Botulinum toxin · Underarms and hands
Botulinum toxin for excessive sweating
Some people sweat far more than heat or effort explains, mostly in the underarms or hands. Botulinum toxin reduces the activity of the sweat glands in the treated area.

In the underarms, the improvement shows in the first week and lasts, on average, 4 to 6 months after the first session; with repeat sessions, the effect tends to last longer.
A 30-minute session, €450. The assessment consultation tells you whether the treatment suits you, and it is free.
What changes with treatment for excessive sweating
Some people sweat far more than heat or effort explains, mostly in the underarms or hands. Botulinum toxin reduces the activity of the sweat glands in the treated area, so that area sweats less.
Is it for you?
For excessive sweating in the underarms or hands, beyond what heat or effort explains. Men and women. Not during pregnancy or breastfeeding, and not with neuromuscular conditions or on certain antibiotics; we go through the list with you at the consultation.
What happens in the session
A few injections with a fine needle in the area treated. Thirty minutes. Hands are more sensitive; we talk through comfort at the consultation. Same-day return.
What you'll see, and when
The improvement shows in the first week, and results vary from person to person. In the underarms, it lasts on average 4 to 6 months after the first session, and the effect tends to last longer with repeat sessions. When it fades, the treatment can be repeated.
After the treatment
Aftercare instructions are given at the consultation.
Why it looks natural
Sweating in the rest of the body stays the same; only the treated area sweats less, because that is where botulinum toxin reduces the activity of the sweat glands. The result arrives slowly, over the first week, and does not change from one day to the next — that gradual pace is what keeps it discreet.
Honest answers
Will it show? The change is in how much you sweat, not in your skin. The improvement appears in the first week, with no visible before and after.
Does it hurt? A few injections with a fine needle in the area treated. Hands are more sensitive; we talk through comfort at the consultation.
What if I don't like it? The toxin cannot be dissolved; it wears off on its own, on average 4 to 6 months after the first session in the underarms.
How we do it at Cosmo Clinic
€450 per treatment, underarms or hands. The assessment consultation tells you whether it suits you, and it is free.
Options and prices
| Treatment | Price |
|---|---|
| Botulinum toxin — special area (gummy smile, bunny lines, nose tip, chin) | 120 € |
| Botulinum toxin — 1 area (frown lines or crow's feet) | 150 € |
| Botulinum toxin — forehead | 189 € |
| Botulinum toxin — 2 areas | 249 € |
| Botulinum toxin — 3 areas | 320 € |
| Botulinum toxin — masseter | 305 € |
| Botulinum toxin — hyperhidrosis (underarms/hands) | 450 € |
| Lip flip | 99 € |
The plan and the final figure are confirmed at the assessment consultation, at no cost.
At a glance
What to expect
Results
- Less sweating in the treated area; results vary from person to person.
- Improvement in the first week.
- In the underarms, lasts on average 4 to 6 months after the first session and tends to last longer with repeat sessions.
Key features
- Assessment consultation required, free of charge.
- Same-day return.
- For men and women.
- €450, underarms or hands.
Frequently asked questions
Short answers to the questions we hear every day. Everything else belongs in the consultation.
How does it work?
Botulinum toxin reduces the signal that activates the sweat glands in the treated area, so that area sweats less.
When does the result appear?
The improvement shows in the first week.
Does it hurt?
A few injections with a fine needle in the area treated. Hands are more sensitive; we talk through comfort at the consultation.
How long does it last?
In the underarms, on average 4 to 6 months after the first session; with repeat sessions the effect tends to last longer. When it fades, the treatment can be repeated.
How much does it cost?
€450 per treatment. The assessment consultation is free.
Who should not have it?
Pregnant and breastfeeding women, people with neuromuscular conditions and people on certain antibiotics. We go through the list with you at the consultation.
Similar treatments
Botulinum toxin · Bunny linesBunny lines botulinum toxin
Softens the small lines on the sides of the nose.
Botulinum toxin · ChinChin botulinum toxin
Smooths the orange-peel texture of the chin when you talk or smile.
Botulinum toxin · Crow's feetBotulinum toxin for crow's feet
Softens the lines beside the eyes without taking the smile.
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