Hand hyperhidrosis treatment in Suwon: how does it differ from facial and underarm hyperhidrosis?

If your palms get wet every time you shake hands or turn pages and it bothers you, it helps to first check where and in what situations you sweat rather than how much. Hand hyperhidrosis is a form of primary focal hyperhidrosis in which the palms sweat excessively without any particular illness; it gets worse when you are nervous or meeting people, and there is almost no sweating during sleep.

Hand and facial hyperhidrosis work on the same principle as the underarms, but skin thickness and the muscles around the sweat glands differ, so the injection depth, amount, and reactions to watch for after treatment differ. At the Suwon clinic, during consultation we first look at where you sweat, the extent, and any schedule requiring delicate hand use, then design the injection area and decide the dose.

In this article, we go through the causes of hyperhidrosis, the differences among hand, facial, and underarm hyperhidrosis, how hyperhidrosis botox works and the process, aftercare, and side effects in order.

Hand hyperhidrosis key points

• Primary focal hyperhidrosis occurs when the sympathetic nerves that control sweating react sensitively, and sweating all over the body or at night is first checked for other causes.
• The palms have thick skin with finger muscles nearby, and on the face the sweat glands sit right above the forehead muscle, so the injection plan differs from the underarms.
• Hyperhidrosis botox blocks nerve signals to the sweat glands to reduce sweating in the injected area, and changes appear gradually from 2 to 3 days after treatment.
• After hand hyperhidrosis treatment, grip strength may rarely drop temporarily, so any schedule involving delicate hand use is considered as well.

Why does hyperhidrosis occur, and when should other causes be checked first?

Excessive sweating in specific areas such as the palms, soles, underarms, and face without any particular illness is called primary focal hyperhidrosis. It is based on the sympathetic nerves that control sweating reacting sensitively, and it is common for family members to have the same symptoms. It typically begins in childhood or around puberty, appears similarly on both sides, and is characterized by almost no sweating during sleep.

On the other hand, if you sweat all over your body, sweat enough at night to soak your clothes, or also have weight loss, fever, or palpitations, other causes such as thyroid disease, diabetes, infection, or medications you are taking are checked first. With this kind of sweating, treating the cause comes first, so we do not go straight to botox.

How do hand and facial hyperhidrosis differ from underarm hyperhidrosis?

Botox injections work on the same principle regardless of area, but skin thickness and the muscles beneath the sweat glands differ by area, so the injection method differs.

Palm sweat can be enough to wet a phone or paper and causes great inconvenience in daily life, but if you do work that uses a lot of fingertip strength, such as playing an instrument or precise tool work, the timing of treatment is scheduled around it. Facial sweat often takes the form of sweat running from the forehead and scalp when you eat spicy food or are nervous, so the injection area is decided by looking at the strength of the forehead muscle and the height of the eyebrows.

How hand hyperhidrosis botox works and the process

How hyperhidrosis botox works and other treatment options

Hyperhidrosis botox prevents a signaling substance called acetylcholine from being released at the nerve endings that go to the sweat glands, temporarily weakening sweat gland function. Only the sweating in the injected area decreases, and as the nerve signals recover over time, sweating increases again.

Topical products reduce sweat by plugging the sweat pores, and oral medications reduce sweat signals throughout the body and are used for sweating over wide areas, but they may come with reactions such as dry mouth. Sympathetic nerve surgery is difficult to reverse and can cause compensatory hyperhidrosis, in which sweating increases elsewhere, so it is decided carefully. Usually, the response to topical products is checked first, and if sweating greatly interferes with daily life or is not controlled, botox is considered.

Treatment steps at our Suwon clinic

1. Personalized Consultation
2. Numbing Cream
3. Design
4. Disinfection
5. Treatment

Numbing cream is applied for 20 to 30 minutes, the treatment takes about 10 minutes or less, and you can return to daily life right afterward. Doses come in 50U and 100U options. Sweating begins to decrease gradually from 2 to 3 days after treatment and settles within 1 to 2 weeks on average, and how long it lasts varies from about 3 to 6 months depending on your usual sweat output. Retreatment is done at least 3 months apart, when the effect has decreased.

View Hyperhidrosis Botox Procedure Information

Aftercare for hand hyperhidrosis botox

• For 3 to 7 days after treatment, avoid heavy drinking, smoking, saunas and Korean bathhouses, hot baths, and strenuous exercise to prevent inflammation.
• Do not rub or irritate the injected area hard, and take a month off from strong massage or meridian massage.
• After injections in the palms, watch whether your fingertip strength feels different from usual, and adjust your schedule on days with precise work.
• After injections in the forehead, check whether your eyebrows feel heavy.

Botox temporarily blocks the sweat glands to reduce sweat output, so sweating increases again as the medication wears off. Recording when sweating starts to increase again helps in deciding when to have the next treatment.

Side effects and precautions of hyperhidrosis botox

Stinging pain, small bruises, and mild swelling may occur at the injection sites, and most are slight and settle soon. The raised bumps where the medication went in settle within 2 to 3 hours, but may last 1 to 2 days depending on your skin condition.

After injections in the palms, grip strength may rarely decrease slightly, but this is temporary; after injections in the forehead, your eyebrows may feel heavy or your expression may look awkward, and these return as the medication wears off. These reactions are more likely if the medication spreads to the muscle, so the injection depth is set differently for each area. Please tell us before treatment if you are pregnant or breastfeeding, have a muscle disease such as myasthenia gravis, or are taking medication that affects muscle signals, such as certain antibiotics. How much sweating decreases and for how long varies from person to person.

If you have difficulty swallowing or breathing, or if the injection site becomes increasingly red and hot, please contact the clinic right away.

What is checked before hyperhidrosis botox?

In these cases, start with a hyperhidrosis examination

• Your palms sweat enough to wet a phone or paper.
• Sweat runs from your forehead and scalp when you are nervous or eat spicy food.
• Sweating makes everyday things like shaking hands, writing, or applying makeup uncomfortable.
• Sweating is not controlled even with topical products.

If two or more apply, it is best to first check where and how widely you sweat. If you sweat enough to soak your clothes even while sleeping, or also have weight loss and fever, other causes are looked into first. Whether to treat, the method, and the area are decided together in consultation after a physician's examination.

In short, the key with hand and facial hyperhidrosis is to first rule out other causes and then decide the injection depth and timing suited to the area.

FAQ

Q. Will it become hard to grip things after hand hyperhidrosis botox?

A. If the medication spreads to the finger muscles, grip strength may rarely decrease slightly, but this is temporary and returns as the medication wears off. If you have a schedule that requires delicate work with your hands, let us know in consultation and we will decide the timing of treatment together.

Q. Can facial hyperhidrosis also be reduced with Botox?

A. Injections are spread shallowly and evenly over areas where sweat runs, such as the forehead and scalp, to reduce sweat output. Beneath the forehead sweat glands lies the muscle that raises the eyebrows, so the injection area and amount are decided in consultation by looking at the muscle strength and eyebrow height.

Q. How long does hyperhidrosis botox last?

A. Sweating begins to decrease gradually from 2 to 3 days after treatment, settles within 1 to 2 weeks on average, and lasts about 3 to 6 months depending on your usual sweat output. Retreatment is done at least 3 months apart, when the effect has decreased.

Q. Is plantar hyperhidrosis treated the same way?

A. The principle is the same, but the soles have thick skin and bear body weight when walking, so injection pain is greater and the effect may feel shorter. The injection area and method are decided after checking the extent of sweating and any discomfort when walking during the examination.

Q. I am taking hyperhidrosis medication; can I also get botox?

A. Oral medication reduces sweat signals throughout the body, while botox reduces sweating only in the injected area, so because they act on different scopes, they are sometimes used together. If you tell us the name and dose of the medication you are taking during consultation, we will check during the examination whether they can be used together.

Q. How can I find out the cost of hyperhidrosis botox?

A. The cost depends on the treatment area and dose. We confirm in consultation which area among the hands, face, and underarms you want treated and how widely before giving you details, and items by dose can also be found on the treatment information page.