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In This Section

Neuromodulators for Excessive Sweating


Treatment Options


Learn more about the treatment option available for excessive sweating


Neuromodulators – injections of botulinum toxin commercially known as Botox and Dysport and Xeomin – can be used to treat excessive sweating. A minute amount of the neuromodulator is injected beneath the skin, where it is absorbed by nerve cells. It works by blocking neurotransmitters that encourage sweating. A typical treatment involves about 15 to 20 injections.

Why choose neuromodulators for excessive sweating

  • Can be used to treat underarms, palms and feet.
  • Non-invasive - does not require surgery.
  • Can be quickly performed in a doctor's office.
  • Virtually no recovery time.

Possible risks

  • Soreness
  • Mild bruising
  • Temporary weakness of surrounding muscles
  • Headache  

Estimated cost

The average cost for a neuromodulator injection treatment is between $500 and $1,500 depending on the number of areas treated. Since most medical insurance companies consider neuromodulator injections a cosmetic procedure, it is usually not covered, except in special cases.

How to prepare for the procedure

Before the procedure, an ASDS dermatologist will review the patient's medical history. This is the time for the doctor and patient to discuss expectations, potential risks and outcomes of the procedure. Patients should tell their doctor if they use, have recently taken or have had:

  • Blood thinning drugs
  • Previous neuromodulator therapy
  • Antibiotics by injection
  • Muscle relaxants
  • Allergy or cold medicine
  • Sleep medicine

What to expect after the procedure

  • A decrease in sweating within about two weeks.
  • The reduction lasts for about six months, so most patients will need to be treated twice per year.
  • Virtually no recovery time is required.
  • Patients should take care not to rub treated areas, which could cause it to migrate to another area.

Find a doctor for your excess sweating treatment

Visit “Find a dermatologic surgeon” and choose “Neuromodulators” from the dropdown menu. In 2013, ASDS dermatologists performed nearly 1.8 million neuromodulator injections, up from 1.5 million in 2012. Because ASDS dermatologists are trained in a variety of the best and latest techniques, they are the most qualified to evaluate and select the best treatment choice based on the individual patient’s condition. 

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