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People suffering from hyperhidrosis experience a reduction in quality of life due to the psychological and social effects of the condition. This chronic disorder constantly puts patients in an unpleasant position, embarrassing them daily in their professional and social environment. It affects everything in their lives and their every action is consciously or unconsciously filtered by the consequences it will have on themselves and the people they associate with.
Many times it isolates them, since the image repels them. Even more severe are the effects on people suffering from bromhidrosis, which is related to excessive sweating.
Sweating is necessary for the body to maintain normal body temperature. Hyperhidrosis is a pathological disorder in which the person sweats more than he needs. It is divided into primary and secondary:
THE primary hyperhidrosis has a prevalence of about 3%, occurs more than once a week, disrupts daily activities, and lasts for at least 6 months. It usually appears during puberty and is caused by overstimulation of the apocrine glands located on the palms, soles, armpits and face. 93% of patients suffer from primary hyperhidrosis.
THE secondary Hyperhidrosis is associated with underlying medical conditions, such as diabetes, and with certain medications, such as steroids.
Particularly disturbing is the axillary hyperhidrosis, since over a third of sufferers report that the condition is barely tolerable or completely unacceptable and almost always interferes with their daily activities. Up to two-thirds report a family history, suggesting a genetic predisposition. Although the condition occurs in both sexes, women are more likely to report it.
There are people who sweat a lot and their sweat has a strong unpleasant smell. This is due to the bacterial decomposition of the secretion mainly from the apocrine glands, which are activated upon entering puberty. Hyperhidrosis and bromhidrosis are two closely related conditions that are a long-term source of harmful emotional and physical discomfort.
A small percentage of patients suffer from generalized primary hyperhidrosis, but in 90% of cases the condition is focal and the areas most commonly affected include the armpits, palms, soles or craniofacial regions. Various non-surgical treatments are available to treat it, including, but not limited to, antiperspirants, iontophoresis, anticholinergics, laser or ultrasound therapy, and thermolysis.
The use of topical and oral therapeutic regimens that are widely used to treat hyperhidrosis do not always provide satisfactory results and have adverse effects, such as skin irritation or dryness of the surrounding tissues. There are also surgical approaches, such as endoscopic sympathectomy and subcutaneous liposuction therapy. However, they are applied in very severe cases and after failure of conservative methods. However, these also carry the risk of side effects, such as dry skin.
Botox injection (botox) is the most studied hyperhidrosis treatment and shows consistent improvement in symptoms and reduction in sweat production. Its use has proven to be not only clinically effective, but also provides patient satisfaction. It can be considered a first- or second-line treatment for hyperhidrosis affecting the armpits, palms, soles and face.
In recent years, neurotoxin injection has gained popularity as a treatment option due to its high antiperspirant efficacy. A recent review of 8 studies conducted to evaluate the effect of botulinum toxin injections on the treatment of patients with focal hyperhidrosis and on their quality of life, showed that this treatment significantly reduces sweat production. Additionally, study results published in the journal Aesthetic Plastic Surgery found improvements in disease severity and patients’ assessments of their quality of life.
The use of botox in the treatment of bromhidrosis has been judged equally effective by studies. Although the studies are fewer than those for hyperhidrosis, the efficacy and safety of neurotoxin in the treatment of axillary bromhidrosis, which concerns most patients, has been demonstrated. Research shows that using it is an easy, quick and non-invasive method of treating it. Even for adolescent underarm bromhidrosis, botox injections are safe and effective and the results last. However, the exact duration is variable and dosage is adjusted based on individual response to treatment.
Botox is known for the excellent aesthetic results it offers. But this neurotoxin is also used to treat various medical conditions. People who get Botox injections tend to see results 2-4 days after treatment, and full results are usually noticeable within 2 weeks. In most cases, results last six to nine months.
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