Treatment of axillary hyperhidrosis (heavy sweating in the armpits) with Botox injections


DvG Nasenrekonstruktion 462 308What is hyperhidrosis?

Hyperhidrosis, or excessive sweating, is a common and very uncomfortable condition that affects millions of people around the world. While there is no cure for hyperhidrosis, there are treatments that can reduce the symptoms of excessive sweating. One of the most effective treatments is Botox injections to relieve axillary hyperhidrosis. In this information, we would like to tell you about the causes, symptoms and benefits of treatment with Botox injections for axillary hyperhidrosis, among other things.

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How does this fit together? Hyperhidrosis and Botox injections

Hyperhidrosis is a condition characterised by excessive sweating that can affect any part of the body. It occurs when the body produces more sweat than is needed to cool the body. This leads to excessive sweating in the palms of the hands, soles of the feet, face, head and armpits.
Botox injections are a popular treatment option for hyperhidrosis. Botox blocks the signals sent by the nerves to the sweat glands, thus reducing sweat production. Botox injections are the most common treatment for excessive underarm sweating.


What exactly is axillary hyperhidrosis?

Axillary hyperhidrosis is a form of hyperhidrosis that affects the armpits. It is a common problem that can affect both men and women and is usually caused by overactivity of the sweat glands in the armpits. It is important to note that axillary hyperhidrosis is different from general hyperhidrosis because it is confined to the armpits and does not affect other areas of the body.

Axillary hyperhidrosis can be particularly unpleasant, as sweat can seep through clothing and lead to unsightly sweat stains and strong body odour. Social anxiety and low self-esteem can also accompany the condition, as sufferers often feel insecure because of their sweating.

How does axillary hyperhidrosis develop?

The exact cause of axillary hyperhidrosis is not known, but it is thought to be caused by an overactive nervous system. Our nervous system regulates the sweat glands, and when it is overactive, it can lead to heavy sweating, especially in the armpits. Other factors that can trigger axillary hyperhidrosis are genetic factors, medication, or certain diseases. A distinction is made between primary and secondary axillary hyperhidrosis.

Primary axillary hyperhidrosis can occur in highly stressful situations and with great tension, worry or anxiety. It can start, for example, with the onset of puberty.

Secondary axillary hyperhidrosis is when the axillary hyperhidrosis is due to a side effect that has developed because of conditions such as diabetes or hormonal disorders. Taking certain medications can also cause secondary hyperhidrosis.

The typical symptoms of axillary hyperhidrosis

The most common symptom of axillary hyperhidrosis is excessive sweating in the armpits. This can range from light sweating to heavy sweating and can occur at any time of the day or night. Other symptoms that are also a result of heavy sweating are body odour, wetness in the armpits and resulting stains on clothing.

How is axillary hyperhidrosis diagnosed?

The diagnosis of axillary hyperhidrosis is usually made based on a patient's history and physical examination. Your dermatologist may also perform a sweat test, which measures the amount of sweat produced in the armpits. The sweat test can also be used to determine whether the excessive sweating is primary or secondary.

What are the treatment options for axillary hyperhidrosis?

The treatment of axillary hyperhidrosis can vary depending on the severity of the condition.

Mild cases of axillary hyperhidrosis can already be positively influenced by a change in lifestyle. Wearing loose-fitting clothes and avoiding foods and drinks that can trigger increased sweating, such as coffee or alcohol, can bring relief.

In more severe cases, medical treatments such as prescription antiperspirants, medications, surgery or even Botox injections may be recommended. Botox injections are often used to treat axillary hyperhidrosis as they are very effective, usually have no side effects and do not involve any downtime.

Dr. med. von Gregory

The experience of Henning von Gregory, MD:

„Many of my patients are happy that they have taken the step to have Botox treatment and feel very relieved. The increased well-being gives you an improved quality of life and the possibility to participate in everyday social life again "without hesitation.


What are the benefits of Botox injections for the treatment of axillary hyperhidrosis?

Botox injections are one of the most suitable treatments for axillary hyperhidrosis because,
- Botox blocks the signals sent by the nerves to the sweat glands, thus reducing sweat production.
- Botox injections are generally safe and effective and can permanently relieve the symptoms of axillary hyperhidrosis.

How do the benefits of Botox treatment specifically affect your everyday life?

  • Reduction of sweat production in the armpits
  • Reduction of body odour
  • Less staining of the clothing
  • Improvement of self-confidence
  • No downtime
  • Treatment is non-invasive
  • Long-lasting results possible


What is the procedure of a Botox treatment for axillary hyperhidrosis in the private practice of Dr. von Gregory, MD?

22 DvG 7548 557 371

All procedures are designed so that you can feel completely at ease in the practice.

This already starts with the first contact - whether by phone or by e-mail: We try to take your preferred dates into account as much as possible. Please contact us in good time so that we can make your desired date possible.

Henning von Gregory, MD, conducts every consultation personally. He takes the necessary time to discuss with you an individual approach to treatment for axillary hyperhidrosis.

The treatment process:

1. the skin under the armpits is either anaesthetised with an anaesthetic ointment or iced so that the treatment can be painless.

2. then about 10-20 Botox injections each are placed in the underarm skin. The botulinum toxin is injected in such a way that it inhibits the activation of the sweat glands as best as possible.

3. the treatment of both armpits takes a total of approx. 30 min.

The great advantage of a Botox treatment against heavy sweating under the armpits is that you are socially acceptable immediately after the treatment. As a rule, there is no swelling or redness. If the skin is sensitive, the affected areas can be cooled with green tea compresses. This has proven to be effective.



How long does the Botox effect last?

  • The effect of botulinum toxin is not one hundred percent immediate but builds up slowly. The full effect sets in after about 14 days.
  • It lasts about 4-6 months; in some cases the effect is even longer than 6 months.
  • To achieve a lasting effect, the treatment is "usually" repeated at certain intervals.
  • How often a Botox booster should be performed depends on the severity of the axillary hyperhidrosis and on your personal wishes and circumstances. Sometimes a few treatment cycles are enough to achieve a lasting effect.

Individual treatment plan

Henning von Gregory, MD, advises you personally and takes your wishes and needs seriously in order to find the optimal treatment rhythm for you.

Make a consultation appointment with Dr von Gregory, MD, to clarify when the next treatment should be carried out.

What are the side effects of Botox injections for axillary hyperhidrosis?

Although Botox injections are generally safe and well tolerated, there are potential side effects, although they are rare. Side effects include pain and swelling at the injection site, headache, and nausea. Other side effects, also rare but serious, include allergic reactions, infections, and nerve damage. Dr von Gregory, MD, can also advise you on these in detail before treatment begins.

Costs for Botox injections

The cost of Botox injections varies depending on the size of the area to be treated and the number of injections needed. Dr von Gregory, MD, will advise you personally and recommend an individual and the most suitable procedure for you. After the consultation, you will receive a cost estimate and a treatment plan for regular repetitions.

Why the private practice of Dr von Gregory, MD, in Berlin can ideally support you with Botox treatment for axillary hyperhidrosis?

As a facial plastic surgeon, Henning von Gregory, MD, is very experienced in dealing with sensitive skin areas. Botox injections are often used for treatments on the face and for other areas of the body because of their good efficacy and very low side effects. Dr von Gregory, MD, has extensive experience with Botox injections. His skill, empathy and eye for detail set him apart. He only uses high quality products; with him you are in the best hands.



Frequently asked questions from my patients

HOW GOOD ARE THE RESULTS of Botox treatment for heavy underarm sweating?

With hyperhidrosis therapy, a very good result can be achieved with a small amount of effort: Botox injections against excessive sweating in the armpits can significantly reduce sweating. Those affected feel more comfortable, also because there are hardly any more unpleasant situations with soaked clothing in the armpit area.

Does the effect of Botox treatment against axillary hyperhidrosis last longer in winter than in summer?

Regardless of whether it is summer or winter, the Botox active ingredient is gradually broken down by the body, which is why - especially in summer - a repeat treatment is usually necessary after approx. 4-6 months, sometimes even after 8 months.

Are the costs for hyperhidrosis treatment covered by health insurance?

From experience, it can be said that statutory health insurance companies usually only cover the costs in cases of severe hyperhidrosis (very heavy sweating). As a patient, you must clarify in advance whether the costs will be covered by your health insurance.  

What other areas of the body is Botox used to treat excessive sweating?

In addition to Botox treatment against heavy sweating under the armpits, such treatment can also be used against heavy sweating, e.g., on the forehead and head.

Home remedies or medicinal treatments may also help. It is best to seek advice from your dermatologist and make sure you wear airy clothing and use light bedding. Often, reducing unnecessary fat deposits can also alleviate a hyperhidrosis condition. In addition, a healthy diet and sufficient fluids are always supportive.