With the summer of 2015 being the hottest on record, and forecasts for 2016 predicting yet another scorcher, more and more people are willing to invest in treatments to help remedy heat-induced sweat, including Botox.

Doctors are reporting an uptick in patients seeking treatment for pesky neck sweat, and they say they’re treating it with Botox. Just as the treatment is used to relax the muscles that cause wrinkles, Botox can be used to relax the glands that produce sweat.

Typical areas for the use of Botox for sweating include the the face, underarms, palms, feet, and hairline. But for some, especially in the summer, the back of the neck is of particular concern. Dr. Hratch Karamanoukian of the Center for Excessive Sweating says he sees roughly 10 patients per week for treatment in an “atypical” area, and cites embarrassment, poor self-esteem, and even an inability to hold a job as reasons why he’s seen an increase in patients seeking out the treatment.

As any New Yorker knows, the dreaded back-of-the neck perspiration tends to hit while on the way to an important meeting or date (and this can impact one’s entire outfit and confidence!). Dr. Michele Green, a dermatologist based in NYC, also reports a major uptick in her patients asking for Botox in the back of their neck during warmer months, and notes that the trend has already become prevalent in London.

While many people get the treatment year-round, Dr. Karamanoukian expects to see even more patients coming into his office between June and September. “The warmer the weather, the sweatier people get. And those that have hyperhidrosis will sweat even more.”

Related: Hyperhydrosis Overview

Dr. Green warns of possible pain associated with the procedure. Unlike the fleshier parts of the face, the stiffness of the back of the neck may mean you feel an increased sensation from the needle. Doctors are hoping that miraDry, a non-invasive treatment that removes sweat glands using microwaves energy, will soon be FDA-cleared for use in this area.

While it’s possible that Botox for sweating may be covered by insurance, this usually isn’t the case. Expect to pay roughly $10 per unit. Depending on the number of units needed, you may pay anywhere from $500 to $1500 per session. Results typically last between six to 12 months, but may last longer with increased use.

As with any cosmetic procedure, there are some risks involved with the treatment, albeit rather small ones. One of the biggest fears with trying this procedure is having the sweat start popping up in other areas of the body — a condition called compensatory sweating. According to doctors in the RealSelf community, this may be a slight possibility, but it’s very uncommon. When small areas are treated, the body typically doesn’t need to sweat elsewhere.


Ready to contact a medical professional? Find a doctor.