Botox for Excessive Sweating
You sweat less where it troubles you most, for several months.
- First changeWithin several days
- Full resultOne to two weeks
- LastsAbout four to six months
- DowntimeMinimal
Key takeaway
You sweat less where it troubles you most, for several months.
Your doctor asks about the sweating first, then places small injections of genuine Botox® by Allergan.
Is it right for you?
- Have underarm sweating that disrupts daily life
- Get sweat marks despite antiperspirant
- Sweat heavily without heat or exercise
Sweating that started suddenly, covers your whole body or comes regularly at night means waiting while your doctor looks for the cause.
Botox pauses the signal to sweat
Sweat glands start working when nearby nerves release a chemical signal, and Botox blocks that signal for a while wherever it is placed. Those glands then 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 be behind it, so your doctor asks when and where you sweat, and if you have 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, may be off-label, risk of brief hand weakness
- Soles of the feetAssessed individually, may be off-label
- Forehead, face and scalpAssessed individually, may be off-label
In the clinic
The consultation comes first, with your doctor, before anything is booked. 
Refreshments are waiting when you arrive. 
A treatment room at Cocoon Legian. 
The stone path to the treatment rooms at Legian. 
The BOTOX Platinum Award, 2026.
Results
- First change
- Within several days
- Full result
- One to two weeks
- Lasts
- About four to six months
- Downtime
- Minimal
Sweating can ease within several days, with the full effect in one to two weeks. It commonly lasts four to six months, sometimes longer, sometimes shorter. A review follows the first treatment, and a repeat is possible once it wears off.
Redness, tenderness, swelling or bruising can show around the injection points. All of it passes. Results vary with the area, the dose and how severe the sweating is.
Before and after your visit
Before
- Tell your doctor what you take, including blood thinners and aspirin.
- Mention any botulinum toxin or filler treatment in the last four months.
- Avoid alcohol the day before, as it can increase bruising.
- Arrive with clean skin and little makeup on the treatment area.
- Do not shave or irritate the area for about 24 hours before.
- No deodorant, antiperspirant, body lotion or fragranced products on the area that day.
- Mention supplements, allergies, muscle relaxants, injected antibiotics, neuromuscular conditions and swallowing or breathing trouble.
- Do not stop prescribed medicine unless its prescriber says so.
The day
Your doctor cleans the area and may mark where you sweat most. Small injections then go in just beneath the skin, and that part is usually quick. Afterwards you can go back to your day.
After
- Do not rub, press or massage the treated area for the rest of the day.
- No strenuous exercise, saunas, steam rooms or intense heat for 24 to 48 hours.
- Delay facials and facial massage until your doctor says.
- Contact us if anything unexpected develops afterwards.
Botox treatments, side by side
- First change
- After one to two days
- Lasts
- Up to four months
- First change
- Less jaw tension in one to two weeks
- Lasts
- Three to six months
- First change
- Within several days
- Lasts
- About four to six months
- First change
- Sometimes two to four weeks
- Lasts
- About 12 weeks
Questions people ask
The underarms usually need none. Palms and soles are more sensitive, so your doctor may use a numbing cream or local anaesthetic.
No, only the injected glands slow down. Everywhere else you sweat as usual, so you still cope with the heat.
It depends on the area and your assessment. For primary underarm sweating, official prescribing information recommends 50 units per underarm.
Yes, from Kuta, Legian, Seminyak or Kerobokan and back, at no charge, if you book ahead. You arrive cool, with refreshments waiting.