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A 42-year-old member asked:

can you use botox cream instead of botox injection for excessive sweating?

4 doctor answers8 doctors weighed in
Dr. Richard Tholen
Plastic Surgery 41 years experience
No Botox cream yet!: Topical botulinum toxin products are in development, but are not available yet (except by scammers or frauds). Botox works well for sweating, but you must endure injections at the present time. Sorry! dr. Tholen.
Dr. Bob Ourian
Dermatology 26 years experience
No: No. First of all there is no Botox cream commercially available. Second, Botox molecules are too big to pass through the skin.
Dr. Timothy Mountcastle
Plastic Surgery 22 years experience
No: Not in the United States. They are under investigation.
Dr. Michael Sinclair
Family Medicine 38 years experience
Nope: Putting Botox on your skin would be like trying to fix a broken brick wall by painting it with bricks. In order for the Botox to work, it has to get to the nerves. The nerves are in the muscle, not in the skin. So, for the Botox to work, it has to get into the muscle. That won't happen if you rub it on your skin. With topical anesthetic, Botox injections should cause very little pain at all.

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Last updated Jun 24, 2014
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