{"id":43338,"date":"2026-11-12T06:18:00","date_gmt":"2026-11-12T05:18:00","guid":{"rendered":"https:\/\/swissdermaclinic.ch\/botulinum-toxin-underarm-sweating-how-long\/"},"modified":"2026-11-12T06:18:00","modified_gmt":"2026-11-12T05:18:00","slug":"botulinum-toxin-underarm-sweating-how-long","status":"publish","type":"post","link":"https:\/\/swissdermaclinic.ch\/en\/botulinum-toxin-underarm-sweating-how-long\/","title":{"rendered":"Botulinum toxin for sweating: how long do the underarms stay dry?"},"content":{"rendered":"

In short:<\/strong> Botu\u00adli\u00adnum toxin can cle\u00adar\u00adly redu\u00adce exces\u00adsi\u00adve under\u00adarm swea\u00adting for seve\u00adral months, often around four to seven months. The first chan\u00adges usual\u00adly appear within the first week, alt\u00adhough the effect does not deve\u00adlop equal\u00adly fast in ever\u00adyo\u00adne. Com\u00adple\u00adte\u00adly dry under\u00adarms for a fixed peri\u00adod can\u00adnot be pro\u00admi\u00adsed. When the swea\u00adting increa\u00adses again, you and your doc\u00adtor deci\u00adde tog\u00ade\u00adther whe\u00adther and when ano\u00adther tre\u00adat\u00adment makes sense.<\/p>\n

How long does the effect last?<\/h2>\n

For plan\u00adning pur\u00adpo\u00adses, a ran\u00adge of around four to seven months is a useful gui\u00adde. Some peo\u00adp\u00adle noti\u00adce damp\u00adness again soo\u00adner, others bene\u00adfit for lon\u00adger. What is meant is a las\u00adting reduc\u00adtion in sweat pro\u00adduc\u00adtion. It does not mean that every trea\u00adted per\u00adson stops swea\u00adting under the arms enti\u00adre\u00adly for that who\u00adle time.<\/p>\n

In hyper\u00adhi\u00addro\u00adsis<\/a>, the body pro\u00addu\u00adces more sweat than it needs to regu\u00adla\u00adte its tem\u00adpe\u00adra\u00adtu\u00adre. Botu\u00adli\u00adnum toxin, often cal\u00adled \u201eBotox\u201c in ever\u00ady\u00adday lan\u00adguage, tem\u00adpo\u00adr\u00ada\u00adri\u00adly blocks the signals that ner\u00adves send to the sweat glands. The glands are not remo\u00adved in this tre\u00adat\u00adment. As the block wears off, sweat pro\u00adduc\u00adtion can increase again.<\/p>\n

How long you will feel reli\u00adef in dai\u00adly life can\u00adnot be pre\u00addic\u00adted exact\u00adly befo\u00adre the first tre\u00adat\u00adment. The seve\u00adri\u00adty of the swea\u00adting and the tre\u00adat\u00adment its\u00adelf also play a part. A sen\u00adsi\u00adble goal is the\u00adr\u00ade\u00adfo\u00adre less bother\u00adso\u00adme under\u00adarm wet\u00adness in ever\u00ady\u00adday situa\u00adtions, for exam\u00adp\u00adle at work or when mee\u00adting other people.<\/p>\n\n\n\n\n\n\n\n\n
Pha\u00adse<\/th>\nWhat to expect<\/th>\nWhat mat\u00adters for you<\/th>\n<\/tr>\n<\/thead>\n
Befo\u00adre treatment<\/td>\nAssess\u00adment of the cau\u00adse and of pre\u00advious treatment<\/td>\nNote your sym\u00adptoms, medi\u00adca\u00adti\u00adon and what you have tried so far<\/td>\n<\/tr>\n
First week<\/td>\nA reduc\u00adtion in swea\u00adting may beco\u00adme noticeable<\/td>\nDo not judge the result straight after the session<\/td>\n<\/tr>\n
Up to about two weeks<\/td>\nThe effect can con\u00adti\u00adnue to develop<\/td>\nGet in touch if the\u00adre is no improvement<\/td>\n<\/tr>\n
Fol\u00adlo\u00adwing months<\/td>\nOften around four to seven months of less under\u00adarm wetness<\/td>\nWatch for the effect wea\u00adring off and how much it affects you<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Beforehand: cause and suitability<\/h2>\n

Hea\u00advy swea\u00adting deser\u00adves a medi\u00adcal assess\u00adment if it rest\u00adricts you in dai\u00adly life or does not impro\u00adve enough with sui\u00adta\u00adble anti\u00adper\u00adspi\u00adrants. An anti\u00adper\u00adspi\u00adrant redu\u00adces sweat pro\u00adduc\u00adtion, while a deodo\u00adrant main\u00adly tar\u00adgets odour. An unsuc\u00adcessful attempt with an ordi\u00adna\u00adry deodo\u00adrant the\u00adr\u00ade\u00adfo\u00adre does not mean that all topi\u00adcal opti\u00adons have been exhausted.<\/p>\n

In pri\u00adma\u00adry hyper\u00adhi\u00addro\u00adsis the\u00adre is no iden\u00adti\u00adfia\u00adble under\u00adly\u00ading con\u00addi\u00adti\u00adon. Secon\u00adda\u00adry hyper\u00adhi\u00addro\u00adsis, by con\u00adtrast, can be lin\u00adked to a thy\u00adro\u00adid dis\u00ador\u00adder or to medi\u00adca\u00adti\u00adon, for exam\u00adp\u00adle. The cau\u00adse should be asses\u00adsed by a doc\u00adtor in par\u00adti\u00adcu\u00adlar if the swea\u00adting is new, occurs at night or affects the who\u00adle body. Trea\u00adting only the under\u00adarms would not resol\u00adve a pos\u00adsi\u00adble under\u00adly\u00ading condition.<\/p>\n

At Swiss Der\u00adma Cli\u00adnic in Zurich we offer tre\u00adat\u00adment for exces\u00adsi\u00adve under\u00adarm swea\u00adting<\/a>. Befo\u00adre the first tre\u00adat\u00adment, this includes an exami\u00adna\u00adti\u00adon and a dis\u00adcus\u00adsion of the advan\u00adta\u00adges and dis\u00adad\u00advan\u00adta\u00adges. Whe\u00adther botu\u00adli\u00adnum toxin is an opti\u00adon for you depends on the fin\u00addings, your sym\u00adptoms and the tre\u00adat\u00adments you have alre\u00ada\u00addy tried.<\/p>\n

A litt\u00adle pre\u00adpa\u00adra\u00adti\u00adon helps with the der\u00adma\u00adto\u00adlo\u00adgi\u00adcal assess\u00adment<\/a>: Sin\u00adce when have you been swea\u00adting hea\u00advi\u00adly? Are both under\u00adarms affec\u00adted? Does it also hap\u00adpen while you sleep? Which pro\u00adducts have you alre\u00ada\u00addy tried, and how well did you tole\u00adra\u00adte them? Plea\u00adse also bring a list of your medi\u00adca\u00adti\u00adon. Do not stop pre\u00adscri\u00adbed medi\u00adci\u00adnes on your own.<\/p>\n

The session: small skin injections<\/h2>\n

The doc\u00adtor first asses\u00adses the area whe\u00adre swea\u00adting is most pro\u00adno\u00adun\u00adced. If nee\u00added, the area can be made visi\u00adble with a starch-iod\u00adi\u00adne test, in which swea\u00adting skin turns dark. Whe\u00adther this test is requi\u00adred depends on the examination.<\/p>\n

The acti\u00adve sub\u00ads\u00adtance is then injec\u00adted super\u00adfi\u00adci\u00adal\u00adly into the under\u00adarm skin at seve\u00adral points using a fine need\u00adle. Unli\u00adke in the tre\u00adat\u00adment of expres\u00adsi\u00adon lines<\/a>, the tar\u00adget here is the signal trans\u00admis\u00adsi\u00adon to the sweat glands. The injec\u00adtions can feel uncom\u00adfor\u00adta\u00adble or sting. On request, we pretre\u00adat the skin with a num\u00adbing cream.<\/p>\n

Befo\u00adre your appoint\u00adment, also ask whe\u00adther and when you should shave your under\u00adarms and which pro\u00adducts you may use on the day of tre\u00adat\u00adment. The ins\u00adtruc\u00adtions can depend on the plan\u00adned pro\u00adce\u00addu\u00adre. Tell the doc\u00adtor about ear\u00adlier tre\u00adat\u00adments with botu\u00adli\u00adnum toxin, inclu\u00adding on other parts of the body, and about known all\u00ader\u00adgies or unu\u00adsu\u00adal reac\u00adtions to injections.<\/p>\n

The first days and weeks<\/h2>\n

A final assess\u00adment is not yet pos\u00adsi\u00adble straight after tre\u00adat\u00adment. The reduc\u00adtion in swea\u00adting sets in with a delay. A chan\u00adge often beco\u00admes noti\u00adceable within the first week, and for some peo\u00adp\u00adle only over the cour\u00adse of about two weeks. Damp\u00adness on the day of tre\u00adat\u00adment the\u00adr\u00ade\u00adfo\u00adre does not mean that the tre\u00adat\u00adment is not working.<\/p>\n

Try to obser\u00adve com\u00adpa\u00adra\u00adble ever\u00ady\u00adday situa\u00adtions: Do you still have to chan\u00adge your top? Are the sweat marks smal\u00adler? Does the under\u00adarm wet\u00adness still bother you just as much at work? Obser\u00adva\u00adtions like the\u00adse make the result easier to dis\u00adcuss than the expec\u00adta\u00adti\u00adon that the skin must be per\u00adfect\u00adly dry at all times.<\/p>\n

You can usual\u00adly return to your nor\u00admal acti\u00advi\u00adties straight away. We recom\u00admend avo\u00adi\u00adding inten\u00adsi\u00adve exer\u00adcise and sau\u00adna visits for a few days after tre\u00adat\u00adment. We will dis\u00adcuss at your appoint\u00adment when you can shave your under\u00adarms and use deodo\u00adrant again.<\/p>\n

\n

If the\u00adre is no effect<\/strong><\/p>\n

If you noti\u00adce no impro\u00adve\u00adment after about two weeks, or if indi\u00advi\u00addu\u00adal are\u00adas con\u00adti\u00adnue to sweat hea\u00advi\u00adly, cont\u00adact the prac\u00adti\u00adce that trea\u00adted you. The result will then be asses\u00adsed by a doc\u00adtor. This does not auto\u00adma\u00adti\u00adcal\u00adly mean that an addi\u00adtio\u00adnal injec\u00adtion is needed.<\/p>\n<\/blockquote>\n

When the sweating increases again<\/h2>\n

After seve\u00adral months the under\u00adarm wet\u00adness can return. This is in line with the tem\u00adpo\u00adra\u00adry effect of the tre\u00adat\u00adment. What mat\u00adters for fur\u00adther plan\u00adning is how much the swea\u00adting bothers you again and how hel\u00adpful the first tre\u00adat\u00adment was for you.<\/p>\n

A repeat tre\u00adat\u00adment is not sche\u00addu\u00adled by the calen\u00addar alo\u00adne. The doc\u00adtor takes into account how things have gone so far, pos\u00adsi\u00adble side effects and the requi\u00adre\u00adments of the medi\u00adci\u00adne used. The per\u00admit\u00adted inter\u00advals depend on the spe\u00adci\u00adfic pro\u00adduct. Even if the effect wears off soo\u00adner than hoped, the next tre\u00adat\u00adment the\u00adr\u00ade\u00adfo\u00adre does not always fol\u00adlow immediately.<\/p>\n

For a fol\u00adlow-up con\u00adsul\u00adta\u00adti\u00adon, note when the impro\u00adve\u00adment began and when bother\u00adso\u00adme damp\u00adness retur\u00adned. If the tre\u00adat\u00adment brought you hard\u00adly any reli\u00adef, the dia\u00adgno\u00adsis and other tre\u00adat\u00adment opti\u00adons should also be dis\u00adcus\u00adsed again. You can find infor\u00adma\u00adti\u00adon about what we offer on our page on the assess\u00adment and tre\u00adat\u00adment of under\u00adarm swea\u00adting<\/a>.<\/p>\n

Side effects and important limits<\/h2>\n

Pain, red\u00adness, swel\u00adling or brui\u00adsing can occur at the injec\u00adtion sites. Hea\u00adda\u00adche, itching or tem\u00adpo\u00adra\u00adry mus\u00adcle weak\u00adne\u00adss are also pos\u00adsi\u00adble. If any sym\u00adptoms worry you, dis\u00adcuss them with the prac\u00adti\u00adce that trea\u00adted you.<\/p>\n

If the\u00adre is an infec\u00adtion at the inten\u00added injec\u00adtion site, no injec\u00adtion may be given the\u00adre. Con\u00addi\u00adti\u00adons that impair the trans\u00admis\u00adsi\u00adon bet\u00adween ner\u00adves and mus\u00adcles, as well as cer\u00adtain medi\u00adci\u00adnes, call for par\u00adti\u00adcu\u00adlar cau\u00adti\u00adon. Plea\u00adse the\u00adr\u00ade\u00adfo\u00adre also men\u00adti\u00adon con\u00addi\u00adti\u00adons that at first glan\u00adce have not\u00adhing to do with sweating.<\/p>\n

During pregnan\u00adcy and breast\u00adfee\u00adding, tre\u00adat\u00adment of under\u00adarm swea\u00adting with botu\u00adli\u00adnum toxin is gene\u00adral\u00adly post\u00adpo\u00adned. The available data are not suf\u00adfi\u00adci\u00adent to con\u00adfirm that its use is safe. If you expe\u00adri\u00adence dif\u00adfi\u00adcul\u00adty swal\u00adlo\u00adwing, spea\u00adking or breathing after an injec\u00adtion, you need medi\u00adcal help immediately.<\/p>\n

Frequently asked questions<\/h2>\n

Will my underarms be completely dry afterwards?<\/h3>\n

That is pos\u00adsi\u00adble, but it can\u00adnot be expec\u00adted for ever\u00adyo\u00adne. The aim of tre\u00adat\u00adment is a clear reduc\u00adtion in bother\u00adso\u00adme swea\u00adting. Even a par\u00adti\u00adal reduc\u00adtion can make dai\u00adly life easier. How pro\u00adno\u00adun\u00adced the effect is for you only beco\u00admes clear over time.<\/p>\n

Does the smell of sweat also disappear?<\/h3>\n

Less mois\u00adtu\u00adre does not auto\u00adma\u00adti\u00adcal\u00adly mean that all odour dis\u00adap\u00adpears. Exces\u00adsi\u00adve swea\u00adting and body odour are dif\u00adfe\u00adrent pro\u00adblems. Deodo\u00adrant can the\u00adr\u00ade\u00adfo\u00adre still play a role. Ask the prac\u00adti\u00adce when you can use it again after the injections.<\/p>\n

Will I sweat more in other places instead?<\/h3>\n

The tre\u00adat\u00adment tar\u00adgets the under\u00adarms and does not stop swea\u00adting on the rest of the body. Increased swea\u00adting out\u00adside the under\u00adarms has been descri\u00adbed as a pos\u00adsi\u00adble side effect. It affects only a small pro\u00adpor\u00adti\u00adon of tho\u00adse trea\u00adted. Let us know if you noti\u00adce such a change.<\/p>\n

Can I make the effect last longer myself?<\/h3>\n

No par\u00adti\u00adcu\u00adlar skin\u00adca\u00adre pro\u00adduct or life\u00adstyle can be reli\u00aded on to extend the effect. Fol\u00adlow the after\u00adca\u00adre advice you were given and review how things are going with your doc\u00adtor. That is the best basis for plan\u00adning the next treatment.<\/p>\n

Do these timings also apply to the hands?<\/h3>\n

The infor\u00adma\u00adti\u00adon in this artic\u00adle rela\u00adtes to the under\u00adarms. Other parts of the body need their own assess\u00adment. With the hands in par\u00adti\u00adcu\u00adlar, pain during the injec\u00adtions and pos\u00adsi\u00adble tem\u00adpo\u00adra\u00adry mus\u00adcle weak\u00adne\u00adss have to be con\u00adside\u00adred. Expe\u00adri\u00adence with under\u00adarm tre\u00adat\u00adment the\u00adr\u00ade\u00adfo\u00adre can\u00adnot sim\u00adply be transferred.<\/p>\n

This artic\u00adle does not replace a medi\u00adcal examination.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

How long botu\u00adli\u00adnum toxin can redu\u00adce under\u00adarm swea\u00adting, when the effect sets in and what mat\u00adters for assess\u00adment, after\u00adca\u00adre and repeat treatment.<\/p>\n","protected":false},"author":1,"featured_media":43336,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"wp_typography_post_enhancements_disabled":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-43338","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts\/43338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/comments?post=43338"}],"version-history":[{"count":1,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts\/43338\/revisions"}],"predecessor-version":[{"id":43340,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts\/43338\/revisions\/43340"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/media\/43336"}],"wp:attachment":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/media?parent=43338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/categories?post=43338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/tags?post=43338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}