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Hyperhidrosis
  • Aesthetic Medicine
  • /
  • Hyperhidrosis

Botox® for Axillary Hyperhidrosis

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Armpit of a woman with raised arm and a dry heather grey ribbed top against a beige wall, symbolic image on the subject of hyperhidrosis at BONITAS in Nuremberg

A clammy handshake, wet armpits despite deodorant, or dark stains on clothing – excessive sweating (hyperhidrosis) is more than just an aesthetic problem. It affects your self-confidence, daily life, and quality of life. And often you’ve tried everything: creams, clothing, antiperspirants. But nothing helps permanently.

At BONITAS we offer you a medically sound, highly effective and minimally invasive treatment with botulinum toxin (Botox®) – specifically targeting sweating in the armpits, hands, feet, or forehead. For a life without fear of stains, odor, or embarrassing moments.

At a glance: The hyperhidrosis treatment with Botox reduces excessive sweating of the underarms, hands or forehead for 6–9 months.

  • Treatment time: 20–30 minutes per area
  • Anaesthesia: topical anaesthetic cream
  • Onset of effect: after 5–10 days
  • Duration of effect: 6–9 months
  • Top-up: 2x per year
  • Prices: in our price overview

What is Hyperhidrosis?

Hyperhidrosis refers to a pathologically excessive sweat production, regardless of temperature, movement, or emotional stress. Affected individuals sweat even at rest – often highly localized, but with significant distress.

Medically, a distinction is made:

  • Primary Hyperhidrosis (without identifiable cause)
  • Secondary Hyperhidrosis (e.g., due to medication, hormonal imbalances)

BONITAS treats primary hyperhidrosis specifically with botulinum toxin, which effectively blocks the overactive sweat gland function.

Typical Body Areas for Hyperhidrosis

Region Symptoms & Impact
Armpits Wet stains, odor, clothing restrictions
Palms Slippery grip, inhibition in professional or social contacts
Feet Moisture, odor, risk of fungal infection
Forehead / Face Uncontrolled sweating with light activity or nervousness

How does Botox treatment for sweating work?

Botulinum Toxin Type A blocks the signal transmission between nerves and sweat glands. This means: The glands no longer “know” they should produce sweat – the skin remains dry.

Advantages:

  • Targeted treatment of the affected region
  • No influence on the body's temperature regulation
  • No permanent damage – effect reversible
  • Very high success rate (over 90%)

Treatment Process at BONITAS

  • Consultation & Medical History by a specialist
  • Testing & Marking of the affected areas
  • Injection of Botox® into the upper skin layers – with finest needles
  • Duration: approx. 20–30 minutes, outpatient
  • No bandage – immediately presentable

If needed, the treatment can be performed with local anesthesia or cooling – especially in sensitive areas like hands or feet.

Effect & Durability

  • Onset of effect: after approx. 3–5 days
  • Maximum effect: after 1–2 weeks
  • Duration: on average 6–9 months, individually up to 12 months
  • Regular touch-up possible, often with longer duration of effect

Sweating is not shifted to other body areas – you will feel noticeably relieved.

Advantages of treatment at BONITAS

  • Specialist treatment
  • Use of high-quality original preparations
  • Targeted, gentle injection technique
  • Discreet consultation & long-term support
  • Modern clinic – stylish & professional

Here you won’t get assembly-line therapy – but a tailor-made solution for your body & daily life.

Frequently asked questions (FAQ)

The effect of botulinum toxin for hyperhidrosis generally lasts 4 to 9 months – depending on the treatment area, severity, and individual metabolic activity. In the armpits, the effect usually lasts longer than on the hands or feet. The treatment can be repeated regularly if needed, without the effect diminishing.

Yes, botulinum toxin can also be used specifically for facial sweating – e.g., on the forehead or bridge of the nose. However, the injections must be particularly precise, as many facial muscles are affected. An experienced specialist can treat selectively here to reduce sweat flow while preserving facial expressions.

In severe cases, statutory health insurance may cover the costs of Botox treatment – usually after conservative therapies (e.g., aluminum chloride, iontophoresis) have failed. A prerequisite is a specialist medical report with documented diagnosis and attempted therapy. Approval is granted on a case-by-case basis and should be applied for early.

Botox is a proven, effective method for treating excessive sweating (hyperhidrosis) – especially in the armpits, hands, and feet. It specifically blocks the sweat glands without compromising thermoregulation. The effect sets in after a few days and offers significant relief in daily life for many affected individuals.

Smiling man with dark hair and beard in white coat against light background: Alejandro Marti, specialist in plastic and aesthetic surgery, BONITAS Nuremberg
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Scientific References

  1. de Almeida AR, Montagner S. „Botulinum toxin for axillary hyperhidrosis.“ Dermatologic Clinics. 2014. PubMed PMID 25152343
  2. Grunfeld A et al. „Botulinum toxin for hyperhidrosis: a review.“ American Journal of Clinical Dermatology. 2009. PubMed PMID 19222249
  3. Nawrocki S, Cha J. „Botulinum toxin: Pharmacology and injectable administration for the treatment of primary hyperhidrosis.“ Journal of the American Academy of Dermatology. 2020. PubMed PMID 31811879
  4. Nyamekye IK. „Current therapeutic options for treating primary hyperhidrosis.“ European Journal of Vascular and Endovascular Surgery. 2004. PubMed PMID 15121105
  5. Cervantes J et al. „Laser treatment of primary axillary hyperhidrosis: a review of the literature.“ Lasers in Medical Science. 2018. PubMed PMID 29322402

Medically reviewed and written by
Specialist in Plastic and Aesthetic Surgery 🇩🇪 🇪🇸 · Consulting surgeon
With more than 1,000 plastic and aesthetic treatments performed, both surgical and minimally invasive. Comes from a family with a long tradition in Plastic and Aesthetic Surgery.
Last reviewed: May 2026