Sweaty Feet/Hyperhidrosis


Sweaty Feet

Sweaty Feet Needle Injection

Sweaty feet, also known as hyperhidrosis, is a frustrating and often embarrassing condition for most people suffering from this condition. It can takes its toll on one’s self-confidence And emotional well being. Thought there was no treatment available? Well there is. Botox® or Xeomin® therapy for hyperhidrosis is a very safe and effective technique for eliminating this persistent and frustrating condition. When used properly, Botox® is a very safe treatment for a multitude of conditions and is not just used for facial aesthetics. Visit sweathelp.org for a review article on the safety and use of botulinum toxin for hyperhidrosis.

Why does excessive perspiration occur?

Excessive sweating is controlled or mediated by the nervous system. Our sweat glands contain a small muscle that contracts to excrete sweat. Our nervous system controls that small muscle and the nervous system of some people may be “over-active” on that small muscle. Specific neurotransmitters control it’s contraction.

How does Botox work?

Botox® and Xeomin® work by paralyzing muscles. In other words, it inhibits their ability to contract and move. If that small muscle in the sweat gland loses its ability to contract, sweat cannot be expelled through the sweat gland. Therefore, there is elimination or decrease of excessive sweating. Botox does not affect the other neurotransmitters that make you feel touch and pain. Treated patients will still be able to feel things.

How long does treatment last?

The treatment for hyperhidrosis can be long-lasting, often 6-12 months or more for the first treatment. Onset of effects can take as long as two weeks so it’s not an immediate improvement in your excessive perspiration. Subsequent treatments tend to last progressively longer and, with continued treatment, your hyperhidrosis problem may resolve completely.

Why do treatments tend to last progressively longer?

Treatments tend to last progressively longer because that small muscle in the sweat gland requires constant innervation to stay strong and healthy. Over time with Botox treatments, that small muscle will begin to atrophy and become non-functional, permanently losing its ability to contract.

Does the procedure hurt?

Dr. Biesinger provides this treatment in the office most commonly under a topical local anesthetic applied to the foot prior to the procedure or with a peripheral nerve block to numb the bottom of the foot. After completion of the procedure most patients complain of no pain.

What is the cost of this therapy?

As is typical for facial aesthetics, the treatment is often charged on a per unit basis. The average charge per unit in Nevada is $10-14. The greater your perspiration the greater the number of units may be necessary for resolution. Most patients require around 100-120 units per foot. Dr. Biesinger charges a flat rate of $1000 per foot. So yes it’s expensive. Most patients find that it’s worth it, especially since subsequent treatments tend to last longer and longer.

Please contact our office for an evaluation of your condition and to discuss whether Botox® is right for you.

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*Note: Every other Wednesday, Dr. Biesinger is in surgery. Our receptionist is still available for scheduling via phone.


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