Botox® for Excessive Sweating

Botox® works by blocking the release of acetylcholine – a neurotransmitter that signals sweat glands to produce sweat. When Botox® is injected into the underarm area, it temporarily prevents this chemical signal from reaching the sweat glands. Without the signal, the glands remain inactive and produce little to no sweat. The effect is localized to the injection area only, so the rest of your body continues to sweat normally for temperature regulation.

Yes! Botox® is FDA-approved specifically for treating excessive underarm sweating (primary axillary hyperhidrosis) in adults. This approval was granted in 2004 after extensive clinical trials demonstrated safety and effectiveness. It's considered the gold standard for treating hyperhidrosis and has been used successfully by millions worldwide. While FDA-approved for underarms, Botox® can also be used off-label for excessive sweating in hands, feet, face, and other areas.

Ideal candidates for Botox® hyperhidrosis treatment are adults who: • Experience excessive underarm sweating that interferes with daily life • Have tried prescription-strength antiperspirants without success • See visible sweat stains on clothing despite using antiperspirant • Experience social anxiety or embarrassment related to sweating • Are in good overall health • Have realistic expectations about results • Are not pregnant or breastfeeding During your consultation, we'll assess the severity of your hyperhidrosis and determine if Botox® is the right treatment for you.

Results appear gradually as the Botox® takes effect: • 2-4 days: Initial reduction in sweating begins • 1 week: Noticeable dryness in treated areas • 2-4 weeks: Maximum dryness achieved (peak results) • 4 weeks onward: Full effect maintained for 6-12 months Most clients notice significant improvement within the first week, with peak dryness by 4 weeks. Results develop naturally, so you won't experience sudden changes.

Results typically last 6-12 months on average, though individual longevity varies based on: • Individual metabolism and body chemistry • Severity of hyperhidrosis • Number of units used • Lifestyle factors (exercise, heat exposure) • Maintenance treatment consistency Many clients find results last 7-9 months on average, with some experiencing even longer duration (up to 14 months). Regular maintenance treatments help sustain dry, comfortable underarms year-round.

The treatment involves multiple small injections (approximately 15-20 per underarm), which most clients tolerate well. We offer topical numbing cream before treatment to significantly reduce discomfort. Most describe the sensation as quick pinches or mild stinging. The entire procedure takes just 20-30 minutes, and any discomfort is brief. Ice packs are also available to soothe the area during treatment. The discomfort is minimal compared to the life-changing benefits of dry, confident underarms.

No downtime is required. Most clients return to work and normal activities immediately after treatment. Common side effects include: • Mild redness or tenderness at injection sites (few hours) • Small bruising (1-3 days, can be covered with makeup) • Temporary soreness in underarm area (1-2 days) We recommend avoiding strenuous exercise, hot showers, and saunas for 24 hours after treatment to ensure optimal results. Otherwise, you can resume all normal activities immediately.

The average underarm hyperhidrosis treatment requires 100 units total (50 units per underarm). However, individual needs vary based on: • Underarm size and sweat gland distribution • Severity of hyperhidrosis • Results from iodine starch test (if performed) • Personal treatment goals Your expert injector will assess your unique needs during consultation and provide a customized treatment plan with transparent pricing.

No. This is a common concern, but there's no risk of overheating. Your underarms contain only 2% of your body's sweat glands. The other 98% of sweat glands throughout your body continue functioning normally for temperature regulation. Botox® only affects the treated area (underarms), so your body's natural cooling system remains fully functional. Clinical studies confirm there's no increased risk of heat-related issues after underarm Botox® treatment.

No. This is a myth. Botox® does not cause "compensatory sweating" (increased sweating in other areas). The treatment only affects the sweat glands in the injection area. Your body does not "redirect" sweat to other areas to compensate. Clinical studies have shown no increase in sweating elsewhere after underarm Botox® treatment. You'll simply experience dryness in the treated area while maintaining normal sweating patterns everywhere else.

Yes! While Botox® is FDA-approved specifically for underarms, it can be used off-label to treat excessive sweating in: • Hands (palmar hyperhidrosis): Reduces sweaty palms, though more painful and requires more units • Feet (plantar hyperhidrosis): Provides dry, comfortable feet • Face: Treats forehead, scalp, or upper lip sweating • Back & Chest: Reduces sweating in larger areas (requires many units) Underarm treatment is most common because it's FDA-approved, highly effective, and relatively comfortable. During your consultation, we can discuss treating other areas based on your needs.

Side effects are typically mild and temporary: Common side effects: • Mild redness or tenderness at injection sites (hours) • Small bruising (1-3 days) • Temporary soreness (1-2 days) • Injection site swelling (uncommon, resolves quickly) Rare side effects: • Muscle weakness near injection sites (temporary) • Headache (uncommon) • Flu-like symptoms (very rare) Botox® for hyperhidrosis has an excellent safety profile. Serious side effects are extremely rare when administered by trained professionals using appropriate dosing.

Some insurance plans cover Botox® for hyperhidrosis when deemed medically necessary. Coverage typically requires: • Diagnosis of primary axillary hyperhidrosis by a physician • Documentation that prescription-strength antiperspirants have failed • Pre-authorization from your insurance company • Treatment by an in-network provider At 7Q Spa, we can provide documentation of your treatment for insurance reimbursement submission. Contact your insurance provider to verify coverage and requirements. We also offer Cherry financing for out-of-pocket costs.

Botox® for excessive underarm sweating at 7Q Spa starts at $1,200 for a full treatment (both underarms, approximately 100 units total). Final cost depends on: • Number of units needed based on underarm size and sweat gland distribution • Individual anatomy and hyperhidrosis severity • Customized treatment plan During your complimentary consultation, we'll assess your needs and provide transparent pricing. We also offer Cherry financing for qualifying clients to make treatment more accessible.

Preparation is simple: Before treatment: • Shave underarms 24 hours before your appointment (not immediately before) • Avoid blood-thinning medications and supplements for 48 hours (aspirin, ibuprofen, fish oil, vitamin E) to reduce bruising risk • Skip alcohol consumption 24 hours prior • Avoid using deodorant or antiperspirant on the day of treatment • Wear a sleeveless top or bring one for easy access After treatment: • Avoid strenuous exercise for 24 hours • Skip hot showers, saunas, and steam rooms for 24 hours • Avoid massaging or rubbing the underarm area for 24 hours • Apply ice packs (wrapped in cloth) if needed for soreness Our team will provide detailed pre- and post-treatment instructions during your consultation.