Sweating is one of the most important ways the body loses heat. However, an estimated 0.5% to 2.8% of people produce sweat in amounts far greater than what is needed to regulate temperature. This condition is known as hyperhidrosis. It is not the same as sweating related to exercise, hot weather, alcohol, caffeine, spicy food, menopause-related hot flashes, or certain medical conditions such as hyperthyroidism.
At Cosmetic Surgery Specialists of Memphis, Dr. Peter Aldea and Dr. Patricia Eby provide treatment options for excessive sweating, including Botox® therapy for severe underarm sweating. Both surgeons are certified and re-certified by the American Board of Plastic Surgery and are proud members of professional societies including the American Society of Plastic Surgeons (ASPS) and the Southeastern Society of Plastic and Reconstructive Surgeons. Their approach prioritizes safety, discretion, and personalized care.

What Is Primary Hyperhidrosis?
Primary hyperhidrosis is a chronic condition in which the body sweats excessively and inappropriately for little or no reason. It can create constant dampness of the hands, feet, chest, or armpits and often becomes a daily source of distress and frustration.
Excessive Underarm Sweating
Excessive underarm sweating, also called Primary Axillary Hyperhidrosis, is extremely common and can be associated with social stigma. The armpits may be constantly damp. Many people wear dark clothing to conceal perspiration and carry tissues, scarves, or towels to manage dripping skin throughout the day.
How Hyperhidrosis Can Affect Daily Life
Although hyperhidrosis is not life-threatening, it can cause significant social and emotional burden and negatively impact quality of life. It can interfere with:
- Daily functions and routines
- Interpersonal relationships and social activities
- Work responsibilities and professional confidence
For individuals who are frequently in public settings, the condition can be especially disruptive. It can also become expensive due to increased dry-cleaning needs and repeated damage to clothing from sweat stains.
Treatment Options For Primary Hyperhidrosis
Treatment options for primary hyperhidrosis can be divided into:
- Non-surgical treatments: topical antiperspirants, iontophoresis, systemic medications, or Botox®
- Surgical treatments: endoscopic thoracic sympathectomy or surgical scraping or removal of armpit tissue
Botox® is FDA-approved for severe underarm sweating that cannot be adequately managed with topical agents. Due to its high success rate, Botox® has become the mainstay therapy for patients who do not respond to more conservative treatment and want to avoid surgery.
Botox® For Excessive Underarm Sweating
A fine needle is used to inject small amounts of Botox® just under the skin near the sweat glands responsible for excess perspiration. Botox® temporarily blocks the chemical signals from the nerves that stimulate the hyperactive sweat glands, and severe sweating stops.
Results And Duration
Botox® treatment for excessive underarm sweating has been shown to be safe and effective, with long-lasting improvements in symptoms, daily functioning, and quality of life. Results appear in about 10 to 14 days. Dryness lasts on average over 7 months, and in about 25% of patients relief may last up to 1 year. Follow-up injections are required to maintain dryness, with repeat treatments commonly ranging from seven to sixteen months depending on the individual.
Why Choose Cosmetic Surgery Specialists Of Memphis For Hyperhidrosis Treatment?
Drs. Aldea and Eby emphasize experience, precision, and patient-focused care. Unlike many offices where injectables are delegated to staff, your Botox® treatment is personally administered by your choice of either Dr. Aldea or Dr. Eby. Their approach is careful and individualized, with attention to comfort, discretion, and clear communication throughout your visit.
The practice also prioritizes safety and quality. Drs. Aldea and Eby do not cut corners or use knock-off, Canadian, or internet-derived products, and they remain committed to using genuine Botox® to support reliable results. Patients also value the unhurried experience and the consistency that comes from being treated directly by board-certified plastic surgeons.
Hyperhidrosis Relief In Memphis, TN
Excessive underarm sweating can be frustrating, disruptive, and costly, but effective treatment is available. To learn more about Botox® for hyperhidrosis, contact Cosmetic Surgery Specialists of Memphis in Memphis, TN at (901) 752-1412 to schedule a consultation.
