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Craniofacial hyperhidrosis

You are used to sweating after a vigorous work-out at the gym, and perhaps even after doing some rigorous housework or yard work, but just anticipating a meeting with your boss shouldn’t induce your face and scalp to break into a dripping sweat. 

Even worse, meeting your girlfriend for a dinner date or going to the movies should not cause this type of debilitating and anxiety-provoking sweat from your forehead and scalp. 

If that sort of extreme perspiration sounds familiar, then you are probably one of several million people with craniofacial hyperhidrosis which is the medical term used when excessive sweating occurs on the face, scalp, and neck. 

What is craniofacial hyperhidrosis?

Craniofacial hyperhidrosis is the excessive sweating affecting the forehead and face. While some people find it normal, others find it to negatively affect their health-related quality of life. 

There are a lot of treatments available for this condition, including oral and/or topical anticholinergics or Anti Wrinkle Injection injections. 

Patients who do not respond to pharmacological therapy may benefit from endoscopic thoracic sympathectomy or one of its variations. However, such surgery is often associated with high rates of troublesome and embarrassing compensatory sweating

What causes craniofacial hyperhidrosis?

When someone sweats excessively from their face for no apparent reason it’s called craniofacial hyperhidrosis. 

This type of hyperhidrosis can cause the scalp, nose, chin, and cheeks to produce more sweat than they typically should. Primary focal hyperhidrosis, a form of hyperhidrosis that has no apparent cause and affects people over a lifetime, is the most common reason that people develop excessive craniofacial sweating. 

In general, hyperhidrosis affects roughly one to three percent of the population. Many hyperhidrosis experts claim that craniofacial hyperhidrosis is worse than palmoplantar (palms and feet) or axillary (underarm) hyperhidrosis. Craniofacial hyperhidrosis can cause dripping sweat from the face and scalp at rest

About 3% of the population struggles with primary focal hyperhidrosis, and of those people, around one in five will develop symptoms of facial sweating. That means that there are a lot of people with this problem! It also tends to affect men more frequently than women.

Unfortunately, craniofacial hyperhidrosis can have a negative impact on a person’s quality of life if it’s left untreated. For example, many women are unable to keep makeup on, and sufferers can become very self-conscious about their appearance. 

People suffering from craniofacial hyperhidrosis may develop anxiety because the face is so integral to social interactions. Excessive facial sweating leaves people feeling self-conscious about one of their most prominent features. It’s a problem that needs to be taken seriously and treated with respect. Luckily, there are treatments available that can lessen the burden of sweat, and reduce both a person’s sweating and anxiety.

How is craniofacial hyperhidrosis treated?

The type of treatment each patient requires depends on the cause of their craniofacial sweating. For those with primary hyperhidrosis, the goal is to reduce facial sweating and manage their symptoms via treatment. 

If a patient has craniofacial sweating caused by secondary hyperhidrosis, then the goal is to eliminate the underlying issue or to manage symptoms if the causative agent can’t be reversed. This is why we always encourage initial consultations before jumping to any form of treatment.

Antiperspirants, Creams, and Oral Medications

  • The first line of treatment when attempting to stop facial sweating is to use topical antiperspirant creams. There are over-the-counter topical creams for hyperhidrosis that contain aluminum chloride. This substance reduces the amount of sweat eccrine glands produce. 
  • If this does not work, patients can move on to the use of a prescription topical cream that contains an anticholinergic, usually glycopyrrolate. According to the most recent research, glycopyrrolate cream seems to be an effective treatment for excessive facial sweating.
  • If topical creams do not work, then doctors often move on to a type of oral medication called an anticholinergic. This type of medication works on the entire body to reduce sweat production by interfering with the binding ability of a neurotransmitter called acetylcholine. 

There are not many studies on the efficacy of this treatment specifically for craniofacial hyperhidrosis. However, the studies that do exist show that oral medication does tend to help, but can come with side effects. The main side effect that bothered patients in the studies available was dry mouth, although others can occur.

Is Anti Wrinkle Injection effective for craniofacial hyperhidrosis?

Anti Wrinkle Injection injections are a third-line treatment for craniofacial hyperhidrosis. This means that they are used after topical therapies and oral medications have failed to help someone. 

Anti Wrinkle Injection injections are used for the treatment of axillary hyperhidrosis most frequently, but they are used for facial sweating on occasion. 

However, there is no current consensus on the amount and type of botulinum toxin that should be used. Issues can also occur regarding aesthetic concerns due to Melbourne Anti Wrinkle Injection causing facial asymmetry and brow ptosis (drooping).

Endoscopic Thoracic Sympathectomy

This is a type of surgery in which the nerves of the sympathetic ganglia are disconnected from eccrine sweat glands. 

The sympathetic ganglia are the part of the nervous system that connects to sweat glands to the rest of the nervous system and which is responsible for the flight or fight response. When these nerves are disconnected it prevents the body from being able to sweat in a particular area of the body because they can no longer communicate with the sweat glands in that location. 

This is a viable treatment option for those suffering from craniofacial hyperhidrosis. Usually, to get rid of sweating on the head and neck, a surgeon will have to work on the T2 or T3 area of the spine. The nerves can be blocked by various means including clipping, transection, ablation, and clamping.

While ETS is very effective at stopping excessive sweating of the face, it can come with some serious side effects. ETS comes with a potential complication called compensatory sweating. This is where the body sweats excessively in areas the surgery was not performed. Compensatory sweating can be so distressing that some patients decide to have the surgery reversed. 

Excessive facial sweating can be an extremely burdensome form of hyperhidrosis. The good thing is that new treatments are being developed each year and many effective treatments are already available. At Skin Club, we ask that all clients have an initial consultation with our doctors so we can provide the best treatment possible.

This is where we ask about your lifestyle, medical history, and other things that may help us determine the root cause of your condition. It will also enable us to meet your expectations as we align our procedures with your needs and goals.


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    Jaw Slimming to enhance and contour the jawline - we're obsessed with this result after just one session! 😍⁠
✓ How it works: Using needle and cannula injections of anti-wrinkle injections⁠
✓ Note: Individual results may vary ⁠
✓ Time it takes: 10-20 mins ⁠
✓ Phone: 03 9999 7368⁣⠀⁠
✓ Email:⁣⠀⁠
✓ Website:⁣⠀⁠
✓ Location: Skin Club - Windsor⁣ & Brighton
    Face-wrinkles vanish with a little help from dermal filler 🥰⁠
This amazing result came through our Brighton clinic, a careful injection by one of our cosmetic doctors, which left our delighted patient ready to head back to work, with no downtime needed. Do you want your wrinkles reduced too? Then book into one of our clinics today, and schedule a consultation 🤍⁠
    Enhance your best features. Receiving a professional opinion from an experienced cosmetic doctor is just a call away 🤍⁠
Call us to book your free consult on (03) 9999 7368 & secure your spot.⁠
    Enhance your best features. Receiving a professional opinion from an experienced cosmetic doctor is just a call away 🤍⁠
Call us to book your free consult on (03) 9999 7368 & secure your spot.⁠
    What does Kakadu Plum Extract do for your skin? 🥝⁠
Kakadu plums are nutrient-dense fruit from north-western Australia, sometimes called Billy Goat plums or Salty plums. Unlike the fat, purple plums you may be picturing, Kakadu are yellow-green and adorably small, about the size of an olive or cherry.⁠
Kakadu plum helps reduce your wrinkles and fine lines with a collagen boost. Meanwhile, vitamin C and other antioxidants fight off photoaging by neutralizing free radicals — harmful molecules that destabilize your skin cells. Skip the environmental damage, and let Kakadu plum maintain your youthful glow!⁠
Thanks to their high antioxidant levels, Kakadu plums are the natural enemy of redness and inflammation. This makes Kakadu ideal for sensitive skin types, especially those with inflammatory conditions like acne or eczema.⁠
Vitamin C impedes production of melanin, aka the skin pigment behind your dark marks. Applying vitamin C topically — say, through our Kakadu-rich Vitamin C Morning Serum — can help your hyperpigmentation fade into the past. 🤍⁠
    Frown lines aren't forever, so stop frowning. Non-surgical and fast acting, Anti-Wrinkle injections are the perfect way to erase wrinkles without surgery 🤍
    What does Green Tea Extract do for your skin? 🍵⁠
Green Tea Extract is made from the leaves of the Camellia sinensis tea botanical. Of all the types of tea that are derived from the same tea plant, Green Tea is known to be the least processed and to thus retain more healthful properties.⁠
Used cosmetically, Green Tea Extract helps diminish the signs of aging, calms irritation, evens out discoloration, diminishes the appearance of cellulite, soothes redness and swelling, repairs damage, exfoliates, decreases the appearance and occurrence of blackheads, eliminates dead skin, dirt, bacteria, and other pollutants on the skin’s surface, decreases puffiness, and reduces the appearance of dark circles.⁠
This bounty of benefits is exactly why we’ve introduced Green Tea Extract into our powerful Vitamin C Morning Serum 🤍⁠
👄 Lip Filler 👄⁠
We use only the highest quality Swiss fillers to enhance and add volume to your lips⁠
By using needles and cannulas with medical grade numbing cream, our doctors ensure the experience is as comfortable for you as possible! 🥰⁠
✓DM us or call⁠
✓Location: Skin Club - Windsor⁠ & Brighton⁠
    Amazing results from our anti-wrinkle treatment targeting crow's feet! 😍⁠
✓How: Anti - wrinkles injections ⁠
✓Note: Individual results may vary ⁠
✓Anaesthesia: Topical and ice⁠
✓Time: 10-20 mins ⁠
✓Recovery: None ⁠
✓Lasts: 4-12 months ⁠
✓Caution: Must be performed by an experienced provider⁠
✓Pain: None to moderate⁠
✓Phone: 03 9999 7368⁣⠀⁠
✓ Location: Skin Club - Windsor & Brighton⁣⠀⁠
    We all know the sun can damage our skin, but some of us take avoiding harmful UV rays to the next level 💅⁠
Are also on the anti-sun train? Let us know how you protect your skin below!