Botox Injections for Hyperhidrosis or Excessive Sweating

Aug 24, 2023 | News

Excessive Sweating

Sweating is a natural phenomenon of the body, but when in excess, it can cause physical and psychological discomfort and be triggering while in social settings. Thanks to aesthetic medicine, you can get rid of excessive sweating also known as Hyperhidrosis with botox injections.

What is Hyperhidrosis or Excessive Sweating?

Excessive sweating, medically known as hyperhidrosis, is a condition characterized by sweating beyond what is necessary for the body to regulate its temperature. While sweating is a normal bodily function that helps cool down the body during times of increased heat or physical activity, individuals with hyperhidrosis experience excessive sweating even in normal or cool conditions, and the sweating is often disproportionate to the triggering factors.

Hyperhidrosis can affect various areas of the body, such as the palms of the hands, soles of the feet, and underarms. The condition can be distressing and embarrassing for those who experience it, as it may interfere with their daily activities, social interactions, and self-esteem.

There are two main types of hyperhidrosis:

  • Primary Hyperhidrosis: This is the most common form and usually starts during adolescence or early adulthood. The cause of primary hyperhidrosis is not well understood, but it’s believed to be related to overactive sweat glands. It tends to run in families and often affects specific areas, such as the palms, soles, and underarms.
  • Secondary Hyperhidrosis: This type of hyperhidrosis is typically caused by an underlying medical condition or certain medications. Conditions that can lead to secondary hyperhidrosis include diabetes, hyperthyroidism, menopause, infections, obesity, anxiety disorders, and more.

Treatment options for hyperhidrosis depend on its severity and impact on a person’s life. Some common approaches include antiperspirants, medications, iontophoresis (a procedure that uses electricity to temporarily block sweat glands), botulinum toxin injections, and in severe cases, surgical interventions like sympathectomy.

If you or someone you know is experiencing excessive sweating that is interfering with daily life, it’s essential to seek medical advice from a healthcare professional. They can help diagnose the underlying cause and recommend appropriate treatment options.

Are There Non-Surgical Treatments to Control Excessive Sweating? 

Non-surgical treatments for excessive sweating (hyperhidrosis) are often the first line of defense and can be effective in managing the condition. Here are some common non-surgical treatment options:

  • Antiperspirants: Over-the-counter or prescription-strength antiperspirants containing aluminum chloride can help reduce sweating. They work by temporarily blocking sweat ducts, thereby decreasing sweat production in the affected areas.
  • Prescription Medications: Certain oral medications, such as anticholinergics, can be prescribed by a healthcare professional to reduce sweating. These medications work by blocking the chemical messenger acetylcholine, which stimulates sweat glands.
  • Topical Medications: Some topical medications, like glycopyrrolate wipes or creams, can be applied to the skin to reduce sweating in specific areas.
  • Iontophoresis: This non-invasive treatment involves using a device that delivers a low electrical current to the affected areas (usually the hands or feet) while they are submerged in water. Iontophoresis can temporarily block sweat gland activity.
  • Botulinum Toxin (Botox) Injections: Botulinum toxin injections can be administered in specific areas, such as the underarms, palms, or soles of the feet, to block the release of acetylcholine and reduce sweating. The effects typically last for several months before a repeat treatment is needed.
  • Medication for Systemic Conditions: If excessive sweating is a result of an underlying medical condition like hyperthyroidism or menopause, treating the underlying condition may help alleviate the excessive sweating.
  • Lifestyle Changes: Some lifestyle modifications can help manage excessive sweating. These include wearing breathable fabrics, using absorbent pads in clothing, avoiding triggers that worsen sweating (such as spicy foods or caffeine), and managing stress.

It’s essential to consult a healthcare professional for an accurate diagnosis and to determine the most suitable treatment plan for your specific case of hyperhidrosis. They can help assess the severity of the condition and recommend the best non-surgical treatment options based on your needs and medical history.

What is Botox?

Botox is a brand name for a specific type of neurotoxin called Botulinum toxin. It is produced by the bacterium Clostridium botulinum. Botox is commonly used for various medical and cosmetic purposes.

In the medical field, Botox injections are used to treat several conditions, including:

  • Muscle Spasms: Botox can be used to relax overactive muscles and alleviate muscle spasms, particularly in conditions like cervical dystonia (neck spasms) or blepharospasm (eyelid spasms).
  • Chronic Migraines: Botox injections have been approved to treat chronic migraines in adults who experience headaches on at least 15 days per month.
  • Hyperhidrosis: Botox can reduce excessive sweating by blocking the release of acetylcholine, a chemical responsible for activating sweat glands.
  • Overactive Bladder: Botox injections may be used to treat overactive bladder by relaxing the bladder muscles and reducing urinary incontinence.

In the cosmetic field, Botox is primarily used for temporary wrinkle reduction and facial rejuvenation. When injected into specific facial muscles, Botox blocks nerve signals, causing those muscles to relax, which leads to the reduction of facial wrinkles, such as frown lines, crow’s feet, and forehead lines.

How do Botox injections stop excessive sweating?

Botox injections can effectively stop excessive sweating, a condition known as hyperhidrosis, by targeting and blocking the release of a chemical called acetylcholine. Acetylcholine is a neurotransmitter responsible for transmitting nerve signals that stimulate the sweat glands to produce sweat.

When Botox is injected into the affected area, such as the underarms, palms, or feet, it works by interfering with the normal release of acetylcholine from nerve endings. The Botulinum toxin in Botox prevents acetylcholine from being released into the sweat glands, effectively interrupting the signaling process that triggers excessive sweating.

By blocking the communication between nerves and sweat glands, Botox temporarily reduces the activity of the sweat glands in the treated area. As a result, sweat production is significantly decreased, leading to a noticeable reduction in sweating. This effect typically lasts for several months, after which the treatment may need to be repeated to maintain the results.

Botox injections for hyperhidrosis are considered a safe and effective treatment when administered by qualified medical professionals. It provides relief for those who suffer from excessive sweating and can significantly improve their quality of life. However, it’s essential to consult with a healthcare provider to determine if Botox is a suitable treatment option for an individual’s specific case of hyperhidrosis.

What parts of the body can Botox be used to treat sweating?

Botox can be used to treat excessive sweating, medically known as hyperhidrosis, in various parts of the body. Some common areas where Botox injections are administered to reduce sweating include:

  • Underarms (Axillary Hyperhidrosis): Excessive sweating in the armpits can be effectively treated with Botox injections. This is one of the most common areas for Botox treatment for hyperhidrosis.
  • Palms (Palmar Hyperhidrosis): Botox can be injected into the palms to reduce excessive sweating of the hands.
  • Feet (Plantar Hyperhidrosis): Excessive sweating of the feet can be addressed with Botox injections in the soles of the feet.
  • Forehead and Scalp: Botox can also be used to treat excessive sweating on the forehead and scalp, which can be particularly bothersome for some individuals.
  • Groin Area: Botox injections in the groin area can help control excessive sweating in the genital region.

It’s essential to note that Botox treatment for hyperhidrosis is considered an off-label use. While Botox has been approved by regulatory authorities for certain medical and cosmetic indications, its use for hyperhidrosis is considered off-label but is widely recognized as a safe and effective treatment option. As with any medical procedure, it is crucial to consult with a qualified healthcare professional to determine the best treatment plan based on individual circumstances and needs.

What are the Pros and Cons of Botox Injections for Sweating?

Botox injections for excessive sweating (hyperhidrosis) have both advantages and disadvantages. It’s essential to weigh these pros and cons carefully when considering this treatment option. Here are some of the main pros and cons:


  • Highly Effective: Botox injections are proven to be highly effective in reducing excessive sweating in the treated areas. Many individuals experience a significant decrease in sweat production, leading to improved comfort and confidence.
  • Non-Surgical: Botox treatment for hyperhidrosis is a non-surgical procedure, which means there are no incisions or extensive recovery periods. The injections are relatively quick and usually performed in an outpatient setting.
  • Long-Lasting Results: The effects of Botox injections for hyperhidrosis typically last several months (usually around 6 to 9 months). This means individuals can enjoy reduced sweating for an extended period before considering repeat treatments.
  • Improved Quality of Life: Excessive sweating can be embarrassing and disruptive to daily life. Botox injections can significantly improve the quality of life for individuals who suffer from hyperhidrosis by reducing social discomfort and anxiety related to sweating.


  • Temporary Results: While Botox injections offer relatively long-lasting results, they are not permanent. The effects gradually wear off, and repeat treatments are necessary to maintain the desired outcome.
  • Discomfort: Botox injections may cause mild discomfort or pain during the procedure, as a needle is used to administer the injections. However, healthcare professionals can use numbing techniques to minimize discomfort.
  • Side Effects: While generally safe, Botox injections can have side effects, including bruising, redness, and temporary muscle weakness in the treated area. Rarely, some individuals may experience systemic side effects like flu-like symptoms.
  • Off-Label Use: Botox treatment for hyperhidrosis is considered an off-label use, meaning it is not specifically approved by regulatory authorities for this purpose. However, it is widely accepted and used as a safe treatment option.
  • Limited Coverage: Depending on the healthcare system and insurance coverage, Botox injections for hyperhidrosis may not be fully covered, leading to additional out-of-pocket expenses for the individual.

Before opting for Botox injections for hyperhidrosis, it’s crucial to consult with a qualified healthcare professional who can assess individual suitability for the treatment and discuss the potential risks and benefits. They can provide personalized advice and recommendations based on the specific needs and medical history of the patient.

What are the risks and side effects of Botox for sweating?

Botox injections for excessive sweating (hyperhidrosis) are generally considered safe when administered by qualified healthcare professionals. However, like any medical procedure, there are potential risks and side effects that individuals should be aware of before undergoing treatment. Some of the risks and side effects of Botox for sweating include:

  • Pain or Discomfort: The injections themselves may cause mild pain or discomfort at the injection site. However, healthcare providers can use topical anesthesia or ice to minimize this sensation.
  • Bruising and Redness: Some individuals may experience temporary bruising or redness at the injection sites. These usually resolve on their own within a few days.
  • Muscle Weakness: Botox works by temporarily paralyzing or relaxing the targeted muscles. In some cases, this muscle relaxation can lead to temporary weakness in the treated area. For example, if Botox is used for underarm sweating, it may cause temporary weakness in the arm muscles.
  • Allergic Reactions: While rare, some individuals may experience an allergic reaction to Botox. Symptoms of an allergic reaction can include itching, rash, hives, swelling, and difficulty breathing. If any signs of an allergic reaction occur, immediate medical attention should be sought.
  • Systemic Effects: In some cases, the Botulinum toxin in Botox can spread to other areas beyond the injection site, causing unintended muscle weakness or other side effects. This is more likely to occur if injections are administered incorrectly or by inexperienced injectors.
  • Infection: As with any injection-based treatment, there is a small risk of infection at the injection site. To minimize this risk, it is crucial to have the procedure performed in a sterile environment by a trained healthcare professional.
  • Headache: Some individuals may experience a mild headache after receiving Botox injections. This side effect is usually temporary and resolves on its own.
  • Flu-like Symptoms: In rare cases, individuals may experience flu-like symptoms after Botox treatment. These can include fever, chills, body aches, and fatigue.
  • Unintended Cosmetic Effects: If Botox is used in facial areas, there is a possibility of unintended cosmetic effects, such as drooping of the eyebrows or eyelids. However, these effects are typically temporary and fade as the Botox wears off.

It’s crucial to discuss any concerns or medical conditions with the healthcare provider before undergoing Botox treatment. A qualified professional will carefully assess an individual’s suitability for the procedure and provide guidance on potential risks and benefits based on their specific circumstances.

How Effective are Botox Injections in Treating Excessive Sweating?

When can I start to see results from the Botox treatment?

Botox has been shown to result in an 82-87% decrease in sweating. Results start to be noticeable approximately 2 to 4 days after treatment with the full effects usually noted within 2 weeks.

How long will the treatment last?

Botox injection for excessive sweating can last between 6 to 8 months depending on the individual, metabolism, and severity of the excessive sweating.  

Preparation and Aftercare for a Botox Procedure

Botox injection is a very quick procedure with no downtime.

How to prepare for your Botox procedure

Botox injections are a simple and quick procedure done in your doctor’s office. It is recommended to wear a short-sleeved shirt and avoid shaving your armpits for 2 or 3 days prior to the appointment. Your doctor may also ask you to stop taking blood thinning medication for a few days before your injections to prevent bruising. 

What to expect during your Botox procedure

Botox procedure for excessive sweating is quick, about 20 to 30 minutes depending on the area treated. Your doctor will mark the skin with a specific grid pattern and then proceed with the injections. For best comfort, he can apply a local numbing cream. 

What to expect after your Botox treatment

You can return to work and normal life as soon as you’re done with your Botox injections. The doctor will schedule a follow-up appointment to check in and touch up if needed.

The Cost and Coverage of Hyperhidrosis Treatment

How much does Botox for underarm sweating cost?

Excessive sweating treatment with Botox costs $1495. 

Does insurance cover Botox for hyperhidrosis

Currently, insurance does not cover Botox treatments or services. 

Finding a specialist

To find a specialist who can administer Botox injections for hyperhidrosis, you can follow these steps:

  • Speak to a Clinique Des Champs Elysees Medspa specialist: Contact us to set up your own free consultation with our highly trained specialists. They will help determine if you are eligible for these treatments and help assess any safety concerns you have. If you are not local to our clinic immediately, you may also…
  • Consult with your primary care physician: Start by talking to your primary care doctor about your concerns regarding hyperhidrosis. They can provide initial guidance and may refer you to a specialist who is experienced in treating hyperhidrosis with Botox.
  • Seek recommendations: Ask friends, family, or colleagues if they have had Botox treatments for hyperhidrosis or if they know of any reputable specialists in your area.
  • Check with dermatologists or cosmetic surgeons: Dermatologists and cosmetic surgeons often have experience in administering Botox for hyperhidrosis. Look for specialists who specialize in cosmetic dermatology or minimally invasive procedures.
  • Research online: Use search engines to find specialists in your area who offer Botox treatments for hyperhidrosis. Read reviews and check their qualifications and experience.
  • Visit hyperhidrosis support groups or forums: Online communities and forums related to hyperhidrosis may provide recommendations and personal experiences with specialists who have successfully treated hyperhidrosis.
  • Verify qualifications: Ensure that the specialist is licensed, board-certified, and has experience in treating hyperhidrosis with Botox. You can check their credentials on official medical board websites.
  • Schedule consultations: Once you have shortlisted potential specialists, schedule consultations with them. During the consultation, discuss your symptoms, medical history, and expectations. The specialist will assess whether you are a suitable candidate for Botox treatment and explain the procedure and potential outcomes.
  • Ask about the treatment plan and cost: Inquire about the treatment plan, including the number of injections needed and the estimated cost. Botox for hyperhidrosis is often not covered by insurance, so it’s essential to understand the expenses involved.
  • Choose a specialist you feel comfortable with: Select a specialist you feel confident and comfortable with, as this will ensure a positive treatment experience.

Remember that Botox treatment for hyperhidrosis should be performed by a qualified healthcare professional with experience in administering the injections. The specialist should be knowledgeable about hyperhidrosis and have a successful track record in providing Botox treatments for this condition.

Other Botox Procedures Offered by Our Clinic

Botox is also used for anti-aging purposes on the face as it relaxes the muscles around the eyes (crow feeds) on the forehead (the eleven), and also for slimming the face when targeting the masseter muscles, giving a slimmer and defined jawline. 


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