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Botulinum toxin injections are very effective to treat arm pit sweating or axillary hyperhidrosis - but the results are temporary and some doctors, clinics or hospitals charge a very large amount for the treatment.

Doctors often prescribe different doses - lower doses don't last very long. Therefore quite often a price that is quoted for botulinum toxin ay seem very good - but if you check the dose given, it may be very short acting.

Therefore when you ask for a quote - check what dose you are being given. The full doses for the commonest treatments are:

• Botox® - 100 units in total (50 Units per side)
• Dysport® - 500 units in total (250 Units per side)

These doses should last 6 - 9 months for arm pit sweating - clinics often give only 1/4 of these doses but still charge the same amount!!! This means that you have to have re-treatments every 6 - 8 weeks!!!

Therefore if you do want to have this temporary treatment:

• Check you are having a full dose
• Find out the cost of the full dose

At the Whiteley Clinic, we always give a full dose of 500 Units of Dysport® at a price that many clinics charge for a 1/4 dose - so be very careful what you agree to.

ETS - Endoscopic Transthoracic Sympathectomy

ETS is major surgery. It is described more fully in www.sweating.co.uk and it is very good for sweating of the hands or face.

However, it is not a good or sensible option for arm pit sweating (axillary hyperhidrosis).

Cutting the sympathetic nerves to the whole of the face and arms causes many more problems - such as severe compensatory hyperhidrosis (sweating elsewhere in compensation for the area treated). Also it is a major general anaesthetic operation across the chest that now doesn't need to be done.

As such, surgery for arm pit sweating (axillary hyperhidrosis) is about to taken over by LSA - Laser Sweat Ablation.