Aesthetic injector administering a filler injection to a smiling patient's cheek at The Spa by Sheena, a medical day spa in Lubbock, TX

injectables

Hyperhidrosis Botox

Hyperhidrosis Botox calms overactive underarm sweat glands by blocking the nerve signal that triggers them. At The Spa by Sheena in Lubbock, it is $1,400 for both underarms (100 units at $14 per unit), injected by Becca (MSN, FNP-C) or Angie (RN). Results set in within about a week and last around 4 to 6 months.

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How long a Botox for sweating appointment takes

Sweating starts easing within about a week, the full effect settles by around two weeks, and results last roughly 4 to 6 months before you come back.

What kind of treatment is Botox for sweating?

A series of many tiny injections placed just under the skin in a grid across each underarm, using a fine needle, in under half an hour with little to no downtime.

Where we inject Botox for sweating

The underarms (axillae). The same toxin can be used off-label for sweaty palms and soles, discussed at your consultation.

Who Botox for sweating is for

Reduces the excessive underarm sweating of severe primary axillary hyperhidrosis when antiperspirants have not done enough.

Inside a 30-minute Hyperhidrosis Botox appointment

Our Hyperhidrosis Botox Services

Injectable sweat-reducer (onabotulinumtoxinA)

What is Botox for hyperhidrosis?

Hyperhidrosis is sweating past what your body needs to stay cool. Normal sweat is your temperature control doing its job. Primary focal hyperhidrosis is different. The sweat glands in one area, most often the underarms, switch on for no real reason, whether or not you are hot or nervous. It usually shows up on both sides at once, tends to start before age 25, and quiets down while you sleep. It is common, affecting roughly 1 to 3 percent of people, and it is not something you brought on yourself.

Botox treats it by working on the signal, not the gland. Botox is the brand name for onabotulinumtoxinA, a purified injectable made by Allergan. The nerves that turn your sweat glands on use a chemical messenger called acetylcholine. Botox blocks that messenger, so the glands in the treated patch stop overproducing sweat. Nothing is removed or damaged. The glands simply go quiet for a while, then wake back up as the Botox wears off.

For the underarms, this is an on-label medical use. Botox is FDA-approved for severe primary axillary hyperhidrosis in adults when antiperspirants, including prescription-strength ones, have not done enough. That is a separate approval from cosmetic Botox for wrinkles, which treats the face for a different reason.

At The Spa, hyperhidrosis Botox is $1,400 for both underarms. That is 100 units at $14 per unit, the standard dose of 50 units per side. It is the same toxin we place across our neurotoxin treatments, used here in a much larger amount and injected into the skin rather than into muscle.

What to expect from hyperhidrosis treatment

You may notice mild soreness, redness, or small bumps at injection sites. These resolve within a few hours. Bruising can happen and clears in 7 to 10 days.

Avoid strenuous exercise for 24 hours. Skip hot showers, saunas, and heavy exertion for the first 4 hours. Sweat reduction begins within 2 to 4 days and reaches full effect by 2 weeks. The result typically lasts 4 to 7 months.

Benefits of Botox for hyperhidrosis

STOP THE SWEAT

Reduces excessive underarm sweating so you can wear what you want without worry.

CONFIDENCE

End sweat-stained shirts, embarrassment, and constant antiperspirant reapplication.

LASTING RELIEF

Each treatment lasts 4 to 7 months—just two appointments a year for consistent dryness.

FDA-APPROVED

Botox is FDA-approved specifically for primary axillary hyperhidrosis (excessive underarm sweating).

REIMBURSEMENT PAPERWORK

We do not accept insurance, but we can provide documentation for you to submit to your plan. Coverage is up to your insurer.

Inside a 30-minute Hyperhidrosis Botox appointment

Inside a hyperhidrosis Botox appointment

Your visit starts with a consultation. Your injector goes over your health history and medications, confirms the sweating is primary and focal, and asks what antiperspirants you have already tried. Some injectors map the sweat first with a starch-iodine test, also called Minor's test. Iodine and a fine starch powder are applied to the skin, and the spots that are actively sweating turn dark blue. That stain shows exactly where the injections should go. Not every appointment needs it, and your injector will tell you whether yours does.

The treatment itself is a series of many tiny injections, spaced in a grid across each underarm about a centimeter or two apart, with a very fine needle placed just under the skin. Most people describe small pinches rather than real pain. A numbing cream or a cold pack beforehand takes the edge off. The whole appointment is short, usually well under half an hour, and there is little to no downtime. You can drive yourself home and get back to your day.

You will not walk out dry. Botox needs a few days to take hold. Most people notice their underarms drying out within about a week, with the full effect settled by around two weeks. It does not last forever. For underarm sweating, results generally hold about 4 to 6 months, often a little longer than cosmetic facial Botox lasts, and some people stretch further before their next round. When the sweating starts to creep back, that is your cue to come in. We cannot promise an exact number of dry months, since it varies from one person to the next.

Your injector is Becca (MSN, FNP-C) or Angie (RN), both working under our medical director Dr. Arledge, a plastic surgeon. The Spa has been open in Lubbock since 2016.

We do not bill insurance; documentation provided on request

Before your first hyperhidrosis treatment

Most side effects are minor and local. In the first few days you may see small bruises, redness, or mild swelling at the injection sites, and some people get a mild headache. These fade on their own. A few people notice slightly more sweating somewhere else on the body after treatment, usually mild. Serious problems are rare, and Botox for underarm sweating has a long safety record. Still, tell your injector right away about any trouble swallowing or breathing, or any unusual muscle weakness, after any Botox treatment.

The underarms are the area with FDA approval and the most evidence behind them. Botox can also be used off-label for other sweaty areas, such as the palms and the soles of the feet, though those uses are not FDA-approved and the technique is different. If sweaty hands or feet are your main concern, bring it up at your consultation and we will talk through whether treatment makes sense for you.

Botox is not right for everyone. It should be avoided during pregnancy and while breastfeeding. It is not recommended if you have a neuromuscular condition such as myasthenia gravis, ALS, or Lambert-Eaton syndrome, since these raise the risk of muscle weakness. Tell your injector if you take an aminoglycoside antibiotic, like gentamicin, because it can strengthen the effect of the toxin. Share your full medication and health history so your care stays coordinated.

Now the money question. We do not accept or bill insurance, and we do not file claims for you. Some plans will reimburse hyperhidrosis Botox when antiperspirants have failed, but that is strictly between you and your insurer, and we cannot promise what yours will do. What we can do is give you documentation of your treatment that you are welcome to submit to your plan for possible reimbursement. Whether it is covered is the insurer's call, not ours.

After your appointment, see our Botox aftercare guide for step-by-step recovery instructions and what to expect.

VIP members save 10% on every visit.

Hyperhidrosis Botox is one option among our injectable treatments. If you are weighing it, or want to pair it with anything else on your list, the best next step is to talk it through in person. Book online or call (806) 701-5840.

PRICE RANGE

$1,400

PER SESSION

VIP members save 10% on every session

Book Now (806) 701-5840

POST CARE

View our post-care guide for important aftercare instructions to help support healing and maximize your results.

View Aftercare Guide

FAQ

Your questions, answered

We’ve answered some of the most common questions below to help make your experience simple, transparent, and stress-free.

Botox blocks the nerve signals to sweat glands in the treated area. The result: dramatically reduced sweat production. 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.

What is Botox for sweating and how does it work?

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.

How long does Botox for sweating last?

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.

How many units does Botox for hyperhidrosis require?

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.

Does Botox for sweating hurt?

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.

Will my insurance cover Botox for hyperhidrosis?

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

What does Botox for sweating cost without insurance?

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.

What's the recovery from Botox for sweating?

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.

Are there side effects of hyperhidrosis Botox?

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.

Can Botox for sweating treat palms and feet?

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.