Sweating of the forehead, upper lip, and scalp is a common condition associated with sweaty underarms. It is a form of idiopathic primary hyperhidrosis and treatments such as creams and sweat stopping treatments can be beneficial. miraDry treatment is not indicated for facial and scalp sweating, but is an excellent method of treating excessive axillary or underarm sweating.

Facts on face sweating, scalp sweating and miraDry

  • Facial and scalp sweating is very common, affecting up to 3-4 % of the Australian population
  • This condition can form part of the idiopathic Primary Hyperhidrosis group, that is to say sweating for no known reason
  • Patients who suffer from underarm sweating may also suffer from cranio-facial sweating
  • miraDry is NOT indicated for sweating of the scalp and face
  • Facial sweating my respond well to creams, lotions and sweat stopping treatments injections

Why do I sweat on my face?

Craniofacial sweating or hyperhidrosis is very common, and can be associated with sweating else where, including sweaty armpits, hands and feet. It forms part of the primary idiopathic pathway of sweating- that is to say, you may be predisposed to sweating in one particular region. Most patients who sweat on the face and scalp also suffer from sweating in other areas such as the underarms. Rarely sweating on the face maybe related to rosacea, Frey’s syndrome or nerve damage.

Can miraDry be used to treat facial and or scalp sweating?

No. miraDry is only indicated, and is only safe for the treatment of excessive underarm or axillary hyperhidrosis. miraDry can not be used on the face, as there are too many vital nerves to potentially damage with this treatment.

What treatments are available for facial sweating?

Facial sweating maybe an isolated condition and involve focal areas such as the forehead, upper lip and or scalp. Other times it maybe associated with menopause – including flushing and blushing.

Treatments available for facial sweating include -

Antiperspirants

Such as Driclor, No More Sweat Facial, Dove Clinical. Start every second night and increase application.

Creams

Such as specially compounded Glycopyrrolate wipes 1-2 % or lotions and or sprays. Available via myskinpharmacy.com.au

Sweat stopping treatments

Can be used to safely treat the upper fore head and scalp areas. The problem with sweat stopping treatments is that it only last 3 months, and can only be placed in certain areas of your face.

Tablets

Can be used as short term fixes to long-term sweat problems. The main side effect is tiredness and excessive dryness with tablets.

ETS surgery

The last resort. This can be very effective in reducing redness, sweating and flushing but it can have a permanent undesired side effect known as rebound sweating, or compensatory HH.

Natural treatments

Can work in very mild cases, and a caffeine free diet coupled with St John’s Wort can have a mild effect on sweat reduction.

More on Facial sweating, blushing and flushing treatments

Can laser help cure facial sweating?

No laser does not cure sweating, but can reduce the number of blood vessels in your skin. This can treat the flushing and blushing, but not sweating. After 2-3 laser sessions, you may feel less flustered, red, and blushed. You can combine laser with other sweat reduction methods including creams, and sweat stopping treatments for added benefits.

How do we treat facial sweating and scalp sweating?

davin-lim-miradry

Dr Davin S. Lim explains

Sweating of the face and scalp area is very common- affecting more than 2-3 % of the Australian population. Unlike sweaty underarm treatments, managing this area can be both frustrating for both the specialist and the patient. miraDry is an excellent method for treating sweating in the underarms, but never ever performed for facial sweating. The elaborate and intricate network of nerves in the face region makes miraDry an unsafe option.

I usually start patients on Dove, Rexona or the No Sweat range of products. If I do not get a response, I move upwards to a Glyco. Solution usually 1-3% in either a spray or lotion.  

The next step up from here is really dependent on the extent of sweating. Upper forehead  and scalp line sweaters do really well with sweat stopping treatments in the scalp line placed every 3-5 months. Sweat stopping treatments can also be placed on the base of the scalp, at that back. Craniofacial and or scalp hyperhidrosis is one of the more challenging areas to treat, and an individualised approach is the best.