Craniofacial Puns

So who else has craniofacial HH and prefers wearing eyeglasses to contacts, but ever since the pandemic and masks became a thing, the sweat from your face + the mask fog up your glasses?

Maybe it’s an anatomy thing because I’m Asian and have no bridge on my nose, or maybe it’s because I have aviator eyeglasses, I don’t know.

Any tips or hacks to stop the fogging up of my glasses?

Edit: actually now that I think about it, even when I’m not wearing a mask, my sweat fogs up the bottom of my eyeglasses.

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I was able to have dinner at a restaurant and not pour sweat the entire meal, the first non-embarrassing restaurant meal I can remember in years! It also stops me from overheating, my face turning beet red, and the god-awful sweating from my face and head. My only side effect is a dry mouth. And, it was only $3 for a 30 day supply!

After seeing dermatologists, neurologists, and other endocrinologists and many years of struggle, this may finally be my solution. I even exercised without dripping all over the floor! Before Clonidine, I could not even stand still in a 70 degree room without pouring sweat, had to have a fan on my face to avoid being soaked.

Just wanted to share with this group and I hope this helps, because nothing at all as helped before and I’ve tried all the pills, topicals, homeopathics, etc.

Edit to add: my dosage is only 0.1mg. This drug is used in higher dosages for hypertension, and drowsiness is a reported side effect for higher dosages. I also do not take other hypertension drugs, which my doctor did verify first. My only side effect at 0.1mg is dry mouth and it has relieved my HH 100%!!!

I’m sick of looking unprofessional when I take pride in my appearance but my face and scalp are DRENCHED an hour into shooting an 8 hour wedding.

This past week my doctor prescribed me drysol. I put it on last night and while I was uncomfortable…it was manageable. It was totally effective and it felt so good to look normal at the wedding today. I have another wedding tomorrow…so (as directed) I put it on again and I was in SO MUCH PAIN. It felt like my face was on 🔥fire🔥 while simultaneously being poked with 1,000 needles. So after slapping the hell out of my face like a raging lunatic…I rinsed it off. It’s still on my scalp and neck but my face couldn’t take it. I

told her I wanted an ORAL medication but now I have to make another appointment because I didn’t receive my original request the first time. Any suggestions on what worked for you aside from Botox????? I’m going to lose it.

Any options for this? The topical facial creams can't go on my hair, but the profuse sweating starts about an inch into my hairline, all the way down my forehead, and around my whole hairline.

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This is your chance to ask me anything!

I am a board certified plastic surgeon, with further training and expertise in head and neck reconstruction and cosmetic surgery.

I went to The University of Texas at Austin and graduated magna cum laude with a BS in Biomedical Engineering. While there, I also played ultimate frisbee, TA'ed for ballroom dancing, and enjoyed an array of classes like fencing and the philosophy of religion.

I received my MD from Washington University in St. Louis. I took an extra year between my 3rd and 4th years, spending most of it at the Centers for Disease Control and Prevention in Atlanta. A slice of extra time was also spent traveling SE Asia. I was elected president of the AOA honor society composed of the top students in each medical school class.

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Since then, I have been in private practice with the world-renowned International Craniofacial Institute, performing a full range of plastic surgery (except for hand surgery). This includes everything from facelifts and rhinoplasties, to breast reconstruction and aesthetics, cleft lip and palate surgery, and filler and Botox.

Ask me anything!

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*** Edit (Feb 28, 2021) ***: I have answered every single question I have seen (I think mods have taken down a few before I got to them), and I look forward to continuing to educate and help howeve

Just wondering if anyone else has found ongoing success with Botox for craniofacial HH? Other than the expense being high, wondering if it’s working out? Can’t believe health insurance doesn’t cover this!

I'm 30 years old and have suffered from craniofacial hyperhidrosis since high school. I've spent thousands of dollars seeing numerous dermatologists and specialists over the years in hopes of finding that miracle treatment to fix this issue that has plagued me for my entire adult life. I could wipe my forehead with my hand, and the sweat would literally drip off.

• I've tried a few topical solutions; they did nothing.
• I tried Glycopyrrolate for almost a year, working my way up to the max dose with slight relief, but horrible cottonmouth made speaking and eating difficult.
• I consulted with a doctor about ETS surgery, but the risks and complications some people experience after scared the shit out of me.
• I was set to get botox but canceled after I realized it would be something I'd need to do for the rest of my life or the area treated would get droopy (plus, it's expensive as hell)

About a year ago I was prescribed 1mg of Terazosin and it has changed my life completely. I can finally go out in public without intense anxiety and shame. I don't have to bring a hand towel with me everywhere I go and hide it in my pocket.

I have no experienced any side effects, either.

I recommend it wholeheartedly. Total gamechanger.

So my insurance recommended a surgeon but I noticed he's doesn't specify that he's experienced in Craniofacial/Maxillofacial surgery. Reconstructive Surgery, yes. Would this be a problem for me for FFS as I want a type 3 brow bossing reduction and other bone shaving like on my chin, for example. Btw, my insurance recommended the same surgeon who did my breast augmentation who did a FABULOUS job, so I thought that was pretty cool. He's not well known at all, I don't think, but he has worked on transgender patients. Not sure if I'm allowed to share his name or not?

Hi all!

New to the community here, so bear with the context.

Basically, from being a newborn I've had really bad night sweats to the point of completely soaking beds, mattresses, pillows and cases. I only recently noticed that it started to get worse (after being used to it for so long, it becomes an anticipation). By getting worse, I have noticed a severe increase in sweating, particularly in my facial area. This happened all year round, especially during my last year of working as a retail sales assistant. I can become flooded with sweat from just walking down the road on a mild day with appropriate clothing.

I'm 24, male, not in great shape, but I'm not classed as obese. Just a little belly on me really. I drink a fair amount of caffeine. It's gone beyond the point of embarrassment and straight to annoyance as it feels more of a hindrance to "oh, for Christ's sake, here we go again!"

I've just (today) started taking Menoforce Sage tablets by A.Vogel, bought from Holland & Barrett (I'm from the UK in case anyone doesn't know what I mean by H&B).

Just wondering if any of you fellow HH and CFHH sufferrers have had any luck with Menoforce Sage tablets, or Sage in general, as a treatment for HH?

It seems the vast majority of people in this sub have HH issues with their hands, feet, armpits, groin, and back. I don't think I've even seen someone post about craniofacial HH; just wondering if I'm extra alone in a category where everyone already feels like that.

It's also hard seeing these treatment options work for so many people. Don't get me wrong, I'm very glad something is working to help you with your HH if dermadry or IO is your thing, but I feel like I'm a loner within in a group of loners. It's so empty feeling. There's no special products for me, no treatment options I haven't exhausted... just feels like I'm forgotten. I mean we barely get any recognition in the medical community as it is and when we do all the significant advancements are for people with those types of HH - nothing for craniofacial.

Incase anyone here doesn't know, craniofacial HH is where your entire head and face sweat profusely. I'm not exaggerating when I say I have it so bad that I have to wake up and change pillows EVERY. SINGLE. HOUR.

I have it so bad that going down a flight of stairs to get the mail and coming back up will make my head and face so wet you seriously would not be able to tell if I had just taken a shower or if it's sweat (minus the smell, of course). Don't even get me started when it comes to anxious social interactions...

Figured I should also say it to save you some time: tried glyco, drysol, botox, and surgery. None of it is an option anymore. Nothing works.

Since there's no dedicated FAQ or resources available for this subreddit that I've been able to find, I had some questions that I hope others would be able to help me with, or perhaps correct my (mis)understanding.

My PRIMARY concern is craniofacial hyperhidrosis since it has the most significant impact on my overall quality of life. But I also experience excessive sweat on my hands/palms; to the extent that when I play video games with friends, I'm known for always having a towel on my lap for quick "wicking" of the sweat on my palms.

From what I've gleaned, iontophoresis is generally used for hyperhidrosis of the hands or feet. I understand that if you prevent one area from sweating with antiperspirant for example, the body tries to accomodate by "migrating" the sweat to other sweat glands of the body.

This is where I come to my initial question:

If I were to perform iontophoresis on my hands, is that likely to increase the severity of my craniofacial hyperhidrosis?

I just spoke to my doctor this week and she's going to prescribe me Qbrexza wipes in hopes that they work for treating the excessive sweating from my head and face. It's just my primary doctor and not a Dermatologist and it's not her area of expertise as far as I understand so I'm not sure my doctor would be able to provide an accurate answer to that question (while she knew about Qbrexza wipes, she is unfamiliar with glyco oral and was unwilling to prescribe those since she doesn't have adequate knowledge of the side effects and interactions.)

My next question:

For anyone with extreme craniofacial hyperhidrosis, do you recommend shaving as bald as possible in order to maximize the success rate and impact of Qbrexza/glyco wipes, or do you avoid the scalp due to sensitivity? Do the wipes affect hair color or stain clothes?

A sidebar FAQ with detailed explanations of the most commonly recommended treatments and where to obtain the necessary tools for treatment would be such an improvement for the sub.

For example I've read about iontophoresis in general, but basically it seems that everyone who talks about it just "has" the equipment and doesn't say if they had to get it from their doctor or if they can just obtain it online themselves etc.

I also stumbled upon various posts mentioning specific types of water etc. so I'd have to do further digging through various users' posts which are very likely to have mostly anecdotal information, or resort to searching google for more det

Hello!

I've struggled with palmar hyperhidrosis ever since I was a kid, I'm now 22 and for the past few years my forehead and head have started sweating a LOT more. I've had botox done in both my hands but it only worked for a few days. I've also taken oxybutynin and while I felt like it helped a little, it made me feel horrible/sick and I have stopped taking it since. Also, I noticed my head started sweating more once my hair began thinning(I'm on finasteride daily and minoxidil). How is this related and has it happened to any of you? I'm open to trying any treatments/medicine as long as they're available where I live(Portugal).

Thank you!

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Is perspirex okay to put on my face and/or hair? Is there something more appropriate? Don’t want it to make my hair fall out or anything Lol

The face sweating wouldn’t bother me as much, but my hair just gets wet and it ruins any social occasion

Hi fellow fountain heads!

After many years of battling with HH and trying several treatment options i am finally seeing some light at the end of tunnel so i thought i would share what i have learned and experienced along the road so maybe you can also use it for your benefit and avoid costly unnecessary actions that i couldn't.

My HH: the most critical area of my body was always my forehead and armpits. I would walk in T-shirt during winter to my high school just to arrive chilled to the bone so i might have a chance to not break into sweat. Even a walk to the kitchen and back could trigger dropping sweat on my face and stains on my clothes. No underlying condition was diagnosed so i was told i have to try and live with it. Thanks to the internet and this sub i decided to research and try some of the available options i have in my country so here is my summary:

Cryo-thermal therapy (Alma Laser Zero therapy) : not recommended. doesn't last, quite expensive and the professionals doing it are mostly experienced with armpit treatments, so i would suggest to avoid for treating your forehead with this. 3-4 treatments are recommended weekly or biweekly. I had all 4, and my head was completely dry during the 8 weeks but after that it was back where i started, only my wallet was much much lighter

Botox: i would say it is worth a shot. I got around 35 units. it was pretty quick no swelling or spots or anything after. The result was a bit disappointing as my sweating was reduced only approx with 50-60 %, and of course you need to redo it after 5-6 months, so i do not consider it financially sustainable.

Iontophoresis: absolutely recommended I was a bit concerned, as this method is not really popular for facial treatment, which makes sense because putting electrodes on your head and shocking it regularly seems quite dumb BUT it works. Also there were zero to none reviews on the internet for face treatments, but i was like fuck it at this point i wasn't really tracking anymore how much i have spent on my HH anymore.I bought a device which has a pulsed current so it is much more tolerable , and adapters for forehead and armpits. I am currently two weeks in ,and i am completely dry all day long in both areas. I have to travel a lot due to my work, so taking the little white "suitcase" with me is a bit annoying, but you can get used to it and the results really make you forget all the little inconveniences.

Some further remarks:

-My HH got much worse