Botox for excessive sweating of the hands and underarms, administered by licensed professionals in a clean medical spa setting.
Excessive sweating of the hands and underarms, known clinically as hyperhidrosis, can affect everything from handshakes to daily wardrobe choices. At Skin Works Medical Spa in Torrance, we treat it with Botox, a well-established option that works by calming the overactive nerve signals that trigger sweat gland production.
Sweat glands are switched on by a chemical signal released from nearby nerve endings. In hyperhidrosis, that signal fires more than the body actually needs for temperature regulation. Botox works by blocking that specific signal at the injection site, which reduces sweat production in the treated area without affecting sweating anywhere else on the body.
This is the same mechanism, and often the same product, used for cosmetic Botox, just applied to a different target and in a treatment pattern spread evenly across the sweat-prone area rather than concentrated at a few points.
The treatment itself typically takes under five minutes once the area is mapped and prepped, with a series of small injections spaced evenly across the underarm or palm.
Most patients return to normal activities immediately. There’s no incision, no bandage, and no restricted movement required afterward.
Because the effect is localized to the injection site, treating the underarms or palms doesn’t reduce the body’s overall ability to regulate temperature through sweating elsewhere.
A consultation helps determine your treatment area and unit count.
Patients typically come in after years of managing sweaty palms or underarms with antiperspirants, extra layers of clothing, or simply avoiding situations where it might show. Botox for hyperhidrosis is often the first medical-grade option patients try that actually addresses the cause rather than masking it.
Patients treating palmar hyperhidrosis often cite handshakes, holding hands, or handling paperwork as a primary motivator.
Patients treating underarm hyperhidrosis frequently mention being able to wear lighter fabrics or brighter colors without worrying about visible sweat marks.
Because the treatment takes only a few minutes, many patients schedule it around a lunch break or another appointment.
Results are not permanent, but most patients enjoy months of reduced sweating before a touch-up is needed.
Underarms and palms are the two most commonly treated areas.
We treat hyperhidrosis of the underarms and palms, the two most common areas patients ask about. Your provider will map the treatment area and determine the right unit count for your case during your consultation.
| Area | Best For | Notes |
|---|---|---|
| Underarms | Axillary hyperhidrosis, the most common concern | Injections spread evenly across each underarm; does not affect arm movement or strength. |
| Palms | Palmar hyperhidrosis | Typically requires more units and a more involved mapping process given higher gland density. |
Injections are spaced evenly across the treatment area for consistent coverage.
Botox is a purified protein that, when injected into a specific muscle or gland-adjacent area, temporarily blocks the release of the neurotransmitter that signals sweat glands to activate. Without that signal, the gland doesn’t produce sweat, even though it remains otherwise healthy and functional.
Before injecting, your provider may use a simple test to visually map exactly where the overactive sweat glands are concentrated, allowing injections to be placed precisely where they’ll have the most effect.
Botox interrupts the chemical signal between nerve endings and sweat glands at the injection site.
The effect stays within the treated area and does not reduce the body’s overall ability to sweat and regulate temperature.
Most patients notice reduced sweating within a few days to two weeks as the effect takes full hold.
Results typically last several months before sweat gland activity gradually returns and a touch-up is needed to maintain the effect.
Over-the-counter and prescription antiperspirants work at the skin’s surface and need daily reapplication. Botox addresses the nerve signal itself and lasts months per treatment.
Underarms typically need fewer units and a simpler mapping process. Palms usually require more units and slightly more involved mapping given the higher density of sweat glands.
Both use the same product and mechanism. Hyperhidrosis treatment targets sweat glands across a broader, evenly spaced pattern rather than specific facial muscles.
Surgical options exist for severe, treatment-resistant cases but carry more risk and recovery time. Botox is the first-line option most patients try before considering surgery.
Most patients return to their day immediately after treatment.
There is no single “ideal” candidate. During your consultation, our providers review your medical history and the pattern of your sweating before recommending a treatment plan and unit count.
Not everyone is an appropriate candidate. Certain neuromuscular conditions, medications, allergies, pregnancy, or other health considerations may require postponing or avoiding treatment. Your provider will discuss this during your consultation.
Botox for hyperhidrosis isn’t automatic for every patient. Before treatment, we make sure the area, unit count, and plan fit your history and goals.
Medical history. Neuromuscular conditions, medications, allergies, and pregnancy are reviewed first.
Sweating pattern and severity. Whether the underarms, palms, or both are affected, and how much it impacts daily life.
Prior treatments tried. What antiperspirants or prescriptions you’ve already attempted and how well they worked.
Realistic unit count. An honest estimate for your specific area and severity, confirmed at consultation.
Treatment area selection. Underarms, palms, or both, based on where sweating is most disruptive.
Onset expectations. Setting a realistic timeline, since results build over days to two weeks rather than instantly.
When another treatment may be better. If Botox isn’t the ideal match, we’ll say so and point you toward what is.
Answer four quick questions and we will point you to the right next step.
Where do you sweat excessively?
How soon do you want treatment?
Have you tried Botox for sweating before?
Do you prefer to book or text first?
Thanks. Based on your answers, here is the best next step:
Book Your Free Consultation
There’s no bandage, incision, or restricted activity afterward.
We discuss the pattern and severity of your sweating, review your medical history, and determine the treatment area and estimated unit count.
Small injections are placed evenly across the underarm or palm. Most patients describe the sensation as brief pinpricks, and the entire process is finished quickly.
There’s no bandage, incision, or restricted activity. Most patients go straight back to work or their normal schedule.
Reduced sweating typically becomes noticeable within a few days to two weeks. Most patients return for a touch-up several months later to maintain results.
Botox blocks the chemical signal between nerve endings and sweat glands at the injection site, which reduces sweat production in the treated area without affecting sweating elsewhere.
Most patients describe the sensation as brief pinpricks. The treatment itself typically takes under five minutes once the area is mapped.
Unit count depends on the treatment area and severity. Underarms typically need fewer units than palms. Your provider confirms an exact count and price at your consultation.
Most patients notice reduced sweating within a few days to two weeks as the effect takes full hold.
Results typically last several months before sweat gland activity gradually returns and a touch-up is needed to maintain the effect.
No. There’s no bandage, incision, or restricted movement. Most patients return to their normal activities immediately.
No. Certain neuromuscular conditions, medications, allergies, pregnancy, or other health considerations may require postponing or avoiding treatment. Provider evaluation is required.
Pricing is $12.50 per unit. Total cost depends on the area treated and unit count your provider recommends. See the pricing section above or text us for help choosing.
Pricing is $12.50 per unit of Botox. Because total cost depends on the unit count your provider recommends for your specific area and severity, a precise estimate is provided at your free consultation. Tap any treatment below to see full details.
Not sure how many units you’ll need? Text us and we will help you understand what to expect.
Text Us for Help ChoosingVisit Skin Works Medical Spa at 2573 Pacific Coast Highway, Suite B in Torrance. We regularly see patients from Redondo Beach, Manhattan Beach, Hermosa Beach, Palos Verdes, Gardena, Carson, Lomita, and San Pedro.
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Licensed Medical Professionals
Ready to Stop
Sweating It? Whether it’s your hands, your underarms, or both, our providers will map your treatment and give you a clear, upfront price.
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Medical Disclaimer: This page is for informational purposes only and does not constitute medical advice. Botox for hyperhidrosis is a wellness/cosmetic service and is not intended to diagnose, treat, cure, or prevent disease.
Results and candidacy: Individual experiences vary. Provider evaluation is required before treatment. Certain neuromuscular conditions, medications, allergies, pregnancy, or other health considerations may affect candidacy.
Financing: Payment options are provided by third-party lenders and subject to approval. Skin Works Medical Spa, 2573 Pacific Coast Hwy, Suite B, Torrance, CA 90505, (844) 759-6757.