Botox for Sweating - How Long Do the Effects Last?

Botox is used for excessive sweating for focal hyperhidrosis of the axilla, groin, forehead, and inguinal crease. Botox works to inhibit the release of acetylcholine at the nerve synapse.

The longevity of botox depends on the regenerative capacity of the nerve synapse. In most cases, Botox will last about 4 to 6 months for hyperhidrosis.

There are many effective ways to limit the pain associated with Botox injections to the axilla. Discuss these with your surgeon. Hyperhidrosis may also benefit by non-Botox treatments, including thoracic sympathectomy.

If you plan to use BOTOX® as a regular therapy for excessive
sweating, you can expect to return for about two to three visits a year,
depending on how you respond to the treatment. Results can last anywhere from three
to six months depending on a number of variables that are hard to account for.
You should look for a facility with certified staff and the oversight of an MD,
and they’ll be able to walk you through the process, answering whatever
questions or concerns you may have about the treatment.

Typically when botox is used to treat sweating, the effect will last approximately 4 months. Some patients get more and some get less. Botox is very useful at reducing underarm sweating. It is less predictable when treating sweaty palms or soles.- Dr. Bryson Richards

Botox is a great option and highly effective helping excessive sweating, the results last 3-6 months 

Botox typically lasts between 3-6 months for excessive sweating.  This treatment is easily tolerated and quite safe with an experienced injector.

Effective treatment for underarm sweating can be life-changing, so it would be great if there were treatments that could eliminate or greatly reduce the problem without the need for ongoing treatment.

Currently the SmartLipo Triplex or SmartLipo Side-Laze are available to do this.  They are not of any use for sweating in other areas, but this minimally invasive laser treatment is highly effective for the underarms. 

This is an office procedure done under local anesthetic, takes about an hour. The laser is temperature controlled by the Thermal Guide which is a thermistor at the tip of the laser cannula which measures the instantaneous skin temperature. The computer prevents the laser from exceeding a safe temperature which is also programmed into the device.

The laser is moved under the skin in a systematic fashion, resulting in destruction of the sweat glands.

 

 

 

 

Botox is a temporary, albeit very effective solution for underarm sweating.  Unfortunately, botox always wears off in several months.  
miraDry is an in-office, noninvasive technology that uses microwaves to destroy sweat glands.  A single miraDry treatment reduces sweating by greater than 80%, on average.  This is a lifechanging procedure for people that suffer from hyperhidrosis.  People who have more potent underarm odor also benefit, as well as people that just want to save on their dry cleaning bills. 

Hyperhidrosis can be treated with Botox.  Most will see the effect lasting about 6 months.  We have had patients last for over a year.  Surgical disruption of the sweat glands may also be an option.

Botox is very effective at decreasing your sweating ability.  The only downside is that it only lasts between 4-6 months and needs to be repeated to maintain the effect.  If you have tried Botox and found this to be helpful at managing your symptoms, then I would consider axillary shaving as a permanent solution to axillary sweating as this physically destroys and removes the sweat glands from the armpit.

The good news is that BOTOX, when used for hyperhidrosis, often lasts much longer than it does for treatment of hyperdynamic wrinkles in the face. The initial treatment may only last 4-6 months as is the case with use of BOTOX for treatment of wrinkles. When I have this treatment done for my own case of axillary (underarm) hyperhidrosis, the effect generally lasts 16-18 months now that I’ve been receiving treatments for a few years. The initial treatment effects for me lasted in the 6-month range and have become progressively longer lasting over time. With hyperhidrosis of the hands and feet, the length of treatment effects may be more variable.  

Botox lasts essentially the same in all locations, but perhaps a bit longer in the armpit (axilla) to minimize sweating, perhaps 6+ months rather than 4-6 months for facial animation.