Botulinum toxin injections for excessive sweating
(underarm Botox)
What are botulinum toxin injections for excessive sweating?
Excessive underarm sweating and odor can be improved with botulinum toxin injections.
This treatment is popular for reducing hyperhidrosis and underarm odor because it is relatively simple compared to other treatment options.

The injections are administered in small, evenly spaced amounts into the areas where underarm sweat glands are active (the hair-bearing region).
As a result, sweating is reduced, leaving the underarms dry and comfortable, and odor is also improved.
Some patients occasionally ask whether stopping sweating in the underarms will cause increased sweating in other parts of the body. However, this does not occur with botulinum toxin treatment.
Mechanism of Sweat Secretion

・Eccrine glands
・Apocrine glands
Sweat is produced by these two types of sweat glands.
Sweat itself is odorless, but body odor occurs when it mixes with sebum on the skin surface or when bacteria on the skin break it down.
Botulinum toxin injections for excessive sweating (underarm Botox) reduce sweating by inhibiting the activity of eccrine sweat glands, which in turn decreases sweat production and helps reduce odor.
Hyperhidrosis refers to a condition in which eccrine sweat glands produce an excessive amount of sweat beyond what is necessary.
Pain and Downtime
| Pain | Because extremely fine, hair-like needles are used, the procedure is not very painful. However, a topical anesthetic cream can be applied upon request. |
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| Injection marks | Almost unnoticeable. |
| Swelling or post-injection pain | None |
| Bathing | Permitted from the same day |
| Alcohol consumption | Allowed from the following day |
| Bruising | In rare cases, bruising may occur, but it typically resolves within two weeks |
Effect and Precautions
| Effect | The effects typically begin to appear about four days after treatment and last for approximately six months. |
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| Precautions | The safety of this treatment for pregnant women and fetuses has not been established. Therefore, individuals who are pregnant, may be pregnant, plan to become pregnant within the next six months, or are breastfeeding cannot undergo botulinum toxin injections (botulinum treatment). Please be sure to inform your doctor if any of these apply to you. Both men and women are required to use contraception for several months after the injection. |
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Botulinum Toxin Injections for Excessive Sweating: Price and Dosage
The total injection volume for both underarms is approximately 1 cc, which is a small amount. | ||
| Both underarms | 1 session | ¥20,000 (¥22,000tax included) |
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For those who prefer a higher dose, a larger amount can be injected than the standard treatment. | ||
| 1.5× dose | 1 session | ¥30,000 (¥33,000tax included) |
| 2× dose | 1 session | ¥40,000 (¥44,000tax included) |
- ※Other treatment areas are also available.
Hairline (scalp): ¥33,000 (incl. tax) (please inquire as the dose may vary depending on the area).
| Side effects and risks | The injection sites may become swollen for about one week. Bruising may also occur, depending on the individual. |
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