Botox for Hyperhidrosis
in San Diego
Botox for hyperhidrosis temporarily reduces sweat gland signaling in targeted areas for qualifying patients. At SOM Aesthetics in Encinitas, treatment starts with medical screening to confirm diagnosis and assess whether Botox is appropriate for your pattern.
How much does Botox for hyperhidrosis cost in San Diego?
Botox for hyperhidrosis at SOM Aesthetics in Encinitas is priced at $14–$16 per unit. A typical treatment plan uses 100–200 units, for an estimated $1,400–$3,200. Final units and total cost depend on the treatment area and are confirmed during consultation. Treatment takes 20–30 minutes. Sweat reduction may begin within 1–2 weeks, with full effect developing over several weeks. Results vary by patient and treatment area.
$1,400–$3,200
50–100 total
20–30 min
1–2 weeks
4 weeks
4–6 months
20–30 minutes
1–2 weeks
4–6 months per session
None typical
50–100 underarms
Dermatologist-trained SOM provider
Reduce excessive sweating with a proven medical treatment.
Botox for hyperhidrosis temporarily blocks the acetylcholine signal to eccrine sweat glands in the treated area. It is FDA-cleared for primary axillary (underarm) hyperhidrosis and used off-label for palms, feet, and the scalp hairline.
Unlike antiperspirants or systemic medication, Botox targets the gland directly without whole-body effects. Results are temporary and repeatable, about 4 to 6 months per cycle. SOM provides documentation for insurance reimbursement.
✓ Dermatologist-led
Dermatologist-trained SOM providers follow the SOM Method.
✓ The SOM Method
Dermatologist-trained providers follow shared SOM clinical standards.
✓ Diagnosis review
Screening before every treatment.
✓ Insurance support
Medical documentation available on request.
✓ Conservative dosing
Measured first-session unit counts.
Is Botox for hyperhidrosis right for you?
✓ Good Candidates
• Diagnosed or strongly suspected primary hyperhidrosis
• Sweating affecting daily life, clothing, or social confidence
• Tried clinical-strength antiperspirants without adequate control
• Underarm, palm, or sole sweating that limits activities
• Want a repeatable, non-surgical option
• Healthy adult open to medical evaluation first
✗ May Not Be Right For
• Secondary hyperhidrosis from medications or medical conditions
• Active skin infection in the treatment area
• Active neuromuscular disease (ALS, myasthenia gravis)
• Pregnant or breastfeeding
• Expect a permanent cure (results are temporary)
• Known allergy to the neurotoxin formulation
A consultation with a dermatologist-trained provider confirms candidacy. Diagnosis review, treatment area mapping, and appropriate unit selection are required before hyperhidrosis treatment.
Botox for hyperhidrosis vs. alternatives.
Hyperhidrosis Botox guided by dermatologist-led standards and the SOM Method.
Dermatologist-trained SOM providers plan and deliver Hyperhidrosis Botox through the SOM Method, with consultation, candidacy review, individualized treatment planning, documentation, and follow-up.
How much does Botox for sweating cost in San Diego?
All neuromodulators
Confirmed before treatment
100–200 units
Planning estimate
Unit count + total
Personalized by area
Estimate only. Final unit count and total cost are confirmed during consultation.
Four steps. One personalized plan.
Medical screening confirms primary hyperhidrosis and reviews prior treatments and goals.
A treatment-area plan for underarms, palms, or feet. Typically 100 to 200 units.
About 20 to 30 minutes. Many small injections across the mapped area, ice for comfort.
Sweat reduction begins in 1 to 2 weeks, full effect by 4 weeks. Repeat every 4 to 6 months.
Before · During · After
How to prepare for hyperhidrosis treatment
For excessive sweating, the treatment area needs clean, dry skin that has not been shaved that day. Hold blood thinners (ibuprofen, aspirin, fish oil, vitamin E) for 48 hours to limit bruising, skip antiperspirant the morning of, and avoid alcohol the day before.
• Pause blood thinners ~48h before
• Don't shave the area for 24h
• Skip antiperspirant the morning of
• Avoid alcohol the day before
• Wear a loose, comfortable top
What happens during hyperhidrosis treatment
A dermatologist-trained SOM provider may use a starch-iodine test to map the sweat zones, then places a grid of small injections across the area, often the underarms. It takes about 20 to 30 minutes, discomfort is minor, and you can return to your day.
• 20 to 30 minute visit
• Sweat zones mapped first
• Grid of small injections
• Minor discomfort
• Back to your day after
Aftercare for hyperhidrosis Botox
Skip antiperspirant and strenuous exercise for 24 hours, and avoid heat or saunas that day. Sweating decreases over 3 to 7 days as the medication takes effect, and dryness typically lasts 4 to 12 months.
• No antiperspirant for 24h
• No strenuous exercise that day
• Avoid heat or saunas briefly
• Sweating drops over 3 to 7 days
• Dryness lasts 4 to 12 months
Is Botox for sweating safe, and who needs screening?
✓ Do
• Keep the treated area clean and dry the first day
• Apply ice gently if the area feels tender
• Expect sweat reduction to begin in 1 to 2 weeks
• Track your response for the follow-up
• Plan repeat treatment every 4 to 6 months
• Call us right away with any unusual symptoms
✗ Don't
• Do not rub or massage the treated area for 24 hours
• No saunas, hot yoga, or intense exercise for 24 hours
• No alcohol for 24 hours
• Do not expect a permanent cure, results are temporary
• Do not skip medical review before treatment
• Do not replace medical review with online advice
Botox for hyperhidrosis questions patients ask
Other treatments at SOM.
Hyperhidrosis is a medical treatment. These related options cover separate cosmetic concerns.
Botox for Hyperhidrosis in Encinitas / North County San Diego.
SOM Aesthetics is on N El Camino Real in Encinitas, serving patients from Del Mar, La Jolla, Carlsbad, Solana Beach, Rancho Santa Fe, and the broader San Diego area. Call (760) 766-7546.
