Botox Didn't Work For Underarm Sweating?

It appears that while your treatment did work, it didn't last very long. Please talk to your injector about increasing the number of units administered. Best of luck.

It would be very helpful to know how many units were applied. The recommended dosage for hyperhidrosis is usually 50 units on each underarm, a total of 100 units for full correction. It may be you need more units applied or need a touch up, let your medical provider know about the situation, i'm sure they will be more then happy to see you for a follow up. 

Best regards 

I find that Botox is a great answer to axillary hyperhidrosis (excessive underarm sweating). It would be interesting to know how many units were injected to each underarm. Every individual is different in their need, but it could be that you needed more. Usually it takes anywhere from 2.5-4 months for botox to be metabolized through the body. Best of luck!

The average number of units of Botox to treat excessive underarm sweating is 50 Units per underarm. That being said, some people may require more and some may require less. Sometime's it takes more than one treatment session to figure out what the right dosing is for you. The effects of Botox usually last 3-4 months, but for some people it may last less. You may either require an increased dose or a shorter interval between your treatments. This is best discussed with your doctor. Good luck to you!

Since you say you did notice an effect for a few weeks after the Botox for underarm sweating, I would look at the dosage that was used to treat you.  It is possible that enough was not used to give you a longer lasting result.  

Hi, thank you for your question! Botox can work for hyperhydrosis, it just depends on how severe it is. I would recommend following up with your certified injector. If you want something that is going to be more permanent, I would suggest MiraDry. MiraDry is the first and only FDA-approved, non-invasive treatment that safely and effectively reduces excess underarm sweat and odor. Patients typically see an 80% sweat reduction, 60% odor reduction, and a 50% hair reduction at 12 months. The treatment is noninvasive and takes about three hours to complete. Most patients see results after one treatment, though a second may be needed to reach the desired effects. The miraDry system targets and destroys sweat and odor glands in your underarms. These glands do not grow back once they are destroyed. miraDry's proprietary miraWave technology is the ideal wavelength for eliminating sweat and odor glands in the underarm. It non-invasively targets the area where the sweat glands reside and safely destroys them while cooling your skin for added comfort.

Botox works great for underarm sweating when the right amount is injected. Sometimes we combine it with Drysol.

Sometimes this can happen. It is very unlikely that false Botox was used by an MD. You can always ask for the Botox vial to be reconstituted in the exam room. I suggest asking for a starch iodine test to be done before the treatment to identify the extent and area of sweating and help in guiding the areas to be injected. This can be repeated a week later to assess the response. You may also need a higher dose if the response is not adequate.

Since you had an initial response to the Botox injections, you may require a higher dose to help it last longer for you.  Please return to your physician and discuss a higher dosage.