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Do you avoid lifting your arms, change shirts during the day or worry about sweat patches, even in winter? Botox for excessive sweating is a doctor-led treatment for hyperhidrosis: tiny injections block the nerve signals that switch on your underarm sweat glands, so you stay noticeably drier for months. A visit takes about 20–30 minutes with no downtime, from Rs 35,000.
Best for heavy underarm sweating that antiperspirants haven’t controlled.
| Heavy underarm sweating | Much drier underarms for months at a time, from one short visit. |
|---|---|
| Sweat patches on clothes | Shirts and kameez that stay dry, without stains or changes during the day. |
| Antiperspirants that don’t work | Real control when even prescription-strength sprays and creams fall short. |
| Sweaty palms | Drier hands for work and handshakes, with extra numbing for comfort. |
| Sweaty feet | Often less sweat, though feet respond less reliably than underarms do. |
| Forehead and scalp sweating | Sometimes treated as well; your doctor tells you whether it suits you. |
Hyperhidrosis means sweating far more than your body needs to stay cool, most often from the underarms, palms, feet or face. Botox is a purified protein medicine, botulinum toxin type A. Placed just under the skin, it blocks the nerve signal that tells sweat glands to work, so the treated area sweats far less. The original Botox brand is approved by the US FDA for severe underarm sweating that antiperspirants have not controlled.
The underarms are where Botox for sweating works best. Your doctor first maps the sweatiest area, sometimes with a starch-iodine test that turns sweaty skin dark, then places about 10–15 tiny injections per underarm, just under the skin. The prescribing label of the original Botox uses 50 units for each underarm, so a full 100-unit vial covers both sides in one visit.
Before, sweat can soak through a shirt within minutes of getting dressed; after about two weeks, most people find their underarms stay dry or close to dry through the day. In a year-long trial of 322 people, three in four treated had a two-grade drop in sweating severity at one month, against one in four on a placebo, and the effect lasted a median of about 205 days.
Botox for excessive sweating costs from Rs 35,000 a treatment, the same at all 12 of our clinics. A full 100-unit vial is opened for you alone, and the doctor confirms the units you need.
Korean Botox
Botulinum toxin type A, a full 100-unit vial for you
Rs 35,000 per treatment
Allergan Botox
The original American brand, a full 100-unit vial for you
Rs 80,000 per treatment
Free consultation first · Any current offer is explained at the clinic
Treatment waits if you are pregnant or breastfeeding or the skin there is infected, and a nerve-muscle illness such as myasthenia gravis rules it out. Sweating that starts suddenly, at night or all over the body needs a medical check first. Tell your doctor about blood thinners, recent antibiotics or any earlier reaction to botulinum toxin.
You feel the difference within a few days to a week, with the full effect at about two weeks, and it usually lasts four to six months, often longer. It controls hyperhidrosis rather than curing it, so you repeat treatment when sweating returns. Small bumps and mild soreness fade within hours, a tiny bruise can occur, a few people notice a little more sweating elsewhere, and most go straight back to work.
Treatments often combined with Botox for Excessive Sweating.
It costs from Rs 35,000 a treatment with Korean Botox, or Rs 80,000 with Allergan’s original American brand. We price per treatment, not per unit: a full 100-unit vial is opened for you, usually enough for both underarms, and the doctor confirms the units you need. Prices are the same at all 12 clinics, and your consultation is free.
Botox for excessive sweating is available at all 12 Cutera Aesthetics clinics in Karachi, Lahore, Islamabad, Rawalpindi, Faisalabad, Hyderabad and Sialkot, at the same price everywhere, with female doctors at every clinic. Find your nearest clinic, or message us on WhatsApp and we’ll book you in at the one closest to you.
Usually four to six months, often longer, and some people stay dry for a year or more. You feel drier within a few days, with the full effect at about two weeks. Repeat treatment when sweating returns, not more often than every three months. Before a wedding, have it two to four weeks ahead.
Yes, in a trained doctor’s hands at the correct dose. Underarm injections feel like quick, small pinches, and numbing cream or ice helps. Expect small bumps and mild soreness for a few hours, sometimes a small bruise, and occasionally a little extra sweating elsewhere. It isn’t given in pregnancy or while breastfeeding.
Not with Botox: it controls sweating for months at a time, and you repeat it when sweating returns. Nerve surgery can stop sweating for good in severe cases, but it often causes heavy sweating elsewhere on the body, so doctors keep it as a last resort. Many people find regular Botox the simplest long-term control.
Doctors do use it there, although the US FDA approval covers the underarms only. It works well on palms but can briefly weaken your grip; feet are more painful to treat and respond less reliably. Forehead and scalp sweating can be treated in some people. Your doctor tells you whether it suits you at your free consultation.
No. Your underarms hold less than 2% of your body’s sweat glands, so your body still cools itself normally through the rest. The heavy sweating elsewhere that can follow nerve surgery has not been a concern with injections, and the effect wears off naturally if you decide to stop.
It is the same type of medicine, botulinum toxin type A, but placed just under the skin of the sweaty area, not into facial muscles, and at a different dose. We offer Korean Botox and Allergan’s original brand; your doctor explains both, and you choose. For lines and wrinkles, see Botox for anti-ageing.
Start simple: at home, an aluminium chloride antiperspirant at night and loose cotton clothes help mild sweating, and iontophoresis, a mild electric current through water, can help hands and feet. When these fall short, Botox is a well-proven next step for the underarms. Tablets can cause a dry mouth, and surgery is kept for severe cases.
Yes, many men have it, mostly for underarm sweating that shows on work shirts, with no downtime before work. It is given by dermatologists and doctors trained in these injections. At our clinics, our qualified doctors assess, plan and give your treatment, and female doctors are available for women at every clinic.
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