Botox for Excessive Sweating in

If you've ruined shirts, kept a spare in the car, or planned outfits around sweat marks, you already know: excessive underarm sweating isn't a hygiene problem, and it isn't solved by stronger deodorant. It's a medical condition called axillary hyperhidrosis, overactive sweat glands producing far more moisture than your body needs, and it's remarkably treatable.

Botox is FDA-approved for severe underarm sweating that hasn't responded to clinical-strength antiperspirants. Small, shallow injections temporarily block the nerve signal that switches sweat glands on. For most patients, the result is a dramatic reduction in underarm sweating. Studies commonly show reductions of 80% or more, lasting months at a time.

STILL Studios brings this treatment to the Birmingham area with the same approach we take to everything: physician oversight from Elizabeth Adams, MD, a neurotoxin-only specialty, and one flat price.

Why treat hyperhidrosis at STILL Studios

It's squarely in our lane. Hyperhidrosis treatment is a neurotoxin procedure, and neurotoxin procedures are the only thing we do. Every plan is overseen by Elizabeth Adams, MD.

Flat-rate pricing for a high-unit treatment. Underarm treatment uses considerably more product than facial areas, which makes per-unit pricing especially unpredictable — quotes elsewhere can swing by hundreds of dollars. At STILL, hyperhidrosis treatment is a flat $825 ($775 for members), unlimited units, both underarms. You know the number before you walk in. See all pricing →

Fast and discreet. The appointment takes about 20 minutes. There's no downtime. You can go straight back to work.

What to expect

1. Consultation. We'll talk through your sweating pattern, what you've tried, and confirm treatment makes sense for you.
2. Treatment. A grid of small, shallow injections across each underarm. Most patients find it far more comfortable than they expected. The needles are tiny and the injections are quick.
3. Results. Sweating typically begins to decrease within 2–5 days, with full effect at about two weeks.
4. Duration. Results commonly last 4–6 months, often through an entire Alabama summer. Many patients book twice a year and consider it life-changing.

Is this you?

Patients who benefit most from underarm Botox typically say things like: clinical-strength antiperspirants haven't worked; sweating happens regardless of temperature or nerves; it affects what they wear and how they carry themselves at work. If that sounds familiar, you're a strong candidate for a consultation, and if we don't think treatment is right for you, we'll say so.

Frequently asked questions

Does it hurt?

Discomfort is brief and mild for most patients — the injections are shallow and quick.

Will my body compensate by sweating more elsewhere?

Meaningful compensatory sweating is uncommon with underarm treatment. Sweating is only reduced where the product is placed.

Is this FDA-approved?

Yes, Botox is FDA-approved for severe primary axillary hyperhidrosis (underarm sweating) in adults when topical treatments aren't enough.

How much does hyperhidrosis Botox cost in Birmingham?

A flat $825 ($775 for members) for both underarms, unlimited units, at our Hoover studio.

Does insurance cover it?

Some medical insurance plans cover hyperhidrosis treatment in certain settings, but coverage varies widely and STILL Studios does not bill insurance. Our flat rate keeps the cost clear and predictable.

Where are you located?

In Hoover, serving Birmingham, Vestavia Hills, Homewood, Mountain Brook, Alabaster, Helena, Pelham, and Tuscaloosa. Same-day and next-day appointments are often available.

Cross-links: Botox in Birmingham →masseter Botox →

Medically reviewed by Elizabeth Adams, MD. Last reviewed: September 2026.