Botox London, Underarms (armpits)

Botox Face | Botox Underarms | Water-jet Sweat Gland Removal for Excessive Sweating

Botox for Treatment of Excessive Sweating (Hyperhidrosis)

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 with 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).

  • Is Botox effective in the treatment of excessive sweating?

    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 Doctors Makeover, we use Botox injections for excessive sweating both in the armpits (axillae) and the palms of the hands and soles of the feet.
    Palms of hands Botox injections £350
    Soles of feet Botox injections £350
    Underarms (armpits) Botox injections £350

    Learn more how you can cure your excessive sweating permanently by Removal of Sweat Glands by Water-jet.

  • What is Botox?

    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.

  • Where do you use Botox injections on the face?

    Non-surgical cosmetic treatments such as Botox injections could be a viable alternative to facial plastic surgery. Botox is cheaper and quicker than facelift but it is temporary and Botox recipients' face turns to before Botox treatment state within months.
    Forehead height and hairlines very different in individuals and patient with low hairline and short forehead needs to be treated differently from the patient with back setting hairline and elongated forehead. Forehead lines are treated by Botox injections and Botox is sometimes combined with dermal fillers to fill and smooth out deep lines and wrinkles. Fillers plump up lines and wrinkles.
    Glabellar area is a common site for Botox injection because the lines between eyebrows might be visible at rest or become visible on frowning. The two vertical crease lines seen in glabellar area are11-shaped in appearance.
    Crow's feet wrinkles can be eliminated by Botox injections.
    Bunny lines on the top sides of the nose are different from patient to patient and are treated by Botox injections.
    Other parts of face can be treated by Botox injections, for example, the lower lids, mid-face such as, "lipstick lines" which could be due to smoking, sun damage, familial factors, chronic whistling and playing musical instruments, nasal tip elevation, nostril flare, lines beside nose (nasolabial folds), jowls, facial asymmetry and facial excessive sweating (Frey Syndrome), chin and bands over the neck (platysma band treatment) in aging neck.

  • Who is suitable for Botox injections?

    Botox is the most common cosmetic treatment and like any other surgical and non-surgical cosmetic treatment should be offer to people who are physically fit and psychologically and realistic in their expectation. Please see below.

  • Is Botox suitable also for men?

    Yes, Botox is suitable for both men and women. It was a time when beauty was thought to be a women's domain but nowadays, men are also keen to knock on the beauty mask of women and many of them beauty conscious and seeking cosmetic treatment more than ever did. Some perceive a man with obvious lines between eyebrows as a person who is angry or stressed and make difference in his dealing with others. We are experiencing increase in male patients demands for cosmetic surgery about 30 percent of our liposuction patients and 25% of our Botox patients are men. That is well above 10% cosmetic surgery on male patients in 2009, reported by the British Association of Aesthetic Plastic surgeons. Male breast reduction and liposuction are up of the list of our male costumers.

  • Is Botox suitable for children?

    Botox is being used for treatment of some spastic medical conditions in children but the Botox safety and effectiveness has not been researched in children and pregnant women. It is important to examine individual’s facial anatomy before injecting Botox.

  • Can Botox be used during breast feeding?

    Botox is not suitable for breastfeeding mothers because there is no available information on Botox being excreted in the breast milk to the infant and should not be recommended to breastfeeding mothers.

  • How long does it takes for Botox to work?

    It takes about three days or more to see some effects of Botox injection on the improvement of frown lines. Long term studies suggest that there median time to onset of response was maintained three days and the maximum response was recorded at thirty days after the Botox injection. There are clinical studies that reveal that Botox injections are affective in improvement of moderate to severe frown and other lines and wrinkles, mainly upper third of the face.

  • What are the psychological effects of Botox?

    There are no conclusive psychological studies on the effect of Botox injection but it is thought it increases the feeling of wellbeing and self confidence.

  • Does Botox effects fertility in human?

    No, there is no evidence that Botox affects the fertility of males and females but a study reveals that there was reduced fertility of males and females in rats most probably because of reduced mating due to muscle paralysis at high dose of neurotoxin A injections.

  • Do you use the same amount of Botox for everybody?

    The Botox injection needs to be adjusted in each individual person according to their sex, age, and muscle size. Therefore, until you and your doctor find the best dose for your case it might take a few sessions.

  • What is the difference between Botox injection and derma filler injection?

    Although Botox injections are the most popular cosmetic treatment in the world many patients do not know the difference between Botox and fillers. Deep creases and lines needs to be plumped up by dermal fillers because Botox injections mostly soften up lines and wrinkles but needs to be combined with fillers for deep static lines and wrinkles. Therefore, the patient need to be given information and informed written consent obtained before Botox injection. Botox is produced in  brand names; Myobloc (botulinum toxin B), Dysport (Ipsen Biopharm), Azzalure and xeomin but there is no official convention rate exist between different brands of these botulinum toxins but clinical experience suggest that one unit of Botox equals to 3 units of Dysport.

  • Can Botox injections be combined with other cosmetic treatment during the same treatment session?

    Combination treatment during the same cosmetic treatment session can be used to treat different layers of skin. Botox can be injected to the forehead, muscles and dermal fillers can be injected into the glabellar lines. It is known when Botox cosmetic injections are combined with dermal filler it tends to prolong the longevity of the filler and Botox also enhance the effect of laser resurfacing if they were combined. 

  • Is there anything I should do before the Botox injection?

    There is certain medical history which your doctor should be aware.  If you are allergic to Clostridium outline toxin A, or other ingredients of Botox and you have had an infection in or around the side of where the Botox is to be injected.  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 doctor about any other problems such as difficulty in swallowing food or drinks, any muscular weakness, problems with blood and bleeding problems.  If you have any recent surgery, particularly on your face.  It is also important if you have had any recent injection of other Botox for any other reason.  If there is any a-symmetry, scaring or change in the 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 point of the doctor.

    But if you are taking any medication or you have any health problems you should bring it to the attention of the doctor.

    Who is injecting Botox in you Doctors Makeover clinic?

    Patient selection and proper Botox injection technique is key to producing consistent result/ At Doctors Makeover, our cosmetic surgery clinic, our trained and highly qualified doctors who are Fellow of the Royal College of Surgeons (FRCS) or/and specialist plastic surgeons also fully registered with the GMC in the United Kingdom will give your Botox injections, after a consultation. Our doctors value the doctor-patient relationships and hope to develop a long lasting relation with our clients to be able to look after your cosmetic needs. We also realise that your decision to have facial Botox injection is very important to you and our experienced doctors will injection every Botox in our clinic.

  • What is the cosmetic use of Botox in your clinic?

    Botox is most effective for reducing wrinkles and lines in the upper third of the face, frown lines between eyebrows, forehead and crow’s feet:
    Botox injections are given at maximal frown at the central part and other Botox injections are given above the eyebrows and crowfeet areas.
    Less than 30 and above 60-year-old people should use the minimum amount of Botox on each occasion. It is thought the younger the patient begins to receive Botox injections the less chance they have of forming wrinkles and for those patients with existing wrinkles regularly paralysing the muscle has a wrinkle preventative effects
    Young people before a big event, it is better to have Botox injections to the face at least two months in advance to allow Botox to wear off and facial muscles recover from initial shock of Botox injections to some extent
    Apart from around the eyes, Botox injections are given in excessive sweating (Hyperhidrosis).

  • How often should I have Botox treatment?

    Botox usually gives good cosmetic results after a single injection; however, Botox has some limitations and might improve wrinkles. The interval between Botox injections should be at least three months apart.  Botox can be combined with other non surgical cosmetic treatments, such as derma fillers. The treatment interval depends on the patient’s response after initial assessment and in general, the interval should not be more than every three months. Therefore, some people speak about “the rule of 3” which means the Botox effects by 3 days and its maximum effects will be in 3 weeks and it will last about 3 months but these values could be variable from patient to patient.  

  • Is Botox painful?

    Botox is injected with a very fine needle by an experienced and trained doctor. We can 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.

  • What are the possible side-effects of the Botox injection?

    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, you should report to your doctor 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.  There are other side effects such as drooping of the eyebrow, tired eyes, watering or dry eyes also twitching around the muscle around the eyes has been reported.  Other very rare complications of Botox injection include dizziness and problem 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

  • Why did not notice any improvement in my wrinkles and lines after Botox injections?

    There are several reasons for Botox injection failure, the most common is incorrect injection of muscles, followed by poor injection techniques and there are some very rare cases in which the body produces Botox toxin neutralising chemicals which neutralises the Botox in a short time after the injection. It is known that Botox does not work well in men and people over the age of 65 groups. In many cases it seems that there is some misunderstanding between the patient and the doctor or the Botox injector as the patient may wish to have complete flattening (paralysis) or just lessening the movement in the upper face. During the initial consultation no guarantee given for the prediction of Botox effect as it is different from patient to patient. Top up Botox injection is given about two weeks after the initial injection however, it is recognised that individuals seldomly can develop Botox neutralising chemical (antibodies) after Botox injection although there is a school of thought which refute this theory and argue that this rare cases of non- responder to Botox could have been exposed to botulinum toxin through subclinical food poisoning during their life and have detectable neutralising chemicals in their body. These rare non-responders to Botox can be treated successfully by botulinum toxin B brands on the market. It is crucial to understand the difference in Botox and dermal fillers and they need to be fully understood by the patient at initial consultation. The patient should understand that deep wrinkles which are heavily imprinted to the skin might look better after Botox injection but they do not disappear completely. Furthermore, there are lines which are fixed lines and wrinkles (static) on the forehead and frowns which are might become much softer with Botox injections but emotional and gesture forehead and frown lines (dynamic) could completely disappear with Botox injections. However, Botox can be combined with dermal fillers to treat deep lines and wrinkles.


  • Is Botox safe to use?

    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 doctor.

    Is there anything I should do after the Botox injection?

    After Botox injections no specific bandage or dressing required. The use of ice types after Botox injections can reduce discomfort and swelling. Controversy still exist regarding physical activities after Botox injection regarding active movement of muscles to enhance Botox early uptake and use of heat and pressure during the few hours following Botox injections. At Doctors Makeover, our cosmetic surgery clinic, we advise our clients against heavy physical exercise for about 4 hours following Botox injections and we routinely supply them with a post-Botox injection information sheet, including contact details of the doctor, in case the client has any worries, can contact the doctor directly or contact the clinic during working hour.

  • What are the other uses of Botox?

    Botox usually in higher doses has been used in several medical conditions, for example;
    1. Treatment of excessive sweating, underarms, palms of the hands and soles of the feet.
    2. Botox for treatment of chronic severe migraine with frequent attacks of migraine.
    3. Botox in blepharospasm.
    4. Botox is used in muscle spasm.
    5. Botox is used in treatment of cervical dystonia.

  • How much does Botox cost?

    Please see our general price policy. We are one of the most competitive Botox providers in the country. We charge Botox:
    Full face Botox injection: £200.
    The minimum charge is £100 for one Botox injection area.
    How much does Botox cost for Excessive Sweating (Hyperhidrosis) underarms?
    Palms of hands Botox injections £350
    Soles of feet Botox injections £350
    Underarms (armpits) Botox injections £350

Contact Information


Plastic Surgery Procedures

Non - Surgical Cosmetics