I have smelly under arm pits and no matter what kind of deodorant I use it still doesn't work.

There are two options for you. The first is MiraDry which is used to reduce sweat and sell from the underarm area. One treatment reduces 75 to 82 % of the sweat in most persons. Additional treatments can dry you up more, but it is very rare to have more than two treatments of MiraDry. The other option is Botox which can be injected in the underarms too and requires treatments every 4 to 6 months. Read about both options at the link below.

The smell would be caused by the bacteria interacting with your sweat. Botox can be used to decrease sweating in the underarms. I recommend getting a formal consultation with an expert. Best, Dr. Emer

Thank you for your question! You can look into getting Botox injection in your armpit area, which minimizes underarm sweating and therefore it minimizes the odor. The hair makes intensifies the smell, so you may want consider removing your hair if you are not doing it already. If your hair grows at fast pace, you may consider laser hair removal too. Best of luck!

You can look into getting Botox injection in your armpit area, which minimizes underarm sweating and therefore it minimizes the odor. The hair is the main cause of the odor. It intensifies the smell, so you may want consider removing your armpit hair if you are not doing it already. If your hair grows at fast pace, you may consider laser hair removal too. Good luck!

Botox def works but also research Precision Tx as a permanent treatment. It is a one time treatment.

Botox works very well for Underarm sweating. I find that Botox injections cause underarm sweating to stop. However, it is a temporary solution which many people find useful. 

There is a permanent solution with a procedure called Miradry. Most people require only one treatment with a small number requiring a 2nd treatment. 

You should discuss your options that would be unique to your situation with your provider. 

You can hair laser removal of arm pit to reduce symptom.  It feels much cleaner after 4-6 treatments depending on your hair type. 

I have used laser in the axilla to try and control the hyperhydrosis but with mixed results.  Botox at present is an excellent way to reduce the sweating but only lasts about 5-6 months and would require and additional treatment.  

Dr. ODell

Although the bacteria may be the cause of the odor, it's possible that decreasing the sweat will have an effect.  In this case, it may be worth trying a round of Botox for excessive underarms sweating, since it doesn't seem that other approaches have worked.

Good luck!

This can be improved by using the Infini or Miradry in this area. Botox will also help but only temporarily. The key is to destroy the glands secreting the odor. I use the Infini for this. It takes 2-3 treatments to get a long lasting result.