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What is it?

The excessive hyperhidrosis or sweating (perspiration) is an empirical diagnosis condition since we DON’T possess a method that inform us how much we perspire or how much we normally have to produce, so based on this, we can reach an accurate HYPERHIDROSIS diagnosis. Nowadays, the Minor Test is used, if there is any diagnostic doubt.

Hyperhidrosis affects 1% of population, and is often accompanied by inconvenience or discomfort, in both social / professional as to private life. In some cases it also produces skin maceration with a subsequent microbial infection, which can be exacerbated in areas with high ambient humidity and tropical temperatures, conditions similar to our region.

Eccrine sweat glands are the responsible for sweat production. They are found at a larger proportion in the forehead, armpits, palms and soles. They are stimulated by the nervous system, and act as body temperature regulators, among others.

In 1822, German physician Justin Kerner, described the hyperhidrosis or anhidrosis (decreased or absent of sweating, respectively) as a result of botulinum toxin (botulism) poisoning. That is why purified type A Botulinum Toxin - BOTOX® acts in hyperhidrosis by inhibiting the acetylcholine release and thus inhibiting sweat production by the eccrine sweat glands.


The treatment consists in the application of purified botulinum toxin into the affected areas, being of crucial importance the proper preparation and application of the product, since it must be placed at a precise depth, in adequate amounts in each of the many described areas for this type of intervention, and under local anesthesia to avoid discomfort often caused if this last step is not executed, especially in the hands. Due to the large area to be treated and the amount of toxin to use, it is recommended to make the application in stages, to be able to evaluate and appreciate the remarkable improvement that usually occurs in the first 3 to 7 days, and avoid complications.


It is a management treatment recommended by doctors trained for this purpose; since its implementation DIFFERS in many aspects from the usual use of purified botulinum toxin for the expression wrinkles management.


The results are excellent and give temporary relief to a great discomfort, on patients who suffer excessive daily sweating production.

Dr. Guillermo Lorenzo ® All Rights Reserved 2014 / Powered by Rubycom