Sweating is normal and healthy. In fact, your body has between 2 million and 4 million sweat glands. When your body heats up, these glands release sweat to help cool you down.


For some people, sweating can go into overdrive. Severe underarm sweating, also known as severe primary axillary hyperhydrosis, is a condition in which the body sweats more than it has to in order to regulate body temperature. The severity of the condition is based on the extent it interferes with your daily activities.


Botox® is a natural, purified protein with the ability to temporarily block the secretion of the chemical that is responsible for “turning on” the body’s sweat glands.

Botox® “turns off” sweating at the area where it has been injected by blocking, or interrupting, this chemical messenger.

Botox® injections are very shallow, meaning that the medicine is injected just below the surface of the skin, where it remains.


Drier underarms with 1 treatment!

Our Medical Director, Dr. Mirkia, will make 10 to 15 small injections into the affected underarm area through a very fine needle. Within 4 weeks of your first treatment, you should notice a significant reduction in underarm sweating. If you do not see a significant reduction in sweating, you should contact us and request a follow-up consultation. You can experience drier underarms for up to 6 months.

Individual results may vary.


What’s considered “normal” sweating?

There is no “normal”! Some people just naturally sweat more than others, so try not to compare yourself to others.


Are antiperspirants and deodorants enough?

Not always. Over-the-counter and prescription antiperspirants are 2 of the first options people with severe underarm sweating try. These products work by blocking sweat ducts and reducing the amount of perspiration that reaches the skin. Deodorants help control body odor and are typically used in addition to antiperspirants. When these products don’t work well enough, it may be time to ask Dr. Mirkia about Botox®.


Do you sweat “too much”?

If you do any of the following to cope with sweating, talk to Dr. Mirkia about severe underarm sweating:

  • Change your clothes frequently
  • Put absorbent materials under clothing
  • Avoid certain fabrics or clothing styles
  • Seek medical attention and treatment


How does Botox® work?

Botox® temporarily blocks the chemical signals from the nerves that stimulate sweat glands. When the sweat glands don’t receive chemical signals, severe sweating is reduced.


Where does the sweat go?

Sweat doesn’t go anywhere or get backed up because it’s simply not produced in the areas treated with Botox®. Sweat will continue to be produced elsewhere.6


When is it time for another treatment?

Keep in mind that Botox® is not a cure for severe underarm sweating. Your symptoms will return gradually, and you’ll know when the time is right for another treatment. Dr. Mirkia can recommend a treatment strategy when you come in and consult with him!



Call us to schedule an appointment!

(702) 889-6292