Hyperhidrosis is the medical term for excessive sweating. Most of the time excess sweating is localized to the armpits, hands and/or feet but it can be generalized. Oftentimes stress or anxiety can trigger excess sweating, but it can be present throughout the day, significantly affecting your daily activities and confidence. Patients that come to us for this treatment often complain of sweating through their shirts, having yellow stains in the underarm areas of shirts and dresses, and suffering great embarrassment due to wet marks on clothing.

There are different ways to manage localized axillary (armpit) hyperhidrosis. Dr. Hooman Khorasani offers effective, in-office procedures that can address your concerns.

Dr. khorasani offers the following sweat & Odor Reduction procedures:

To find out which sweat and odor reduction treatment Dr. Khorasani would personally recommend for you, visit us at our New York City practice. To request a consultation, message us securely, or contact Dr. Khorasani’s Manhattan office by phone at 347-574-8500.

BOTOX® Injections

BOTOX is a protein that is injected into the skin which locally blocks the sweat signals. This treatment prevents sweating in the injected location only. A series of small injections are performed in a grid-like pattern. With some numbing cream most patients tolerate the procedure very well. Sometimes you may experience bruising or swelling in the area for a few days. You will start to see the effects of these injections within a week. The results from this treatment usually last four to six months, after which repeated injections are needed for maintenance.

Radio-Frequency Microneedling

This device uses ultrafine needles that penetrate the skin in a stamping fashion. These needles deliver radio-frequency energy deep into the dermis and the subcutaneous tissue. Inturn, this energy is able to destroy the sweat glands and the odor producing glands in the underarm area; thus eliminating sweat and odor. Most patients will need approximately two to three treatments, six weeks apart. This is a good option for patients who cannot afford to have any downtime. It is also Dr. Khorasani’s first choice for treatment in thin patients who tend to not tolerate miraDry as well as patients who are heavier.


miraDry is an FDA approved device to treat hyperhidrosis and provide a permanent reduction in underarm sweat. miraDry works by precisely delivering electromagnetic energy to destroy the sweat glands in the underarm area; thus eliminating sweat and odor. This is a long-lasting solution to treat unwanted, excessive sweating. This is an ideal treatment for someone who is constantly embarrassed about their underarm sweat, conscious about the type of clothing they are wearing and feels like hyperhidrosis affects their daily life. Moreover, this treatment, compared to others, is long-lasting and does not require continuous visits. Results are immediate with minimal downtime. Patients who receive miraDry treatments also notice a reduction in hair growth and underarm odor.

Axillary Liposuction

Another effective procedure for hyperhidrosis is liposuction of the armpit (axillary) area. Through this procedure, the sweat and odor producing glands are mechanically removed via liposuction. Axillary liposuction can be done as a standalone procedure, or can be combined with liposuction of other areas as part of a body contouring treatment. This procedure is great for patients who have failed traditional non-invasive treatments and for people who can afford to have some downtime. In addition, there is no need for maintenance treatments- you only need to have this procedure one time.

FAQ's About Sweat & Odor Reduction

Am I a good candidate for sweat and odor reduction treatments?
What results can I expect from sweat and odor reduction treatments?
What does the miraDry procedure entail?
How long does the RF Microneedling procedure take and what can I expect on the day of the treatment?
What can I expect from BOTOX treatments for excessive sweating?
What can I expect from a liposuction treatment for hyperhidrosis?
How many treatments will I need in order to reduce my sweating?
What is the downtime after hyperhidrosis treatment?
Should I be worried about sweating more in other places?
What is the main difference between all of these different treatments for hyperhidrosis?

Why choose Dr. Khorasani for the treatment of hyperhidrosis?

Dr. Hooman Khorasani is a triple board-certified, fellowship-trained cosmetic and skin cancer surgeon. It is important to receive this treatment with a qualified, board certified physician. Our office will help you choose the right treatment modality based on the severity of your sweating and the afforded downtime. Particularly with the energy based devices, it is crucial to use appropriate settings so you minimize side effects and reduce your risk of injury. Selecting an energy output that is too strong may cause burning or nerve damage in this area. On the other hand, selecting an energy output that is too low will yield poor results and patient dissatisfaction.

Request A Consultation

Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. To expedite a request for a consultation, message us securely, or contact Dr. Khorasani’s Manhattan office by phone at 347-574-8500. For more information about how to get in touch:


Related Articles