Botox for hyperhidrosis(excessive sweating)

Very useful and covered by most insurances for patients who fail to be controlled after a 6 week trial of prescription strength Drysol solution.  The botox is ordered through the patient’s insurance drug coverage and arrives at our office prior to their procedure. The botox is injected into both axillary areas on one visit to the office. The treatment greatly reduces sweating tendencies for up to 4 months and longer.  Patients usually reschedule at the time of injection for repeat injections every 4-6 months, based on their response.  For many patients this is a life-changing treatment, no longer having to deal with excessive perspiration in the underarms.  

Dysport Injections For Facial Wrinkles

Dysport and other neurotoxins are naturally occurring substances produced by bacteria.  They have been used medically since 1987. They were originally used to treat blepharospasm, or eyelid twitching.  After these patients were injected, it was noted that the wrinkles around their eyelids improved. This is when it was discovered that neurotoxins could be used to treat facial wrinkles.

Wrinkles and lines are a result of 3 main factors:  aging, gravity, and muscle activity. Muscle activity and facial expression cause lines around the eyelids (crow's feet), horizontal lines across the forehead, vertical lines between the eyes, lines around the lips and frown lines on the lower part of the face.  Dysport can inactivate these muscles, causing the lines to disappear (or lessen) for periods of 3 to 7 months, sometimes even longer. The effect of Dysport can be seen anywhere between 5 to 14 days after injection. Dysport requires maintenance injections, and repeat treatments may be needed every 3 to 6 months.  With continued treatment, some people maintain their results for 6-12 months.

Neurotoxins such as Dysport are extremely effective in the treatment of wrinkles.  The dose of Dysport will vary from patient to patient, and in general, very small doses are used for cosmetics.  The purpose is not to totally eliminate the muscle activity but to markedly decrease the muscle movement, so some natural muscle function is preserved.  This will reduce the wrinkles created from facial expressions like smiling or frowning.

Dysport has been found to be very safe.  There are no reports of allergies. There is occasionally some bruising at the injection site, temporary headache, and rarely blurry vision.  Another possible side effect is transient ptosis (drooping) of the eyelid. All of these side effects usually resolve within 2 to 4 weeks.

Dysport is an excellent addition to the other multiple modalities of treating facial wrinkles.  These include dermal fillers, laser resurfacing, chemical peels, and topical treatments. One or a combination of treatments may be appropriate for you.

Dysport injections are not covered by insurance.  You will be responsible for payment at the time of service.  In general, the cost for injections is around $250-$350/area treated:  glabella approximately $350, forehead approximately $250 and crow’s feet approximately $250.  Discounts of $50-100 are offered when multiple areas area treated in 1 session. For example, a full treatment of the forehead, glabella and crow’s feet would be around $750.