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Suture Boots: An Aid for the Injection of Onabotulinum Toxin A for Primary Focal Hyperhidrosis


Address correspondence to Heather L. Salvaggio, M.D., Division of Pediatric Dermatology, Children’s Memorial Hospital, 2300 Children’s Plaza, #107, Chicago, IL 60614, USA, or e-mail:


Abstract:  Primary focal hyperhidrosis is a difficult problem for adults, children, and adolescents, causing significant impairment in quality of life. Onabotulinum toxin A injection is an effective third-line treatment for primary focal hyperhidrosis. Here we describe a technique to ensure adequate depth of botulinum toxin placement in the dermis using suture boots as an aid for injection.