Best Botox for Underarm Sweating in Seoul | Rappoel Hyperhidrosis Treatment Guide 2026



What Is Botox for Underarm Sweating?

Botox (botulinum toxin) for hyperhidrosis involves injecting small amounts of the neurotoxin into the underarm area to block acetylcholine—the chemical messenger that triggers sweat production. It is one of the most established non-surgical treatments for excessive sweating, and is widely performed at dermatology clinics throughout South Korea.

Rappoel Dermatology Clinic uses KFDA-approved Botox (Coretox / Botox®), administered directly by the clinic director for precise placement and optimal dosage control.

Who Should Consider Botox for Sweating?

  • Those who experience heavy underarm sweating during normal daily activities
  • Visible sweat stains even without physical exertion
  • Over-the-counter antiperspirants and deodorants have not worked
  • Avoiding light-colored clothing due to sweat marks
  • Accompanying underarm odor concerns

The Rappoel Hyperhidrosis Treatment Process

1. Consultation: The director evaluates sweating severity and rules out underlying medical causes such as thyroid disorders.

2. Iodine-Starch Test: An iodine-starch mapping test is applied to precisely identify active sweat gland areas for targeted injection.

3. Injection: Using ultra-fine needles, approximately 15–20 injections per underarm in a grid pattern. The procedure takes 15–20 minutes.

4. Post-Procedure: A brief observation period, then you’re free to leave. No special rest needed.

How Fast Does It Work and How Long Does It Last?

Sweat reduction typically begins within 3–7 days, with optimal results at 2 weeks. Most patients experience an 80–90% reduction in underarm sweating. Results generally last 6–8 months, with 1–2 annual sessions recommended for maintenance.

Does It Hurt?

Rappoel uses ultra-fine needles, making the sensation similar to a mild insect bite. Most patients tolerate the procedure without anesthesia. For particularly sensitive individuals, numbing cream can be applied beforehand. Mild bruising or redness may occur but resolves within 1–2 days.

Botox vs. Surgical Sweat Gland Removal

Botox Injection

✅ Non-surgical, no incisions ✅ 15–20 min procedure ✅ No downtime ✅ Reversible ✅ Requires periodic maintenance

Surgical Sweat Gland Removal

✅ Permanent results ⚠️ Requires surgery & anesthesia ⚠️ 1–2 week recovery ⚠️ Possible scarring ⚠️ Risk of compensatory sweating

Why Choose Rappoel for Botox Hyperhidrosis?

  • All injections performed personally by the clinic director
  • Iodine-starch test for precise sweat mapping
  • Coretox / Botox®—authentic, KFDA-approved products
  • English and Chinese consultation available
  • Conveniently located in Seocho-gu, near Gangnam

Aftercare Instructions

  • Avoid intense exercise and hot environments for 24 hours post-treatment
  • Don’t raise arms vigorously on the day of treatment
  • No sauna or hot springs for one week
  • Normal showering is fine, but avoid scrubbing the underarm area
  • If you shave underarms, do so the day before the appointment

Frequently Asked Questions

How long does Botox for sweating last?
Results typically last 6–8 months. We recommend 1–2 sessions per year to maintain optimal dryness.
Will blocking underarm sweat affect my body’s ability to cool down?
No. Underarm sweat glands represent a very small percentage of your body’s total sweat glands. Your body will continue to regulate temperature normally through other areas.
Is this treatment suitable for both men and women?
Absolutely. Hyperhidrosis affects both genders equally. Rappoel welcomes all patients seeking sweat reduction treatment.
Will I still need deodorant after Botox?
Most patients no longer need antiperspirant once full effect is reached. Some may occasionally use light deodorant depending on individual response.
Is the Botox used for sweating the same as for wrinkle removal?
Yes, the same botulinum toxin products are used. The difference is the injection site and purpose—underarm targets eccrine sweat glands, while facial injections target facial muscles.
What should I do to prepare for my first hyperhidrosis treatment?
Shave your underarms the day before, wear a loose top for easy access, and inform the doctor of any allergies or blood-thinning medications you’re taking.

Book a Hyperhidrosis Consultation at Rappoel

📍 77, Seocho-daero, Seocho-gu, Seoul, South Korea

🕐 Mon–Fri 10:00–19:00 · Sat 10:00–17:00

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