Patients who suffer from excessive sweating under the arms, or axillary hyperhidrosis, can be great candidates for BOTOX® treatment. Hyperhidrosis is a condition experienced by more than 1 million Americans, and involves more amounts of sweating than is required for normal temperature regulation of the body. It affects the areas of the body with the highest concentration of sweat glands, such as the underarms, palms of the hands, and soles of the feet. There are two classifications of hyperhidrosis, primary and secondary. Primary or focal hyperhidrosis involves excessive sweating of specific areas such as the underarms and is usually not associated with an underlying medical condition. Secondary hyperhidrosis involves generalized excessive sweating throughout the body that is due to an underlying illness.

BOTOX® for Hyperhidrosis

BOTOX® is an FDA approved approach to treat focal hyperhidrosis of the underarms. Patients who experience axillary hyperhidrosis that interferes with their daily activities are often good candidates for the treatment. Many patients who decide to proceed with BOTOX® treatments have attempted non-invasive treatment options with prescription strength antiperspirants and have had no relief of symptoms. Excessive sweating is caused by overactive sympathetic nerves to the sweat glands that can be inhibited with botulinum toxin Type A to stop the sweating completely.


Before the procedure, a topical anesthetic is placed under the arms for 20-30 minutes for maximum comfort. Dr. Neil J. Zemmel will then inject the BOTOX® subdermally via a very small needle throughout the axillary area. A series of injections are given to ensure coverage of the entire area. Common side effects include redness and bruising from the actual needle punctures that usually subside within one to two days. The BOTOX® takes effect approximately five to seven days after treatment and lasts between 4-6 months. Many patients receive treatment twice per year for full coverage.

Contact Dermlounge

Feel free to make an appointment with Dr. Neil Zemmel to find out if you are a candidate.