Hyperhidrosis Botox

Botox blocks the nerve signals to sweat glands in the treated area. The result: dramatically reduced sweat production—up to 90% reduction is common. Most commonly used for the underarms (hyperhidrosis), but also approved for palms, soles, and other focal areas of excessive sweating. FDA-approved for primary axillary hyperhidrosis.

Typically 4–7 months per treatment in the underarms. Palms and soles tend to last a bit shorter—3–5 months due to faster muscle/nerve turnover. Most patients re-treat 2 times per year for consistent sweat control. Effect peaks at 2 weeks.

Standard dosing: 50 units per underarm (100 units total). Palms and soles require similar dosing per area. Larger or more severe cases may require more. This is significantly more product than cosmetic Botox—the cost reflects the units needed.

Underarm injections are usually well-tolerated—the area can be slightly numbed beforehand with topical anesthetic or cold packs. Palm and sole injections are more sensitive; we can use nerve blocks or vibration distraction for comfort. Treatment takes 15–20 minutes.

Often yes for the underarms—if you have a documented diagnosis of primary axillary hyperhidrosis, have tried prescription antiperspirants without success, and your insurance plan covers it. We don't bill insurance directly, but we provide documentation for you to submit for reimbursement. Call your insurance to verify coverage before treatment.

Hyperhidrosis Botox is $1,400 (both underarms). Members receive discounted pricing. We can discuss options at consultation.

No real downtime. Minor redness or tenderness at the injection sites for a few hours. Avoid heavy exercise for 24 hours. You can resume normal antiperspirant use, but most patients find they don't need it. Effect begins in 4–7 days, peaks at 2 weeks.

Common: temporary mild bruising or tenderness at injection sites. Rare: compensatory sweating in untreated areas (your body shifts sweat production elsewhere), temporary weakness in adjacent muscles (for hand injections especially). Serious effects are extremely rare with proper technique. We screen for contraindications.

Yes—palmar and plantar hyperhidrosis (sweating of hands and feet) responds well to Botox. Treatment for palms can cause temporary mild hand weakness for 1–2 weeks (the same nerves serve sweat glands and small hand muscles). We discuss the trade-off at consultation. For severe hand sweating, the result is usually worth the brief weakness.

Book a consultation. We'll discuss your sweating patterns, document medical necessity if needed for insurance, and design a treatment plan. Bring records of any prescription antiperspirants you've tried—it helps with insurance submissions. Call (806) 701-5840 or book online.