Blog, Botulinum Toxins



Underarm botox pros and cons are truly numerous. It is one of the common procedures performed by most plastic surgeons and aesthetic practitioners: excessive sweating, also known as Hyperhidrosis, causes a lot of inconvenience in everyday life, whether you are a housewife or a business person. Many of us keep quiet about this problem, thinking it is an embarrassing matter to discuss. Needless to say that many people, apart from using a regular deodorant, take no other measures to get rid of hyperhidrosis. Underarm botox in this case can be a real life saver for all those who are tired of fighting with excessive sweating.

But before we discuss pros and cons of underarm botox, it’s important to understand what exactly hyperhidrosis is and what are its causes.


Sweating is a normal and natural process for every human. Sweating performs the most important function of protecting our body from overheating while we are doing sports, drinking hot drinks, spending time on the beach, sitting in a stuffy room or having emotional outbursts. So, when exactly does sweating become a problem? Whenever the fluid excreted by the sweat glands becomes excessive, frequent and starts causing constant discomfort which significantly reduces the quality of life. To make it short, Hyperhidrosis is excessive sweating.

Classifying types of hyperhidrosis by the affected areas, there are two types of it:

  • Generalized hyperhidrosis which means it effects the whole body;
  • and Localized which means it effects certain parts of the body such as palms of hands or soles of feet.

Now, classifying hyperhidrosis by its causes, this condition should be divided into:

  • Primary hyperhidrosis which is not associated with a disease;
  • and Secondary hyperhidrosis which is caused by serious health problems.

Interestingly, in most cases primary hyperhidrosis is localized and has no apparent cause. Secondary hyperhidrosis is always generalized and represents a good reason to see a doctor.

In this article I will cover treatment of primary hyperhidrosis (also known as axillary hyperhidrosis) which is not associated with a disease.


Primary, or axillary hyperhidrosis, is a fairly common problem among people of different age. Although it is not a critical illness that requires a serious medical intervention, it still needs to be eliminated: unfortunately, its causes are not clear, and this greatly complicates the lives of people suffering from it.

Axillary hyperhidrosis keeps a person in a state of constant physical and mental discomfort. The sweat glands are located all over the surface of the body, but the maximum number of them is found in the armpits, the skin of the face, the palms, the feet, the groin area, and under the breasts in women. Can you imagine how a person suffering from hyperhidrosis feels, given the rather big coverage area of sweat glands?! Such people find it difficult to communicate because the smell of the sweat or wet handshake puts off their interlocutors. They have problems travelling by public transport: after every trip they must change the clothes because any increase in air temperature or humidity causes inadequate reaction of the sweat glands and in a matter of seconds, they find themselves wet from head to toe. As for their love life, it’s best not to go into it.

This kind of problems cause a serious social drama: people suffering from hyperhidrosis become isolated, angry, irritable, which puts off the others even more! In addition to psychological problems, primary hyperhidrosis can provoke some serious diseases: excessive perspiration disrupts the pH balance, which inevitably affects the skin causing acne, furunculosis, moist eczema, dermatitis and many other issues. Add to this lot constant dehydration, which is detrimental to the work of the whole body, and especially to the functioning of the central nervous system.

Considering all the above, there can be only one conclusion: it is absolutely necessary to treat axillary hyperhidrosis! But how?


Of course, there is a long list of measures that help to keep excessive sweating at bay, among which are strict hygiene, antiperspirants, antibacterial insoles, and so on. However, all of them are temporary solutions. But, to the delight of the sufferers, nowadays hyperhidrosis can be treated with Botox.

Allergan Botox is considered to be the most effective product for treatment of hyperhidrosis. Its main active ingredient is botulinum toxin, which is produced by bacteria Clostridium botulinum. Botulinum toxin is a dangerous poison for the human body, however, in small doses, correctly administered and with an appropriate aftercare it is almost harmless. For several decades botulinum toxin has been actively used in cosmetology for treating such aesthetic problems as wrinkles: it eliminates muscle spasms, thereby relaxing facial muscles and removing deep facial wrinkles. I covered this subject in one of my other articles dedicated to Allergan Botox.

The use of botulinum toxin as a remedy for excessive sweating began in 1994. Since then this method proved to be the most effective and demonstrated long-lasting results.

The mechanism of action is simple: Botox blocks nerve impulses that travel from the brain to the sweat glands. As an outcome, the natural process of thermoregulation is not disturbed, but the intensity of sweating is significantly reduced.

The procedure of administering Botox is very easy and represents multiple injections in the area of the perspiration. The effect of the procedure in different patients lasts from 6 to 8 months and wears off gradually.

Needless to say, this is a great help for people suffering from hyperhidrosis: it makes their lives easier and makes them independent of external circumstances. And although treatment of hyperhidrosis with botox is safe for a healthy body, experts don’t recommend women to conduct a session a few days before and after menstruation, when the immune system is particularly vulnerable. Any wounds, skin ulcers or exacerbated chronic diseases are also a reason to postpone the procedure.

Botox treatment is contraindicated in the following cases: during pregnancy and breastfeeding; in the presence of diabetes; in case of detection of malignant tumors or oncology; if there is an individual intolerance to protein components; with disorders of the central nervous system. Immediately after the injection, there could be unpleasant tingling sensation along with a slight swelling of the treated area. Under normal circumstances, the very next day these side effects should completely subside. But if the dose of botulinum toxin was exceeded or Botox was injected too deep, or the sterility conditions were poor, then the side effects, such as inflammation, pain at the injection site, dizziness, nausea and general weakness persist for a longer time. To avoid negative consequences, I always recommend using services of proven professionals who have the appropriate license, all necessary certificates and experience and follow their recommendations before and after the treatment.


According to studies, once injected, Botox begins to act within 3 days after the procedure. The maximum effect is observed after 2 weeks. The number of injections is selected by a specialist who takes into account individual characteristics of your body.

As for the number of Botox units, the exact answer to this question can be given only by a doctor after careful assessment of the area of perspiration. Based on its size, they select the amount of botulinum toxin to be used. As a rule, no more than 80-100 units of Botox are required for both armpits.


Underarm botox treatment has many advantages among which are:

  • Guaranteed results. The procedure has been performed by plastic surgeons and aesthetic practitioners around the world for more than 20 years. The dosage of botulinum toxin is calculated as accurately as possible for each person, so the risk of side effects is minimal;
  • Duration of the actual procedure: it takes no more than 20-40 minutes;
  • Reliability: result is noticeable immediately after the first procedure;
  • Efficiency: Botox, Xeomin and Dysport block the connection of the brain with the sweat glands and as a result, secretion is significantly reduced;
  • Safety: in the absence of strict contraindications and thanks to tiny doses, treatment of hyperhidrosis with botulinum toxin doesn’t have a negative effect on the human body and general health;
  • Local impact. Botulinum toxin acts exclusively in the injection area, while not disrupting the work of other muscles;
  • Minimum restrictions: after the procedure, you do not need to drastically change your lifestyle or limit your daily activities with an exception of visiting sauna, engaging in exhausting exercise and consuming alcohol;

And last, but certainly not least: underarm botox is a non-invasive procedure. After botox injections, there are no visible marks or scars left on the skin. Also, the procedure is carried out on an outpatient basis and does not require anesthesia.

Please note! Botulinum toxin is used only for treatment of primary hyperhidrosis. A more severe secondary hyperhidrosis requires careful medical examination with a view to establish a true cause of the disorder.

Now, talking about the shortcomings, the list of cons is actually not so short:

  • High cost: underarm botox is quite expensive – the average price of treatment of hyperhidrosis with Botox in the USA varies from $1000 to $1500;
  • Relatively short duration of the effect: provided that a high-quality botulinum toxin product was used, the result of the procedure last only 6-8 months;
  • Possible botulinum toxin resistance: this happens in those people whose body produces antibodies to botulinum toxin, but it’s not a common condition;
  • The need for preliminary diagnosis: before the procedure, the patient should undergo some examinations.


As noted above, underarm botox treatment shows a pronounced effect 3 days after the procedure. Unsatisfactory result could be due to incorrectly performed injections, insufficient amount of botulinum toxin, be it Botox, Xeomin or Dysport, inferior quality of the used product or developed botulinum toxin resistance.


Excessive sweating is not a jail sentence, but a signal given out by your body: when for some reason certain areas of your face start sweating, or the armpits or palms of hands become too wet, or your feet treacherously sweat at any time of the year, then it’s a clear sign that you need to consult a specialist with a view to establish the cause of hyperhidrosis and find the most suitable treatment, one of which can be underarm botox – a perfectly safe and effective procedure allowing to achieve amazing results, forget about the discomfort and lead an active lifestyle without restraint of movements and other inconveniences associated with excessive sweating for a reasonably long time.

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