Is Botox for Sweating Permanent or Are Routine Injections Needed, As is the Case for Wrinkles?

How long does a botox treatment last for heavy perspiration?

Doctor Answers 33

Botox for excessive sweating

Botox for excessive sweating is a simple highly effective treatment that can be performed in quick office visit.  It does not require any anesthesia and patients can return to their normal routine immediately.  Its effect  generally lasts appoximately 6 months in most cases with a general range of 4 to 12 months. There is a new treatment that has recently received FDA clearance from miraDry which does provide longer lasting relief but does entail a more significant procedure i.e. anesthesia and some discomfort.  This has just been recently approved so availability is very limited as this point. 


Long Island Dermatologist
5.0 out of 5 stars 4 reviews

Botox vs MiraDry

Botox is effective in treating excessive sweating, but the effects are temporary. With that being said, you would need to routinely have injections to maintain the effects.

There is a treatment offered that does allow for permanent sweat reduction called miraDry. MiraDry is the only non-invasive, FDA cleared aesthetic treatment that safely removes underarm sweat and odor glands, providing a permanent solution for underarm sweat. It is a quick, in-office procedure with immediate and long lasting results. 

Botox for Excessive Sweating

Thanks for your question! Botox to treat excessive sweating or hyperhidrosis, is not permanent, but often times lasts longer than treating wrinkles on the face! On average, my patients report enjoying the benefits of Botox in the underarms for about 6 months. It’s important to remember that everyone’s bodies metabolize Botox at a different rate, so the timeframe can vary from person to person. I always tell my patients that they should expect to be able to enjoy the benefit of underarm Botox injections through an entire season or more, and with summer coming up, it’s a great treatment to consider!

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.0 out of 5 stars 7 reviews

BOTOX and underarm sweating

BOTOX needs to be repeated. The only exception is when Botox 'resets' you sweat stress cycle. In this case (rare), one treatment can provide excellent, permanent results. This is the exception rather than the rule. 

Here are the stats-

- Botox works for the treatment of underarm or axillary HH in 96% of patients
- underarm sweating stops by 90-100% 
- the average user is underarm sweat free for just over 6 months
- In Australia this treatment is partially covered by Medicare- 3 treatments per year, so patients are out of pocket around 370 USD. 
- side effects are very uncommon. 

Dr Davin Lim
Laser Dermatologist
Founder of Sweatfree.com.au Australia
Brisbane. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.8 out of 5 stars 51 reviews

Botox for Sweating

As with any type of Botox treatment, and any type of injectable filler for that matter, Botox injections aimed at reducing sweating are not permanent. You will need to have additional injections to “touch-up” and maintain your results. Still, as you continue your treatment, you may find that with each subsequent injection your results are more long-lasting.

Yael Halaas, MD
Manhattan Facial Plastic Surgeon
4.8 out of 5 stars 31 reviews

Botox for sweating is not permanent

Great question! Unfortunately like getting Botox for wrinkles the results will usually last about three to four months at which point the sweat begins to reappear.

Dennis Gross, MD
New York Dermatologist
4.4 out of 5 stars 5 reviews

Botox for sweating

Botox typically lasts for about 4-6 months for sweating. You might see results last longer if you've had many treatments performed before.

In order to keep you underarms dry, it will be necessary

to have your botox treatments about once a year...with some potential variation...either slightly shorter or longer...but I suspect that's not an issue...there are some more expensive options but the future is not known about how long the outcomes last and there are a lot more complications associated with their use

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

Botox prevents sweating in the underarms for about six months

Botox does not permanently prevent underarm sweating. Its effect appears to be longer in duration for hyperhidrosis of the underarms than the wrinkle minimizing effect it has on the muscles of the face which only lasts 3 to 4 months.

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

Duration of Botox for Sweating

Unfortunately, the effects are not permanent and maintenance treatments will be needed to maintain the benefits.  In our experience, the average duration is a minimum of four months with the average being seven months.

Because these treatments are not inexpensive, many will choose to have the treatment in anticipation of a special event (ex:  wedding, graduation, vacation) or in preparation of the hot summer months.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.5 out of 5 stars 8 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.