Botox for Sweaty Underarms: What Is It, How It Works and Benefits

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Individuals who experience excessive sweating or hyperhidrosis struggle with sweat stains on clothing and body odour. Fortunately, Botox has emerged as a hyperhidrosis treatment option for managing sweaty underarms, offering a way to regain control and confidence.

What Is Botox?

Botox, or botulinum toxin type A, has been approved by the U.S. FDA (Food and Drug Administration) to treat primary axillary hyperhidrosis. It works by preventing the nerve signals that trigger sweat glands from being activated.

Why Do People Experience Excessive Underarm Sweating?

excessive underarm sweating

Hyperhidrosis is characterised by excessive sweating which can be localised (affecting specific areas like the underarms or hands) or generalised (affecting larger body areas). Factors contributing to hyperhidrosis include genetics, hormonal changes, stress and certain medical conditions.

Individuals with underarm hyperhidrosis often face challenges such as embarrassment in social settings, difficulty wearing certain clothing styles due to visible sweat stains and increased anxiety about their appearance.

How Botox Targets Underarm Sweat Glands

The FDA approved botox injections for excessive sweating of underarms, making it an option for those who have not found relief through other treatments, such as prescription antiperspirants or oral medications.

It is administered directly into the underarm area using a fine needle. The injections are placed in a grid pattern over the underarm every 1 centimetre apart to ensure even coverage. Once injected, Botox begins to block the nerve signals that trigger sweat production.

Benefits of Botox for Underarm Sweating

Botox offers numerous benefits in treating excessive sweating of the underarms, addressing both the physical discomfort and the emotional challenges associated with this concern.

Reduced Sweat Production and Improved Comfort

Clinical studies indicate that Botox injections can lead to an 82-87% decrease in underarm sweating within a few days post-treatment, with full effects typically observed within two weeks.

It alleviates the physical discomfort associated with damp clothing and skin, and also allows individuals to engage in activities without the worry of uncontrollable sweating.

Impact on Self-Confidence and Emotional Well-Being

Beyond the physical benefits, Botox can significantly impact self-confidence and emotional well-being. Many individuals with hyperhidrosis experience social anxiety due to their condition, often feeling embarrassed or self-conscious about visible sweat stains. By effectively controlling sweat, individuals can participate more freely in social situations without fear of judgment.

Enhanced Hygiene

Another significant advantage of Botox is the improvement in hygiene. With reduced sweating comes a decrease in body odour, as fewer sweat glands are activated. This reduces reliance on antiperspirants and deodorants, which can be both costly and irritating for some individuals.

Moreover, fewer sweat stains mean that individuals can wear a wider variety of fabrics without concern for visible marks. This newfound freedom allows for greater expression through clothing choices.

Comparing Botox with Other Hyperhidrosis Treatments

Treatment MethodEffectivenessCost (Approx.)LongevityPotential Side Effects
Botox Injections82-87% reduction in sweating$1,000-$1,500 per treatment*4-6 monthsPain at the injection site, bruising, headache
Prescription AntiperspirantsModerate (up to 50% reduction)$10-$50 per monthUp to 24 hoursSkin irritation, allergic reactions
Surgery (Endoscopic thoracic sympathectomy or ETS)High (up to 96 to 97% reduction)$5,000+**PermanentSurgical risks (infection, nerve damage), compensatory sweating

*Disclaimer: The cost of Botox for sweaty underarms may vary between clinics. Consult your healthcare provider to confirm specific costs and available payment options.

**Disclaimer: Cost also varies between clinics. Check with your practitioner to confirm the cost of iontophoresis and ETS.

The Botox Treatment Process for Sweaty Underarms

underarm botox

The procedure of underarm sweat reduction using Botox starts with an initial consultation, where the healthcare provider assesses your condition and reviews your medical history to determine suitability.

On the day of the procedure, the doctor will clean the underarms and apply a topical anaesthetic to minimise discomfort. Next, Botox will be injected into the underarm using a fine needle. The procedure is quick, taking about 15 minutes from beginning to end.

Costs of Botox for Underarm Sweating

In Singapore, the average cost for Botox treatment for both underarms is approximately $1,000 – $1,500. Costs may vary based on factors such as practitioner experience and clinic location. Talk to your chosen doctor to learn about the specific cost of the treatment.

How Long Does Botox Last for Sweat Reduction?

Results from Botox injections typically last between 4 to 6 months; however, individual experiences may vary based on factors such as metabolism and severity of hyperhidrosis. Regular follow-up treatments are necessary to maintain desired results.

Aftercare Tips for Optimal Results

After receiving Botox injections for underarm sweating, proper aftercare is essential to maximise the effectiveness of the procedure and ensure optimal results. Here are key guidelines to follow post-treatment, along with tips for maintaining dryness and lifestyle adjustments to prolong the benefits.

Guidelines on What to Avoid Post-Treatment

  1. Avoid strenuous exercise. Refrain from doing heavy physical activity for 24 hours after treatment. Exercise can increase body temperature and sweating, potentially diminishing the effects of Botox.
  2. Keep cool. Stay away from high-heat environments such as hot tubs or saunas for at least 48 hours. Excessive heat can also stimulate sweat production.
  3. Do not massage or apply pressure. Avoid rubbing or massaging the area for at least 24 hours to prevent spreading Botox to unintended areas.
  4. Skip deodorants and scented products. Avoid using deodorants/antiperspirants or any products with fragrances under your arms for 12 to 24 hours post-treatment to minimise irritation.

Tips on Keeping Underarms Dry and Minimising Sweat Production

  • Wear loose clothing. Opt for loose-fitting clothes made from cotton or other breathable fabrics to allow air circulation and keep the underarm area dry.
  • Maintain a cool environment. Use fans or air conditioning to keep your surroundings cool, especially in warmer weather.
  • Stay hydrated. Drink plenty of water to help regulate your body temperature naturally.

Suggested Lifestyle Adjustments for Longer-Lasting Results

  1. Regular follow-ups. Schedule regular follow-up appointments recommended by your healthcare provider to maintain the effects of Botox.
  2. Healthy diet. Incorporate a healthy diet rich in fruits and vegetables while limiting spicy foods and caffeine, which can trigger sweating.
  3. Stress management techniques. Engage in relaxation practices such as yoga, meditation, or deep-breathing exercises to help manage stress levels, as stress can exacerbate sweating.
  4. Consider additional treatments. If sweating resumes or you experience discomfort, discuss with your healthcare provider about combining Botox with other treatment options like iontophoresis for enhanced results.

Conclusion

Botox offers benefits in managing excessive underarm sweating by reducing sweat production. For those experiencing this condition, consulting with a healthcare professional about Botox treatment could provide significant relief and improve overall quality of life.

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AUTHOR

Dr Michelle Chia

Medical Director

After graduating from the National University of Singapore, Dr Michelle's journey allowed her to train in Women's Health and Aesthetic Medicine. Her experience has led her to be featured on multiple media platforms including Radio Stations and prominent Magazines like Her World, Women's Weekly and CLEO. Her work has also received recognition both locally and internationally in several Medical Conferences.

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