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Botox® Treatment for Armpits & Hyperhidrosis

Botox injections for hyperhidrosis (armpit sweating) has been described as a “life-changing event” by Dr. Green’s patients since they no longer have to deal with the embarrassment or discomfort caused by excessive sweating. Dr. Michele Green was one of the first dermatologists in New York to incorporate Botox injections into her private, upper east side NYC office. Dr. Green is known as one of the “best Botox injectors” in Manhattan and has over 25 years of experience in treating patients with Botox, dermal fillers, skin care, Fraxel laser, CoolSculpting, and other cosmetic treatments. Whether you are looking for the best cosmetic or medical advice, Dr. Green can help provide the right treatment for you.

Hyperhidrosis is a condition caused by an overactivity of sweat glands, which can lead to an excessive amount of sweating, for seemingly no apparent reason. It is estimated that almost 3 percent of individuals in the United States suffer from hyperhidrosis. Many patients are too embarrassed to seek medical help for this common and treatable problem. One of the most common places that patients experience excessive sweating is in their armpits, although hyperhidrosis can extend to the palms, soles, or affect your entire body. There are many different causes of hyperhidrosis, from genetics to anxiety to certain medications. Luckily, many of the conditions which cause hyperhidrosis are now treatable.

Severe underarm sweating can greatly affect the quality of your day-to-day life. If you are one of the 15 million Americans who are suffering from hyperhidrosis, you may experience excessive underarm sweating, which is not the result of heat or temperature. This type of uncontrollable sweating can make you feel too self-conscious to raise your arm and can permanently stain or ruin your clothing. Some patients are unable to even grip a steering wheel or shake hands in public since there is such an excessive amount of sweating. In the past, there were limited treatments to counteract hyperhidrosis or underarm sweating. Now, with the advent of Botox injections for axillary hyperhidrosis, underarm sweating can be successfully and easily treated in Dr. Michele Green’s private NYC dermatology office.

In 2004, the American Food and Drug Administration (FDA) approved Botulinum toxin (Botox) for the treatment of excessive underarm sweating and it continues to be a sought-after procedure. When you think about Botox, the first thought that comes to mind may likely be Botox for cosmetic treatment; Botox injections are known for their miraculous results in treating wrinkles and fine lines. Yet, Botox injections go far beyond cosmetic treatments. Botox has become increasingly known for treating a multitude of medical conditions, including excessive underarm sweating. If you are tired of severe underarm sweat, Botox treatments may be the best treatment for this problem.

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Treating underarm sweating with Botox

Excessive sweating is a very common problem and affects the lives of many people regularly. For those suffering from it, this issue can be a truly significant problem that can impact a person’s self-confidence. For some who deal with severe underarm sweating, the embarrassment from excessive sweating can determine their lifestyle; it becomes the difference between what they choose to wear, or whether they even leave the house at all on a hot, humid day.

In the summer months when the temperature rises outside, the problem can be made much worse as your nervous system tries even harder to keep its body temperature at a normal level. Coupled with the fact that we tend to wear fewer clothes in hot weather, this can mean that any sweating that does occur is visibly more obvious since it cannot be ‘hidden’ under other layers of clothing. Add to that the daily face mask use due to the current Covid-19 pandemic, and the feelings of sweat and discomfort only get worse. In the past, there were few treatments, besides prescription antiperspirants. With the advent of Botox treatments, underarm sweating can be treated in just a few minutes and the treatment lasts 4 to 6 months.

Botox has a unique ability to treat hyperhidrosis due to its active ingredient, botulinum toxin, which is a neurotoxin that interacts with muscles and nerves. It is a popular cosmetic treatment when it comes to the appearance of fine lines and wrinkles due to its ability to “freeze” or limit muscle movement, thus relaxing the muscle and the lines that are caused by the overuse of facial muscles. To treat underarm sweating, Botox behaves similarly, but directs its attention to the nervous system: it blocks the nerves that are responsible for the activation of sweat glands. When Botox is injected by a board-certified dermatologist, like Dr. Michele Green, the overactive nerves become “frozen”, thus preventing the nerves from signaling sweat glands, so that you can finally stop sweating.

How do Botox injections work with hyperhidrosis?

Botox is an FDA-approved approved treatment for excessive sweating that can be injected directly into the sweat glands to help block the release of acetylcholine. These injections, in simple terms, shut down the sweat glands that produce excessive sweating, which in turn effectively disable the sweating process in the location of the injection site.

One of the great things about using Botox to reduce hyperhidrosis is that, as a treatment, it is relatively long-lasting, helping to block excessive sweating for between four and six months. This means that for an individual who suffers from this issue more in the summer months, they can plan and time things to coincide with the upcoming summer heat. Additionally, patients can return to Dr. Green’s office every 6 to 12 months to repeat the procedure for continued dryness. You can discuss the treatment plan that reduces sweat and makes you feel comfortable for years to come.

Social media and Botox

With the continued popularity of social media, people are now talking about Botox more and more and it is an accepted part of our daily conversations. Instagram, Facebook, YouTube, and social media are filled with photos and explanations of Botox for cosmetic indications. Now, thanks to increased social media and Google, the medical conditions for Botox, such as hyperhidrosis, bladder control, or migraines, are being more commonly understood and patients know about these effective options. You are not alone in dealing with issues such as excessive sweating, and with more representation of people treating conditions like hyperhidrosis with Botox being shown in the media and online, it is much easier to see how effective this treatment can be.

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If it works for Chrissy Teigen, will it work for me?

Social media personality Chrissy Teigen was proud to admit it: she used Botox to treat her hyperhidrosis and was able to experience fresh, dry underarms that were truly newsworthy. Chrissy Teigen is one of 15 million Americans who suffer from excessive underarm sweating, and it can certainly be encouraging to see this condition normalized and discussed publicly. Additionally, Chrissy Teigen talked about getting treatment for hyperhidrosis with Botox injections, a process she was very grateful for. It has been shown that Botox for hyperhidrosis can reduce 82-87% of sweat in the underarms, greatly increasing the quality of life for those who suffer from excessive underarm sweating. You can reach out to Dr. Green to determine if this revolutionary method for treating severe underarm sweating is right for you too.

Does Botox work for hyperhidrosis/sweaty armpits? Can you get Botox to stop sweating?

Yes! When injected into a specific area such as the underarms, Botox is incredibly effective at reducing or eliminating sweat. Research shows that Botox is 82-87% effective in reducing underarm sweat in the treatment area according to However, it’s important to note that the sweat-free effects of the treatment will only occur at or near the injection site. If you are experiencing excessive sweat in multiple locations, such as the underarm, hands, feet, or face, Botox can help address and treat each of these areas of the body, which are being affected.

How effective is Botox for hyperhidrosis?

Botox is extremely effective for hyperhidrosis and is the gold standard when it comes to treating excessive sweating. Research shows that Botox is 82-87% effective in reducing underarm sweat and these results can show in as little as two weeks. If you have tried all sorts of antiperspirants and other treatments to no avail, Botox may be exactly what you have been looking for.

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Is Botox in the armpits safe?

Yes, Botox in the armpits is completely safe and was approved by the FDA to treat hyperhidrosis of the underarms in 2004. It is less invasive than surgical options and is minimally painful with little to no adverse side effects. The most common side effect is muscle weakness, which is more of a concern for Botox in the hands. Many individuals have undergone this procedure without any complications and with great results. Dr. Green herself has treated countless patients with hyperhidrosis and they have been more than pleased with their results.

Does Botox in the armpits hurt?

Botox is a safe and effective treatment for hyperhidrosis that is quick to perform and requires no downtime following the treatment. If you’re a first-time patient receiving Botox for your armpits, Dr. Michele Green recommends applying a topical numbing cream, to the area where you will have your Botox injections, one hour before the procedure to ease any discomfort. The process generally causes little to no pain, and the treatment is typically completed within ten minutes. A huge benefit of having this treatment is that it is fast to administer, and thus Botox truly is a ‘lunch-hour’ treatment. There is no downtime necessary following the treatment and you can resume your normal activities right after the procedure. Dr. Green advises patients not to participate in excessive or extreme physical activity, or take hot showers or baths, on the day of their Botox treatment.

Does Botox help underarm odor or stop smell?

A common concern for patients who suffer from excessive underarm sweating is the fear of sweat smell. Body odor can contribute to embarrassment or social anxiety and can keep those affected from living their lives to the fullest. When you sweat, the wet sweat mixes with bacteria that is found on the skin. When the liquid dries, an odor can arise from the area. Luckily, underarm Botox injections can stop or lessen the smell in the armpits. As Botox treatment can shut down sweat glands, it can reduce foul odors caused by sweat when it interacts with natural bacteria on the surface of the skin.

How is Botox injected into the armpits?

A medical professional will inject a small amount of Botox just under the skin’s surface with a small needle by your armpits. The Botox will block the release of the neurotransmitter acetylcholine which is responsible for telling your sweat glands to produce sweat. Botox does this by essentially paralyzing the nerves in the area and preventing sweating solely in the specific area where it was injected. You should see the full effects of the treatment in as little as two to four days in the form of reduced sweat production and body odor.

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How many units of Botox are needed for armpit sweating?

Each patient is different, which is why it is very important to consult with a board-certified dermatologist such as Dr. Green about your specific case and needs. As a standard reference point, Dr. Green recommends a dose of 50 units of Botox in each axilla (more commonly known as an armpit). More injections may potentially be required to cover the area sufficiently but vary on a per-patient basis. Two weeks following the first procedure, Dr. Green will schedule a follow-up appointment to check the treated area and provide a touch-up to the armpit area if needed.

Does health insurance cover Botox for hyperhidrosis?

As Botox is FDA-approved for the treatment of excessive sweating, certain insurance companies cover some aspects of treatment. If you’re dealing with axillary hyperhidrosis and you’ve attempted all other treatment options, including prescription deodorant, topical treatments, natural supplements, and oral medications, private insurance may cover your Botox treatment. Since each insurance company has its own separate rules and regulations, it is best to check directly with your health plan.

What are the causes of hyperhidrosis?

Hyperhidrosis, which is also known as excessive sweating, is caused by overactive sweat glands. There are two types of hyperhidrosis each with a different origin: primary focal hyperhidrosis and secondary generalized hyperhidrosis. Primary focal hyperhidrosis is when you have severe sweating that is not caused by a different medical condition or medication. A person with primary focal hyperhidrosis typically sweats symmetrically on specific areas of their body such as their armpits, hands, or feet. For this kind of hyperhidrosis, you would experience excessive sweating at least one time a week. Botox is very useful to address this kind of hyperhidrosis as Botox can treat the specific area of the body where excessive sweating occurs. With the help of a dermatologist like Dr. Michele Green in NYC, severe sweating in specific locations of the body like the underarms, hands, and face can be greatly reduced.

The second kind of hyperhidrosis is secondary generalized hyperhidrosis, which is when excessive sweating is caused by a medical condition or medication. People who experience secondary generalized hyperhidrosis tend to sweat over large parts of their body rather than specific areas. People with hyperhidrosis caused by a medical condition or medication may also sweat while they are sleeping. It’s important to seek medical advice from an experienced healthcare professional to determine the cause of your sweating.

How long will it take until I see any results?

Once the injections have taken place, the results are very fast-acting. Botox will provide relief from sweating (in the area that was treated) within a few days after the procedure is performed, typically between 4 and 6 days. While it is not a permanent cure for excessive sweating, it can be used to help mitigate the issue and manage it more effectively for a significant period. The dryness from underarm Botox typically lasts for 4-6 months from your injection. After that time, you can return to Dr. Green to receive the treatment again.

How long does Botox last for hyperhidrosis?

Botox for hyperhidrosis typically lasts for four to six months but can last longer for some individuals. It is recommended that you repeat this treatment about every six months to maintain the effects. Results after the injection are almost immediate and can kick in in as little as two to four days. Once you get the treatment done, you will feel more confident and will regret not getting it sooner.

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Can you shower after Botox in the armpits?

No, you should avoid showering during the day of your procedure and for at least 12 hours following your treatment. You should avoid hot water, using deodorant, and doing any heavy exercise as these activities all increase your risk of bruising. The best practice is to gently clean your armpits with a mild cleanser and some lukewarm water after the first 12 hours following the procedure.

Alternative treatments for hyperhidrosis (excessive sweating)

There are several treatments for excessive sweating on the market, including specialized antiperspirant deodorants such as Drysol, which can be helpful. Drysol is a topical medication, which Dr. Green can prescribe, which contains aluminum chloride hexahydrate. In short, Drysol is a prescription-strength type of aluminum chloride. Drysol is applied nightly 2 to 3 nights consecutively, then once a week to maintain the effects and improve your condition. Prescription antiperspirants, such as Drysol, can be applied before bedtime and then washed off in the morning, being careful to avoid the eye area. For many patients, prescription antiperspirants are helpful, but for many others, they do not come close to solving the problem.

Oral medications can also be used to address excessive sweating that occurs due to secondary generalized hyperhidrosis, meaning severe sweating that occurs over a large part of the body rather than in a specific location like the armpits, hands, or feet. Oral medications, such as anticholinergics, work by affecting the nervous system to block the stimulation of the sweat glands, which will reduce sweating throughout the entire body. One such medication is glycopyrrolate (Rubinul). Many side effects are associated with oral medications, like Rubinul. Patients may experience systemic side effects such as dry mouth, constipation, impaired taste, blurred vision, heart palpitations, and reduced bladder function. For patients who are concerned about the wide-ranging potential side effects of oral medication, Botox injections to combat hyperhidrosis can be the best option.

MiraDry treatment for hyperhidrosis

MiraDry is a radiofrequency (RF) system designed to permanently eliminate sweat glands via a process known as thermolysis after 1-2 treatments to get rid of the odor and sweating in the armpit. The treatment involves the use of a handheld device that sends out electromagnetic energy to the specific region of underarm skin that is being targeted and removes the sweat glands. There are a few common side effects that occur after the procedure such as swelling in the armpit, redness, and tenderness that will last for a couple of days. Some patients find that while at first their underarm remains 100% dry directly following the treatment, in 2-3 weeks, sweating may resume. For most patients, however, the MiraDry treatment is long-lasting and may only require 2 follow-up treatments before becoming fully effective. When you work with Dr. Green, she will begin by reviewing your medical history and current condition to determine which treatment is right for you.

Glycopyrronium tosylate treatment for hyperhidrosis

Glycopyrronium tosylate (often known as Qbrexza) is a topical wipe prescribed for excessive underarm sweating. The wipe is used once per day on both underarms and helps reduce a person’s sweat production by blocking the activation of acetylcholine receptors in peripheral sweat glands.

What are the Botox armpit side effects?

There is no downtime after Botox treatment, and the process is rather painless. However, some common side effects of Botox include localized irritation or bruising. More serious side effects, which are extremely rare (occurring in fewer than 1% of patients), include muscle weakness, difficulty breathing, and trouble with bladder control. Due to these potential side effects, any Botox procedure must be done with a board-certified dermatologist or plastic surgeon. Dr. Green is an expert in Botox treatments and will prioritize your safety and goals in equal measure.

After your hyperhidrosis treatment, you’ll notice an improvement in your quality of life. You will be able to wear silk clothing again without being self-conscious about any sweat stains that people will notice. In all cases, your doctor will recommend a follow-up appointment 2-6 weeks later for any maintenance or injection of Botox that is needed.

In extremely rare cases, some patients have reported compensatory sweating or increased sweating in other areas of the body. However, studies regarding compensatory sweating due to Botox for underarms are inconclusive at this point.

Because the effects of Botox are temporary, you will need future injections to keep up with your treatment. Of course, each case is different, and Dr. Green will work with you to discuss a treatment plan that best fits your needs. The bottom line: Botox injections are the best move for treating hyperhidrosis when prescription antiperspirants and/or over-the-counter antiperspirants fail to stop sweating from occurring.

Can Botox be used in other areas to treat excessive sweating?

Botox can be used to treat excessive sweating in the palms of your hands and the soles of your feet as well as on your face. Many patients are embarrassed to shake hands and are concerned with going to social gatherings because of this condition. Botox can effectively treat this hyperhidrosis through the same mechanisms used for underarm sweating. Dr. Green utilizes Botox to treat palmar hyperhidrosis and finds the effects can last up to six months in duration. Clinical studies have shown that it can reduce more than 75% of palmar hyperhidrosis with a single treatment and is extremely effective.

What are the Botox hyperhidrosis protocol and procedure? 

When you know you are interested in getting Botox treatment for hyperhidrosis, it is important to make an appointment with a board-certified dermatologist. You’ll begin by consulting with Dr. Green and letting her know about any medical conditions or medications that you take. Disclosing this information can aid in lowering the risk of side effects. Before the procedure, it is important to note that patients should not shave their armpits for two days before the Botox treatment.

When you arrive for your appointment at the NYC office of Dr. Michele Green, you can expect that the procedure itself will not take long – typically around ten minutes. Dr. Green will prescribe a topical numbing cream that you will apply to the skin, at the injection site, one hour before performing the procedure to help reduce any discomfort or pain. Dr. Green will then inject Botox (also known as onabotulinumtoxinA) in a grid pattern in the armpits with each injection being about one centimeter apart.

There is no recovery time following the procedure, meaning you can resume your normal activities once you are done. Experienced healthcare professionals, like Dr. Green, recommend that patients do not exercise or take hot baths and showers on the first day after the procedure. You will start to see the effects of the Botox treatment in 2-4 days after the injections. Medical professionals, like Dr. Michele Green, will schedule a follow-up visit with you two weeks after your Botox treatment to assess the treatment area and provide any touch-ups if necessary. Your armpits should stay dry for four to six months after the procedure before you need to return to Dr. Green’s office to have the Botox treatment again.

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Can I get Botox hyperhidrosis for my hands? 

Suffering from excessive sweating in your hands, also known as palmar hyperhidrosis, can be very stressful and embarrassing. Many patients with palmar hyperhidrosis try to stay away from shaking hands to avoid having to explain slippery palms and live in fear of damp hands ruining paperwork. The condition can affect their social lives and career. If clinical-strength antiperspirants do not work to decrease excessive sweating in the palms, patients can turn to Botox for relief. It is important to begin by consulting with a medical professional such as board-certified dermatologist Dr. Michele Green in New York.

You will begin the treatment process by meeting with Dr. Green to discuss your specific condition to determine if Botox is the best treatment for you. Dr. Green will then inject your palms with Botox, which will block the chemical messengers of the body that secrete sweat. Injections in the hands can be more painful than in the armpits so Dr. Green will apply a topical numbing cream to reduce discomfort. There may be some pain and weakness in the hands following the procedure that should go away on its own a few days after your Botox injection. Botox is extremely effective in reducing sweat on the palms and can last up to 6 months. The treatment can then be repeated for continued dryness.

Can I get Botox for hyperhidrosis on my face?

Excessive sweating can also occur on the face, head, and scalp. If you suffer from craniofacial hyperhidrosis, you may experience sweat dripping down your face in all sorts of common situations such as while you are just sitting at your desk to work or in social situations. This can dramatically decrease quality of life as patients who suffer from those conditions may avoid work or social functions due to the potential embarrassment of excessive sweating. If prescription antiperspirants are irritating to the skin or not effective in keeping the facial sweat at bay, Botox is a great option for reducing severe sweating on the head and face. OnabotulinumtoxinA injections, more commonly known as Botox, should be done by a medical professional or board-certified dermatologist such as Dr. Green. Dr. Green will administer injections to the area or areas of the face that secrete the most sweat. The Botox will block the neurotransmitters that send the message to release sweat on that part of the face.

Potential side effects of Botox to prevent excessive sweating of the face can be asymmetry on the forehead if the Botox moves into the muscles of the face. The asymmetry can be balanced with more Botox if this were to occur. Botox to reduce facial hyperhidrosis requires a lot of precision so the likelihood of experiencing this potential side of effect is greatly reduced if you seek out a dermatologist with extensive experience performing these types of Botox injections.

How do Botox armpit injections stop sweating?

Botox injections for the armpits, to fight severe underarm sweating, are a simple process that is highly effective in treating and preventing excessive sweating. OnabotulinumtoxinA, also known as Botox, is FDA approved for use to treat medical conditions such as hyperhidrosis, and when applied to treat underarm sweating, Botox has been shown to cause an 82-87% decrease in sweating. OnabotulinumtoxinA is a purified, natural protein that is injected into the skin by a board-certified dermatologist. The protein in Botox will block the neurotransmitter that sends the message to the nervous system to activate the sweat glands. When this chemical messenger is interrupted by onabotulinumtoxinA, sweating in the area is effectively “turned off.” The Botox treatment lasts from 4 to 6 months and provides relief from excessive sweating in the armpits. The process is safe and effective in decreasing severe underarm sweating, which helps to improve quality of life and gives patients confidence to go about their days without having to worry about the embarrassment of sweating through their clothes.

What is the effect of Botox on sweat glands? 

It’s important to note that while sweating is important for the body to regulate temperature, armpits have only a small percentage of the body’s sweat glands (less than 2%). For that reason, blocking the neurotransmitters in the underarms has no significant effect on temperature regulation in the body. Botox works to suppress the chemical messaging that causes sweat to secrete from the glands. The Botox treatment is not removing the glands but rather keeping them from functioning. The effect is not permanent and will subside 4 to 6 months after receiving the treatment. Additionally, researchers have found that other parts of the body do not compensate for the lack of sweat in the armpits meaning, you will likely not experience excessive sweating anywhere else.

How much is it to get Botox in your armpits?

The cost of Botox varies based on the amount of Botox needed, the injection area, your geographic location, and the experience of your provider. A board-certified expert dermatologist will be more expensive than a nurse injector in a medspa. It is important to research the qualifications and experience of your healthcare professional carefully when choosing your medical or cosmetic treatment.

How do I get started with Botox injections for excessive sweating and hyperhidrosis?

If you have been suffering from hyperhidrosis and have experienced excessive sweating in your hands, feet, or armpits, you are not alone. Dr. Michele Green, in NYC, is an expert in Botox injections for cosmetic treatments as well as for hyperhidrosis and underarm sweating. Dr. Green was one of the first dermatologists in New York to treat axillary hyperhidrosis with Botox. With over two decades of experience in treating patients with Botox injections dermal fillers such as Juvederm and Restylane, Fraxel®, Thermage®, and microneedling, Dr. Green is consistently voted as a top doctor by the New York Times, Castle Connolly, Super Doctors, and The New York Times. Please call the New York City office of Dr. Michele Green at 212-535-3088 or contact us online today to see if Botox injections for your underarm sweating is the best treatment for you.

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