Keep your cool
From clinical-strength antiperspirants to Botox, how to stay dry this summer
Serious Sweat Rx
Of course, soaking through your shirt constantly is very different than dripping exclusively during a heat wave or spinning class. "If you can't control wetness even with a clinical antiperspirant, then you probably need to see a doctor," says Greg Van Dyke, M.D., a board-certified dermatologist at Ava MD in Beverly Hills.
About one in five people suffer from excessive sweating, or hyperhidrosis, a disorder that's caused by overactive adrenaline production. Interestingly, those afflicted may have less of a problem with odor than the rest of the population, as their overproduction of sweat flushes bacteria away from the underarms. Hyperhidrosis remedies range from potent prescription antiperspirants to more invasive and costly procedures such as Botox (about $1,000 to $1,500 per treatment), which requires multiple injections into the sweat glands, or MiraDry ($4,000 for two treatments), which shrinks sweat glands with a microwave-energy device.
Botox works by temporarily cutting off the connection between the nerve and glands, ceasing perspiration. "Some patients swear they don't sweat at all [after the treatment], and others say it becomes more normal. The downside is it's only temporary and, depending on the person, needs to be maintained at least every four months," says Bruce Katz, M.D., a board-certified dermatologist and director of Juva Skin and Laser Center in New York City.
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