Overview

What hyperhidrosis treatment with Botox is

Hyperhidrosis is sweating beyond what the body needs to cool itself. In primary axillary hyperhidrosis, the most common form, the underarm sweat glands are overactive without any underlying illness: shirts are soaked within an hour, antiperspirants labeled clinical strength stop working, and choosing clothes becomes a daily calculation. The condition often starts in the teens, runs in families and responds well to treatment.

Botox (onabotulinumtoxinA) is FDA approved for severe underarm sweating that has not improved with prescription antiperspirants. The medication is placed in a grid of small, shallow injections into the skin of each underarm, where it blocks acetylcholine, the chemical messenger that tells the sweat glands to produce sweat. The glands stay healthy; they stop receiving the signal. In clinical studies sweat production in the treated area fell by more than half in about nine out of ten patients, and by about 80 percent on average. Sweating elsewhere continues as normal, and temperature control is unaffected because the underarms hold a small fraction of the body’s sweat glands.

At Rethink the treatment is offered for the underarms, the area with the strongest evidence and the FDA approval. Patients from Manhasset, Great Neck, Port Washington and across Nassau County book it before summer, before a wedding or because they are tired of planning their day around sweat.

What it treats

What hyperhidrosis treatment helps with

Underarm treatment suits sweating that soaks clothing, stains fabric or forces outfit changes, whether it is constant or triggered by stress, heat or exercise. Other areas, such as the palms, forehead or scalp, are discussed individually at your consultation.

  • Underarm sweating that soaks through shirts and blouses
  • Sweat stains and ruined fabrics
  • Sweating that continues in air conditioning or cold weather
  • Stress sweating in meetings, interviews and social events
  • Antiperspirants and prescription roll-ons that no longer work
  • Odor that follows constant dampness
  • Sweating during exercise that limits what you wear
  • Dry underarms for weddings, presentations and travel

How it works

How hyperhidrosis treatment works at Rethink

The visit takes 30 to 45 minutes in a private treatment suite at 496 Plandome Road in Manhasset. New patients start with a complimentary consultation, and treatment can follow at the same visit.

01

Consultation and assessment

Tami reviews your sweating pattern, what you have already tried, your health history, medications and allergies, and examines the underarms. She rules out causes that need separate care, such as thyroid disease or a medication side effect, confirms that Botox is appropriate and explains the expected result, how long it lasts and the cost. Photographs are taken for your record.

02

Preparation

Shave your underarms the day before and skip deodorant and antiperspirant on the morning of your appointment. Avoid exercise, caffeine and hot drinks for the 30 minutes before the visit. In the suite the skin is cleansed and the sweating zone is mapped: where useful, a starch-iodine test darkens the skin exactly where sweat is produced, and Tami marks a grid of injection points about a centimeter apart.

03

The injections

Using a very fine needle, Tami places about 15 to 20 shallow injections into each underarm, a few seconds apiece, for a standard dose of around 50 units per side. Most patients describe a light pinch; ice or a numbing cream is available if you prefer. The injection stage itself takes about ten minutes.

04

Aftercare and follow-up

You leave with nothing to cover and can return to work immediately. Leave antiperspirant off until the next morning and skip intense exercise, saunas and hot yoga for 24 hours. Sweating begins to fall within two to four days and reaches its full reduction at about two weeks, when Tami checks in; a small touch-up is added if a spot is still active.

Results

Results, how long they last and side effects

Most patients notice a clear change within the first week and the full effect by two weeks: dry underarms through a workday, a workout or a summer afternoon, with no marks on shirts. Relief lasts four to six months on average, many patients stay dry for seven months or longer, and repeat treatments tend to last at least as long as the first. Two visits a year keep most people dry year round; some choose one treatment in late spring to cover the summer.

Side effects are minor and short. Expect pinpoint marks that fade within hours and occasionally a small bruise or tenderness for a day or two. Some patients notice slightly more sweating elsewhere for a few weeks as the body adjusts; it is usually mild and settles on its own. Because the injections stay in the skin, weakness in the arm is rare and temporary when it does occur. There is no downtime.

Candidates and safety

Who is a good candidate for Botox for sweating

The treatment suits adults whose underarm sweating interferes with clothing, work or social life and who have already tried regular or clinical-strength antiperspirants. It suits constant sweating as well as sweating triggered by stress, heat or exercise, from the late teens onward. Patients with moderate sweating who want dry underarms for an event or a season are also good candidates.

Treatment is postponed with an infection or rash in the underarm and avoided during pregnancy and breastfeeding, with a neuromuscular condition such as myasthenia gravis or ALS, and with a known allergy to botulinum toxin or to the albumin in the formulation. Tell Tami about every medication, especially blood thinners, which raise the chance of bruising, and aminoglycoside antibiotics, which can increase the effect of the toxin. Sweating that started suddenly, occurs mostly at night or affects the whole body needs a medical workup first, and Tami will refer you before treating.

Pricing

Quoted at your complimentary consultationStarting price

Hyperhidrosis treatment cost in Manhasset

The price covers both underarms at a standard dose and includes the two-week check with any touch-up. Tami quotes the exact cost at your complimentary consultation, before anything is scheduled. Rethink does not bill insurance; because hyperhidrosis is a medical condition, treatment may qualify for reimbursement through an HSA or FSA account or your insurer, and an itemized receipt is provided on request. Payment plans are available.

Serving Manhasset, Great Neck, Port Washington and Garden City, Nassau County and Long Island's North Shore. New patients receive a complimentary consultation.

Injection points marked on a woman's underarm before hyperhidrosis treatment, white gloves

Why Rethink

Why patients choose Rethink for hyperhidrosis treatment

Hyperhidrosis treatment at Rethink is performed by Tami Abramov, MSN, FNP-BC, a board-certified family nurse practitioner who maps, doses and places every injection herself. Her clinical background in emergency medicine, interventional radiology and pain management means the screening is thorough and the injections are precise and quick.

The practice sees one patient at a time in a private suite in Manhasset, on Long Island’s North Shore, so a treatment that involves undressing to the waist stays discreet and unhurried. Tami uses the same neuromodulators and the same measured approach as in her cosmetic injectable work, tells you plainly what to expect and schedules your next session around the seasons and events that matter to you.

Meet Tami

Questions

Frequently asked questions

Does Botox for sweating really work?

Yes. Botox is FDA approved for severe underarm sweating, and in clinical studies it reduced sweat production by more than half in about nine out of ten patients, with many reporting almost complete dryness. The effect begins within two to four days and is complete at about two weeks.

How long does hyperhidrosis treatment last?

Four to six months on average, and many patients stay dry for seven months or longer. Most people schedule two treatments a year; some treat once in late spring to cover the summer.

How much does Botox for hyperhidrosis cost?

The cost depends on the dose and is quoted at your complimentary consultation, before anything is scheduled. The quote covers both underarms and the two-week check. Payment plans are available, and an itemized receipt is provided for HSA, FSA or insurance reimbursement where your plan allows.

Does insurance cover Botox for hyperhidrosis?

Some insurers cover Botox for severe underarm hyperhidrosis when prescription antiperspirants have failed, usually after prior authorization. Rethink does not bill insurance directly; ask for an itemized receipt and a treatment summary to submit to your insurer or to use with an HSA or FSA account.

Do the injections hurt?

Most patients describe a light pinch. The needle is very fine and the injections stay in the skin, a few seconds each, about 15 to 20 per underarm. Ice or a numbing cream is available if you prefer, and the injection stage takes about ten minutes.

Can Botox treat sweaty hands, feet or scalp?

Botox is also used for the palms, soles, forehead and scalp, although the underarms are the only FDA approved area. At Rethink the treatment is offered for the underarms; ask about other areas at your consultation, and Tami will tell you whether treatment is appropriate or refer you to a specialist.

How should I prepare, and what should I avoid afterward?

Shave your underarms the day before, skip deodorant and antiperspirant on the morning of the visit, and avoid exercise, caffeine and hot drinks for 30 minutes beforehand. Afterward, leave antiperspirant off until the next morning and skip intense exercise, saunas and hot yoga for 24 hours. There is nothing to cover and no downtime.

Beige plaster wall with soft window shadows

Book a complimentary consultation

Book a complimentary consultation in Manhasset. Tami will assess your sweating, confirm that Botox is the right treatment and quote the cost before anything is scheduled.

Book Online Call or Text (516) 464-0057