I had Botox injections 2 days ago

Stuckwithme

Well-known member
I agree. Next time I think I will ask the doctor to inject some on the upper side of the hand. He actually asked me if I wanted some shots there but I said no. I don't know why, I guess I was just happy with the effect I got but I have noticed that when you see it works you become a bit picky. If you even notice a slight moisture anywhere it gets to your mind even if the rest of the hand is like 90% dry. I think it is a mental thing. We will never be happy until we reach 100% dryness, which is not normal.

Anyways, I think I must have gotten about 50-60 injections per hand. I am not sure because I was not told but I remember how he injected and where so for every finger he made about 4-5 shots alone. I think every injection covers about 1.2 cm2 which is about 0.5 square inches I guess? So you have to inject it quite narrowly.

I also remember now I think my dermatologist used a botox treatment with something called "myobloc" (Botulinum toxin Type B) where usually Botulinum toxin Type A would be used which maybe isn't as effective?? I'm not sure though.

$1,000 is a lot of money. I couldn't afford it myself and I'm not sure if I would pay that amount of money for 5-6 months. Then again my HH isn't that severe. My hands don't drip or anything, they are just a bit moist. But it is enough to make me self conscious and to suffer socially from it.
 
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DaaaBulls

Well-known member
I just found something interesting on The International Hyperhidrosis site. Apparently here in the US they do seminars that specialize in the treatments of hyperhidrosis and is meant for doctors to come and find out how to treat the conditions using all the different procedures including Botox and how to effectively use Botox. You can also look up doctors in your area who have attended these seminars and do the procedures themselves and atleast this way you know that they know what they are doing and will do a much better job than a dermatologist that didn't attend the seminar and is just doing botox the way they think it should be done. This might be a big reason why it works for some people and not for others, some people go to derms who know nothing about it and do it wrong and others who actually study and go to these seminars to learn how to do it correctly. This is very cool because I searched for doctors in my area and one of them is a doctor who is really close and I have already been to her office a few times, and another one of the doctors on the list I went to over a year ago to talk to him about it. If your thinking of botox or even Iontophorisis then you should check this list and make sure your going to a doctor or dermatologist that is certified to give you the information and procedures.
 

Stuckwithme

Well-known member
Exactly. I am lucky enough to go to a dermatologist who is ONLY working with Hyperhidrosis and is a great specialist. If I am not mistaken, this Hopsital was the first in the world to use Botox to treat Hyperhidrosis. He is genuine in trying to help and not like private clinics where all they think about is to make money. You should be very picky about who you go to.
 

Stuckwithme

Well-known member
I am now into my 10th day and my hands are dryer than ever. It has been really sunny weather and it has not affected my hands even the slightest. The dryness is clearly visible and it can be slightly disturbing, but I am not complaining at all! On the contrary. I must use some moisturizer otherwise my hands become too dry. It is impossible to sweat in the treated areas. Botox really works well. It is not about making it a little better, I am 100% dry.
 

DaaaBulls

Well-known member
Just got word from my insurance yesterday that they will be covering my treatment for Botox. I was very surprised and excited because I was told that they were very picky about covering this type of medical expense and the chances might be low they would do it. So needless to say my mood went way up because of the hope that the Botox will work. I kept my hopes up but to a moderate level because just getting the coverage doesn't mean it's going to work. Luckily I found a derm in my area who knows a lot about the procedure so we will see. I go see her on Friday of this upcoming week, I believe it is just a consult and to find out where exactly my hand sweats from so they know where to put the needles. I will keep you guys updated on whether or not I am successful.
 

Stuckwithme

Well-known member
Sounds great! I will pray for you and hope the outcome will be as good for you as it was for me. Maybe you could ask if the dermatologist is using Botox A or B?
 

Stuckwithme

Well-known member
I am not sure, but I found this on Wikipedia...

Botulinum toxin is a medication and a neurotoxic protein produced by the bacterium Clostridium botulinum. It is the most toxic protein known with an LD50 of roughly 0.005-0.05 µg/kg. Despite this, it is used in minute doses, in some parts of the world, to treat muscle spasms. It is sold commercially under the brand names Botox, Dysport, Myobloc, Neurobloc and Xeomin for this purpose. Botox Cosmetic and Vistabel are available for cosmetic treatment. The terms Botox (Cosmetic), Vistabel, Dysport, Myobloc, Neurobloc and Xeomin are trade names and are not used generically to describe the neurotoxins produced by C. botulinum.

I am quite sure my dermatologist used "Neurobloc" but only on the thumb muscle. Which type of Botox he used I am not sure about but I could send him an e-mail and ask. He is a really nice guy.

I also found this about Botox B...

Unlike type A, type B is stable at room temperature, increasing its ease of use and shelf life, according to Corey S. Maas, MD, chief of the UCSF division of facial plastic surgery and lead author of the study. He explained that Type A is supplied as a powder that must be stored frozen, and once reconstituted, refrigerated and used within a few days. The researchers noted that type B may also be appropriate for patients who do not respond to type A because they have resistant or altered target sites for the drug or have developed antibodies to type A because of frequent treatments.

According to the researchers, patients injected with type B had a more rapid onset of wrinkle reduction (within 48 hours as compared to 3-7 days for type A), but the effect did not last as long (6-8 weeks as opposed to 12-14 weeks for type A), due to the low dose studied.

Though the duration of effectiveness of the drug at higher doses is yet to be determined, type B may be particularly cost-effective for patients who need only small amounts or "touch-ups," said Maas. "Physicians using type B will be able to go to the refrigerator and draw up even a small amount, without worrying about the costs of reconstituting a new vial," he said.

Botulinum toxin B was licensed by the Federal Drug Administration (FDA) in January 2001 for treatment of cervical dystonia -- a spastic contraction of neck muscles. Like botulinum toxin A, toxin B is an artificially produced neuromuscular paralyzing agent. When either toxin is injected into the muscle, it binds to nerve endings. Once in the nerve terminal, the toxin cuts proteins so that the nerve terminal is no longer able to release a neurotransmitter called acetylcholine. Without acetylcholine, nerve impulses can no longer make muscles contract. Without muscle contraction -- in the forehead and near the eyes and mouth -- wrinkles can no longer occur in these areas, said Maas.

Types A and B are two distinct medicines and are not necessarily interchangeable for all uses, said Maas. Though more studies are needed, type B may be as effective as type A for treating face wrinkles and perhaps better adapted than type A for treating conditions of excessive sweating known as hyperhydrosis. This is because type B seems to have an affinity for the sweat and salivary gland nerve terminals that may produce dryness side effects, he explained.

In addition to use in prevention of wrinkles and treating excessive sweating, botulinum type A has been used to treat uncontrolled eye twitching, crossed eyes, muscle spasms and migraine headaches. Future studies will determine if type B can be safe and effective in treating these conditions.

The researchers noted that doses of botulinum type B (800 units) injected into the muscles of the brow, eyes and forehead were well tolerated and led to no major side effects through twelve weeks of physician follow-up. Investigators followed 67 patients were who evaluated at 1, 2, 4, 8 and 12 weeks after treatment. Further studies of botulinum type B are necessary to determine the appropriate doses for the best clinical outcomes, said Maas.
 
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Stuckwithme

Well-known member
Still super dry on palms which is great, but as mentioned before I sweat a bit on the upper side of the hand which is an untreated area. You dont sweat nearly as much on the upper side as on the palm, its only a bit warm and rubbery but when compared to the palms which are super dry it does bother me a bit. I guess as a human you are never happy. Or, I am happy of course, but I wish the whole hand was dry :) Now, with botox it is possible to treat the upper side as well, but it seems a bit troublesome, or maybe its not. I'll talk to my dermatologist next time, hopefully in a year if the effects stays that long :)

Botox is still the best thing ever to happen to my HH. I am super happy with the treatment, it is beyond all expectations. Thank you doctors!
 

DaaaBulls

Well-known member
Just got the Botox done this morning, the doctor did about 50 shots in my right hand and in two weeks I will go back for the left. She said it takes about 2 weeks for it to fully kick in but can start working before that too.

Stuckwithme- I asked her the difference between the Toxin A and B and she basicly told me that A was the strongest, B the next strongest, C, D, E, F. She also told me that the Toxin B is not available in the United States. It was interesting because we were talking about places to visit and she mentioned Denmark because of their great health care system and I thought about your situation there.

I will post back in a few days to let people know whats going on.
 

Stuckwithme

Well-known member
Awesome DaaaBulls. I really hope it will work out for you. I am very happy with my Botox. I am still super dry and my hands are basically not a problem anymore. I am more concerned about my feet now ha ha. I never thought that would happen because I never cared about my feet before. But that's only because I basically concider my hand HH healed. My doctor also says that the Botox will last longer and longer for every treatment.

It is true that we got a great health care system in Sweden and basically in the whole of Scandinavia I think. Taxes pay for everything. I can basically have as much Botox as I wish for and it will never cost me more that 10-20 US dollars. That's the beauty with the welfare system. Many bitch about it, but when you become ill, then you realize how much it is worth.

DaaaBulls, you should start drying up almost directly. In two days you should be totally dry and in one week your hands should be dehydrated lol.

I am REALLY holding my thumbs for you. I hope it works as well on you as it does for me. Good luck buddy.
 

DaaaBulls

Well-known member
Thank you StuckonMe, I really do appreciate the kind words and encouragement. I too am praying and hoping that this works. I worry because she told me my hands were so severe that she didn't even make me sign the papers saying that no matter what the insurance company did I was in it for the $800 she charges. So basicly if my insurance company decides to only pay $200 of it then I won't have to make up the difference, which was really nice of her to put it on the line especially with how times are here in the US. I wish we had the same healthcare as you guys, maybe I can move to Denmark? Lol, jp. But yeah I would say on a scale of 1-10 for pain it was like a 2.5, the hands are pretty sensitive. She told me that she doesn't do it on the feet because it is suppose to be pretty excruciating. Now go out and live life man, with those dry hands and all!
 

Stuckwithme

Well-known member
DaaBulls, my estimation is about 50-60 shots per hand, but I am not sure. As I said before, each injection covers an area of 1.2 square centimeters so the dermatologist made sure he covered the whole hand. I went back and got some additional shots in the side of my hand as well. I am still bone dry and it has change my life actually.

Yesterday I went to a party and it was hot as hell. Everybody were sweating and my back was running but my hands were still dry so I could shake hands without a problem. I knew my hands would not be a problem so I could go to the party without any anxiety.

How is it going for you DaaaBulls? Are you dry or experiencing problems?
 

DaaaBulls

Well-known member
I haven't seen too much of an improvement yet, I could see that centimeter or so area around the shot and it looked dryer than the rest of the hand. I don't know if she did enough shots however, but we will see.

That's awesome to hear that your hands were dry at the party. I imagine it gave you a confidence boost to know you didn't have to worry about something as small as shaking someones hand.
 

Stuckwithme

Well-known member
DaaaBulls, givet it some more time, I hope it will work out. But to be honest I am a bit worried as my hand begun to dry up the day after and on the second day I had basically reached full dryness. But maybe it is individual. I don't know why it works so good on me. Maybe because my HH isn't so severe or maybe because my dermatologist is good and use the right stuff or maybe a combination.

I hold my thumbs hard for you.
 

DaaaBulls

Well-known member
So it has been 4 days since the shots in my right hand and I have to say that the progress is looking hopefull. I would say that my right hand is 75-80% dryer than my left hand and certain spots are dryer than others. Of course the same problem areas are the finger tips, and the very side of the palm which tends to sweat the most for me. But so far I am pleased with the progress and the final result takes up to 2 weeks, so I still have some time for it to get even better. Every day it improves as well so I am keeping my fingers crossed.

If you have HH on the hands then I would suggest giving botox a try. It is damn expensive but if I have to pay $3,600 out of pocket each year with out insurance to have dry hands then that is so worth it to me. I only say give it a try because my hands I would say are a 8-9 on a scale of 1-10 for palmer HH. If it is working for me then it can probably work for others as well.
 

Stuckwithme

Well-known member
DaaaBulls, I am glad to hear that you are happy with the results. I hope it will become even better.

Personally I am still 100% dry, no matter how hot it gets outside. At first I was a bit sceptic about the treatment and I was sort of complaining, but now I realize it has been a big positive change in my life.

I wake up every morning of fear of sweating again but so far I am still super dry. I really beg to god the effect will last for at least 3 months. If it lasts for 8-14 months I will be the happiest guy ever.
 

DaaaBulls

Well-known member
So it has been a little over a week and my right hand is doing pretty well. I would say that it is about 75% dryer than before botox. It will be even better when I get the spots filled in that the botox didn't reach. I am also going to start using Ionto again along with the Botox. It looks like a life of Botox and Ionto and my hands may never get 100% dry but I will take 85-95%, anything is better than the way they were.
 

Stuckwithme

Well-known member
You seem happy with the results though? If that is the case, I am of course happy for you.

My hands are still 100% Even though its hot as hell outside nowdays.
 
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