How Much Does Excessive Sweating Treatment Cost?

If this isn't covered by insurance, does the pricing per unit still apply as with Botox Cosmetic?

Doctor Answers 12

MiraDRy - extremely cost effective for permanent, dramatic reduction of hyperhidrosis

MiraDry is a noninvasive, in-office procedure that uses microwaves to destroy sweat glands in the armpits. Patients typically have a greater than 80% reduction with just one treatment. This means that most patients no longer need deodorant or antiperspirant after treatment.  The first treatment costs about $2000.  Additional treatments, when needed, are discounted substantially.

Houston Dermatologic Surgeon
5.0 out of 5 stars 12 reviews

In Australia - less than $2 per day!

In Australia, BOTOX for excessive underarm sweating is covered under Medicare- this means most patients pay around $370 USD for a treatment that can last beyond 6 months. (See video for how quick and painless this procedure is)

Medicare Australia has rules to follow-

-BOTOX can only be used for underarms
- You must try Drichlor first
-3 treatments are subsidised, min. of 4 months apart.
-Botox can only be performed by a specialist. 

All the best

Dr Davin Lim
Founder of
Brisbane, Australia. 

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

Miradry better than botox

Using botox for palmar hyperhidrosis is an effective way to decrease sweating. The botox prevents the nerves from telling the sweat glands to secrete sweat.
Each palm will need 50 to 100 units depending on the size. The cost depends on the cost per unit in each office. Botox ranges from 10-15 dollars per unit in my area.

Miradry is better... see video!

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

How Much Does Excessive Sweating Treatment Cost?

Botox is a great option and highly effective helping excessive sweating, most patients require 50 units per axilla

Cost of Botox varies from each practice/physician and also the region you live in, typically the cost of Botox is $10-$16 per unit. Seek a reputable certified physician to promote a better outcome

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Excessive Sweating Cost

The range in cost depends on the number of units administered which can be between 50-100 units of botox and can range from $500 to $1000 per session.  For hyperhidrosis injections, I like the injections to be more dilute.  This creates a larger surface area and less overall number of units required to get a good result with Botox.  Botox needs to be more concentrated for the face.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 163 reviews

Treatments for hyperhidrosis in Los Angeles

Botox for hyperhidrosis is the same as the Botox for cosmetic use.  I would recommend the Miradry system for patients with axillary and armpit sweating. Raffy Karamanoukian, Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Cost for armpit (axillary) sweating (hyperhidrosis)

I usually consider three medical/surgical treatment options once a patient has exhausted efforts to reduce axillary (armpit) hyperhidrosis (sweating).  The most common is the use of Botox or an equivalent neurotoxin (Dysport, Xeomin).  All are effective, but the duration of action will depend on how much you put in.  It can last anywhere from 2-6 months and can cost anywhere from $800 - 1500 / treatment depending the price and amount used. 

miraDry is a new device that permanently reduces sweating.  It requires 2-3 treatments and can be as effective as Botox, but once you've completed your treatment series, you are done.  This usually costs $3000-4000 depending on whether you need more than 2 treatment sessions. 

Axillary shaving is a techique that I use to surgically remove the sweat glands from the armpits.  Insurance may cover this but it is hit or miss.  Your out of pocket costs are ~5000, and includes the facility fee and anesthesia fee.  This is also a permanent reduction in sweat.  All three options are effective, but in the long run, the Botox option becomes the most expensive as you have to repeat this 2-3 times a year. 

My recommendation is start with miraDry and use surgery as your last resort.  Hope this helps and good luck.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 37 reviews

Hyperhidrosis treatment costs

There are many treatments and depending on what area is being treated and what technology or agents, it is variable - micro ETS is 10,000 to 21,000 depending on where it is being done (hospital, outpatient center). Botox is 1000 - 1500 for underarms, same for palms. miraDry ranges from 3000 to 4000 dollars. Iontophoresis is 150 dollars per session and not very effective. Prescription medications and topicals may be as much as 100 dollars per month.

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

How Much Does Excessive Sweating Treatment Cost?

For permanent reduction of underarm sweating, we use the Smartlipo Triplex or SmartLipo Sidelaze laser to ablate the sweat glands. This is an in-office procedure under local anesthetic. Since the sweat glands are destroyed, excess sweating is greatly diminished or eliminated.

Current cost is about 3,000.  This compares very favorably with Botox which must be repeated.

Robert M. Lowen, MD
Mountain View Plastic Surgeon
5.0 out of 5 stars 48 reviews

What is the cost of excessive sweating?

Sometimes its a matter of perspective. If you add up what is spent in new clothes, dry cleaning costs, missed opportunities, etc. the numbers below won't be so scary. We always encourage our patients to look at the big picture and to think long term. Having said that, these are our rough pricing guidelines:

Axillary treatment: Botox (~6 months): $600-995; Ultrasonic therapy (permanent): $3800

Hands OR Feet: Botox (~6 months): $400-895

Hope this helps!

Best Regards,


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