Will Botox for Hyperhidrosis Cause Me to Sweat More in Other Areas?

If I get Botox for underarm sweating, will my body compensate by sweating more from other areas?

Doctor Answers 11

Very very unlikely, but one case report to be published for BOTOX and underarm sweating

The answer is 'almost no'. I have performed over 5000 cases in the past decade and only encountered ONE case of compensatory HH following BOTOX injections. This case will be reported in the medical journals, as a repeat challenge showed again the same pattern. 

In my case compensatory HH occurred on the trunk, was mild, and reversible when Botox wore off for underarm sweating within 6 months.

All the best

DR Davin Lim 
Brisbane, Australia. 

Brisbane Dermatologist
4.7 out of 5 stars 75 reviews

Botox for hyperhidrosis does not cause compensatory sweating

A very important question. While "compensatory hyperhidrosis" has been a problem historically with surgical treatments (you stop sweating in one area, and start sweating in another), this has fortunately not been observed when using botulinum toxins such as Botox for hyperhidrosis. Best to chat with your dermatologist, the hyperhidrosis experts, to review the various treatment options for your excessive sweating.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 50 reviews

No, that's not a problem with botox...

you're perfectly safe if this regard...the botox will not increase sweating elsewhere...another wonderful part of the botox story for control of excessive perspiration

Ken Landow, MD
Las Vegas Dermatologist
4.6 out of 5 stars 9 reviews

Botox for hyperhidrosis (excessive sweating) in underarms

Compensatory hyperhidrosis in other body sites is not noted commonly after underarm treatment with botox as the Botox is addressing sweat rate more than 4-5 times normal and excessive of what is needed to maintain body temperature, so reduction of this excess shouldn't neet to change other area production to stabilize core temperature.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Can Botox for Hyperhidrosis Cause More Sweating?

Hello.  Botox injected for hyperhidrosis (excessive sweating) will only affect the sweat glands in the area injected with Botox.  It's not that if you sweat less in one area (like the underarms) that you have to sweat more in another area.  It is not a "zero sum" game in that sense where you will sweat the same total amount of liquid before and after the injections.  You will simply sweat less in the injected area.  Hope this helps and good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews

Botox and hyperhidrosis

No, the botulinum toxin injections in one area of the body for hyperhidrosis should only have an effect on the site injected and should not cause paradoxical increases in hyperhidrosis in other areas.

Kristel D. Polder, MD
Dallas Dermatologic Surgeon
4.0 out of 5 stars 4 reviews

No Sweat! Botox and liposuction....

"Does Botox cause an increase in sweating in other areas if the underarms are treated?" Your question is similar to one asked by liposuction candidates (Does fat go to other areas following Liposuction) with the answer being the same. You would continue to sweat normally (or gain weight normally) in areas NOT treated. Ironically, Botox and Liposuction can BOTH treat sweating with the difference being that Ultrasonic and Laser Assisted (SmartLipo) can often provide permanent results! We have had good results with using the Vaser Ultrasonic Liposuction system and are doing trials with the SmartLipo Triplex system. If you are serious about ending your problem sweating it might be worthwhile to investigate a permanent treatment! Best Regards, KC

Kirk A. Churukian, MD
Los Gatos Plastic Surgeon
5.0 out of 5 stars 6 reviews

Will Botox for underarm sweating cause me to sweat in other places?

That is an excellent question because some treatments for excess sweating, such as surgery can cause what we term compensatory sweating in other areas. The good news is that Botox is a highly effective, safe and easy treatment for excess sweating in the underarm area that will not result in increased sweating in other areas.

Ted Brezel, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Botox for hyperhidrosis

No!!  Botox works locally at the injection sites, in your case, your armpits.  You will continue to sweat in other areas, but no more so than usual.

Sheri G. Feldman, MD
Beverly Hills Dermatologist
5.0 out of 5 stars 1 review

Botox for Hyperhydrosis

The answer to your question is simple: No.  Botox works on the cholinergic receptors on the sweat glands locally (at the site of injection) and should not affect sweating in any other area of the body.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 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.