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HYPERHIDROSIS skin cosmetics london underarms
Excessive sweating is a common and embarrassing condition that affects both men and women. Botox was approved for treatment of excessive sweating in the armpits by the FDA in 2004. Medical history and examination might reveal no underlying cause for excessive sweating, which stains clothes and produces a relatively unpleasant body odour. It is important to precisely identify the excess involved area by a suitable sweat test before Botox injection of the armpits (axillae). 

Where can excessive sweating (hyperhidrosis) be treated?

HYPERHIDROSIS skin cosmetics london underarms
Palms of hands
botox hyperhidrosis palm of hands
Soles of feet
botox hyperhidrosis soles of feet


Botox is a chemical derivative produced by Clostridium botulinum Welchii bacteria. When Botox is usually injected into the facial muscles, Botox reversibly stops the chemical messages from the nerve to the muscle, therefore, reversibly weakening and relaxing the muscles and softening the skin wrinkles and lines in that area of the face. Botox injections are usually given at the central area of the frown lines and above the eyebrows and in the crows feet area. Botox injections require an appreciation of underlying anatomy and relax the underlying muscles at the site of injection and improve wrinkles and can alert facial shape by changing the balance between muscles. Botox is the most common cosmetic treatment in the World. Botox is a brand name from one of the manufacturers (Allergan) of this chemical (alpha toxin) but the same chemical is produced and marketed by several other manufacturers in the Western World and is in common use under other brand names such as; Myobloc (botulinum toxin B), Dysport (Ipsen Biopharm), Azzalure and xeomin.

Yes, at least two clinical trials demonstrated the effectiveness of the Botox injection in the treatment of excessive underarm sweating.  Underarm sweating interferes with the daily activities and for some people is intolerable. The interval between underarm injections is longer than the face and should last more than eight months in duration. It is thought that Botox reduces sweat reduction by at least 50% at four weeks in more than 90% users. Therefore, it is now established that Botox is an effective treatment for troublesome excessive perspiration. The Botox injection reduces sweat production by sweat glands in these sites for up to a year and results in improvement in body odour.

At Skin Cosmetics London, we use Botox injections for excessive sweating both in the armpits (axillae) and the palms of the hands and soles of the feet.

Botox can also be used for gummy smiles, to help with bruxism (teeth grinding).

There is certain medical history which your practitioner should be aware.  If you are allergic to Clostridium outline toxin A, or other ingredients of Botox and if you have had an infection in/around the site where the Botox is to be injected, you must let your practitioner know.  Botox should not be given to people who suffer from neuromuscular diseases such as Amyotrophic, Lateral Sclerosis, Eaton Lambered Syndrome and Myasthenia Gravis.  It is important to also tell your practitioner about any other problems such as difficulty in swallowing food/drink, any muscular weakness, problems with blood/ bleeding problems.  If you have had any recent surgery, particularly on your face, or if you have had any recent injection of other Botox for any other reason, you must let your practitioner know.  If there is any asymmetry, scarring or change in sensation, it should be noted and the condition of the skin should be assessed. Botox might interact with some other medications such as some antibiotics and this point should be brought to the attention of your practitioner. 

These will be discussed at length during your consultation, however it is important to let us know as soon as possible and even before explicitly asked to do so (although these questions will be asked as part of our thorough treatment protocol). 

Botox is used in relatively in small amounts in cosmetic treatment; therefore, serious side-effects are very rare. However, there are certain risk factors which you should be aware of, during the first 24 hours after Botox injection, which you should report to your practitioner. This includes if you develop any difficulty in breathing, speaking or swallowing.  It is also important to be aware of any allergic reaction symptoms which include itching, rash, irritation, swelling, tingling pain, discomfort, stinging or bruising at the site of the injection.  Although Botox has been used for the treatment of headaches and severe migraines, headaches are common after a Botox injection.  Side effects such as drooping of the eyebrow, tired eyes, watering or dry eyes as well as twitching around the muscle surrounding the eyes have also been reported.  Other very rare complications of Botox injection include dizziness and problems with the movement of the eye. It is also important if there is blurred vision or weakness of muscles, operating any machinery should be avoided. 

Whilst complications are rare, these are discussed with you during your initial consultation with your practitioner. We aim to perform your treatment to the highest standards possible and offer excellent, dedicated aftercare to give you peace-of-mind. 

Botox—often associated with cosmetic wrinkle reduction—is also a particularly effective treatment for focal hyperhidrosis. Botox injections use botulinum toxin to block the nerve signals responsible for sweating, stopping the sweat glands from producing too much sweat. 

Retreatment is typically needed in four to six months, as the nerves regenerate. Over time, however, patients can go longer between treatments. This is entirely patient-dependant and is discussed with you. 

Botox is injected with a very fine needle by an experienced and trained practitioner. We also apply a local anaesthetic cream to numb the area prior to the Botox injection.  Some people find that the injections cause only mild discomfort, however the use of local anaesthetic cream almost eliminates any potential discomfort.

Yes, on 12 April 2002 Botox was approved by the FDA for temporary improvement of the appearance of moderate to severe glabellar lines, frown lines between the eyebrows and subsequently Botox has become widespread all over the World. Botox is safe in experienced hands and its usage in cosmetic treatment has been proven with consistent safety records over the years. We will discuss the pros and cons of Botox at the time of your initial consultation with the practitioner.


After Botox injections no specific bandage or dressing  is required. The use of ice types after Botox injections can reduce discomfort and swelling. Controversy still exists regarding physical activities after Botox injection. Active movement of muscles to enhance the early uptake of Botox & the use of heat and pressure during the few hours following Botox injections can be performed. At Skin Cosmetics London, we advise our clients against heavy physical exercise for about 4 hours following Botox injections and we also supply a post-Botox injection information sheet, including contact details of the practitioner, in case the client has any worries or concerns. This sheet also contains aftercare instructions, which are also verbally given by the practitioner following your botox treatment. 


Let one of our expert team guide you through your skin journey. Book a free, no-obligation consultation for any of our treatments, or book a free skin analysis to better understand your skin and how you can improve its health. We will offer impartial, reliable advice and sign post you to the correct treatments and skincare regime, in line with your budget. 

HYPERHIDROSIS skin cosmetics london underarms

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