Underarm sweating is typically treated with antiperspirants and deodorants, but excessive sweating may requires more aggressive treatments. Discover how Botox injections are used to fix underarm sweating with help from a dermatologist in this free video on skin care and sweating.
Hi, I'm Dr. Raphael Darvish with Skinpeccable Dermatology and Cosmetic Laser Center here in Los Angeles, California, and today I'm going to be speaking with you about how to treat bad underarm sweating. The way with underarm sweating, there's a lot of good options to treat it. Obviously, you know about deodorants and antiperspirants. Losing weight is a good one, if you're overweight and using or wearing breathable clothing like cotton fabrics as opposed to polyester or wool will also help to decrease the amount of sweating. If those don't work, then you have a case of hyperhidrosis, or excessive sweating, and there are treatments for that. The main best topical treatment that is used is called Drysol, D-r-y-s-o-l. It's a 20 percent aluminum chloride solution that is applied nightly to the area, and generally that does a good job of making the area dry during the day, and is probably the most commonly prescribed treatment for axillary or underarm hyperhidrosis, or excessive sweating. This next best treatment, or really the best treatment for excessive underarm sweating is Botox. Botox is commonly used to treat facial wrinkles, but the other property of Botox is that it stops sweating very well. It'll take a excessively wet, sweaty underarm, and make it bone dry, literally, and it works very, very well, very, very satisfying for the patient who has a situation in which they excessively sweat. Generally, when we do a Botox injection, we demarcate the area of the treatment by using a iodine starch test kit. It's a dye that reacts with the sweat, and it tells us exactly where the sweating starts, so we can inject the Botox in those areas that really are the most problematic. Beyond Botox, there are surgical options. These are, like, last line options, because they come with a lot of side effects. Sympathectomy is a surgery by which a surgeon, a neurosurgeon, goes and cuts the nerves responsible for the sweating in the underarm. It comes with side effects such as excessive sweating in other parts of the body, and other things that really make is somewhat poorly tolerated. There are other surgical options available as well, such as cutting out the skin that is sweating, so actually physically cutting out a sliver, or a few slivers of skin, and sewing it together, and cutting out that segment of skin that's responsible for the excessive sweating. And then, lastly, we have pills, and these are the anticholinergics. They are very poorly tolerated. Most people really hate them, and I don't have very many patients at all taking the anticholinergics for hyperhidrosis because of all of its side effects. I'm Dr. Raphael Darvish, and that's a brief overview of how to treat bad underarm sweating.