Pariser, you have successfully treated hundreds of patients with Botox for hyperhidrosis so we e sure you hear this question all the time does it hurt?
Dr. Pariser: Well, each and every one of us has a different perspective on pain and a different pain threshold. So what is only mildly uncomfortable to one person might be very painful to another. Pain is always difficult to measure. That said, out of the hundreds of patients I’ve treated with Botox injections for underarm (axillary) hyperhidrosis, I’ve never had a single patient say “Stop, I don’t want to do this.” For most patients, even without any form of pain relief, the discomfort of underarm Botox injections is minimal to mild. Patients have said the pain is less severe than the pain of having blood drawn for a routine blood test. I’ve only had one or two patients tell me that it’s very painful; to help those patients, I used a pain-relieving cream. Botox injections for palmar hyperhidrosis are another story. Injections in the hands are very painful and very few people can tolerate them without anesthesia. This should not, however, dissuade those suffering from excessively sweat
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