The Only Downside to Summer Weather:

That’s right folks. As this meme from How Do I Put This Lightly (similar to the wildly popular tumblr, What Should We Call Me) demonstrates, we women sweat (including the gorgeous Reese!).  Whether it’s in between your lovely lady lumps, your underarms, or right above your upper lip, real women sweat in some pretty inconvenient places. Yes, of course, sweating is a natural process by which our body activates our inner-cooling system to lower our body temperature in warm weather and during physical exertion, but like a leaky faucet, why can we just turn it off!? My personal place of weird sweating is behind my knees (first of all, there isn’t even a medical term for this area, so why the heck does it sweat so much!?) and when I wear a maxi dress and sit on the NYC subway, it seriously sticks to the back of my legs, gross! So what’s a girl to do? Seek out an expert!

Frederick N. Lukash, M.D. P.C.

Last week, I had the pleasure of chatting with Dr. Fredrick Lukash, a board-certified cosmetic and reconstructive plastic surgeon who has had a practice in Manhattan and Long Island since 1981. He is also an Assistant Clinical Professor of Surgery at the Albert Einstein College of Medicine. This doc is no joke (don’t believe me, just Google him!) and he knows his stuff. Why chat with a plastic surgeon about sweating? …Because Dr. Lukash is an expert in Botox and the human body. He’s been administering the muscle freezing injectable since it hit was approved by the FDA in 1989. Plus, he examines and understands your face with surgical expertise and training. Unlike most estheticians at a MediSpa, Dr. Lukash has had decades of training and experience working with and manipulating the complex intricacies of your skin and muscles all over your body. Not only did he complete a full general surgery residency and a full plastics residency, plus a fellowship at Harvard (he’s been practicing for over 31 years) he also studied with skincare masters like Dr. Obagi. Let’s just say, he has a really good eye for what tweaks and changes can be made in order to achieve a specific, desired result.

When it comes to sweating, you may have heard on the celebrity news shows that all of Hollywood’s A-listers get Botox in their armpits to reduce sweating for red carpet premiers and hot award shows. So I called up Dr. Lukash and asked him two questions… Does it work and where do I sign up?

The answer, yes it works. According to Dr. Lukash, Botox affects neuromuscular activity, paralyzing the activity of your sweat glands. While it won’t dry up your underarms completely, it can significantly reduce wetness in those who have hyperhidrosis, or an over active sweat gland. The procedure entails about 10-12 shots of Botox in a spiral or bull’s-eye-like formation around the underarm, with anywhere from 25 to 50 units of Botox in each arm. Dr. Lukash’s tried and true approach to Botox is “less is more.” He knows from experience to always start off slow, as you can always increase the amount of Botox used, but the only way to decrease (if you go overboard) is to wait it out. There is no magic undo button. Plus, by starting off slow, Dr. Lukash says he can get to know what works for your body, what “dosage” your body responds best to. This not only gives you better, more customized results, but it can also save you time and money (why pay for 50 units if you only need 30?).

As with any elective procedure, the most important thing to understand before you go under the knife, needle, magnifying glass, etc is that there is always going to be some sort of maintenance involved to keep up with your results. One Botox appointment doesn’t mean your sweating is cured for life; you will have to schedule regular appointments to stay sweat-free.


For plastic surgery and injectable virgins like me, the best part about Dr. Lukash is that in addition to his surgical practice, he also has a full-service MediSpa in Long Island where his skilled team of highly-trained estheticians provide a p[plethora of medical grade services, including Microdermabrasion, Obagi™ TCA Blue Peel, Refinity™ Alpha Hydroxy Acid Peels, Vitalize® Peels, Oxygen Facials and Hydrafacials™. For the month of July, The Medical Spa of Frederick N. Lukash, M.D. P.C. is offering the following spa deals on Spa for you to take advantage of:

  • $89 Signature HydraFacial (was $180)
  • $99 Vitamin Infusion Oxygen Facial (was $160)
  • $80 Microdermabrasion Treatment (was $175)

So tell me, should I schedule an appointment with Dr. Lukash and get a few units of Botox behind the knees or in my pits? Would you or have you ever tried Botox? Tell me about your experiences in the comments below!

The Medical Spa of Frederick N. Lukash, M.D. P.C.

The Medical Spa of Frederick N. Lukash, M.D. P.C.
1129 Northern Boulevard
Manhasset, NY 11030