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How it works
 The skin of the axilla is shaved, washed and dried.
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 The active sweat glands are mapped using the starch test.
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 Botox is injected into the affected areas using a tiny needle. The injections are quick and painless.
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 Botox reaches the nerve endings and blocks the chemical signals that stimulate sweating.
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How strong is the effect?
The average patient experiences a 75% reduction in sweat production at the treated sites after a single session of Botox therapy when 50 units are administered to each side. The maximum effect may take up to seven days to develop.
How long does the effect last?
The average duration of axillary dryness is just over six months in clinical studies, but some patients report dryness for as long as nine months.
Can other areas of excess sweating be treated?
Botox is FDA-approved specifically for axillary hyperhydrosis. The manufacturer is prohibited by law from commenting on any other uses. However, it has been used off-label to treat excess sweating of the palms of the hands and the soles of the feet in our practice as well as those of many other physicians and it has been found to be effective in medical studies.
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