Sweating is a natural response to physical exercise, heat, or even stress. Perspiration is designed to keep our body cool –– but some of us sweat so excessively that it becomes a problem.

What you may not realize is that an abnormal amount of sweating is an actual medical condition known as hyperhidrosis. Hyperhidrosis refers both to excessive sweating all over the body, or hyperactive sweating in just one area.

If you deal with this issue, you aren’t alone. Hyperhidrosis affects around 3% of the US population –– that’s nearly ten million people. 

Areas commonly affected by hyperhidrosis include the forehead, face, underarms, feet, and the palms of the hands. These areas can become soaked in sweat even when the rest of the body isn’t. This sweating can occur even without physical exertion or overheating.

Those who suffer from hyperhidrosis may find it affecting their lives in a myriad of ways. Extreme sweating can lead to embarrassing stains on clothing and unpleasant body odor. Perspiration on the head and face can interfere with makeup application and hair styling. Sweaty palms can make carrying out everyday tasks, like shaking hands, driving or opening containers, tricky.

In the long run, all these issues can hurt your self-esteem. In fact, patients suffering from hyperhidrosis have a higher chance of dealing with depression as well as anxiety. 30 to 37.9% of patients with hyperhidrosis report their excessive sweating being a constant strain on their daily life and mental health, while 64.7 to 86% reported moderate to severe negative emotional impacts. Many also report significant impacts on everything from hobbies to their career as a result of hyperhidrosis.

When Botox is injected into the sweat glands located throughout the skin, it disables neurotransmitters and prevents the glands to secrete sweat. As a result, patients are left sweat-free for 4 – 6 months.

Botox for excessive sweating is a quick, convenient, and effective procedure that involves limited side effects and zero downtime. Current research based on randomized controlled trials demonstrates that it is 80% – 90% effective in treating symptoms of hyperhidrosis in only one treatment.


Many patients choose Botox for hyperhidrosis treatment due to its efficacy and longevity. In fact, in a study of 145 patients, 98% of them said they would recommend toxin injections to others for excessive sweating.

When hyperperspiration is a significant part of your life, other methods are often less effective. Topical treatments, such as antiperspirants or aluminum chloride gel, are a much more temporary and often irritating, solution. Other surgical options such as endoscopic transthoracic sympathectomy or the excision of sweat glands are invasive, expensive, and require significant downtime.

In contrast, neurotoxin jabs are a much quicker, safer, and more durable treatment method for excessive sweating. Hyperhidrosis patients who have been failed by topical antiperspirants experience a 75% improvement in their symptoms after neuromodulator procedure, and a better quality of life.


Botox inhibits heavy perspiration by temporarily restricting the release of the neurotransmitter acetylcholine. This novel toxin breaks apart the SNAP-25 protein, which, in turn, prohibits the release of acetylcholine and the overstimulation of sweat glands. Without the sweat, or eccrine glands being overstimulated, sweat production will cease.

Once the sweat glands are shut down, the excessive sweat production is stopped, leading to a chain reaction eliminating all the uncomfortable symptoms associated with underarm sweating. Because excessive sweating occurs due to overactive sweat glands, neuromodulator is an excellent solution to mitigate the root of the problem.

Botox hyperhidrosis


Everybody sweats from time to time. Sweating is a regulatory mechanism that our bodies use to keep cool. However, hyperhidrosis refers to sweating that occurs in abnormal amounts and without an obvious cause. But why does this occur?

Extreme perspiration begins in the central nervous system, with the overstimulation of cholinergic receptors on eccrine glands. In more simple terms: hyperhidrosis occurs when nerves send signals to sweat glands more frequently than they are supposed to.

Eccrine glands, also called sweat glands, are heavily located in parts of the body that typically sweat the most –– such as the forehead, armpits, feet, and palms.

There are two major types of hyperhidrosis:

  • Primary Focal Hyperhidrosis
    The first kind of hyperhidrosis is known as primary focal hyperhidrosis. This form of the condition has no clear cause, but primarily involves excessive perspiration in specific areas of the body, such as the hands, feet, head, and underarms.

    The causes of primary focal hyperhidrosis are still unknown, though it is likely related to genetic factors. Overactive neural stimulation may be an inherited trait. Primary focal hyperhidrosis often begins in adolescence.
  • Secondary Generalized Hyperhidrosis
    Secondary generalized hyperhidrosis occurs in more generalized area of the body, and can even bother patients while sleeping. This type of hyperhidrosis is associated with the use of certain medications, as well as systemic disorders.

    The onset of secondary generalized hyperhidrosis is often in adulthood. Excessive alcohol consumption and febrile illnesses are linked to secondary generalized hyperhidrosis as well. 


Instagram, Twitter, TikTok, Youtube, alongside a wide range of other social media platforms have built entire online communities and discussions about neurotoxins and their benefits. If you google “Botox for Hyperhidrosis”, you will be sure to find at least one forum in which other people, just like you, discuss their issues with excessive sweating and what they do to treat it. Thanks to social media, people have become more aware that hyperperspiration in the under arms or palms is extremely common, making everyone feel less alone and allowing them to learn how effective Botox can be to stop their sweating.


Yes, Botox is incredibly useful when it comes to treating sweaty armpits. The best way to find out whether it is the right treatment for your hyperhidrosis is to schedule a consultation with Dr. Schwarzburg to determine how many units of the toxin you need, and whether it can be injected into your area of concern.


Botox and other neurotoxins like Dysport, Xeomin, and Jeuveau all mitigate the production of sweat in the injected area by 82 – 87%. While antiperspirants and other natural remedies can help reduce sweat stains and body odor, this neuromodulator is able to stop your sweat glands from overproducing sweat in various regions of the body in only two weeks. 

Botox excessive sweating

Is it safe to get Botox injected in the underarms?

If you are otherwise healthy, yet experience this kind of excessive sweating to the point where it interferes with your daily and professional life, you are likely a candidate for treatment via botulinum toxin injections.

When considering Botox for hyperhidrosis, it is important to have a conversation with your doctor about your condition and treatment options. If topical treatments such as antiperspirants do not provide relief from your symptoms, the this neurotoxin can be a safe and effective solution for you.


Botox sweat reductions injections can be unpleasant, as they are often administered in highly sensitive areas of the body. The palms of your hands and soles of your feet, for example, are the site of many rich nerve endings. In addition, they often require multiple injections. To reduce discomfort, you will receive a strong topical numbing cream in anticipation of  your treatment. 

Does botox in the armpits stop underarm odor?

With the improvement of hyperhidrosis symptoms, you can also expect a significant reduction in unpleasant body odor. The unpleasant smell of body odor is brought about by the bacterial growth and decomposition of the constituents of sweat, including lactic acids and fatty acids, secreted from different glands. Because the overstimulation of these glands is prevented by botox, body odor will also decrease. 

How does one inject Botox to paralyze the sweat glands?

Botox for excessive sweating  is injected via an ultra precise nano-needle into a superficial dermal layer using several (20 to 30) injection points. These injections are spread out in a gridlike pattern, with distances of about 1 cm in between, to target excessive sweating. This procedure should always be performed by a board certified physician with experience in injectables to ensure proper placement of the product and to avoid any risks or complications.

How many units of Botox are needed to reduce sweating?

In one session, most patients need at least 100 units of Botox for sweating to achieve significant results. When treating both armpits, hands, or feet, that means 40-50 units will be injected into each side. More severe cases of overactive sweating may require a great number of units for the desired effect.


Yes, this treatment is sometimes covered by insurance because hyperhidrosis is considered a medical condition. Depending on where you go, your provider may or may not be within your network. At Skinly, we also accept FSA and HSA cards as payment methods to make sure that we meet not only your aesthetic, but financial needs.


Patients commonly observe a reduction in sweating within the first week following their Botox treatment. This improvement is generally the same for those with both moderate and severe symptoms. Afterwards, you can expect relief from your symptoms for approximately 6 to 9 months. While this varies from person to person, most of Dr. Schwarzburg’s patients come in every 4 – 5 months for follow-up or touch up treatments to maintain there odor and sweat-free under arms.


Botox injections used to treat plantar perspiration (in other words, sweating of the feet) typically last around 6 to 9 months. Some may choose to manage the symptoms of hyperhidrosis with repeated injections over the course of many months or years.

Can I take a shower after receiving Botox in my underarms?

It is best to avoid taking a shower on the day of your neurotoxin injections to paralyze your sweat glands. Heat, exercise, or anything that would cause sweating should be forgone for 12 hours post-injection to minimize the risk of bruising. Once 12 hours have passed, you may gently cleanse your underarms with room temperature water if needed.

Are there alternative treatments to treat hyperhidrosis?

There are a lot of alternatives to help reduce constant sweating, such as prescription grade antiperspirants such as Drysol, which can be applied topically to improve your hyperhidrosis. Unfortunately even the strongest of antiperspirants like Drysol aren’t always effective on everyone, though it is worth trying if you are afraid of needles and want to start with something non-invasive. There are also oral medications that can be taken to relieve symptoms of secondary generalized hyperhidrosis, which addresses the entire body, rather than localized sweating in the under arms, palms, or feet. One of the best known oral medications to treat this condition is glycopyrrolate, or Rubinul, which helps block sweat gland stimulation and in turn, overall sweating.

  • MiraDry is a system that uses radiofrequency (RF) to remove sweat glands through electromagnetic energy called thermolysis.
  • Glycopyrronium tosylate (Qbrexza) is a wipe that can be prescribed to slow down sweat gland activity upon use in the axillary area.

Is it possible to grow out of hand sweating?

Hyperhidrosis has been studied amongst various age groups to explore trends in the condition to see what causes it to occur, and whether it comes and goes with age. The unfortunate findings were that 88% of subjects actually reported an increase in overproduction of sweat, rather than a decrease with age. Fortunately, Botox, amongst other alternative options allow us to mask and even completely get rid of the symptoms of over productive apocrine glands.

While all people experience underarm sweat from time to time, those who have been dealing with extreme axillary perspiration for over six months often have difficulty finding relief, even when they are not physically exerted, hot, or stressed. While drugstore deodorants may not be helpful, regular neurotoxin follow up sessions can significantly help this issue.


In most cases, there are no adverse effects when treating hyperhidrosis with neurotoxin injections. However, some patients have found that temporary side effects include muscle soreness or slight itching in the axillary. In a study of 145 patients, 63.4% of patients report being completely satisfied after their treatment, while the remaining 26.6% report at least partial or moderate satisfaction. Common temporary side effects also include bruising and redness around the injection points, which can be reduced by applying a warm compress on day 2.

What areas can be treated for excessive sweating with Botox?

Botox can be injected almost anywhere on the body, given you are a candidate for the treatment of hyperhidrosis. The areas in which people tend to sweat the most include the following:

  • The palms of the hands, which can even interfere with basic social interactions like shaking someone’s hand. Having clammy hands while greeting someone can be embarrassing, making the initial interaction awkward for both parties. As such, Botox can be used for palmar hyperhidrosis.
  • The soles of the feet, which also tend to excrete a pungent odor, especially when you wear sneakers or closed toed shoes of any kind.
  • Axillary sweating is one of the most common areas of concern, as your armpits not only begin to smell with excessive sweating, but leave embarrassing sweat stains on your shirt. This can be mitigated with neurotoxins.
  • Other areas in which the toxin can be beneficial include the face, with the added benefit of wrinkle relaxation, and larger surfaces of the body like your back.

What is the procedural protocol for excessive sweat treatment using Botox?

At Skinly Aesthetics, you can receive Botox injections for excessive perspiration in the palmar, plantar, and axillary areas, as well as other parts of the body. During a consultation with Dr. Schwarzburg, you can establish a personal treatment plan, identify your goals, and discuss any relevant medical history to determine if you are a candidate for hyperhidrosis Botox treatment.

The procedure for treating hyperhidrosis involves infusing the toxin  into the dermal layer where the sweat glands are located. This is different from the technique used to combat facial wrinkles, which targets the muscle fibers. Botulinum toxin type A operates as a neuromodulator. This means that it affects neurotransmissions taking place in the peripheral nervous system, which signal your body to produce –– or overproduce –– sweat.

How long is the procedure?

Prior to the procedure itself, a numbing cream is applied. The numbing cream is given 30 to 45 minutes to take effect. After this, the injection process only takes around 10 to 20 minutes. In total, a neurotoxin session for hyperhidrosis takes around 40 minutes to 1 hour.

Can I get Botox to treat my sweaty hands?

Primary focal hyperhidrosis in the hands (also known as palmar hyperhidrosis) commonly acts up in response to stressful or anxiety inducing situations. This type of sweaty hand symptom can be treated by botox hand injections.

Is excessive palmar perspiration common?

Severe palmar hyperhidrosis affects 3% of the population, though many of us tend to sweat significantly more during the summer or when your body is overheated which results in temporary overactivity of the apocrine glands in the hands. Many of Dr. Schwarzburg’s patients get seasonal neuromodulator injections in their hands, to make social interactions and general daily tasks more comfortable.

Can I get Botox for face sweat?

Yes, neurotoxin is a viable method of controlling facial perspiration. Many patients who get wrinkle relaxers in the face also enjoy the added benefit of sweat reduction in the forehead. 

How does Botox stop sweating and how does it affect sweat glands?

When Botox is used for sweating it blocks the release of acetylcholine, the neurotransmitter that signals the nervous system to trigger sweat glands upon injection. As a result, the toxin causes the injected area to stop producing sweat, decreasing or fully eliminating severe palmar, plantar, and axillary sweating. Once the effects have settled, your results will last for 4 – 6 months or longer with routine maintenance appointments.

How much does it cost to stop my sweating?

The cost of Botox to stop sweating generally ranges $1000 – $2000 depending on the number of units needed to treat your area of concern. Most patients require 100 units per area, though this varies from person to person and the overall size of the targeted surface. You may need more units for your feet than you would need for your underarms, for example.

Who injects Botox for hyperhidrosis?

It is best to seek out a board certified physician to treat your hyperhidrosis, who has an exquisite understanding of your anatomy, and years of experience injecting neuromodulators. This way, you can rest assured that the toxin will be placed properly to avoid complications and risks, and minimize side effects.


Many people suffer from the far-reaching effects of excessive perspiration, or hyperhidrosis, in their lives. From aesthetically unpleasant effects to trouble performing daily tasks, many patients find themselves at a loss with how to cope with this condition.

Botox for underarm sweating injections administered by a skilled, board certified cosmetic surgeon or physician are a quick, long-lasting, and safe treatment method for dealing with hyperhidrosis. This treatment method is preferred by many patients as a procedure with high efficacy and little downtime. 

Being more successful than topical antiperspirants and less invasive than surgical options, these treatments can help improve your quality of life by controlling excess sweat. Be sure to consult Dr. Schwarzburg to see if the anti-sweating treatment is right for you.


Come see Dr. Schwarzburg at Skinly Aesthetics to receive top quality care for your hyperhidrosis. Dr. Schwarzburg is a highly skilled board certified cosmetic physician with ten years of experience. He is one of the most sought after doctors in NYC; at Skinly, he provides a variety of cosmetic and medical procedures.
To schedule your one on one consultation with Dr. Schwarzburg at Skinly Aesthetics, you can call the office at (212) 774-4264, or email us at