Treatment of hyperhidrosis with Botox

Excessive sweating can have psychosocial, social and emotional consequences.

Today, K+31 patients have access to a technique for reducing sweating. Today, this is one of the most effective ways to reduce sweating without surgery.

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General information about the treatment procedure for
hyperhidrosis with Botox

How the procedure works

The whole procedure lasts about half an hour.

Before this, a Minor test is performed, which allows you to determine degree of severity and localization of hyperhidrosis, then applied to the skin anesthesia and a drug based on botulinum toxin is administered, which reduces the secretion of sweat glands.

Intradermal injections are carried out ten points in each axillary area.

  • In most cases, the recommended dose ensures that the results last for 8-12 months.
  • The timing for re-injection is determined individually according to clinical need.
  • Injections should not be given more than once every 12 weeks
  • There is evidence of a cumulative effect with repeated doses of the drug, so the duration of treatment is determined individually for each patient

Restrictions after the procedure are minimal.

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How does the procedure work?

Effect of the procedure and rehabilitation

How much does sweating decrease after the procedure?

  • The average amount of sweat produced decreased by 88% two weeks after the first injection
  • The effect lasts up to 9 months if procedures are carried out on a regular basis (no more than once every 12 weeks)
  • 99% of patients rated their treatment tolerance as good or excellent four weeks after the first injections
  • When botulinum toxin is reintroduced, the body quickly copes with the effect of the toxin. Therefore, in the future, 3-4 procedures per year will be required to eliminate sweating

2-3 days after the administration of botulinum toxin, you can already notice the effect. In the period 2-3 weeks after injections, the sweat glands will stop produce sweat. To prevent sweating from resuming immediately and to prevent the injection area from becoming inflamed, you should follow the recommendations:

  • Don't sunbathe
  • Do not visit baths and saunas
  • Do not massage in the injection area
  • Do not use cosmetics on your skin (except those prescribed by your doctor)
  • Avoid physical activity for 7 days

The effect of the injection procedure lasts about 6-12 months. When botulinum toxin is reintroduced, the body quickly copes with the effect of the toxin. Therefore, in the future, 3-4 procedures per year will be required to eliminate sweating.

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Effect of the procedure and rehabilitation

Indications and contraindications for the procedure

Indications for the procedure are:

  • Increased sweating
  • Hyperhidrosis of the hands
  • Hyperhidrosis of the feet
  • Hyperhidrosis of the armpits
  • Unpleasant sweat odor
  • Allergic reactions to antiperspirants

Contraindications:

  • Inflammation in the treatment area, skin diseases
  • Pregnancy, breastfeeding
  • Bleeding disorder
  • Allergic reaction to Botox
  • Predisposition to the formation of keloid scars
  • Exacerbation of chronic diseases
  • Neurological diseases (epilepsy)
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Indications and contraindications for the procedure

Answers to popular questions

Won't something in the body be disrupted if the armpits stop sweating?

Only 2% of sweat glands are located in the armpits. They practically do not participate in thermoregulation. Sweat glands are located throughout the body, so blocking them in the armpits will not affect the electrolyte-water metabolism and thermoregulation of the body.

How many units of the drug will be needed?

The number of units of the drug depends on the treatment area and the degree of sweating. During the procedure, from 30 to 100 units of Botox are injected into the armpits.

A large dose of botulinum toxin - is it safe?

The maximum dose of botulinum toxin in cosmetology for the treatment of hyperhidrosis is 3 bottles of Botox. Which is an absolutely safe dose for a healthy person.

Which drug is better?

In our cosmetology centers, we offer 3 drugs for the treatment of armpit hyperhidrosis: Dysport, Xeomin, Botox. The choice of toxin depends on the degree of sweating and the area of the procedure. The clinic's specialists will select the most effective remedy for you, based on the individual characteristics of the body.

Is it possible to combine laser hair removal and Botox in the armpits?

There are no contraindications to combining the two procedures. On the contrary, after administering Botox and relaxing the muscles, laser hair removal will be much easier.

Our doctors

Stepanova Yulia Sergeevna
Experience 15 years
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Stepanova
Yulia Sergeevna
Head of the department of aesthetic medicine and cosmetology
Ivlieva Maria Georgievna
Experience 17 years
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Ivlieva
Maria Georgievna
Head of the dermatology and cosmetology department, head of the dermatology and cosmetology department K+31 Petrovskie Vorota, leading dermatologist, cosmetologist, trichologist
Zakirova Gulnara Shokirovna
Experience 13 years
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Zakirova
Gulnara Shokirovna
Dermatologist, cosmetologist
Miloradova Nataliya Nikolaevna
Experience 20 years
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Miloradova
Nataliya Nikolaevna
Cosmetologist, trichologist
Anoiko Olga Yuryevna
Experience 28 years
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Anoiko
Olga Yuryevna
Cosmetologist
Lebedinskaya Darya Alexandrovna
Experience 18 years
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Lebedinskaya
Darya Alexandrovna
Dermatologist, cosmetologist, trichologist
Kazantseva Ekaterina Victorovna
Experience 30 years
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Kazantseva
Ekaterina Victorovna
Dermatologist, cosmetologist
Katz Ksenia Vladimirovna
Experience 12 years
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Katz
Ksenia Vladimirovna
Dermatologist, oncologist, cosmetologist
Ilyina Ekaterina Vladimirovna
Experience 10 years
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Ilyina
Ekaterina Vladimirovna
Cosmetologist, dermatologist, trichologist
Andriyako Daria Alekseevna
Experience 13 years
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Andriyako
Daria Alekseevna
Dermatovenereologist, cosmetologist
Korepanova Maria Viktorovna
Experience 30 years
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Korepanova
Maria Viktorovna
Dermatovenereologist
Marchenko Elena Viktorovna
Experience 13 years
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Marchenko
Elena Viktorovna
Head of the center for podology and mycology, dermatovenerologist, podologist, cosmetologist
Sukhanova Alexandra Sergeevna
Experience 9 years
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Sukhanova
Alexandra Sergeevna
Dermatologist, cosmetologist, trichologist
Vorobieva
Tatyana Viktorovna
Dermatologist, cosmetologist, trichologist, integrative and anti-aging medicine doctor
Muzhetskaya Anastasia Gennadievna
Experience 11 years
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Muzhetskaya
Anastasia Gennadievna
Dermatovenereologist, cosmetologist
All specialists

Make an appointment at a convenient time on the nearest date

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Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

Price

Reception
Price
Intramuscular injection of drugs (Botox) per unit for hyperhidrosis treatment
from 500 ₽
Intracutaneous contouring (Injection procedure with Botox for hyperhidrosis treatment) per unit
from 800 ₽

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Reviews

Thanks to Maria Viktorovna Korepanova
04.05.2026
E. Mil.
Good afternoon.For several years I have been going to Anastasia Muzhetskaya, a dermatologist and cosmetologist. We are engaged in care procedures for mature skin (50 years old). I want to say a big thank you to her for her high professionalism, sensitivity and cordiality. Anastasia is a wonderful Person with a capital letter).
02.05.2026
Anna L.
I was at a reception with Anastasia Gennadievna Muzhetskaya. I got to a specialist based on recommendations. The doctor is very friendly, explained everything in detail, both the diagnosis and the procedures performed!
02.05.2026
Sergey K.
Many thanks to M.V. Korepanova!
30.04.2026
Tamara V.
I regularly go to Natasha's cleaners. And she's just wonderful! I've been to different specialists, but Natasha is the best. I go out after the procedures, as if the burden of unnecessary things has been lifted from me :)) and the face is always in perfect condition. After such purges, both to the feast and to the world. It feels like I've just had my pores cleaned, nothing pressed, but stroked with a feather)) at the same time, the wow effect: the face is clean, beautiful, without injuries! I highly recommend Natasha as a specialist and a true professional in her field!
28.04.2026
Nadezhda Ch.
A very pleasant and attentive doctor. Meticulous and thorough. She answered all the questions and gave detailed recommendations.
27.04.2026
Ilyana R.

About doctor:

Sokolova Yana Olegovna

Vorobyova T.V. is a very competent and experienced doctor.
24.04.2026
M. Had.
A wonderful specialist, all my skin problems were solved quickly. I had worries and concerns about the procedures for removing moles, but Elena Viktorovna dispelled them, I am very pleased with the result.
22.04.2026
Lyubov S.
I underwent the Indiba procedure, and I was absolutely delighted! After the first session, the result is noticeable: the skin has become more taut, fresh and well-groomed. The procedure is very comfortable, relaxing, and the effect is really impressive. I would also like to mention the professionalism and attentive attitude — everything was explained in detail, my peculiarities were taken into account, and the atmosphere itself was very pleasant and calm. I can confidently recommend this specialist to anyone who wants high-quality care and visible results.
18.04.2026
Elena K.
A very professional and attentive doctor, explains everything in detail and clearly. I recommend it!
08.04.2026
Irina P.

About doctor:

Sokolova Yana Olegovna

Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and Max.

Our clinics

Address K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Weekend: 09:00 – 19:00

Opening hours on holidays

01.05—03.05: 09:00—19:00

09.05—11.05: 09:00—19:00

Address K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00

Opening hours on holidays

01.05—03.05: 09:00—18:00

09.05: нерабочий день

10.05—11.05: 09:00—18:00

Address K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00

Opening hours on holidays

01.05—03.05: 09:00—18:00

09.05—11.05: 09:00—18:00

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