Find Your Treatment

Select which body part is sweaty to see what treatments are right for you


Type of Treatment

How the Treatment Is Performed

How It Works

Duration of Effect

Number of Treatments Required

Advantage(s)

Disadvantages and Possible Side Effects

Area Treated (Bold=Most effective)
OTC Antiperspirant (Metallic Salts: Aluminum Chloride, Zirconium) Applied topically to reduce sweat and odor Antiperspirants plug ducts that are located on the surface of the skin. ~ 24 hours or less As needed daily
  • Noninvasive
  • Can be used in more than one location
  • Results are temporary
  • Must be reapplied as needed
  • Contains chemical toxins
  • Skin irritation that can lead to infection
  • Underarms
  • Hands
  • Feet
Clinical Strength Antiperspirant (Aluminum Chloride Hexahydrate: Certain Dri® and Drysol) Applied topically to reduce sweat and odor Antiperspirants plug ducts that are located on the surface of the skin. ~ 24 hours or less As needed daily
  • Noninvasive
  • Can be used in more than one location
  • Stronger than OTC antiperspirant
  • Results are temporary
  • Must be reapplied as needed
  • Contains high amounts of aluminum chloride
  • Skin irritation that can lead to infection
  • Underarms
  • Hands
  • Feet
Iontophoresis Electricity is applied to the extremities through a tray of water in which the hand or foot sits. A gentle electrical current temporarily disables the sweat gland. 1 day to 1 week, depending on the individual 3x a week initially, then 1x per week once results are achieved
  • Can be successful for patients with palmar and plantar (foot) hyperhidrosis
  • No recovery time
  • Can be done at home
  • Often must be performed on a daily basis to maintain results
  • Time consuming daily treatment
Can cause:
  • Dryness
  • Blistering
  • Peeling
  • Irritation
  • Hands
  • Feet
Botox® (OnabotulinumtoxinA) Botox® is injected into the affected area in a grid pattern. Interrupts the nerve signal that stimulates the sweat gland ~ 3-6 months 2-4x/year
  • Fast
  • Minimally invasive
  • Can be used in multiple locations
  • No recovery time
  • Widely available
  • Must be repeated 2-4x /year to maintain results
  • Patients can build a tolerance to the treatment, rendering it less effective
  • Does not treat odor
Can cause:
  • Headache
  • Muscle stiffness
  • Neck/back pain
  • Drowsiness
At or near injection site:
  • Muscle weakness
  • Bruising
  • Pain
  • Swelling
  • Hands
  • Scalp
  • Face
  • Underarms
  • Feet
miraDry® Electromagnetic energy applied to underarms Electromagnetic energy eliminates the glands that cause sweat and odor. Permanent 1-2 treatments
  • FDA-approved to eliminate sweat or odor
  • Reduces hair from underarms
  • Minimally invasive
  • Minimal to no recovery time
  • Currently not covered by health insurance
Can cause:
  • Mild, temporary swelling
  • Bruising
  • Temporary numbness
  • Underarms
Local Excision of Axillary Sweat Glands (Tumescent Liposuction) Minimally invasive surgery of the underarms The sweat glands located in subcutaneous fat are removed via liposuction. Permanent 1 treatment
  • Minimally invasive
  • Minimal recovery time
  • Repeat surgery may be necessary to achieve results
  • Post-procedure recovery time is needed
  • Results can vary and be inconsistent
  • Underarms
Endoscopic Thoracic Sympathectomy (ETS) Minimally invasive endoscopic procedure The sympathetic nerve chain in the thoracic cavity is interrupted to reduce the nerve signaling that stimulates sweat glands. Permanent 1 treatment
  • Minimally invasive
  • High success rates
  • Minimal recovery time
  • Results are immediate
  • Post procedure recovery time is needed
  • Possibility of compensatory sweating
  • Hands
  • Feet
  • Underarms
Oral Medication (Anticholinergics) Taken orally Blocks nerve transmissions that trigger the sweat glands ~ 24 hours Daily For patiends who:
  • Can treat generalized sweat and multi-focal hyperhidrosis
Can cause:
  • Dry mouth
  • Constipation
  • Difficulty voiding
  • Palpitation
  • Head
  • Face
  • Generalized