MidAmerica Plastic Surgery: Ryan Diederich, MD
4955 South State Route 159 #1
Glen Carbon, IL 62034
(618) 288-7855
Monday: 7:30 a.m.–4:30 p.m.
Tuesday: 8 a.m.–4:30 p.m.
Wednesday: 7:30 a.m.–4:30 p.m.
Thursday: 8 a.m.–4:30 p.m.
Friday: 8 a.m.–12 p.m.

The Spa at MidAmerica Plastic Surgery
4955 South State Route 159 #1
Glen Carbon, IL 62034
(618) 307-6233
Monday – Thursday: 8 a.m.–7 p.m.
Friday: 8 a.m.–4 p.m.

Excessive Sweating (Hyperhidrosis)

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What is hyperhidrosis (excess sweating)?

Hyperhidrosis, also known as excessive sweating, is a common condition that usually occurs in the palms of hands, soles of feet, and underarms. This extreme sweating can interfere with daily activities and cause social embarrassment.


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We offer botulinum toxin (BOTOX) injections to treat hyperhidrosis for many patients from Maryville, Edwardsville, and the St. Louis area. While we commonly use BOTOX to treat facial wrinkles at our Glen Carbon medspa, we also use it to block the chemical signals sent by nerves to stimulate the sweat glands. When the sweat glands don’t receive these signals, they do not produce moisture, and sweat is no longer produced. It doesn’t get backed up in your system, or go through different channels in the body: it simply is no longer produced in the treated area. You will still produce your normal amount of sweat elsewhere.

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How is BOTOX treatment of excess sweating done?

If you are interested in BOTOX treatment for hyperhidrosis you will first receive an iodine test. An iodine starch test is administered to identify the area of the underarm that produces sweat. The underarms are painted with an iodine solution. Then, starch is powdered on the underarm. The patient will naturally start to sweat, turning the powder a dark color in the affected area. Once the problem area is identified, 50 units of BOTOX are administered per underarm. The procedure takes about 15 minutes, and you will receive approximately 15 injections per underarm.

Your excessive sweating should be dramatically reduced or completely gone within four weeks. The BOTOX treatment will last about 7 months, although some patients experience longer relief. BOTOX is not a cure. Your symptoms will gradually return, and when it becomes bothersome, we can repeat treatment. This can be completed at any of MidAmerica Plastic Surgery St. Louis Metro locations.

Treatment Planner

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Treatment Planner

With so many treatments to choose from, it can be difficult to know how to address your concerns. We created our interactive treatment planner to help! Simply choose a condition you want to treat, and it will give you a list of possible treatment options with links to the details.

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Board-Certified Plastic Surgeon Dr. Ryan Diederich

Dr. Diederich is a Southern Illinois native realizing his dream of giving back to the community. He helps patients feel and look their best with his surgical skills and compassionate care.

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Now what?

Dr. Ryan Diederich is a board-certified plastic surgeon specializing in a range of aesthetic and reconstructive plastic surgery procedures at MidAmerica Institute of Plastic & Cosmetic Surgery in Glen Carbon, IL. If you’re looking for a plastic surgeon east of St. Louis, you can schedule a consultation online, or call us at (618) 288-7855 to schedule an appointment.

For more information see the Botox site for excess sweating (hyperhydrosis)

*This article is intended as a guideline only. This is not intended as medical advice. There are no guarantees written or implied from the information presented here. Only a consultation can provide an appropriate evaluation and discussion regarding any procedure. Refer to your physician for medical decision making and advice.