How Much Botox Units is Needed to Treat Underarm Hyperhidrosis?

It takes about 50 units of Botox per arm to correct the medical condition known as hyperhidrosis, or excessive sweating. Botox is not a permanent cure. Results only last about three to four months and then the procedure must be repeated. However, my patients who have had Botox to control this embarrassing condition have been very happy and continue to be treated. I hope this helps.

I like 50 units per arm pit.  One of my nurses or my PA performs the procedure.  It's a little time consuming, we book an hour for treatment which allows for time to numb the area with Betacaine, Lidocaine and Tetracaine (BLT) cream.  Nearly all patients continue to return for treatments, which tells me it works.  I am hopeful that the Botox cream proves effective, which would be nice, especially for hand and foot sweating.  Those areas are painful to treat.

Most patients have gone through dry-sol and other treatments.  We have the patient come in for an evaluation.  We will usually place a topical numbing cream and then treat with 50 units of Botox in each armpit.  Some of these patients are the happiest in the practice.  I had one patient state that this is the first time in years that he had worn a powder blue dress shirt.  It typically lasts about 6 months.  We have had others that lasted considerably longer.

As the other panel members have indicated, most will start with a minimum of 50 units of Botox per underarm for a total of 100 units per treatment.  Our patients have found value with this treatment especially when done before a special event (ex: wedding) or for hot, humid seasons.

TIP:

We offer a discount on the cost of the product for these treatments since a patient is using an entire vial for one treatment.  We would encourage you to ask for the same.

Please see the below link for more information on hyperhidrosis for underarm sweating.

 

I will start off with 50 units, and sometimes go higher depending on the response. I have replaced Botox with the PitStop procedure for permanently reducing underarm sweating.  As a one-time treatment it works better and is less expensive.