Excessive Sweating or Hyperhidrosis Treatment

Botulinum toxin (Botox, Dysport, Xeomin) is a natural, purified protein, which works by preventing the release of acetylcholine in sympathetic nerve endings associated with the sweat glands. In other words, these injections stop the muscle surrounding the sweat gland from squeezing out the sweat and is an effective treatment option for those suffering from hyperhidrosis.

Before Your Appointment

Prior to your appointment if possible please:

• Shave or trim your underarm hair
• Avoid antiperspirant deodorant the day of your booking

AfterCare

Your treatment will start to take effect in 3-5 days with the full effect being felt at 14 days post treatment.   Following these recommendations will further minimise the risks and side effects of treatment

• To help prevent the botulinum toxin from moving to other muscles do not rub the area for 2-4 hours post treatment.

• Do not rub or touch injection sites, or do anything really dusty for 2 hours to assist in reducing the risk of infection.

• To minimise risk of bruising, don't do anything to significantly increase your heart rate such as exercise, hot showers or saunas for the rest of the day.

• Avoid medications such as aspirin, anti-inflammatories, fish oils or other anticoagulants for up to 2 hours post treatment (if safe to do so). 

If you have any significant concerns, feel free to contact me on 021 225 9200.

Indications

This treatment is only suitable for primary hyperhidrosis, there are two types of hyperhidrosis:

Primary hyperhidrosis is the most common type - It’s an over-reaction type of sweating. There is no underlying medical condition and it often runs in families.

Secondary hyperhidrosis is caused by an underlying medical condition and this treatment may not be suitable or effective.  Some underlying conditions that may cause secondary hyperhidrosis include:

• menopause hot flushes (often associated with excessive sweating at night)
• diabetes
• hyperthyroidism (overactive thyroid)
• some cancers (often associated with night sweats)
• myocardial infarction (heart attack)
• having an active infection

If you think you may have secondary hyperhidrosis please seek advise from your GP before proceeding with your appointment.

Pain

Most patients find treatment almost tolerable, the needles we use are very small.  If you are finding the treatment too uncomfortable, please tell us !

Longevity

Hyperhidrosis treatment generally lasts around 6-9 months when recommended doses are administered. Individual metabolism is a factor in longevity. 

Contraindications

You must be well at the time of treatment and over 18years of age.  We cannot treat under the following circumstances:

• Pregnant or breastfeeding

• Epilepsy

• Into an area of infection or inflammation

• Muscular disorders

• Taking aminoglycoside antibiotics (mycin)

Side Effects

All medications have possible adverse effects, side effects are rare and temporary in nature - however still present.  It is important you are aware of these risks, so you can make an informed decision about whether the treatment is right for you.  

• Infection, redness, pain, & swelling 

• Bruising - resolves in a few days and generally minimal

• Allergy - very rare. Must disclose egg, human albumin & sucrose allergies

Safety

Your treatment will be carried out by a New Zealand trained registered nurse, under the supervision of a Doctor. The treatment is very safe and the risk of serious allergic reaction is very small, however we have adrenaline, resuscitation equipment and an AED on hand in the unlikely event of a severe allergic reaction. All injectables are registered and deemed safe to use in New Zealand by Medsafe.

Mandatories

Dysport® is a prescription medicine for the treatment of frown lines, horizontal forehead lines and crow’s fee round the eyes.

Dysport has risks and benefits.

Ask your doctor is Dysport is right for you.   If you have side effects see your doctor.  You will need to pay for Dysport, and clinic fees will apply.

For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz

Dysport lasts about 4-6 months and further courses of treatment may be necessary.

Should only be administered by trained medical professionals.

Contains 500 units of clostridium botulinum Type A toxin.

Galderma (NZ) Limited, Auckland.

Xeomin^® is a Prescription Medicine containing 50, 100 units of incobotulinum Type A, purified Botulinum toxin type A complex for injection.  It is used for the treatment of frown lines on the forehead, lateral periorbital lines and horizontal forehead lines in adults. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine. Xeomin treatment lasts about four months and further courses of treatment may be necessary. Cautions: people receiving blood thinning medicines, care at the proposed injection sites, pregnancy and lactation. Possible side effects: headache, pain, swelling or infection at injection site, local muscle weakness including drooping eye lids, lack of feeling & nausea.