Hyperhidrosis Injections (Botox® & more)
Botulinum toxin injections temporarily block acetylcholine — the signal your nerves use to switch on a sweat gland.
Our physician’s Hyperhidrosis Injections (Botox® & more) — Real Patient Cases
Before & after cases for this treatment are currently being compiled. All cases are from actual clients at Luowei Medical Aesthetics Clinic and have been documented with a signed Media Release Form. Complete case materials are available for review with our physician during your consultation.
Why Choose Luowei Medical Aesthetics Clinic Botox® hyperhidrosis treatment
- We use only certified, authentic Allergan Botox® products.
- All procedures are performed by a licensed, qualified physician.
- Effectively reduces sweating with results lasting 6–8 months.
- Quick treatment (15–30 minutes) with minimal discomfort.
- Minimal downtime — return to work and daily activities immediately.
- Safe, precise, and long-lasting results.
- NMPA-registered— NMPA compliant medical aesthetic treatment
- Devices used are NMPA-registered— Luowei Medical Aesthetics Clinic One of the few authorized clinics in the Nanjing area
- Multi-device combination treatment capability— Compatible with combination therapy involving picosecond lasers, lifting devices, and other injectables
- Mandarin-speaking clinic— consultations in Mandarin, with professional translation devices for real-time interpretation in English and other languages
Hyperhidrosis treatment at our Nanjing clinic
Botulinum toxin injections temporarily block acetylcholine — the signal your nerves use to switch on a sweat gland. Injected in a shallow grid across the affected skin, they reduce sweating in that area for several months without affecting how the rest of your body regulates temperature.
In China, botulinum toxin type A is authorized for severe primary axillary hyperhidrosis— underarm sweating that persists despite prescription antiperspirant. Palms, soles and forehead are treated at physician discretion where the clinical picture supports it; those uses are not covered by the Chinese product monograph, and we say so before you book.
Every injection at Luowei Medical Aesthetics Clinic is performed by our physician personally. Sweat-gland injections are shallow and numerous — depth and spacing decide both how well it works and how long it lasts.
Key points
- What is injected Botulinum toxin type A, diluted for intradermal delivery
- Where it acts Eccrine sweat glands in the treated area only
- Appointment length 30–45 minutes for underarms, including mapping
- Onset 4–7 days, with the full effect by about 2 weeks
- Duration Commonly 6–9 months for underarms; shorter for palms
- Downtime None — small bumps at the injection sites settle within hours
Where this page fits
This page covers the treatment— areas, dosing, what the appointment involves, and cost. If you are still working out whether what you have is hyperhidrosis, what causes it, or how it is graded and diagnosed, start with our page on axillary hyperhidrosis instead.
Does it stop you sweating everywhere?
No. Only the injected area is affected. Your body has several million sweat glands; treating both underarms addresses a very small fraction of them, and thermoregulation elsewhere is unchanged. Compensatory sweating — a recognised issue after surgical sympathectomy — is not an expected outcome of localised injections.
How sweat-gland injections work
Sweating is triggered when a nerve ending releases acetylcholine onto an eccrine sweat gland. Botulinum toxin prevents that release, so the gland receives no instruction to produce sweat. The gland itself is not damaged — once the effect wears off, normal function returns.
Why injection depth matters
Eccrine glands sit in the deep dermis, much shallower than the muscles targeted in cosmetic injections. Placed too deep, the product reaches muscle instead of gland — which is how palm treatments end up causing temporary grip weakness. Placed too shallow, it leaks and the effect is patchy.
This is also why the number of injection points is high: each point covers a small radius of diffusion, so an underarm typically needs 15–20 evenly spaced points per side rather than a few large deposits.
Mapping before injecting
Where you sweat most is not always where you think. Before treating underarms, we can use a starch-iodine test — iodine solution and starch powder turn dark where sweat is actively produced — to outline the area that actually needs covering.
Mapping matters because dose follows area. Treating a mapped zone uses product where it works instead of spreading a fixed dose over a guessed rectangle.
Am I a Candidate for Botox® Hyperhidrosis Treatment?
- You may be a good candidate if you experience any of the following:
- Excessive sweating of the underarms, palms, soles, or back
- Antiperspirants or medications have not provided adequate relief
- Seeking a quick, non-invasive way to stay dry
- Feeling self-conscious or bothered by excessive sweating
- Seeking a solution with minimal side effects and long-lasting results
- You may not be a suitable candidate if you have:
- Pregnancy or breastfeeding
- Presence of a neuromuscular disorder (e.g., myasthenia gravis)
- Allergy to botulinum toxin components
- Active skin infection or open wound in the treatment area
Fitzpatrick × our physician’s protocol
Assessment of bruising and post-inflammatory pigmentation risk, and injection protocol:
| Fitzpatrick | Skin tone | Risk | Protocol |
|---|---|---|---|
| II–III | Fair / light skin tone | Low | Standard energy |
| III | Light Asian | Medium | Moderate energy |
| IV | Typical Asian | Moderate–High | Low energy settings + 6-week pre-procedure conditioning |
| V | Deep Asian / South Asian | High | Ultra-low energy + test spot |
What the appointment involves
A first underarm treatment takes about 30–45 minutes from arrival to leaving, most of which is assessment and numbing rather than injecting.
| Stage | What happens |
|---|---|
| Consultation | History, severity, what you have already tried, and whether anything suggests a secondary cause. If prescription antiperspirant has not been given a fair trial, we will say so. |
| Mapping | Starch-iodine test where useful, to outline the actively sweating zone and set the dose to the area. |
| Preparation | Cleansing, topical anesthetic for 15–20 minutes. For palms, a stronger approach is discussed in advance. |
| Injection | A shallow grid of small injections, typically 15–20 points per underarm. Most people describe brief stinging rather than pain. |
| Afterwards | Cool compress. You can drive and return to work the same day. |
| Review | A check at 2–3 weeks, when the full effect is present, to confirm coverage and top up any missed area. |
Results timeline
| When | What you should notice |
|---|---|
| Days 4–7 | Sweating starts to reduce |
| Week 2 | Full effect; this is the level to judge the treatment by |
| Months 6–9 | Effect fades gradually rather than stopping abruptly |
| Repeat | When sweating returns to a level that bothers you — many patients treat once before summer |
What sweat injections can and cannot address
Botulinum toxin treats excessive sweating itself. It does not treat every complaint that involves sweat.
| Concern | Does this treatment help? | Notes |
|---|---|---|
| Primary axillary hyperhidrosis | Yes— the authorized indication | Best evidence and the most predictable result |
| Sweating that soaks through clothing daily | Yes | The practical threshold most patients describe |
| Palmar or plantar sweating affecting work | Often — off-label | Shorter duration, more uncomfortable to treat |
| Body odour with normal sweat volume | Partly | Reducing sweat reduces the moisture bacteria act on, but odour has other causes; assess separately |
| Sweating that started recently, at night, or with weight loss | No — see a physician first | These suggest secondary hyperhidrosis with an underlying cause that needs investigating, not masking |
| Sweating only in specific social situations | Sometimes | Treating the sweat can break the anxiety loop, but it does not treat the anxiety |
Read more about how primary and secondary hyperhidrosis are told apart on our axillary hyperhidrosis page, or see the full range of botulinum toxin treatments we offer.
Pre & Post Care for Hyperhidrosis Injections
Pre-care
- Pre-procedure: Avoid applying deodorant or antiperspirant for 24 hours before your appointment.
During
- Post-procedure: Avoid massaging or rubbing the treated area for 24 hours.
- 48hours. Avoid saunas, steam rooms, and strenuous exercise.
- Avoid alcohol-containing products for one week.
- 3-5days for a noticeable reduction in sweating, with optimal results at 2 weeks.
- Repeat maintenance every 6–8 months.
Post-care
- Keep the treated area clean and dry.
- Wear breathable clothing to minimize friction.
- Avoid using irritating antiperspirants or skincare products.
- If mild redness occurs, apply a cold compress to soothe the area.
- Please follow all post-procedure care instructions as directed by your physician.
D0–D30 Complete Recovery Timeline
| Time | Do’s & Don’ts |
|---|---|
| D0 | 24–48 hours · no makeup · avoid washing face with hot water |
| D1–D3 | SPF 50+ Mandatory · no exfoliation · hydration and barrier repair |
| D4–D7 | Resume gentle cleansing · Continue SPF · Avoid heat exposure |
| D8–D14 | Gradually resume skincare products |
| D15–D30 | Stabilization period · Assessment for next treatment |
Benefits of Botox® Hyperhidrosis Treatment
- Rapid reduction of excessive sweating
- FDAHealth China registered therapy
- Non-invasive, virtually painless
- Suitable for underarms, hands, feet, and back
- No scarring, minimal downtime
- Long-lasting dryness and comfort
- Improve confidence and quality of life
Key Advantages of Hyperhidrosis Injections (Botox® & more)
| Dimension | Hyperhidrosis Injections (Botox® & more) |
|---|---|
| Mechanism of action | Blocks acetylcholine at eccrine sweat glands in the dermis |
| Recovery period | None — injection bumps settle within hours |
| Bruising risk | Low — injections are shallow and fine-gauge |
| Fitzpatrick Applicable | We–VI Suitable for a wide range of skin types |
Why trust Luowei Medical Aesthetics Clinic for Hyperhidrosis Injections (Botox® & more)?
Google E-E-A-T This framework evaluates medical content across four dimensions. Below are the specific credentials behind every statement on this page.
Real-world clinical experience
- 8+ years focused on medical aesthetics
- Specialized proficiency in Botox® hyperhidrosis treatment
- specializing in Asian skin care and facial contour
Physician credentials
- Ongoing manufacturer training
- Multi-modality treatment capability
Industry Standing & Certifications
Clinic transparency and reputation
- Written informed consent
- NMPA dual certification
- Transparent pricing and risk disclosure
WHY THIS MATTERS
Botox® hyperhidrosis treatment is not a “one-size-fits-all” approach
Hyperhidrosis Injections (Botox® & more) work by targeting the dermis, muscle, and soft tissue — requiring physician-level calibration based on your skin type, the depth of the concern, and your treatment history.
Hyperhidrosis Treatment — Pricing & Payment
Pricing varies by area, dosage, number of sessions in a package, and whether combination therapy is included.Personalized pricing provided by our physician following your Free 30-Minute Consultation.
Single Session Botox® Hyperhidrosis Treatment · First Try / Single Maintenance
Package discounts available · combination plans priced by treatment
Accepted payment methods
- Payment is made at the clinic, after the consultation and before treatment begins
- Nothing is paid in advance, and no deposit is required to hold an appointment
- Cosmetic treatment is a self-pay item and is not covered by public medical insurance in China
- All first-time clients receive a complimentary 30-minute Free Consultation & Assessment
Common Risks · Contraindications · Safety Protocol
Transparency in medical aesthetics is itself a signal of expertise and trust. We openly disclose all possible reactions, serious risks, contraindicated populations, and absolute contraindications.
Common Reactions (Short-Term)
- Localized swelling, redness, and warmth
- Skin sensitivity (SPF 50+ for 2–4 weeks)
- Temporary cosmetic changes
Serious Risks (Rare)
- Temporary weakness in nearby muscle— mainly relevant to palms (fine grip) and forehead (brow position); resolves as the effect wears off
- Uneven coverage— a missed zone can be topped up at the 2–3 week review
- Infection (rare)
- Scarring (extremely rare)
Absolute contraindications
- Pregnancy / breastfeeding
- Active infection
- Oral Accutane use within the past 6 months
- Keloid-prone skin
- Photosensitizing medications not discontinued
Our physician’s Mandatory Safety Protocol
- Complete skin assessment and medical history review prior to treatment
- Sign a written informed consent form
- Mandatory test spot for high-risk patients
- Performed personally by our physician
Where the medical claims on this page come from
Everything above about Hyperhidrosis Injections (Botox® & more) rests on published evidence rather than on our own word. The sources below are the ones behind those statements: peer-reviewed papers indexed in PubMed, and guidance written for patients by dermatology academies and national health services. Read them before you decide — and bring any of them to your consultation.
- Peer-reviewedHyaluronic Acid Dermal Filler-Associated Vascular Occlusion-A Review of Prevention and Management Strategies
- Peer-reviewedHyaluronidase for Dermal Filler Complications: Review of Applications and Dosage Recommendations
- Peer-reviewedBotulinum toxin type A for facial wrinkles
- Patient guidanceDermal fillers: Overview
- Patient guidanceBotulinum toxin: Overview
- Patient guidanceNeedle-free filler risks: What you should know
What these references can and cannot tell you. They describe what is known about the treatment itself — how well it tends to work, how long results last, and what can go wrong. They are not an assessment of this clinic, and no published study can tell you whether it suits your skin type, anatomy, or medical history. That judgement comes from the physician who examines you in person, and it may well be “not this one”.