Estimated Cost of Botox for Underarms and Forehead?

Question

My doctor is charging me $1,900 to get my forehead and my underarms Botoxed. I want to get both the frown lines and the sweating off of my forehead, and the sweating off of the underarms. Is this too expensive?

Robert M. Lowen, MD · Answer

Botox is a temporary treatment for hyperhidrosis, excessive sweating.  For the underarm area, one can have laser treatment that will remove the sweat glands and decrease sweating by 75% or more, permanently. The procedure is done under local anesthesia and takes about an hour in the office operating room.The laser I currently use is the Cynosure 1440 nm Precision Tx. Earlier work was done with the 1064 YAG laser and the current 1440 is directional and can be directed against the skin to remove the sweat glands. The laser is computer controlled to prevent the temperature rising too much and causing skin damage.

Jerome Edelstein, MD · Answer

This depends on the number of units you'll be receiving. Generally, clinics provide a per unit price, and you simply multiply that amount with the number of units administered during treatment. So, you may want to find out how many units your doctor will be administering.

Ron Shelton, MD · Answer

It seems to be a reasonable fee, as there needs to be considerable number of units for the underarms. Keep in mind, that you will not be able to keep all the forehead dry as some areas should not be injected for fear of creating a droop of the eyebrows and eyelids.

David Hansen, MD · Answer

Stay with your doc because you are getting a good price for the botox for all the areas you are doing. It is common to charge 1500 for under the arms and 500-600 for the forehead and frownlines between the eyebrows.

David Shafer, MD, FACS · Answer

The price of Botox Cosmetic really depends on the number of units being used. Typically for the underarms, you need about 50 to 100 units per side. A typical face treatment (eyes, forehead) takes about 50 units. The typical price of Botox is between $14 and $18/unit. So if you are using 150 units, the price should be between $2100 and $2700 for a full treatment. If you are only being charged $1900, then I wonder how if you are truly getting a full treatment or diluted Botox. Some physicians charge by "area" and don't tell you how many units you are receiving. Other physicians may give you a good price to get you "hooked" the first time. Good luck.

Anshul Gambhir, MD · Answer

Hi, thank you for your question! Botox for underarms can range from 75-100 units per armpit. This may be an accurate total if you are also adding on forehead botox. Botox pricing per unit can also range in pricing so I would suggest reaching out to different providers. If you are looking for something more permanent for the underarms for hyperhydrosis I would suggest MiraDry. MiraDry may be more cost effective for you for that area. MiraDry is the first and only FDA-approved, non-invasive treatment that safely and effectively reduces excess underarm sweat and odor. Patients typically see an 80% sweat reduction, 60% odor reduction, and a 50% hair reduction at 12 months. The treatment is noninvasive and takes about three hours to complete. Most patients see results after one treatment, though a second may be needed to reach the desired effects. The miraDry system targets and destroys sweat and odor glands in your underarms. These glands do not grow back once they are destroyed. miraDry's proprietary miraWave technology is the ideal wavelength for eliminating sweat and odor glands in the underarm. It non-invasively targets the area where the sweat glands reside and safely destroys them while cooling your skin for added comfort.

Benjamin Barankin, MD, FRCPC · Answer

The cost of injecting Botox for hyperhidrosis (excessive sweating) is based on a few factors, most importantly the amount of units required to inject, and the expertise of your physician, ideally a dermatologist. The cost you mention seems reasonable, although many private insurance plans in fact pick up some if not all of the cost.

Michael Law, MD · Answer

In my practice we charge a lower price for a vial of Botox when it is used for sweating. Other practices may do the same.

Nissan Pilest, MD · Answer

To do the underarms we usually use 100 units and for the forehead we use around 20 units.
So the fees would be 120 X12= $1440.

Bruce E. Katz, MD · Answer

Sounds like a good price to me. Pricing for those two areas could range anywhere from $1700 to $2500. If I were you, I would make that appointment.

Estimated Cost of Botox for Underarms and Forehead?

Answers (13)

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