Botox injections offer a clinically proven, FDA-approved solution for adults struggling with severe underarm sweating that does not respond to topical treatments. This minimally invasive procedure targets sweat glands directly, providing significant and temporary reduction in perspiration.
All treatments at Cosmetic Injectables Center Medspa are performed by experienced Master Injectors under the supervision of Dr. Sherly Soleiman, MD, a board-certified physician and national Allergan faculty member. Individual results may vary.
What Is Botox for Underarm Sweating?
Botox (onabotulinumtoxinA) is an FDA-approved, nonsurgical medical aesthetic procedure used to treat excessive underarm sweating, clinically known as axillary hyperhidrosis. By temporarily blocking the nerve signals that stimulate sweat glands, Botox injections can significantly reduce underarm perspiration in patients who have not responded to topical antiperspirants or other first-line therapies.
The U.S. Food and Drug Administration (FDA) approved Botox for the treatment of severe primary axillary hyperhidrosis in 2004, following pivotal clinical trials demonstrating both safety and efficacy (FDA BLA #103000/S520, 2004; Naumann et al., 2001, New England Journal of Medicine).
How Does Botox Treat Excessive Underarm Sweating?
Botox works by inhibiting the release of acetylcholine, a neurotransmitter responsible for activating sweat glands. When injected precisely into the underarm area, Botox temporarily blocks the nerve signals that trigger excessive sweating, resulting in a significant reduction in perspiration.
- Onset of Effect: Most patients notice a reduction in sweating within 2–7 days after treatment.
- Duration: Results typically last 4–6 months, with some patients experiencing relief for up to 9 months. Individual results may vary.
- Repeat Treatments: Maintenance injections are recommended as the effect gradually diminishes.
Who Is a Candidate for Botox for Underarm Sweating?
Botox is indicated for adults with severe primary axillary hyperhidrosis who have not achieved adequate relief with topical antiperspirants. It is not intended for minor or occasional sweating, nor is it a substitute for good hygiene.
Ideal candidates:
- Adults (18+) with persistent, excessive underarm sweating
- Patients seeking a nonsurgical, minimally invasive solution
- Individuals without contraindications to botulinum toxin
A thorough medical evaluation is required to determine candidacy and rule out secondary causes of hyperhidrosis.
What to Expect During the Procedure
Consultation
At Cosmetic Injectables Center Medspa, all patients undergo a comprehensive consultation with an experienced Master Injector or Dr. Sherly Soleiman, MD—a board-certified physician and national Allergan faculty member specializing in medical aesthetic procedures.
Treatment Process
- Preparation: The underarm area is cleansed and may be marked for precise injection placement.
- Anesthesia: Topical numbing cream or cold compresses are used to minimize discomfort.
- Injection: Multiple small injections of Botox are administered just beneath the skin in a grid-like pattern across the underarm.
- Duration: The procedure typically takes 10–20 minutes per side.
Aftercare
- Patients can resume most normal activities immediately.
- Avoid vigorous exercise or hot environments for 24 hours.
- Mild tenderness, swelling, or bruising may occur but is usually temporary.
Safety, Side Effects, and Risks
Botox for underarm sweating is generally well-tolerated when performed by experienced medical professionals. The most common side effects include localized pain, swelling, or bruising at the injection site. Rarely, patients may experience compensatory sweating in other areas or mild flu-like symptoms.
Serious complications are rare when administered by a board-certified physician or trained Master Injector. All procedures at Cosmetic Injectables Center Medspa are performed under the direct supervision of Dr. Sherly Soleiman, MD, ensuring the highest standards of safety and care.
Results and Efficacy
Clinical studies have shown that Botox can reduce underarm sweating by up to 82–87% within the first week after treatment (Naumann et al., 2001; Lowe et al., 2003, J Am Acad Dermatol). Most patients report a significant improvement in quality of life and confidence. Results are temporary, and repeat treatments are necessary to maintain the effect. Individual results may vary.
Why Choose Cosmetic Injectables Center Medspa?
- Physician-Led Care: Dr. Sherly Soleiman, MD is a board-certified physician with over 25 years of experience and a national faculty member for Allergan, the manufacturer of Botox.
- Expertise: All injections are performed by highly trained Master Injectors under Dr. Soleiman’s direct supervision.
- Safety: Conservative, evidence-based approach with a focus on natural, effective results.
- Convenience: Located in Sherman Oaks, serving patients from Encino, Studio City, Beverly Hills, and throughout Los Angeles.
Cost and Insurance
Most insurance companies do not cover Botox for underarm sweating when performed for cosmetic or quality-of-life reasons. Cosmetic Injectables Center Medspa offers multiple payment options to accommodate patient needs.
Alternatives to Botox for Underarm Sweating
- Prescription-strength antiperspirants (aluminum chloride)
- Oral medications (anticholinergics)
- Iontophoresis
- Microwave-based therapies (e.g., miraDry)
- Surgical options (not offered at this Medspa)
A personalized consultation will help determine the most appropriate treatment.
Frequently Asked Questions
How long does Botox for underarm sweating last?
Results typically last 4–6 months, though some patients experience benefits for up to 9 months. Repeat treatments are necessary to maintain dryness.
Is Botox for underarm sweating FDA-approved?
Yes. Botox (onabotulinumtoxinA) received FDA approval for severe primary axillary hyperhidrosis in 2004.
Is the procedure painful?
Most patients experience minimal discomfort. Topical numbing and cold compresses are used to enhance comfort during treatment.
Are there any risks or side effects?
The most common side effects are mild and include localized pain, swelling, or bruising. Serious complications are rare when performed by experienced medical professionals.
Who should not receive Botox for sweating?
Patients with certain neuromuscular disorders, allergies to botulinum toxin, or active infections at the injection site should not receive Botox. A thorough consultation is required.
How soon will I see results?
Most patients notice a significant reduction in sweating within 2–7 days after treatment.
Can I return to work or normal activities after the procedure?
Yes. Most patients resume normal activities immediately, though strenuous exercise should be avoided for 24 hours.
Will my insurance cover Botox for underarm sweating?
Most insurance plans do not cover this procedure when performed for cosmetic or quality-of-life reasons.
Are there alternatives to Botox for underarm sweating?
Yes. Options include prescription antiperspirants, oral medications, iontophoresis, and microwave-based therapies. Surgical options are not offered at Cosmetic Injectables Center Medspa.
Why choose Cosmetic Injectables Center Medspa for this procedure?
All treatments are physician-led and performed by experienced Master Injectors under the supervision of Dr. Sherly Soleiman, MD, a nationally recognized expert in medical aesthetic procedures.
For more information or to schedule a consultation, contact Cosmetic Injectables Center Medspa in Sherman Oaks, CA.