Botox for Excessive Sweating (Hyperhidrosis): How It Works, Results, and What to Expect
If you find yourself constantly battling sweat stains, even in cool environments or during minimal activity, you're not alone. Excessive sweating, known as hyperhidrosis, affects millions of people and can be more than just a nuisance. It can significantly impact your self-confidence and quality of life.
Fortunately, Botox injections offer a highly effective solution. At Thrive Med Spa, we provide expert Botox treatment for hyperhidrosis, helping our clients regain comfort and control. Here’s everything you need to know about this life-changing treatment.
What Is Hyperhidrosis?
Hyperhidrosis is a medical condition characterized by abnormally increased sweating that isn’t necessarily related to heat or exercise. While sweating is a natural and necessary function to regulate body temperature, excessive perspiration can interfere with daily life, clothing choices, and social interactions.
When Is Sweating Considered Excessive?
Sweating is considered excessive when:
You sweat through your clothing frequently
You avoid social or professional situations due to embarrassment
You use prescription-strength antiperspirants with little success
Sweating occurs even when you're at rest or in cool environment
There are two main types:
Primary hyperhidrosis: Typically starts in adolescence and is localized (underarms, hands, feet).
Secondary hyperhidrosis: Caused by an underlying medical condition or medication and usually involves overall body sweating.
If you're experiencing these symptoms, you're not just dealing with a cosmetic issue, you may be a candidate for medical treatment.
How Botox Treats Excessive Sweating
Botox is most commonly known for reducing wrinkles, but it's also FDA-approved to treat severe primary axillary hyperhidrosis (excessive underarm sweating). It works by temporarily blocking the chemical signals that activate sweat glands.
The Science Behind It
Botox (botulinum toxin) interrupts the nerve signals that tell your sweat glands to activate. When these signals are blocked, the glands simply don’t produce sweat. Importantly, Botox only affects the treated areas, so your body will still sweat normally elsewhere to regulate temperature.
FDA-Approved and Off-Label Uses
FDA-approved: Treating excessive underarm sweating (axillary hyperhidrosis)
Off-label (but commonly performed): Treating excessive sweating in the palms, soles of the feet, face, or scalp
Many clients at Thrive Med Spa successfully use Botox for both approved and off-label treatment areas to manage their symptoms.
What to Expect During the Procedure
Pre-Treatment Preparation
Before receiving Botox injections for hyperhidrosis, your provider will:
Review your medical history and medications
Confirm that your sweating is not due to an underlying condition (secondary hyperhidrosis)
Discuss expectations and areas of concern
May conduct a starch-iodine test to map the areas of excessive sweating
You may be advised to avoid shaving or using deodorants in the area 24 hours before the treatment.
How the Injections Work
A fine needle is used to inject small amounts of botulinum toxin just beneath the skin.
Injections are spaced evenly across the treatment area (e.g., around 10-15 injections per underarm).
The procedure typically takes 20 to 30 minutes and is well-tolerated by most clients. A topical numbing agent can be applied to minimize discomfort.
Immediate Aftercare Tips
Avoid strenuous activity for 24 hours
Don’t use deodorant or antiperspirant for at least 24 hours post-treatment
Avoid hot baths, saunas, and steam rooms for 1–2 days
Stay upright and avoid applying pressure to the area for several hours
Results and Effectiveness
How Soon Will You See Results?
Most clients begin to notice a reduction in sweating within 4 to 7 days, with full results appearing by two weeks post-treatment.
How Long Does It Last?
Botox for hyperhidrosis typically lasts 4 to 6 months, though some people may enjoy results for up to 9 months. Maintenance treatments are usually needed twice a year to keep symptoms at bay. Many clients report a significant boost in confidence, comfort, and overall quality of life after starting Botox treatment for excessive perspiration.
Is Botox Right for Your Sweating?
Who’s a Good Candidate
You may be a good candidate if you:
Have been diagnosed with primary hyperhidrosis
Struggle with severe underarm sweating that interferes with your life
Have tried over-the-counter or prescription antiperspirants without success
Want a nonsurgical, fast-acting treatment with minimal downtime
Who Should Avoid It
Botox may not be suitable for:
Pregnant or breastfeeding individuals
Those with certain neuromuscular disorders
Individuals allergic to any ingredients in Botox
People with infections at the injection site
Always consult with a licensed provider to determine if Botox is the right solution for your needs.
Potential Risks and Side Effects
Common Temporary Reactions
Mild pain, redness, or bruising at the injection site
Headache or slight swelling
Temporary muscle weakness near the treated area (rare)
Rare but Serious Effects
Allergic reactions
Infection (if post-care instructions are not followed)
Compensatory sweating in other areas of the body
At Thrive Med Spa, our highly trained injectors use meticulous technique and hygiene protocols to minimize these risks.
Cost and Insurance Coverage
How Much Does It Cost?
The cost of Botox treatment for excessive sweating depends on the treatment area and number of units used. On average:
Underarm sweating: $900–$1,500 per session
Palms or soles: May be slightly higher due to the complexity
Your provider will give you a custom quote during your consultation.
Will Insurance Cover It?
In some cases, yes—especially if you’ve:
Been diagnosed with severe primary axillary hyperhidrosis
Tried and failed prescription antiperspirants
However, Botox for sweating is not always covered and may require prior authorization. At Thrive, we accept HSA but do not proceed with insurance claims.
Want Personalized Advice for Your Hyperhidrosis Treatment? Contact Thrive Today for Your Expert Consultation
If you're ready to stop worrying about sweat marks and start living more confidently, Botox may be the solution you've been searching for. At Thrive Med Spa in Cincinnati, we specialize in safe, results-driven Botox treatment for excessive sweating. Whether you're dealing with underarm sweating, clammy hands, or another form of hyperhidrosis, we’ll tailor a treatment plan just for you.
Schedule your complimentary consultation today and let our team of experienced providers help you reclaim your confidence and comfort.
About Thrive Medical Spa
Thrive Med Spa is a premier aesthetic and wellness destination in Cincinnati, offering expert-led treatments that combine science with artistry. In addition to Botox for wrinkles and sweating, we provide a full range of services, from dermal fillers and microneedling to personalized skincare and confidence-boosting consultations.
We pride ourselves on providing natural, effective, and empowering results that enhance your life, not just your appearance.
Frequently Asked Questions (FAQs)
Does Botox really help with excessive sweating?
Yes! Botox is FDA-approved for treating severe primary axillary hyperhidrosis and works by blocking the nerves that signal sweat glands to produce sweat.
How long does Botox for sweating last?
Most clients experience results for 4 to 6 months, though some enjoy relief for up to 9 months.
What are the downsides of armpit Botox?
Drawbacks may include temporary discomfort, bruising, or the need for repeat treatments every few months. Rarely, compensatory sweating may occur in untreated areas.
Is Botox for hyperhidrosis worth it?
For many, yes—especially if sweating severely impacts daily life. Clients often report improved self-esteem, social confidence, and clothing flexibility.
How much does Botox for sweating cost?
It typically ranges from $900 to $1,500 per session depending on the area and provider.
Does insurance cover hyperhidrosis Botox?
Sometimes. You’ll likely need a diagnosis of severe primary hyperhidrosis and documentation of failed topical treatments. Prior authorization is usually required.
Can I wear deodorant after armpit Botox?
You should avoid deodorants or antiperspirants for at least 24 hours after treatment to prevent irritation or infection.