Excess facial sweating (hyperhidrosis)
Facial hyperhidrosis is the name given to the distressing problem of excessive facial sweating. It is a condition that can either be acquired or congenital (present at birth).
Facial hyperhidrosis can occur due to a wide variety of medical conditions including anxiety, overactive thyroid and due to medication. It can occur with eating hot foods and the menopause. If the problem has come on later in life this is known as secondary hyperhidrosis and we always recommend that you have a checkup with your GP to look for a cause. Once your GP is comfortable that all causes have been investigated, we can help with treatment.
How anti-wrinkle injections reduce forehead sweating
Dr Brown from Cityskin discusses how to reduce forehead sweating using anti-wrinkle treatment.
How to treat excessive facial sweating
Treatment for facial hyperhidrosis can be categorised as conservative and medical treatment. Conservative is changes that you make to your life to reduce symptoms
Conservative treatment of facial hyperhidrosis
Conservative treatments are changes that you can make to reduce your symptoms. Simple changes such as reducing chilli or spicy food intake can reduce facial sweating symptoms.
Medical treatment of facial hyperhidrosis
Your local GP can prescribe a medication called Oxybutynin to reduce sweating. Oxybutynin is an anti-cholinergic and reduces the production of acetylcholine – an essential neurotransmitter in the production of sweat. Oxybutynin can cause a dry mouth, headaches, constipation, dry eyes and blurred vision.
Anti-wrinkle injections can be used to reduce sweating, which is discussed later in this article.
Surgical treatment of facial hyperhidrosis
Surgical treatments are available for the treatment of underarm and hand sweating but, unfortunately, not for facial sweating.
How Cityskin Clinic can help
Please note that, by law, we are not allowed to mention brand names when discussing anti-wrinkle products.
At Cityskin we offer anti-wrinkle injections to help with facial hyperhidrosis. The anti-wrinkle product, when injected under the skin, inhibits the release of acetylcholine at the nerve synapse. Acetylcholine is a nerve transmitter which is essential for the production of sweat and therefore sweating is reduced by anti-wrinkle injections.
Forehead sweating (hyperhidrosis) treatment
To treat forehead sweating we would recommend using anti-wrinkle treatment scattered over the whole of the forehead muscle. We would treat in a similar manner to when we reduce forehead lines with anti-wrinkle injections. To treat forehead sweating we inject between 5 and 15 units of anti-wrinkle product, depending on the degree of sweating and the strength of the muscle. When treating the forehead we have to be careful not to drop the brow height so we always recommend treating the frown at the same time.
Make sure you read our guide to forehead anti-wrinkle treatment and watch our videos on how to avoid a heavy brow after treatment.
Upper lip sweating (hyperhidrosis) treatment
Upper lip sweating can be more difficult to treat – we have to be very careful with the number of units to ensure that we reduce sweating without affecting the muscles around the mouth.
We have to be careful in our placement of the product and warn patients that the treatment can temporarily make it more difficult to say the word ‘p’ or suck on a straw.
We use 2 – 4 units to reduce upper lip sweating without this affecting the look and feel of the upper lip. Upper lip sweating treatment lasts approximately 6-8 weeks because we have only used a small amount of units.
Sweating from the nape of the neck
In the video below Dr Brown is treating a patient who sweats from the back of her neck in warmer months. Using 16 units of anti-wrinkle product spaced 1 – 1.5cm apart the patient had relief for a few months.
How many units do I need to treat excess facial sweating
Forehead sweating: 5 – 15 units. We always treat the frown with 12-25 units at the same time in females to reduce the risk of a heavy brow
Dr Brown answers a patient question on facial / hairline sweating
In this video Dr Brown answers a patient question on how to reduce facial sweating.