Botox for Hyperhidrosis

Botox is FDA-approved to treat severe underarm sweating (hyperhidrosis) that hasn’t responded to clinical-strength antiperspirants. A single treatment can reduce sweating significantly for months at a time.
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About Botox for Hyperhidrosis Treatment Services

If you plan your wardrobe around sweat marks or keep a spare shirt at work, excessive sweating is affecting your life more than it should.

At Charleston Dermatology, our physicians and providers first confirm that hyperhidrosis is the right diagnosis and rule out underlying causes. If prescription antiperspirants haven’t worked, Botox offers a well-studied next step: tiny injections that block the nerve signals telling your sweat glands to overproduce.

Treatment is quick—usually under 30 minutes in the office—and most patients notice a major reduction in sweating within a week, with results lasting four to six months or longer. Dry confidence is closer than you think. Schedule a consultation and find out if Botox is right for you.

Frequently Asked Questions

Botox works by temporarily blocking the chemical signal that activates sweat glands. When injected into the treatment area in a grid of small, shallow injections, it reduces sweat production in that area without affecting your body’s ability to regulate temperature elsewhere.

The injections are shallow and quick, and most patients describe the discomfort as minimal—a series of small pinches. The appointment typically takes 20 to 30 minutes, and there’s no downtime, so you can return to normal activities right away.

Most patients stay significantly drier for four to six months, and some longer, before repeating treatment. Because Botox is FDA-approved for severe underarm hyperhidrosis, some insurance plans cover it when other treatments have failed. Our team can help you understand your coverage before you commit.

Our Specialists

Adam Sperduto, MD
Roger Sullivan, MD
Lee Yarbrough, MD
Ashley Allen, MD
Megan Hohenberger, MD