Can Botox Treat Facial Sweating?

Hello,There are a variety of techniques to decrease sweating under the arms:

Botox- Botox is helpful in that it can decrease the production of sweat but not odor.  It typically lasts about 6 months in the under arm area.
Miradry-  Miradry uses microwave energy to destroy apocrine and eccrine glands.  It is better at eccrine gland destruction than apocrine and is currently only used on the underarm area.
RF needling- Can be used anywhere on the body and can destroy both apocrine and eccrine glands.  Has become the procedure of choice in my practice for hyperhidrosis due to its effectiveness.
Nerve ablation-Not commonly performed anymore as side effects are often worse than treatment and effectiveness is often limited.
Oral medications- Too many side effects to be effective.
Topical medications- Works by blocking glands.  Many patients state how not effective mechanism.
Best,
Anil Shah

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. Duration also depends on dose and technique, but can vary from 3-6 months. I would visit with a plastic surgeon experienced with hyperhidrosis to be evaluated and treated as this is area is a more nuanced procedure.

There have been studies that show that Botox can help with hyperhidrosis (or excessive sweating) of the face.  I would make sure you see a board-certified dermatologist for this so that one can avoid asymmetries that can happen when inappropriate techniques and dilutions are applied.