For medical office visits, we are a cash-only practice. Our initial medical office visit is $250 and follow-up medical appointments are $130. Please feel free to contact us at the number listed below if you have any questions, or would like to schedule an appointment

Excessive or Abnormal Sweating

Excessive or heavy sweating, called hyperhidrosis, is a medical condition that can be devastating. Excessive sweating effects every moment of every day. And all too often, suffering from hyperhidrosis is a silent struggle –  avoiding social situations and trying to disguise the excessive sweating with clothing, powders, and pads.

Do you think you may have hyperhidrosis?

Sweat glands in patients with hyperhidrosis are no different from those in normal patients, nor is there an increase in the number or size of glands. The condition is caused by hyper-function of the sweat glands. Everyone sweats, but not everyone sweats to excess. To see if you fit the profile for hyperhidrosis Use the Self Assessment Tool

Why we sweat:

  • Messages from the brain indicating that the body is too hot
  • Hormones
  • Emotions
  • Physical activity or exercise

In the hyperhidrosis sufferer, sweat glands appear to overreact to stimuli and may also be generally overactive, producing more sweat than is necessary.

Areas of the body typically affected by hyperhidrosis

  • Underarms
  • Palms
  • Groin
  • Feet
  • Face
  • Head

Hyperhidrosis appears to run in families, but little else is known about its exact causes.

Treatment Options

BOTOX® Treatment

BOTOX® is FDA-approved for severe underarm sweating that is inadequately managed with topical agents. BOTOX® helps control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands don’t receive chemical signals, the severe sweating stops.

*BOTOX® treatment is very effective. One clinical study involved 322 patients with severe underarm sweating.

      • 57 out of 104 BOTOX® treated patients (55%) achieved an effective response—compared to only 6 out of 108 treated without BOTOX® (6%).
      • 84 out of 104 BOTOX® treated patients (81%) achieved a greater than 50% reduction in sweating—compared to only 44 out of 108 treated without BOTOX® (41%).

What Is Treatment With BOTOX® Like?

The procedure is relatively straightforward. A small volume of BOTOX® solution is injected into the affected underarm area through a very fine needle. The needle is placed just under the skin, so you may experience some injection-related discomfort. Underarm injections are typically near pain-free.

How long does the BOTOX® last?

With a 201 day duration response, 1 to 2 BOTOX® injections were sufficient for most patients who responded to BOTOX® treatment in the 52-week pivotal clinical study*

“I’d just moved to Miami and was looking for a job as an accountant. I knew I’d have to go on interviews and was terrified of shaking hands with potential employers—hyperhidrosis makes my palms so cold and clammy. After treatment with botulinum toxin, my palms were drier than I’d even hoped for…. Things are looking up. I even landed a job at a large accounting firm.”
—Dan, 27 (Excerpt from Sweathelp.org)


Get your questions answered and find out which treatment is best for you by meeting with Dr. Pilest for an in-person consultation.


Is Botox covered under insurance?

The BOTOX ADVANTAGE® Program works with a growing number of insurance carriers and healthcare providers to facilitate the reimbursement process. To find out how BOTOX® is covered under your insurance plan, call the BOTOX ADVANTAGE® Reimbursement Hotline, toll-free, at 1-800-530-6680, Monday through Friday, from 8 AM to 8 PM Eastern Time.

*Total Dermatology does not participate in insurance-based Botox treatment. In our office Botox for hyperhidrosis is offered as a “cosmetic” treatment and is priced accordingly.


We love our patients at Total Dermatology! Read what our satisfied patients have to say about their experiences with Dr. Pilest and our team.

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*Individual Results May Vary

Take the Next Step

Want to learn more about Restylane Kysse? Schedule your consultation with board-certified dermatologist Dr. Nissan Pilest at Total Dermatology in Irvine, CA today by calling (949) 408-1982.

*Individual Results May Vary