OnabotulinumtoxinA therapy for compensatory hyperhidrosis

Jessica A. Adefusika, Jerry D. Brewer

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background: Compensatory hyperhidrosis due to the treatment for focal primary hyperhidrosis can be devastating and life-altering. Objective: The purpose of this paper is to discuss use of the iodine starch test and dilute botulinum toxin to decrease compensatory hyperhidrosis over large surface areas. Methods: A large area of the trunk affected by compensatory hyperhidrosis was treated with dilute botulinum toxin therapy using a starch iodine test for localization. Results: The patient had exceptional results with his compensatory truncal sweating returning to normal and remaining stable for multiple months. Conclusion: Treating compensatory hyperhidrosis of large surface areas with dilute botulinum toxin therapy is effective and safe.

Original languageEnglish (US)
Pages (from-to)232-234
Number of pages3
JournalJournal of Cosmetic Dermatology
Issue number3
StatePublished - Sep 2013


  • Compensatory hyperhidrosis
  • OnabotulinumtoxinA
  • Sympathotomy

ASJC Scopus subject areas

  • Dermatology


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