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What Treatments Are Available for Excessive Sweating?

I am a heavy sweater and it is very embarrassing to me, mainly during exercise. It is to the point of where it gains negative attention. I like the fact that I do sweat and some wish they could but it is too much and I also have a stronger underarm odor so I'm very particular about bathing. It was not unnormal for me to take 3-4 showers a day. What procedure can be taken for excessive sweating?

Doctor Answers (15)

Underarm Sweating (Hyperhidrosis)


It is normal to sweat when we exercise. It is not normal to sweat when we are sitting in an air conditioned office and we experience excessive sweating from the underarms, palms, feet or any combination of the above.

The question you asked about sweating is very generic - but I will address primary hyperhidrosis alone as it is the type of hyperhidrosis that is treatable. Secondary hyperhidrosis is due to an underlying medical problem and when that medical problem is treated, it is possible that the hyperhidrosis may be lessened. What differentiates secondary hyperhidrosis from primary hyperhidrosis is that secondary hyperhidrosis is sweating which occurs throughout the body whereas primary hyperhidrosis is located in distinct parts of the body - head, underarms, palms, groin, feet, or any combination of these areas.

For your problem with excessive sweating you should first try topical agents containing aluminum chloride, such as Drysol or Clinical Secret. If these don't work, or if they cause skin irritation, then you should try Botox injections which can ameliorate sweating in the underarms for about 4 months.

Finally, you can have suction curettage by an experienced hyperhidrosis specialist or endoscopic thoracic sympathectomy (ETS). The latter is more than 97% successful in eliminating sweating from the underarms in carefully selected patients. However, ETS is no longer the preferred treatment for underarm sweating. miraDry is the preferred treatment for underarm hyperhidrosis. The second preferred technique for underarm hyperhidrosis is Botox injections.

ETS should only be performed by board certified thoracic surgeons (American Board of Thoracic Surgery) as it is a procedure requring experience in minimally invasive chest surgery.

Web reference:

Buffalo General Surgeon
4.5 out of 5 stars 6 reviews

There are many treatments for excessive sweating


including topical solutions such as drysol, pills such as Robinul, and treatments such as Botox/Dysport which are temporary.  THere is now a new long lasting treatment for underarm sweating, the MiraDry procedure.  It uses microwave technology to eliminate sweat glands in the underams.  Typically two treatments are done 3 months apart.  Dermatologists are the experts in excessive sweating and can let you know what choices may be available for you.

Chicago Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Neurotoxin, miradry, axillary shaving for underarm sweating


Underarm sweating and odor are common problems.  Neurotoxins, such as botox or dysport are very effective at dramatically reducing sweating for ~ 6-9 months.  Miradry is a relatively newer non-invasive procedure that uses microwave technology to destroy the sweat glands.  The first treatment typically results in an immediate reduction in sweating and the second treatment builds upon the first treatment.  On average, patients note a > 80% reduction in sweating.  A small percentage of patients don't respond to miradry - these people may do better with a procedure called axillary shaving, which surgically disrupts sweat glands.  We offer all of these procedures in our office.

Houston Dermatologist
5.0 out of 5 stars 4 reviews

Miradry and Botox for Underarm Sweating and Odor


There are two main treatments I recommend, Botox for a temporary relief and MiraDry for a long term permanent solution.

Dr. Grant Stevens Marina Plastic Surgery Associates Marina del Rey, CA The Institute

Web reference:

Los Angeles Plastic Surgeon
4.5 out of 5 stars 57 reviews

Don't Sweat The Petty Things, And Don't Pet The Sweaty Things....


There are multiple treatments for axillary hyperhydrosis. Nonsurgical treatments include  prescription antiperspirants that patients apply to the skin of the axilla on a daily basis. Patients can also be prescribed robinul (glycopyrrolate), which is an oral medication, originally developed to treat the symptoms of peptic ulcers by reducing the secretions of the stomach.  It was discovered that it had an ancillary benefit of decreasing the secretions of perspiration. Unfortunately, it also has a number of side effects, including headache, blurred vision, nervousness, nausea, bloating, heartburn and constipation. Botox can have efficacy in treating axillary hyperhydrosis, however it often does not completely control the problem, and it's effects are limited to between 3 to 6 months at a time.  

Surgical treatments  of axillary hyperhydrosis include liposuction with sharp cannulae that can cause damage to some of the axillary sweat glands through mechanical trauma and subsequent scarring. SmartLipo of the axilla can cause damage to the sweat glands by heating them with the laser.  Endoscopic thoracic sympathectomy can disrupt the sympathetic nerve chain that controls the activity of the axillary sweat glands. 

However, only the miraDry system offers a noninvasive treatment of axillary hyperhidrosis that has greater than 90% clinical efficacy (82% average sweat reduction in patients) and stability (i.e., lasts for a minimum of 2 years) with minimal pain and discomfort, and virtually no downtime after the procedure. 

Los Angeles Plastic Surgeon
4.0 out of 5 stars 12 reviews

Treatment options for bromhidrosis (excessive sweating)


Besides Botox, other treatment options available for excessive armpit sweating include topical solutions, oral medications, laser, iontophoresis, curettage and surgery.  Botox injections for excessive underarm sweating have to be repeated after 4-6 months as the results are not permanent.  MiraDry is the only device on the market that is able to eliminate both eccrine (normal sweat) apocrine ("smelly" swat) glands.  MiraDry is also the only FDA-approved procedure that offers long lasting results.  Studies demonstrate that miraDry results last up to 2 years and are likely permanent as sweat glands do not regenerate.

Web reference:

Long Island Dermatologic Surgeon
5.0 out of 5 stars 8 reviews

Treatment Options for Sweating


There are many treatment options for sweaty armpits.

Topical treatments such as deodorants, Drysol, etc.

Botox & Dysport:  highly effective but requires repeat treatments 4-6 months apart

MiraDry:  uses microwaves to destroy the sweat glands - a more permanent approact

Axillary shaving:  A small incision is made in the armpit and the sweat glands are physically removed from the undersurface of the skin.  Highly effective.

Houston Plastic Surgeon
5.0 out of 5 stars 8 reviews

Prescription strength antiperspirants, botox injections, miradry, I dont recommend surgery


Thanks to the many advances in the field of dermatology, the options have really grown in the past few years.  Aluminum based antiperspirants are at the first option.  These have to be applied at least three times a week at a minimum.  Botulinum toxin injections (botox, dysport, xeomin) are another FDA approved option.  In the armpits the results last 6-9 months.  This procedure has a high patient satisfaction rate.  Miradry is the latest FDA approved procedure that treats excessive sweating on a long term basis.  This procedure is highly effective, with extremely high patient satisfaction rates with potentially permanent results.  Two sessions are done three months apart and the results can be as impressive as 90% reduction in sweating with two treatment sessions.

New York Dermatologic Surgeon
4.5 out of 5 stars 30 reviews

There are many treatments available for hyperhydrosis or excessive sweating.


There are many treatments available for hyperhydrosis or excessive sweating. Botox® has shown effective results for treating excessive sweating, however the results are temporary (usually lasting around 6 months).  Other treatments include oral medications, surgical excision of the sweat glands and also a type of liposuction scraping technique. miraDry® is the newest technology available for hyperhydrosis.  This technology is an FDA approved non-invasive procedure that does not involve scraping or incisions like other treatments and permanently eliminates sweat glands from under the arm. You sweat from numerous pores all over your body; therefore, eliminating underarm sweat glands will not harm your body’s natural cooling process.  For more information please call a board certified dermatologist to determine the best option for your particular situation.

Atlanta Dermatologic Surgeon

Available treatments for excessive sweating


While it is normal to sweat in hot or stressful environments, some people sweat excessively even when not in these environments. This is called axillary hyperhidrosis and is caused by overactive sweat glands. Wet rings, stains and ruined clothing are a common occurrence for those with axillary hyperhidrosis, and causes them to modify their lifestyle from changing shirts throughout the day to avoiding social situations all together. This can have devastating consequences on emotional well-being and self-image.


There are a few different options to treat excessive underarm sweating also known as axillary hyperhidrosis.

1)   MiraDry: Aesthetic Solutions now has a permanent and non-invasive solution for axillary hyperhidrosis. MiraDry® is an FDA approved treatment that disables sweat glands of the underarm permanently by using electromagnetic energy.  The results are promising with 82% reduction in perspiration after a single treatment. A second treatment is recommended for maximal results and is usually performed three months after the first. The treatment will not affect the body’s temperature regulation because only 2% of the body’s 4 million sweat glands are located in the underarm region. Additionally, it is safe, non-invasive, does not require any surgical incisions, performed in the outpatient setting and has minimal, if any, downtime. Patients can return to work and normal activity immediately after the procedure. Localized swelling or soreness is normal and typically clears within a few weeks. Aesthetic Solutions is one of only 40 practices in the U.S. to offer this innovative treatment. 

2)   Botulinum toxin is another option for hyperhidrosis. The FDA approved Botox® for the treatment of Axillary Hyperhidrosis (underarms). Dysport™ may be used “off-label” for Hyperhidrosis. Botox® treatment for the palms and feet is still currently an “off-label use.” Depending on the area to be treated, the area may be anesthetized with a block to minimize discomfort. The blocks will result in an immediate but temporary numbness. Botulinum toxin can be injected in the hands, feet, and underarms, and acts by temporarily blocking neurotransmitters that stimulate sweat production. A decrease in sweating is noted after the injections. However repeat treatments are needed every 4-6 months.

3)   Drysol, a prescription, is another option for hyperhidrosis on the hands and underarms. It is a solution of 20% Aluminum Chloride in anhydrous ethyl alcohol. Drysol may cause severe skin irritation. It is applied to the affected areas and left on for 6 hours. Initial success rates are good but long-term results are less satisfactory.

Raleigh-Durham Dermatologic Surgeon
5.0 out of 5 stars 2 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.