How Many Units of Botox for Hyperhidrosis?

By Pinch Med Spa Staff

October 6, 2023

Hyperhidrosis, or excessive sweating, can be an embarrassing and uncomfortable condition. Botox and similar products are  a highly effective treatment for managing hyperhidrosis. In this post, we'll explore how many units of Botox are typically needed for hyperhidrosis and what you can expect from the treatment.

What Is Hyperhidrosis?

Hyperhidrosis is a condition characterized by excessive sweating that occurs beyond what is necessary for regulating body temperature. This condition can affect various body parts, including the underarms, hands, and feet. For more detailed information, check out our guide to hyperhidrosis treatments.

Preventing excessive sweating generally requires 50 units of Tox per side

How Botox for Hyperhidrosis Works

Botox works by blocking the nerve signals responsible for sweating. When injected into the affected areas, it reduces sweating by temporarily paralyzing the sweat glands.

Recommended Units of Botox for Hyperhidrosis

For treating hyperhidrosis, the typical amount of Botox required is about 50 units per side. The exact number of units needed can vary depending on the severity of the condition and the size of the treatment area.

What About Xeomin Units for Hyperhidrosis?

Both Botox® and Xeomin® can effectively treat hyperhidrosis, utilizing botulinum toxin type A. At Pinch, we often use Xeomin due to its purity and effectiveness. The unit requirements for Botox and Xeomin are generally similar.

Factors Influencing the Number of Units

  • Severity of Sweating: More severe hyperhidrosis may require more units.
  • Size of Treatment Area: Larger areas might need additional units.
  • Individual Response: Each person’s response to Botox or Xeomin can influence the required dosage.

What to Expect During Your Treatment


Your treatment will begin with a consultation with a skilled medical professional, such as a nurse practitioner, who will assess your hyperhidrosis and determine the appropriate number of units needed for your treatment.

The Injection Process To Prevent Sweating

The injection process for hyperhidrosis is relatively quick and involves minimal discomfort. A fine needle is used to inject Botox into the affected areas. The procedure typically takes only a few minutes.

Post-Treatment Care

After the treatment, you may experience mild side effects such as redness, swelling, or bruising around the injection sites. These effects are usually short-lived. Following the aftercare instructions provided by your practitioner is crucial for the best results.

Results and Longevity

When to Expect Results

You can expect to see results from your Botox treatment for hyperhidrosis within 2 to 4 days, with full effects visible after 1 to 2 weeks. The treated areas will produce significantly less sweat.

How Long Do Results Last?

The effects of Botox for hyperhidrosis typically last between 4 to 6 months. Regular follow-up treatments will help maintain the results.

Cost of Botox or Xeomin for Hyperhidrosis

The cost of Botox or Xeomin for treating hyperhidrosis depends on the number of units and the provider’s rates. Generally, Botox and Xeomin cost between $12 to $15 per unit. Here’s a cost breakdown based on the recommended units:

  • Cost for 50 units per side: $600 to $750 per side

Factors Affecting Cost

  • Provider's Expertise: Highly experienced practitioners may charge more.
  • Geographic Location: Treatment costs can vary based on the region.
  • Botox vs. Xeomin: Brand name recognition can influence the cost.

Is Botox for Hyperhidrosis Right for You?

Botox is an FDA-approved treatment suitable for most individuals looking to manage hyperhidrosis. A detailed consultation with a qualified provider will help determine if it’s the right option for you, especially if you have any underlying health conditions or are on certain medications.

Next Steps

If hyperhidrosis is a concern for you, Tox offers a quick and effective solution to manage excessive sweating. With the typical requirement of 50 units per side, the treatment is efficient with minimal downtime. For a convenient and professional at-home experience, consider booking with Pinch. Our nurse practitioners will visit your home, ensuring you receive the best care in a comfortable setting.

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