Hyperhidrosis: Excess Underarm Sweating

Hyperhidrosis symptoms are so severe that it becomes embarrassing, causing discomfort and anxiety. The patient’s career choices, free time activities, personal relationships, self-image, and emotional well-being may be affected.”

According to the International Hyperhidrosis Association, approximately 2.8 percent of Americans are affected by hyperhidrosis; that’s around 7.8 million people.

Fortunately, there are several options that can treat symptoms effectively. The biggest challenge in treating hyperhidrosis is the significant number of people who do not seek medical advice, either due to embarrassment or because they do not know that effective treatment exists.

People with hyperhidrosis might experience the following:

  • Irritating and painful skin problems, such as fungal or bacterial infections
  • Worrying about having stained clothing
  • Reluctant to make physical contact
  • Self-conscious
  • Socially withdrawn, sometimes leading to depression
  • Select employment where physical contact or human interaction is not a job requirement
  • Spend a large amount of time each day dealing with sweat, such as changing clothes, wiping, placing napkins or pads under the arms, washing, wearing bulky, or dark clothes
  • Worry more than other people about body odor 

Signs and symptoms of hyperhidrosis may include:

  • Clammy or wet palms of the hands
  • Clammy or wet soles of the feet
  • Frequent sweating
  • Noticeable sweating that soaks through clothing


This method works by destroying the auxiliary sweat glands without surgery. Only used for underarms, it cannot cure hyperhidrosis in the hands and feet.

Permanently reduce your underarm sweat & odor in as little as one non-surgical, painless treatment.

The MiraDry system uses thermal energy that targets and eliminates the sweat & odor glands in your underarm. Once those glands are eliminated, they do not grow back.

BOTOX® for Axillary Hyperhydrosis (excessive underarm sweating)

Many Americans have severe primary axillary hyperhidrosis, commonly known as severe underarm sweating. This severe sweating is a treatable medical condition.

We produce sweat as our body’s temperature regulator, but people with axillary hyperhydrosis have overactive sweat glands, where the sweating significantly exceeds the body’s normal requirement for cooling.

In 2004, the U.S. Food & Drug Administration (FDA) approved BOTOX® (onabotulinumtoxinA) for the treatment of severe primary axillary hyperhidrosis (excessive sweating of the underarms) in patients who weren’t able to obtain relief using antiperspirants.

BOTOX® treats the symptoms of severe underarm sweating when topical medicines do not work well enough in people 18 years and older. BOTOX® treatments temporarily block the chemical signals from the nerves that stimulate the sweat glands, resulting in reduced sweating.

The Procedure

The procedure consists of superficially injecting  BOTOX® directly to the underarm area. The process is quick and relatively pain free.

BOTOX®   has been shown to result in an 82-87% decrease in sweating. You will start to notice results in approximately 2 to 4 days after treatment, with the full effects usually noted within 2 weeks. The dryness typically lasts 4 to 12 months. Studies have shown that repeated treatment with BOTOX®  is safe and effective for hyperhidrosis and consistently results in meaningful, long-lasting improvements in an excessive sweating patient’s symptoms, quality of life, and daily functioning.

Although sweating is essential for temperature-control, localized body areas store only a small percentage of the body’s sweat glands. The underarms contain less than 2% of the body’s sweat glands. Therefore the temporary reduction of these sweat glands’ functioning has little to do with body thermoregulation, allowing BOTOX® to be a great treatment option for those suffering from this condition.

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