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Updated: May 18, 2026

Ultrasound-guided Botulinum Toxin-A Injections: A Method of Treating Sialorrhea
Published on: November 9, 2016
Suture boots: an aid for the injection of onabotulinum toxin a for primary focal hyperhidrosis
Heather L Salvaggio1, Annette M Wagner
1Division of Pediatric Dermatology, Children's Memorial Hospital, Chicago, IL 60614, USA. heather-salvaggio@fsm.northwestern.edu
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.
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