Skip to content
Smiling woman looking over a man’s shoulder as they embrace in soft daylight

Botox for Excessive Sweating

Sweat less where it troubles you most.

You choose your clothes around it. You check the mirror, the mirror again, and then the room.

If sweating beyond what your body needs is shaping your day, you do not have to keep planning around it. After a conversation about your sweating, your doctor places small injections of genuine Botox® by Allergan, and the relief can last for several months.

How it works: Botox pauses the signal to sweat

Your sweat glands start working when nearby nerves release a chemical signal. Wherever Botox is placed, it blocks that signal for a while, so those glands make less sweat.

Hyperhidrosis means sweating beyond what your body needs to keep cool, in one area or several. Medication, hormonal changes or another condition can sometimes be behind it. So your doctor starts with questions: when and where you sweat, and whether you have already tried prescription-strength antiperspirants or other treatments.

Where it can be used

  • UnderarmsIndicated for severe primary sweating that topical products have not controlled
  • Palms of the handsAssessed individually, and may be off-label. There is a risk of brief hand weakness
  • Soles of the feetAssessed individually, and may be off-label
  • Forehead, face and scalpAssessed individually, and may be off-label

What to expect

  1. Within several days

    Sweating begins to ease.

  2. Week 1 to 2

    Your full result.

  3. Month 4 to 6

    The effect gradually wears off. It commonly lasts four to six months, sometimes longer, sometimes shorter.

A review follows your first treatment, and a repeat is possible once it fades. Redness, tenderness, swelling or bruising can show around the injection points, and all of it passes. Results vary with the area, the dose and how severe your sweating is.

A drawing of the skin before Botox: the sweat glands active, beads of sweat at the pores
The same drawing after Botox: the glands quiet, the pores dry
Illustration: the sweat glands and their nerve, before Botox and after it. Not a photograph.

Your visit, step by step

An armchair beside a tray of tea and a Cocoon menu, ready for a guest
  1. Before

    • Do not shave or irritate the area for about 24 hours beforehand
    • No deodorant, antiperspirant, body lotion or fragranced products on the area that day
    • Tell your doctor what you take, including blood thinners, aspirin, supplements, muscle relaxants and injected antibiotics
    • Mention any allergies, neuromuscular conditions, or swallowing or breathing trouble
    • Mention any botulinum toxin or filler in the last four months
    • Skip alcohol the day before, as it can increase bruising
    • Do not stop prescribed medicine unless its prescriber says so
  2. The day

    Your doctor cleans the area and may mark where you sweat most. Small injections go in just beneath the skin, and that part is usually quick. Then you go back to your day.

  3. Aftercare

    • Do not rub, press or massage the treated area for the rest of the day
    • Avoid strenuous exercise, saunas, steam rooms and intense heat for 24 to 48 hours
    • Contact us if anything unexpected develops

Questions people ask

Ready to stop planning around it?

Start with a private conversation. Your doctor will ask about your sweating, check what is behind it, and tell you honestly whether Botox is right for you.

Join Cocoon VIP

Priority access to our latest treatments, special events and seasonal experiences.

By joining, you agree to receive Cocoon VIP emails. You can unsubscribe at any time.

Book via WhatsApp