Excessive sweating that defies antiperspirants is a real medical condition called hyperhidrosis. Botox is FDA-approved for this — a single treatment can stop excessive underarm sweating for 6–9 months. Many patients describe it as the most life-changing treatment we offer.
Sweating is triggered by acetylcholine — a neurotransmitter released at the sweat gland. Botox blocks acetylcholine release in the treated area, effectively turning off the targeted sweat glands.
For underarm hyperhidrosis, we inject 50 units of Botox per side in a precise grid pattern, blocking sweat production for the entire underarm area.
For palmar (palm) or plantar (sole) hyperhidrosis, we use a topical numbing protocol and inject the same way. These areas are more sensitive but well-tolerated with proper numbing.
Effect begins within 7 days and is fully established by week 2. Sweating in the treated area is typically reduced 80–90%.
Multiple FDA studies have shown a 75–85% reduction in sweating for patients receiving 50 units per underarm. Patient-reported quality of life scores improve dramatically. The effect lasts 6–9 months, and patients return for re-treatment.
Generalized sweating (not focal) — this can indicate an underlying medical condition that needs investigation. Sweating that started recently with no clear pattern. Pregnancy or breastfeeding.
This is medical care — not cosmetic. Every plan at Contoured is reviewed and approved by Dr. Benjamin Lam, DO, a board-certified plastic surgeon and clinical associate professor at PCOM. That oversight isn’t standard at most medspas. It is here.
Medical Director · Plastic Surgeon
Board-certified plastic and reconstructive surgeon. Past-President of the Plastic & Reconstructive Surgery Section of the American College of Osteopathic Surgeons. Director of the Plastic & Reconstructive Surgery Fellowship at the Philadelphia College of Osteopathic Medicine.
Founder · Lead Provider
Twenty years inside the injectable and body-contouring industry — first as a sales rep and CoolSculpting trainer, now as the lead provider at Contoured. Personally performs the majority of medical-application treatments under Dr. Lam’s oversight.
Every treatment at Contoured is delivered by a named, credentialed team member — and every dosing plan is reviewed by a board-certified physician.
Text us or call. Every first visit is a free 30-minute consultation where we evaluate whether this treatment is right for your specific case.
