Many readers ask whether Botox can be used to treat sweating in the groin area or sweating that occurs over large areas of the body. Whats your expert opinion?
Dr. Pariser: Botox is most effective at treating relatively small areas of skin, such as under the arms, on the palms, and on the forehead. Larger surface areas where people complain of sweating such as in the groin or under the breasts should perhaps be treated with topical products first. For instance we might try an aluminum chloride antiperspirant, either an over-the-counter or prescription variety, or we might try a moisture absorbing powder. If these don’t work, Botox might be tried, but the limitation is the size of the area, the number of injections, and the amount of Botox needed to treat that area. I think this is a case when close consultation with an experienced physician would be critical.