Cost and Number of Treatments for Botox in Underarms?

How much does Botox for the underarms cost? How many treatments are usually needed?

Doctor Answers 13

Botox treatment cost for underarms

We treat hundreds of patients each year successfully with Botox for excessive sweating (hyperhidrosis) of various areas, but most commonly the underarms. Private insurance plans thankfully cover most of the cost of Botox, and there is typically an injection fee as well that varies. Best to speak with your dermatologist about the various treatment options for your hyperhidrosis, of which Botox is one of the most effective and safest. Dr. Benjamin Barankin, Toronto Dermatology Centre.

Toronto Dermatologic Surgeon
4.8 out of 5 stars 50 reviews

In Australia BOTOX for Underarm sweating is covered under MEDICARE

Here are the Australian rules. 
Underarm sweating can be treated with BOTOX in Australia for the past 4 years- since 2012. 

- Botox can only be administered to the underarms failing topical Driller
-BOTOX can only be performed by a Specialist Dermatologist if it were to be claimed under Medicare
-100 units of BOTOX has to be used 
-50 Units of BOTOX into each underarms ( can't do a 60/40 split)
-3 sessions subsided per year, min. of 4 months apart
- Average out of pocket cost is $370 USD per session- less than the cost price of a vial of Botox.

More on the procedure in the video below. 


Dr Davin Lim
Laser Dermatologist
Founder of
Brisbane, Australia. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 75 reviews

You only need botox about once every 9-12 months to control excess sweating

under the arms...sometime it lasts longer, occasionally less...the cost varies between different doctors and different geographic a few dermatologists and find out the price in your area...generally about 50 units per axilla so a total dose is about 100 units...and remember it may be covered by your insurance...but there are often some glitches along the call them first and find out their policy

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

Botox for Underarm Hyperhidrosis and Insurance Coverage

99% of Botox for underarm hyperhidrosis is covered by medical insurnace in our geograhic area. Some individuals who have high co-insurance or high deductibles will have to pay for the amount that is not covered by insurance. But, if you have good health insurance without a deductible or co-insurnce, Botox is covered if the insurance company authorizes it - sometimes if certain conditions are met - failed topical aluminum chloride, oral anticholinergics, etc.

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Insurance May Cover Your Botox

We value our Botox treatments based on areas.  Underarms are considered two areas, depending on your provider. It should begin about $500.  Hyperhidrosis is considered a medical indication for this treatment. Your provider may be able to bill your insurance company. You will be responsible for your co-pay depending on your insurance carrier. Please note that you are responsible for your treatment if the insurance company does not pay. Have an open conversation with your provider during the consultation.


Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 118 reviews

Botox and sweating


The cost and duration of action of Botox for sweating may vary widely depending on how many sweat glands you have in your armpits. A general estimation can be based on the amount of hair in your armpits. A small area of hair usually indicates a lesser number of sweat glands, which may be cheaper to treat and last longer. My patients usually pay $1000-$1500 for a treatment and repeat twice annually. When they compare it to their costs for deodorant/antiperspirant it's not too bad. Good luck!

Kenneth R. Francis, MD, FACS
Manhattan Plastic Surgeon
4.6 out of 5 stars 47 reviews

BOTOX works well for underarm sweating.

You'll need 100 units total for both underarms, and just about all of my patients love it since it really keeps you dry. Results last around 6 months, and the cost can be anywhere from $800 to $1200, depending on your location. Insurance may cover this procedure for hyperhydrosis (excessive sweating).

Good luck.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 418 reviews

Botox for excessive underarm sweating

The cost of the procedure depends on how much your doctor charges.  50 units per underarm is the usual dose.  Insurance typically will pick up the cost only if other treatments have have failed.

For this indication, the effects of Botox typically last 6-8 months, sometimes longer. 

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Botox injection under the arms is extremely effective

Botox injections are very effective for underarms. The effect  generally last 200 days (around 6-7 months). We charge $950 for 100 units of Botox. We inject 50 units under each arm.

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.7 out of 5 stars 19 reviews

Botox helps for underarm sweating

Botox is very effective for underarm sweating. However, it can be costly and is rarely covered by insurance. You will likely need 2 to three treatments per year. The cost can vary, but be prepared to spend between $1000 and $1500 per treatment. It takes much more Botox to stop the sweating than it does to stop a few wrinkles in your face.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 75 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.