What Is Botox Underarm Treatment?
Botox underarm treatment — also known as axillary hyperhidrosis treatment — involves the precise injection of botulinum toxin type A into the skin of the underarm area. Botox works by blocking the nerve signals that stimulate the eccrine sweat glands in the treated area. When those signals are interrupted, the sweat glands simply stop producing sweat — dramatically and immediately reducing perspiration in the treated zone.
The treatment is highly targeted. Only the sweat glands in the injected area are affected — the body continues to regulate its temperature normally through sweat glands elsewhere, and there is no systemic effect on the body’s broader thermoregulatory function.
At Beverly Hills Speciality Center Sharjah, our Botox underarm procedures are performed by qualified aesthetic physicians using pharmaceutical-grade botulinum toxin — the same product used in our facial Botox treatments — administered with precision and care in a fully clinical environment.
Body Botox — Treatment Areas Beyond the Underarms
While Botox underarm treatment is the most commonly requested body Botox procedure, botulinum toxin is highly effective for reducing excessive sweating across multiple body zones. At Beverly Hills Speciality Center Sharjah, we offer body Botox treatment for:
Underarms (Axillary Hyperhidrosis)
The most common and most impactful application of Botox underarm treatment. Excessive underarm sweating affects clothing, creates persistent odour concerns, and generates significant daily anxiety. A single treatment session produces dramatic, lasting reduction in underarm perspiration — with results typically lasting 6 to 12 months.
Palms of the Hands (Palmar Hyperhidrosis)
Sweaty palms are among the most socially and professionally disruptive symptoms of hyperhidrosis — affecting handshakes, the use of touchscreen devices, writing, and any situation that involves physical contact with others. Body Botox injections into the palms effectively reduce palmar sweating — though this area requires careful management due to its sensitivity and the importance of hand function.
Soles of the Feet (Plantar Hyperhidrosis)
Excessive foot sweating causes persistent discomfort, odour, increased risk of fungal infections, and difficulty wearing open footwear with confidence. Botox injections into the soles of the feet reduce plantar sweating significantly — improving both comfort and hygiene.
Scalp and Forehead (Craniofacial Hyperhidrosis)
Excessive sweating of the scalp and forehead is a particularly distressing form of hyperhidrosis — affecting hair styling, makeup, and social confidence in a very visible way. Body Botox treatment in the scalp and forehead region reduces sweating effectively and can also address the greasy scalp appearance associated with excessive perspiration.
Under the Breasts and Torso
Sweating beneath the breasts and across the torso is a common but frequently under-discussed concern — causing discomfort, skin irritation, and clothing damage. Botox can be applied across broader body surface areas to address these concerns with the same effectiveness as in the underarm region.
Understanding Hyperhidrosis — The Condition Behind Excessive Sweating
Hyperhidrosis is a medical condition characterised by sweating that significantly exceeds the body’s physiological needs. It affects an estimated 5% of the global population and is broadly categorised into two types:
- Primary Hyperhidrosis The most common form, primary hyperhidrosis has no identifiable underlying medical cause. It is believed to result from overactivity in the sympathetic nervous system — specifically in the nerve pathways that control the eccrine sweat glands. Primary hyperhidrosis typically affects specific body zones — most commonly the underarms, palms of the hands, soles of the feet, and the face or scalp — and tends to begin in childhood or adolescence. It is not related to heat or physical activity and can occur at any time, in any environment, including in cool temperatures and at rest.
- Secondary Hyperhidrosis Secondary hyperhidrosis is sweating caused by an identifiable underlying condition — such as a hormonal disorder, a medication side effect, a neurological condition, or menopause. It tends to affect the body more broadly and is typically managed by addressing the underlying cause alongside symptomatic treatment.
At Beverly Hills Speciality Center, our physicians assess each patient carefully to understand the nature and pattern of their sweating before recommending the most appropriate treatment pathway.
Why Antiperspirants and Other Treatments Are Not Enough
Many patients who come to us for Botox underarm treatment have spent years trying every available over-the-counter solution — including clinical-strength antiperspirants, prescription aluminium chloride products, iontophoresis devices, and dietary adjustments. While these approaches can provide modest relief for mild sweating, they are typically insufficient for patients with true hyperhidrosis.
Clinical-strength antiperspirants work by temporarily blocking the sweat duct — not the sweat gland itself — and their effectiveness diminishes rapidly in the face of significant gland overactivity. They also cause skin irritation and require daily application to maintain even partial efficacy.
Botox underarm treatment works at the nerve level — directly preventing the signal that activates the sweat gland from reaching its target. This produces a fundamentally different and far more complete level of sweat suppression — one that is maintained consistently over a period of months without any daily maintenance on the patient’s part.
Your Botox Underarm Treatment at Beverly Hills Speciality Center — Step by Step
Step 1 — Consultation and Sweating Assessment Your treatment begins with a thorough consultation in which our physician discusses the nature, pattern, and severity of your sweating. Where appropriate, a starch-iodine test may be used to precisely map the areas of most active sweating within the underarm zone — ensuring that the Botox injections are placed exactly where they will be most effective. We review your medical history, previous treatments attempted, and any relevant medications before proceeding.
Step 2 — Topical Anaesthetic Application A topical numbing cream is applied across the underarm area approximately 20 to 30 minutes before the procedure begins. While many patients find the underarm injections very manageable without anaesthetic, numbing cream ensures maximum comfort throughout — particularly for patients with larger treatment areas or heightened sensitivity.
Step 3 — The Botox Injection Procedure Using a fine needle, our physician administers a series of small Botox injections at evenly spaced points across the underarm area — typically in a grid pattern to ensure comprehensive, uniform coverage of the sweat gland distribution zone. The number of injection points and the total dose used are determined by the size of the treatment area and the severity of the sweating. The procedure typically takes between 20 and 30 minutes for both underarms and is very well tolerated by the vast majority of patients.
Step 4 — Immediate Post-Treatment Care Following the injections, the treated area is assessed and minor redness at the injection sites is noted. Our physician provides you with aftercare instructions before you leave the clinic. Most patients return to their normal daily activities immediately following treatment.
Step 5 — Follow-Up Review We schedule a follow-up appointment 2 to 4 weeks after treatment to assess the full extent of sweat reduction and confirm that coverage is uniform across the entire treatment zone. Any areas where sweating persists can be addressed with a small additional dose at this review appointment.
How Long Does Botox Underarm Treatment Last?
The results of Botox underarm treatment typically last between 6 and 12 months — with many patients experiencing relief at the higher end of this range, particularly after repeat treatments. The duration varies between individuals depending on metabolism, the severity of the original hyperhidrosis, and lifestyle factors.
For body Botox in areas such as the palms and soles — which are higher-activity zones with greater nerve density — results may last slightly less long, typically in the range of 4 to 6 months.
Most patients schedule a repeat treatment when they notice sweating beginning to return — maintaining consistent, comfortable dryness year-round. Many patients find that with regular maintenance, the interval between treatments gradually extends as the sweat glands respond progressively to repeated Botox treatment over time.
Is Botox Underarm Treatment Safe?
Botox underarm treatment is one of the safest and most thoroughly researched applications of botulinum toxin in medicine. It has been approved by leading international health authorities — including the FDA — specifically for the treatment of primary axillary hyperhidrosis and has an outstanding global safety record built over more than two decades of clinical use.
The treatment does not affect the body’s ability to regulate temperature systemically. The eccrine sweat glands in the treated area are temporarily deactivated, but the body compensates seamlessly through its millions of sweat glands elsewhere — meaning thermoregulation continues entirely normally.
At Beverly Hills Speciality Center, every body Botox treatment is performed by our licensed aesthetic physicians in a sterile clinical environment using only internationally approved, pharmaceutical-grade botulinum toxin products — with full medical review, precise technique, and thorough follow-up for every patient.
have a question?
Frequently Asked Questions About Botox Underarm Treatment
How quickly does Botox underarm treatment work?
Most patients begin to notice a reduction in sweating within 3 to 5 days of the injections. The full effect — where sweating in the treated area is dramatically and consistently reduced — is typically established within 2 weeks of treatment.
Is the Botox underarm procedure painful?
With topical numbing cream applied beforehand, the procedure is very well tolerated. Most patients describe the sensation as a series of brief, mild pinches. The underarm skin is not particularly sensitive, and the injections are shallow — making this one of the more comfortable body Botox procedures.
Will stopping underarm sweating affect my health?
No. The body has approximately 2 to 4 million sweat glands distributed across its entire surface. Deactivating the relatively small number of sweat glands in the underarm area has no meaningful impact on the body’s overall ability to regulate temperature or manage heat. Your body continues to perspire normally through all other areas — you simply stop sweating excessively in the treated zone.
Can Botox body treatment be used on the hands and feet as well?
Yes. Body Botox is an effective treatment for palmar hyperhidrosis (sweaty palms) and plantar hyperhidrosis (sweaty feet) as well as the underarms. The technique and dosing are adapted for each body area, and our physicians have experience treating all common hyperhidrosis zones.
How many injections will I need during the procedure? The number of injection points varies depending on the size of the treatment area. For a standard Botox underarm treatment, most patients receive between 15 and 25 small injections per underarm — placed in a grid pattern to ensure even coverage across the full sweat-producing zone.
Is Botox underarm treatment suitable during summer in the UAE?
Absolutely — and in fact the UAE climate makes this treatment particularly valuable. The combination of extreme heat, humidity, and frequent movement between air-conditioned and outdoor environments places exceptional demand on the body’s sweat response. Botox underarm treatment provides consistent, weather-independent sweat control — making it especially impactful for patients living and working in the Gulf region.
Can I combine Botox underarm treatment with other aesthetic treatments?
Yes. Many patients combine Botox underarm treatment with facial Botox, skin boosters, or other aesthetic treatments in a single clinic visit. Our physicians will advise on the optimal combination and sequencing of treatments during your consultation.
Is there a minimum age for Botox underarm treatment?
Botox underarm treatment is appropriate for adult patients aged 18 and over. In cases of severe hyperhidrosis significantly impacting quality of life in younger adolescents, treatment may be considered with parental consent and appropriate medical assessment — which our physicians will assess on a case-by-case basis during consultation.
