Why did my underarm Botox wear off in 2 weeks?

Question

I decided to undergo underarm botox even though I didn't have a problem with excessive sweating. I was told the effect will wear off by 8 months, however I noticed that i started to sweat 2 weeks after my botox! Does this mean underarm botox does not work for me? Should I have it re-done? Did the doctor do something wrong?

Eric M. Joseph, MD · Answer

The group of patients difficult to treat have been teenagers with hyperhydrosis. Nearly all adults with excessive underarm sweating are pleased with their results. We use 100u Botox - 50u to each underarm. The injections should be intradermal, not deep to the skin. How many units did you receive? If you went to a reputable dermatologist or surgeon, bring your concerns to his or her attention - you may need a dose adjustment. Hope this helps! Dr Joseph

Jason Emer, MD · Answer

It may be that additional Botox was needed to get the result you wanted. Glycopyrrolate combined with Botox can also give improvement. Results generally last 3-4 months. See an expert. Best, Dr. Emer

Michael I. Echavez, MD · Answer

Botox is commonly used to treat excessive sweating in the underarms.  The dose use and the technique to inject it can both influence the results.  Without knowing how much was used to treat you, it is impossible to know if your dose might have been too little or not.  I would contact the physician who treated you to discuss your results and see if adding more Botox might be helpful.

Anshul Gambhir, MD · Answer

Hi, thank you for your question! I would suggest following up with your certified injector if you feel as though the botox has warn off. Two things that can cause the botox to wear off quickly is high metabolism of the product which can be caused by weight loss or under-dosing. Dosing for the underarms can range from 30-60 units per armpit. I would suggest having it redone by your injector and see the duration that you obtain. I would also suggest another procedure that can be used for sweating and odor of the underarms. MiraDry is the first and only FDA-approved, non-invasive treatment to safely and effectively reduce 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 non invasive and takes about three hours to complete. Most patients see results after one treatment, though a second may be needed to reach desired affects. The miraDry system targets and destroys sweat and odor glands in your underarm. These glands do not grow back once they are destroyed.

Julie Shelley, DO · Answer

Hello, and thank you for your question! The answer to your question greatly depends on the dose of Botox that was injected into each underarm and the layer in which these injections were performed. In our clinic in Oklahoma City, we typically inject 50 units into each underarm and sometimes more if needed. If your dose was less than this, you may have been under-dosed, and I recommend following up with your injector for further recommendations. I hope this helps!
- Dr. Julie Shelley, Oklahoma City

Melvin Elson, MD · Answer

If you did not have a problem then maybe it should not have been done. Did the doctor do a starch iodine test before?  a second opinion is in order if not

Samir Shureih, MD · Answer

If you had no problem with over sweating, you should not have had the treatment. sweat glands are all over the skin. What you are experiencing is normal body function of sweating.n hyperhidrosis, first a starch iodine test is done to locate the hyperactive sweat glands and that is where the botox is injected.

Leonard Grossman, MD · Answer

As a general rule, when Botox is used for treating underarm sweating, it should last approximately 6 months or more. It is unfortunate what happened to you but I believe you should be speaking to your treating physician about this issue. It may have been either an old vial of Botox or just a very diluted form of Botox to boot. Good luck from New York City

Michael S. Mall, MD · Answer

Hello - thank you for your question.  We cannot truly say that the doctor did anything wrong.  Maybe more product should be applied.  It's okay to go back to the provide and at minimum have him take a look at the area.
Best

Guadalupe Villa, MD - Account Suspended · Answer

Hi! Thank you for your question. The duration of the treatment with Botox can differ from each patient. Usually the duration of botox is about 4 to 6 months but there’s several reasons that can shorten this such as; smoking, exercise and gaining weight. It’s important to notify your physician so that they can adjust the dosis and concentration in case you may need more units.

Why did my underarm Botox wear off in 2 weeks?

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