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BOTOX® for Hyperhidrosis

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Hyperhidrosis is the medical term for excessive sweating, which is a chronic condition affecting an estimated 7.8 million (or 2.8%) of the U.S. population. Patients with hyperhidrosis produce an amount of sweat that far exceeds the amount needed to regulate the body temperature. Hyperhidrosis can cause dehydration and skin problems, including infections, and can be accompanied by strong odors. Some individuals may sweat so profusely that they need to change clothing several times a day. Dr. Stella offers safe, simple BOTOX treatments in Seattle to give women and men from Bellevue, Redomond and surrounding areas relief from hyperhidrosis.

To learn more about BOTOX or other treatments offered at the Stella Center for Facial Plastic Surgery, request a consultation or call our office at (206) 682-3223. We look forward to helping you with any questions or concerns you may have, and getting you on your way to looking and feeling your best!

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Stella Desyatnikova, M.D.

Meet Dr. Stella, a board-certified Facial Plastic Surgeon and Otolaryngologist who is committed to enhancing natural beauty and creating an appealing, harmonious look.

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Why should I choose Dr. Stella for hyperhidrosis treatments?

Dr. Stella Desyatnikova has extensive training and experience in administering BOTOX. She has advanced training in facial plastic surgery and is board certified in Facial Plastic and Reconstructive Surgery, as well as Otolaryngology - Head and Neck Surgery. She is on the teaching faculty for Allergan, Medicis and Palette aesthetic courses and has been training other doctors and nurses how to administer BOTOX Cosmetic and fillers for years. Her caring spirit allows her to relate to her patients and understand exactly what they need.

What causes hyperhidrosis?

Hyperhidrosis most frequently develops in adolescence or young adulthood. The underlying cause of the disorder is uncertain but genetics may play a role – one-third to one half of patients have a family history of the disorder. Severe sweating may worsen due to stress, emotion, or exercise, but often occurs spontaneously.

Although the precise mechanism that triggers the condition is unclear, it appears to be related to a malfunction in the sympathetic nervous system. This is the part of the nervous system that regulates "involuntary" bodily functions (those we don't exert conscious control over), such as breathing, the heartbeat, and regulation of body temperature. In people with hyperhidrosis, this system may produce too much of the neurotransmitter that triggers the glands producing sweat, or the glands may be overactive.

How can hyperhidrosis be treated?

BOTOX is a minimally invasive treatment approved to help patients with excessive underarm sweating that cannot be adequately managed with topical agents such as antiperspirants. At our Seattle practice, BOTOX is administered through tiny injections into the axillary (underarm) area to stop severe sweating.

How does BOTOX stop sweating?

When injected near the sweat glands, BOTOX inhibits the release of the neurotransmitter acetylcholine from nerve cells, blocking the signals that stimulate glands to produce sweat.

How long do the BOTOX treatments last for managing hyperhidrosis?

The effects are temporary with a median duration of about 6 months depending on the individual patient, at which time the treatment needs to be re-administered to maintain maximum effect.

What happens during BOTOX treatments for hyperhidrosis?

We recommend arriving at your appointment with your underarms shaved. Dr. Stella uses a short, fine needle to make about 20 to 25 quick injections in the area where the hair grows under each arm. You may apply ice afterward to minimize discomfort and swelling.

Is it the same BOTOX used for getting rid of wrinkles?

Yes. BOTOX Cosmetic was approved by the FDA in 2002 for treating frown lines between the eyebrows. It was then approved by the FDA in 2004 for the treatment of severe primary axillary hyperhidrosis (excessive underarm sweating) that is inadequately managed with topical agents.

Does it hurt to have BOTOX injected in the armpits?

Most patients find these treatments very tolerable because the needle is so tiny and the injections are so quick.

When will I see results?

You will begin to appear drier within 3 to 5 days of treatment.

Isn't sweating a good thing? Will stopping it cause problems?

Sweat is a necessary bodily function for temperature regulation. While BOTOX effectively controls sweating where it is injected, you will continue to sweat normally everywhere else on your body, so there will be no problems for your health.

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