Is Botox for Hyperhidrosis a Good Way to Tame Excessive Sweating?

Is Botox for Hyperhidrosis a Good Way to Tame Excessive Sweating?

Have you ever consulted a doctor before because of too much sweating? Then he probably told you about Botox for hyperhidrosis.

Yes, Botox injections are more popular as anti-aging treatments. But did you know that it can also help you sweat less?

Read more about Botox for excessive sweating as you continue with this article.

botox for excessive sweating

What are Botox injections?

The Botulinum toxin or Botox is a neurotoxin from the Clostridium botulinum bacterium. 

It targets the nervous system and disrupts neurons from communicating effectively. That leads to temporary muscle paralysis.

But in spite of being a toxin, it’s actually dubbed as the “miracle poison.” It can paralyze facial muscles, resulting in fewer wrinkles. In fact, it is a popular anti-wrinkle treatment used all over the world.

The use of Botox injections does not end there. Botox can also treat neuromuscular conditions such as neck spasms, lazy eye, and muscle contractures.

botox injection


Another condition that Botox can help treat is hyperhidrosis or excessive sweating.
Whenever your body temperature rises, your nervous system activates your sweat glands. But if you have hyperhidrosis, overactive nerves might trigger your glands. It causes you to sweat more than the normal amount.


Hyperhidrosis Botox is one of the quickest fixes for this condition. Botox injections target those overactive nerves, blocking their signal to your sweat glands.

Getting Botox injections is a safe and effective way to help with excessive sweating. Studies show that Botox for sweating underarms decreases perspiration by 82-87%. On the other hand, Botox for sweating hands has an 80-90% success rate.

Botox for sweating involves injecting small amounts of Botulinum toxin under the skin. Your doctor can usually inject both underarms in less than 10 minutes, so it’s done as an outpatient procedure.

Most people need 100 units for both underarms. Still, it is up to your doctor to determine how many shots you need. To ease your pain, he might give you light anesthesia, like ice and nerve blocks.


Because Botox for hyperhidrosis is a minimally invasive procedure, you usually have no restrictions after treatment. The procedure has no downtime, so you can go back to work right away.

Results start to show within two to four days after the treatment. You’ll experience the full outcome in about two weeks’ time.

Your doctor might require you to have a follow-up appointment within 1-2 weeks post-op. Other than to check how it is faring, your doctor will also analyze if there are any missed spots.

Keep in mind that Botox is a temporary solution, with effects lasting only for 4-14 months. You may need touch-ups after that if you want to continue enjoying its results.

Are there risks associated with Botox injections?

While Botox for hyperhidrosis is an effective way to tame excessive sweating symptoms, it has its fair share of risks.

One is facial asymmetry especially if you’re using Botox to treat facial sweating. It can happen if the toxins diffuse into the surrounding muscles. Fortunately, this side effect is temporary. Your doctor can balance it out with an extra injection of Botox.

You might also experience compensatory sweating. This is when the treated spot has stopped sweating, only for it to increase in another part of your body. It might force you to get Botox injections in other body parts as well to curb the sweating on those areas.

compensatory sweating

How much does Botox for hyperhidrosis cost?

Botox for hyperhidrosis cost may vary depending on several factors. These factors include the extent of the procedure, your plastic surgeon’s experience and expertise, and clinic location.

But according to Thompson Tee, Botox injections for both underarms can set you back by as much as $1,500. Plus, you need to get touch-up sessions if you want to maintain the results, so the costs can add up.

cost of botox for hyperhidrosis

What are other alternatives for Botox injections?

Botox for excessive sweating is one of the most accessible treatments out there. It is a good option when the strongest antiperspirants and the most drastic lifestyle changes are no longer enough to drive away symptoms.

Still, there are other options you can consider. You can take oral or topical medications like Dermira’s QBREXZA to block certain nerves that induce sweating.


If you want a more long-lasting solution, try getting a non-invasive miraDry treatment.

miraDry uses a handheld device to heat and destroy the sweat glands in your underarms, thus minimizing sweating. It can also target hair and odor glands in your armpits, so you also get rid of body odor and armpit hair as well.

miraDry treatment

Interested in Botox for hyperhidrosis or any other sweating treatments? Schedule a Free Consultation with our board-certified plastic surgeon here in Face+Body Cosmetic Surgery. Let’s discuss the different hyperhidrosis treatment options that best suit your needs.

Dr Nick N Masri MD FACS

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