital due to the complaint of axillary sweating are first examined to see if there is a secondary disease that causes sweating. This is because secondary hyperhidrosis can be terminated by means of the treatment of the disease that causes sweating. If uncontrolled and excessive sweating (idiopathic localized hyperhidrosis) is detected despite no health problems, the sweating area and the area where botox will be applied are determined by performing a starch - iodine test.
Anti-coagulants and alcohol use should be discontinued at least 5 days before Botox procedure. Cleaning with epilation and waxing should not be done until 15 days before and after the procedure, and shaving should be done 3 days before the procedure. Use of cream, deodorant, perfume should be abandoned in the last 24 hours hot liquid consumption in the last 3 hours.
During axillary botox procedure; botox injected from different points into the subcutaneous sweat glands over a period of 15-20 minutes with the help of a cannula or thin-tipped needles weakens the sweat glands and helps them relax. Since the nerve ends are blocked, the sweat glands do not react to stimuli, they do not secrete liquid, and the problem of excessive sweating is eliminated. No pain is felt during or after the injection, only a slight burning and ache might be felt, these aches can be reduced using ice treatment (cold compress) to the injection areas.
After the procedure, you will not be hospitalized, and you will continue your daily life. Patients can return to work on the same day. However, heavy activity and extremely hot environments that require excessive force and increase the temperature level of the body should be avoided in the first a few days, and botox areas should not be rubbed.
The effect of botox applied against excessive sweating as a single session begins to be seen within a week and the desired result is achieved in about 2 weeks. If the result obtained within two weeks is limited, an additional dose may be applied. As in other botox procedures, its effect usually lasts 4 - 6 months, but it is also seen that it lasts up to one year. Repeating the procedure once a year helps prolong the effective life of botox procedures.
The success rate of the botox applied against sweating, which has a very short procedure time, is quite high. In very severe cases related to the axillary area, surgical treatment for the nerves can be applied in order to terminate the excessive sweating that cannot be prevented, or the axillary sweat glands can be removed with surgical interventions.
In Botox procedures, the risk of developing side effects is very low. Although not very frequent; pain, numbness, redness, bruising, swelling, inflammation and bleeding can be seen in the area where botox is injected. In addition, complaints such as itching, weakness, dizziness, and rash were encountered in patients with allergy problems.
Axillary botox does not involve any risk if it is done by experts and experienced people. No permanent damage will be caused to the sweat glands due to the procedure, but they are only less stimulated. Therefore, it does not prevent normal functioning of metabolism.
It is not possible to give general information about sweating treatment prices with Botox procedure. This is because each procedure contains special conditions. The area and amount of botox to be applied will change based on the demand and need of the patient, and this will affect the price. Some charge a standard fee depending on the amount of units used and some depending on the procedure areas. Furthermore, the Ministry of Health has reported that a written announcement of plastic intervention prices will lead to unfair competition and it is deemed to be undesirable to share the prices.
If you have excessive sweating problem that will affect your daily life and you want to get help about this problem, you can reach us via our contact information, and get more information and receive treatment in our health center that priorities your special demands and needs.