Dr Reem Mahmoud Al Awadi is a dermatologist and venereologist with the Jordanian Board in the specialty. At her Shmeisani practice, she assesses skin and hair c…

Botox for excessive sweating (Hyperhidrosis) Doctors in Jordan
البوتوكس لعلاج فرط التعرق
Hyperhidrosis is a medical condition — not merely social embarrassment — in which the body sweats more than needed for temperature regulation, most often in the armpits, palms, soles or face, and it can interfere with work, writing and handling objects and carry a genuine psychological burden. Botulinum toxin injection is one effective option in localised cases: it is injected superficially into the skin in a grid of closely spaced points, temporarily blocking nerve signalling to the sweat glands in the injected area so sweat production there falls markedly. The effect is not permanent — it begins within days to two weeks and usually lasts months before repeating. Before injection two types must be distinguished: **primary hyperhidrosis**, which usually starts at a young age and is localised, symmetrical and without an evident underlying disease, and **secondary hyperhidrosis**, caused by another condition — such as an overactive thyroid, hormonal changes, infection or certain medications — or which is generalised or nocturnal. The second requires investigating the cause first, because treating the symptom alone may mask a disease needing treatment. The usual pathway begins with strong medical topical antiperspirants, then injections are considered when those are insufficient, with further options discussed by the physician in resistant cases. Palm injections are more painful and need local anaesthesia or cooling, and may be accompanied by slight temporary weakness of grip strength, which should be known in advance. Injection is excluded in pregnancy and breastfeeding and with certain neuromuscular diseases, and the decision follows medical assessment.
Procedure steps
- 1
Distinguishing primary from secondary
History covers age of onset, sites, symmetry, night sweating and associated symptoms, with tests requested when an underlying cause such as thyroid overactivity is suspected.
- 2
Trying topical therapy first
Medical topical antiperspirants at an effective concentration are prescribed and used correctly for an adequate period, since many moderate cases are controlled by them.
- 3
Mapping the injection area
The most affected area is identified — a starch-iodine test may be used — and an even grid of points is marked to distribute the effect uniformly.
- 4
Multiple superficial injections
Small amounts are injected superficially into the skin at each point with a fine needle, using local anaesthesia or cooling for palms and soles as these are more painful.
- 5
Assessment and repeat schedule
The effect is assessed at two weeks once complete, and an approximate repeat schedule is set according to how long the result lasts in that individual.
Before the procedure
Tell your physician about all medications, especially blood thinners, aminoglycoside antibiotics and any drug affecting neuromuscular transmission, and about neuromuscular disease. Report pregnancy or breastfeeding. Mention night sweats, whole-body sweating, weight loss or palpitations — these point to investigating a cause before injection. Do not shave the armpit on the same day, and avoid antiperspirants the day before if asked, to make mapping easier. Ask about the expected effect, when it begins, how long it lasts for you, and the cost of repeat sessions.
After the procedure
You can usually resume normal activity the same day. Avoid rubbing or massaging the injected area, saunas, hot baths and strenuous exercise in the first hours. Do not expect an immediate result — the effect begins within days and is usually complete after about two weeks. Expect mild tenderness and small red points that fade quickly. If palms were injected you may notice slight temporary grip weakness; take care with fine tasks. Sweating may increase slightly in a neighbouring area as compensation, usually mildly. Contact your physician if clear muscle weakness, a drooping eyelid, difficulty swallowing or breathing, or weakness spreading away from the injection site appears.
Expected duration
20–40 minutes; the effect completes at about two weeks and lasts months
Finding Botox for excessive sweating (Hyperhidrosis) services in Jordan
Which doctors are listed for Botox for excessive sweating (Hyperhidrosis) in Jordan?
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