Assessment
Our team evaluates your sweating patterns and performs a starch-iodine test to map the most active sweat glands.

FDA-approved Botox injections that block overactive sweat glands and restore everyday confidence.
Understanding Hyperhidrosis
Hyperhidrosis causes sweating that goes far beyond what your body needs to stay cool. You may find yourself changing shirts multiple times a day, avoiding handshakes, or dreading social situations because of visible sweat stains. The condition can soak through clothing within minutes of dressing, ruin electronics and paperwork, and leave you feeling self-conscious in professional and personal settings. Many patients describe planning their entire wardrobe around hiding sweat marks.
Botox for hyperhidrosis works by temporarily blocking the chemical messenger acetylcholine that activates your sweat glands. Our team precisely injects small doses into the affected area, effectively turning off the overactive signals. Most patients experience an 82-87% reduction in sweating within one to two weeks, and results typically last four to 12 months. The treatment lets you wear what you want, shake hands with confidence, and move through your day without constantly thinking about sweat.
The Science of Sweat Reduction
Hyperhidrosis treatment uses onabotulinumtoxinA (Botox), an FDA-approved injectable that temporarily blocks nerve signals responsible for activating sweat glands. The FDA approved Botox for severe primary axillary hyperhidrosis in 2004, making it the first botulinum toxin treatment indicated specifically for excessive underarm sweating.
Your sweat glands are activated by a neurotransmitter called acetylcholine. In patients with hyperhidrosis, these nerve signals fire excessively, producing sweat far beyond what is needed for temperature regulation. Botox works by binding to the nerve endings near sweat glands and blocking the release of acetylcholine, effectively silencing the overactive signals. Clinical studies demonstrate an average sweat reduction of 82-87% in treated areas.
The procedure involves a series of small, shallow injections placed in a grid pattern across the affected area. Most patients describe the sensation as a mild pinch. Our team uses a fine-gauge needle and may apply a topical numbing agent or ice beforehand. The entire session is completed in about 30-45 minutes with no anesthesia required.
Most patients notice a significant reduction in sweating within the first week, with full results appearing by two weeks after treatment. The effects typically last four to 12 months, with many patients averaging six to seven months of relief before a maintenance session is needed.
Lasting Sweat Relief
Clinically proven treatment with over 20 years of documented safety and efficacy
Return to work and daily activities immediately after your session
Enjoy four to 12 months of sweat reduction from a single treatment
Quick in-office injections with no incisions, anesthesia, or recovery period
Wear any clothing, shake hands, and socialize without sweat anxiety
Compare Your Options
| Treatment | Mechanism | Time | Results | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| Botox (Hyperhidrosis) | Nerve signal blocker | 30-45 min | 2-7 days | 4-12 months | None | Severe focal sweating |
| Prescription Antiperspirant | Aluminum chloride plugs | Daily application | 1-2 weeks | Ongoing use | None | Mild hyperhidrosis |
| Iontophoresis | Electrical current | 20-40 min/session | 1-2 weeks | Requires maintenance | None | Hands and feet |
| MiraDry | Microwave energy | 60 min | Immediate | Permanent | 3-5 days | Underarm only |
Finding Your Path to Dryness
Hyperhidrosis treatment with Botox is ideal for adults who experience excessive sweating that interferes with daily activities and has not responded adequately to prescription-strength antiperspirants. During your consultation, our team will evaluate your sweating patterns and medical history to create a personalized treatment plan.
All candidates undergo a thorough medical history review before treatment. Our team will discuss any medications you take, as certain drugs such as aminoglycoside antibiotics or blood thinners may affect treatment safety or outcomes.
Our team evaluates your sweating patterns and performs a starch-iodine test to map the most active sweat glands.
Our team cleanses the treatment area and may apply a topical numbing agent or ice packs for comfort.
Using a fine-gauge needle, our team delivers precise Botox injections in a grid pattern across the mapped treatment zone.
You'll receive personalized aftercare instructions and schedule a two-week follow-up to assess your results.
What to Know
Mild injection-site discomfort, redness, or bruising may occur and typically resolves within three to five days. Some patients experience minor swelling at the injection sites that fades within 24-48 hours. Temporary tenderness in the treated area is normal and short-lived.
Compensatory sweating, where sweating increases in untreated areas, occurs in a small percentage of patients. Temporary muscle weakness near the injection site is uncommon and resolves as the treatment wears off. Allergic reactions to botulinum toxin are extremely rare (less than 1% of patients).
Botox has been FDA-approved for severe primary axillary hyperhidrosis since 2004, with over two decades of clinical safety data supporting its use. The treatment has a well-established safety profile when administered by a trained provider. Brittnee Keyes' extensive clinical background and thorough understanding of injection anatomy help minimize risks and ensure comfortable, effective treatment for every patient.
Hyperhidrosis treatment with Botox in Traverse City, MI typically ranges from $800 to $1,500 per treatment session. Several factors influence your total investment, including the size of the treatment area, the number of units required, and the severity of your hyperhidrosis. Underarm treatment generally requires 50 units per side (100 units total), while palms and other areas may require varying amounts. During your consultation, our team will provide a personalized quote based on your individual treatment plan.
Some insurance plans cover Botox for hyperhidrosis when the condition is classified as severe and prior treatments such as prescription antiperspirants have been tried without success. Our team can assist with insurance verification and prior authorization to help maximize your coverage.
We believe quality hyperhidrosis care should be accessible. Eternal Wellness Medical Spa offers a flexible financing option:
Traverse City's Trusted Provider
Over 15 years of clinical experience with advanced injection techniques
Customized treatment maps designed for your specific sweating patterns
Modern, welcoming facility designed for patient comfort and privacy
Dr. Joel Strehl, MD, FACS provides medical direction and collaborative care
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Your Questions Answered
The standard treatment for underarm hyperhidrosis is approximately 50 units per underarm, or 100 units total. Palm and foot treatments may require 50-100 units per area depending on size. Our team will assess your specific needs during your consultation.
Most patients describe the injections as mild pinches. We apply a topical numbing cream or ice before treatment to maximize your comfort. The fine-gauge needles used for hyperhidrosis injections are very small, making the procedure well-tolerated.
Yes, many patients combine hyperhidrosis treatment with Botox Cosmetic for wrinkle reduction during the same appointment. Our team can create a comprehensive treatment plan addressing both concerns for your convenience.
Results typically last four to 12 months, with most patients returning every six to seven months for maintenance. Over time, some patients find that the interval between treatments gradually extends as the sweat glands become less active.
Some insurance plans cover Botox for severe hyperhidrosis when prescription antiperspirants have been tried without success. Our team can help you navigate insurance verification and prior authorization. We also offer Cherry financing.
Compensatory sweating, where other areas sweat more to compensate, is uncommon and typically mild when it does occur. Clinical studies show the vast majority of patients do not experience significant compensatory sweating after underarm treatment.
Yes, Botox is used off-label for palmar and plantar hyperhidrosis with strong clinical evidence. Palm injections may involve a nerve block for comfort. Our team can discuss whether hand or foot treatment is right for you during your consultation.