How Can I Control Overactive Armpit Swetting?

Doctor Answers 17

Controlling overactive armpit sweating

In our office, we have had good experience with Botox injections to the armpits.  I have had a couple of patients tell me it is the first time they wore a powder blue shirt in years.  The red carpet models also like to do this before big events. 


Las Vegas Plastic Surgeon
4.5 out of 5 stars 10 reviews

MiraDry for armpit sweating

miraDry can be a very effective treatment for underarm sweating. Many will see a significant reduction after one treatment, but may require a second treatment to get complete relief.  I used to do a number of surgeries under the armpit to reduce sweating. Now I only do this as a backup if miraDry fails.

Precision Tx for axillary hyperhidrosis

Precision Tx has the advantage of being a one-time permanent treatment for axillary hyperhidrosis.  It is a bit more invasive than injections or external treatments, but is still done with only a 3mm incision as in an office procedure under local.  The recovery is minimal, it's FDA approved, and the results have been great.

Treatment for sweatting in the armpit.

Overactive armpit sweating, Hyperhidrosis, is an actual medical diagnosis. There are prescriptions and antiperspirants available that work only if being used. Neurotoxins (I.E. Botox) will provide relief for 6-12 months; and recently Cellulaze has been approved by the FDA as effective treatment for Hyperhidrosis.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 15 reviews

Treatment for excessive armpit sweating

Treatment for excessive armpit sweating
Currently the available treatments include Botox, MiraDry, and minimally invasive techniques such as thermae RF or precision TX which use either radiofrequency or laser treatments to heat up and kill t the sweat glands.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 27 reviews

Treatment for armpit swetting

Dysport® injections are the easiest and best way to control hyperdydrosis, or overactive underarm sweating. With numbing cream, injections are painless, take less than 15 minutes to perform and results can last more than a year.

Manjula Jegasothy, MD
Miami Dermatologist
5.0 out of 5 stars 5 reviews

Botox or miraDry

I assume that you have exhausted all over the counter treatments such as Driclor (aluminium chloride hexahydrate). The next 2 steps are-

1. Botox. You will require 40-50 units under each armpit. It lasts 3-4 months for most people (despite company claims of 6.3 months), HOWEVER with repeated treatments, it can last up to 12 months. I conduct 5-6 treatments of Botox for HH per day, and find that duration of euhydrosis (no sweating) extremely variable. 

2.miraDry- you will require 2 treatments spaced 3 months apart. It is not as good as Botox (Botox is like a light switch- either you sweat, or no sweat, some people have reduction of sweating.)miraDry on the other hand gives you 80+% sweat reduction. The advantage of miraDry is that its a permeant treatment - unlike Botox. 

3. The very very last resort is ETS surgery- not recommended due to side effects such as rebound or compensatory sweating. Up to 50-60% of patients will have this problem. 

Hope this helps

Dr Davin Lim 
Hyperhidrosis expert dermatologist
Brisbane, Australia

Davin Lim, MBBS, FACD
Brisbane Dermatologist
5.0 out of 5 stars 9 reviews

Botox for Excess Sweating or Hyperhidrosis

Botox can be used to effectively reduce armpit sweating.  The treatment usually needs to be repeated every 6 to 8 months.  I have used Botox to reduced sweating in quite a few patients with excellent results.

Scott Greenberg, MD
Orlando Plastic Surgeon
4.5 out of 5 stars 10 reviews

Precision Tx and Hyperhydrosis


Consider a minor in office procedure called Precision 
Tx that cooks the sweat glands.  The results have been really positive.

Theodore Diktaban, MD, FACS
Manhattan Plastic Surgeon
4.5 out of 5 stars 16 reviews

Precision Tx for Underarm Hyperhidrosis

As discussed below, there are several options available for treating axillary hyperhidrosis.  These options can range from simply using a prescription strength topical antiperspirant to a more invasive procedure.  Our office has seen great results with a new treatment called Precision Tx.  This is a minimally invasive procedure, performed in the office under local anesthesia.  During the treatment, a laser is inserted under the skin.  This laser gently but effectively ablates the sweat glands.  As a result, patients notice a significant and long lasting improvement in their sweating.  Studies have shown patients still have a significant improvement after 1-2 years.  Underarm sweating  can be a frustrating condition, but an experienced provider can discuss the many options available and determine what will best meet your needs.

Kent V. Hasen, MD
Naples Plastic Surgeon
4.5 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.