Discover freedom from embarrassing, excessive sweating with neurotoxin treatments for hyperhidrosis. Using FDA-approved Botox®, Dr. Kristine Zitelli helps patients in Cincinnati, Montgomery, and surrounding communities find relief from this common but often distressing condition that affects both physical comfort and emotional well-being.
Not only provides excellent care but truly cares.
Understanding Hyperhidrosis and How Neurotoxins Work
Hyperhidrosis–excessive sweating beyond what’s needed for normal temperature regulation–affects approximately 4.8% of the U.S. population, or nearly 15.3 million people. This medical condition can cause significant disruption to daily activities, social interactions, and professional life.
Neurotoxin treatments like Botox® (botulinum toxin) work by temporarily blocking the nerve signals that stimulate sweat glands. When strategically injected into affected areas, these medications prevent the release of acetylcholine, the chemical messenger that triggers sweat production. The result is a dramatic reduction in sweating that typically lasts 6-12 months per treatment.
Clinical studies show that Botox® injections can reduce sweat production by 82-87% in treated areas, providing significant relief for patients who haven’t found success with antiperspirants or other conventional treatments.
Common Treatment Areas for Excessive Sweating
Neurotoxin therapy effectively addresses hyperhidrosis in multiple body regions:
Underarms (Axillary Hyperhidrosis)
The most common treatment area, with quick injections that dramatically reduce underarm wetness and associated odor.
Palms (Palmar Hyperhidrosis)
Specialized techniques make hand treatments more comfortable, allowing patients to shake hands confidently and handle papers without fear of dampness.
Feet (Plantar Hyperhidrosis)
Treatment reduces excessive foot sweating that can lead to discomfort, odor, and increased risk of fungal infections.
Scalp and Forehead
Strategic injections help control embarrassing visible sweating that can disrupt professional and social situations.
Groin and Other Areas
In certain cases, careful application can address sweating in other body regions under appropriate medical supervision.
Dr. Zitelli’s Approach to Hyperhidrosis Treatment
As a board-certified dermatologist, Dr. Zitelli combines medical expertise with a deep understanding of the emotional toll hyperhidrosis can take. Her gentle injection technique and precise dosing optimize results while ensuring patient comfort throughout treatment.


The Hyperhidrosis Treatment Experience
Comprehensive Evaluation
Your treatment begins with a thorough consultation to assess your sweating patterns, previous treatments, and specific concerns. This detailed evaluation allows Dr. Zitelli to customize your treatment plan for optimal results.
Treatment Process
During your procedure, a topical numbing cream may be applied for comfort, particularly for palm or foot treatments. Using an ultra-fine needle, Dr. Zitelli makes a series of small injections in the treatment area. The entire process typically takes 20-30 minutes, depending on the areas being treated.
Expected Results
Most patients notice a significant reduction in sweating within 2-7 days after treatment, with maximum effects typically apparent within two weeks. Results generally last 6-12 months, though some patients report effectiveness for up to 14 months before a touch-up treatment is needed.
Life-Changing Benefits of Hyperhidrosis Treatment
Patients who undergo neurotoxin treatment for hyperhidrosis report numerous improvements in their quality of life:
- Freedom to wear a wider variety of clothing without sweat marks
- Increased confidence in social and professional situations
- Reduced need for frequent clothing changes
- Decreased dependency on antiperspirants that can irritate skin
- Reduction in skin infections associated with excessive moisture
Comprehensive Hyperhidrosis Management
For optimal results, Dr. Zitelli may recommend a combination approach:
- Neurotoxin injections for primary treatment
- Clinical-strength antiperspirants for maintenance
- Specialized moisture-wicking clothing recommendations
- Prescription oral medications for certain cases
- Lifestyle modifications to minimize triggers
This multi-faceted approach provides comprehensive relief while addressing the specific challenges of your hyperhidrosis.
Cincinnati’s Hyperhidrosis Treatment Specialist
At Queen City Dermatology, patients from Cincinnati, Montgomery, and surrounding communities find expert care for their hyperhidrosis concerns. Dr. Zitelli’s specialized knowledge of hyperhidrosis treatment, combined with her gentle technique and appreciation for the condition’s emotional impact, makes her a trusted provider for this life-changing procedure.
Our Cincinnati area patients particularly value the discreet, understanding environment we provide for discussing and treating a condition that many find embarrassing or difficult to talk about. We pride ourselves on creating a comfortable space where you can openly address your concerns and find effective solutions.

Frequently Asked Questions About Hyperhidrosis Treatment
Most patients experience minimal discomfort during treatment. For underarm injections, the sensation is typically described as a series of quick pinches. For palms and feet, we use topical numbing cream and sometimes ice to minimize discomfort. Dr. Zitelli’s specialized techniques, including ultra-fine needles and careful approach, help ensure your comfort during treatment.
Results typically last 6-12 months before a maintenance treatment is needed. Some patients find that with regular treatments, the effects may last progressively longer. The durability of results varies based on individual factors, including metabolism, injection technique, and treatment area. Dr. Zitelli will help you establish an optimal treatment schedule.
This is a common concern, but compensatory sweating (increased sweating in untreated areas) is not typically seen with neurotoxin treatments. Unlike surgical procedures for hyperhidrosis, Botox® works locally only in the treated areas and does not affect the body’s overall ability to regulate temperature through sweating elsewhere.
Neurotoxin treatments significantly reduce sweating-typically by 80-95% in treated areas-but do not completely eliminate it. This is actually beneficial, as some perspiration is necessary for normal bodily function. Most patients find the reduction brings tremendous relief and allows them to wear a wider range of clothing and participate in activities they previously avoided.
What about side effects? Neurotoxin treatment for hyperhidrosis is FDA-approved and has an excellent safety profile when administered by a qualified medical professional like Dr. Zitelli. Potential side effects are typically mild and temporary, including minor bruising or soreness at injection sites. Serious side effects are extremely rare when the procedure is performed by an experienced provider.

Board-Certified Dermatologist Serving Cincinnati, Ohio
Dr. Kristine Zitelli is a board-certified dermatologist serving the Cincinnati area, known for her expertise in treating a wide range of skin conditions. She completed her medical degree at Wright State University and dermatology residency at the University of Cincinnati, with additional advanced training at the UCSF Psoriasis and Skin Treatment Center. Her clinical focus includes thorough skin examinations, psoriasis, eczema, complex medical dermatology, surgical dermatology and cosmetic treatments using the latest technologies.
Dr. Zitelli has been named a “Top Doctor” in Cincinnati every year since 2016 as well as Cincinnati’s Top Dermatologist in 2020. She remains dedicated to educating the community about skin health and sun safety. Combining academic excellence, clinical research, and a compassionate approach, Dr. Zitelli delivers personalized, evidence-based care to every patient.
Schedule Your Hyperhidrosis Consultation in the Cincinnati Area
Take the first step toward freedom from excessive sweating. Contact Queen City Dermatology today to schedule your consultation with Dr. Zitelli and discover how neurotoxin treatment can help you manage hyperhidrosis and improve your quality of life. Serving patients throughout Cincinnati, Montgomery, and neighboring communities with compassionate, effective care.