Botox for Hyperhidrosis - Worked Just for 2 Weeks. Normal?

There are no cookie cutter answers. I have coauthored a book on hyperhidrosis and have seen patients with resistance to Botox. I would suggest an alternate neurotoxin. Best, Dr. Karamanoukian Los Angeles

Thank you for your question. Botox is a very effective treatment for hyperhidrosis (armpit, hands, feet, scalp/face, etc). The dosing is typically based on areas treated but can vary around 50 - 100 units per side depending on how large the treatment area. Duration also depends on dose and technique, but can vary from 3-6 months. It would helpful to know what dosage was used and actually observe the technique.  I often find that injecting at the wrong depth can cause most of the botox  to go deeper than the sweat glands. For the armpit region, you may also want to consider miraDry as it provides a longer lasting relief and in the long run is more cost-effective.

Our office specializes in Miraday. Miradry just got FDA clearance for elimination of all hair colors under the arm. It also has clearance for the elimination of underarm sweating and odor.  Much cheaper than botox and permanent.