4 Options To Reduce Underarm Excessive Sweating
underarm excessive sweating

4 Options To Reduce Underarm Excessive Sweating

Underarm excessive sweating can be embarrassing. You’ll find yourself not only dealing with stain marks but also trying to find a way to manage the odor.

Fortunately, modern medicine has already provided a range of solutions to deal with hyperhidrosis. Here are some procedures you can explore to minimize armpit excessive sweating.

underarm excessive sweating


One common solution is miraDry. It’s one of the top procedures that help treat excessive sweating of the underarm because it is quick and non-invasive. It involves the use of a handheld device that emits microwave technology. These waves eradicate excessive sweating in a series of simple steps.

How miraDry reduces underarm excessive sweating

First, the doctor marks the target area, then proceeds to numb the underarms. Once ready, he places the device directly on your skin.

Once it is activated, you will feel a slight sucking sensation. This means the sweat, odor, and hair glands are being brought closer to the surface of your skin.

Microwave energy is delivered onto the skin, destroying the glands in the area. As the process happens, the spot is also cooled in order to protect the skin.

how miradry functions

miraDry candidates

miraDry is suitable for every patient suffering from excessive underarm sweating. This treatment is made specifically for the armpits.
Most of the time, a session is enough to get the results you want.

miraDry risks and side effects

While it is an ideal solution, miraDry also has its own set of risks.
Side effects often include damaged hair follicles, swelling, numbness, tingling of the arms, and nerve damage.


How Botox reduces underarm excessive sweating

While commonly known as a cosmetic procedure, Botox can also help manage underarm excessive sweating.

The neurotoxin blocks the nerves responsible for activating your body’s sweat glands. Because of that, you no longer sweat as much in your Botox-treated area.

botox injection

Botox candidates

If you find that your prescribed antiperspirants aren’t as effective as expected, it might be time to consider Botox.

However, this isn’t a good option for people with hyperhidrosis due to an underlying medical condition. It’s also contraindicated for those who have severe blood clotting disorders.

Botox risks and side effects

Botox is one of the most accessible treatments out there. However, there are still some side effects to consider.

You may experience pain or bruising at the injected spot, as well as headaches and flu-like symptoms. Serious side effects such as muscle weakness, difficulty in breathing, and loss of bladder control are rare but also possible.


This treatment uses electrical stimulation to minimize excessive sweating in the palms and soles.

How iontophoresis reduces underarm excessive sweating

The procedure involves an electrical current that passes through water-soaked pads placed on the armpit area. The procedure thickens the outer layer of the skin, disrupting nerve transmission and blocking sweat from flowing.

iontophoresis diagram

Iontophoresis candidates

This procedure is best for those who have already tried prescription or clinical strength antiperspirants but find that they need a stronger treatment.

It is also best for people with palmoplantar hyperhidrosis, as it has a lower success rate for underarm excessive sweating.

Iontophoresis risks and side effects

The most common side effects of iontophoresis are skin dryness, roughness, and itchiness. But you can solve this by applying lotion or moisturizer to your treated areas.
Blisters or bruising may also occur if the intensity of the current is too high. You might also feel a mild burning sensation if you accidentally touch an electrode.
Pregnant women and those with metal implants should refrain from undergoing this treatment.


Qbrexa is the newest underarm excessive sweating treatment. It only became FDA-approved and available in the market last October 2018.

How Qbrexza reduces underarm excessive sweating

What makes Qbrexza different from other hyperhidrosis drugs is that it is topical, not oral. Dermira’s Qbrexza is a prescription topical treatment that contains glycopyrronium, an anticholinergic drug. Anticholinergic drugs prevent the nervous system from communicating with certain cells.

It blocks the receptors responsible for sweat gland activation, leading to reduced underarm excessive sweating.

Each box of Qbrexza has 30 pouches. One pad a day is enough for both underarms.


Qbrexza candidates

Qbrexza is perfect for those who suffer from axillary hyperhidrosis as Dermira specifically made it for the underarms.

If you’ve exhausted all the other lower-cost treatments, these wipes are a good option to consider.

But make sure that you’re not taking any other anticholinergic drug before using these wipes. Patients with certain conditions like glaucoma, an unstable cardiovascular status, or Sjogren’s syndrome should also avoid this drug.

Take note as well that it should only be used by those who are nine years old and above as testing on younger children is still inconclusive.

Qbrexza risks and side effects

As with other hyperhidrosis treatment, Qbrexza also has its own fair share of side effects.

Possible effects include dry mouth, constipation, and itchy and burning skin. Other than those, it’s a perfectly safe drug for excessive underarm sweating.

With all these options for underarm excessive sweating, you only have to consult your doctor to let him know what kind of procedure you’re most interested in.

Interested in learning more about these procedures? Schedule a Free Consultation with our board-certified plastic surgeon here in Face+Body Cosmetic Surgery.

Dr Nick N Masri MD FACS

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