How Long Does Botox Last for Hyperhidrosis? Duration & Maintenance Explained by Korean Clinics

Botox is widely recognized as an effective treatment for hyperhidrosis (excessive sweating), especially in areas like the underarms, palms, feet, and face. If you’re considering Botox treatment in South Korea — known for its cutting-edge dermatology and cosmetic procedures — understanding how long the effects last and what maintenance looks like is essential for planning your care and expectations.

Here’s a comprehensive overview, drawing on insights and clinical data from top Korean clinics.


🔬 What Determines Botox Duration for Hyperhidrosis?

The length of time Botox controls sweating depends on several factors:

1. Treatment Area

  • Underarms (axillary hyperhidrosis): Typically lasts 4 to 6 months, sometimes up to 7 months.
  • Palms and soles: Effects tend to last a bit shorter, about 3 to 5 months, because these areas have denser sweat glands and more physical activity.
  • Face and scalp: Usually around 3 to 4 months, depending on sweating severity and injection precision.

2. Individual Metabolism and Physiology

Patients metabolize botulinum toxin at different rates. Younger people with higher metabolic rates may notice shorter durations. Some patients metabolize Botox faster due to:

  • Genetics
  • Immune response
  • Muscle activity (even though for sweat glands, nerve activity matters more)

3. Dosage and Injection Technique

Higher doses and precise targeting of sweat glands tend to prolong the effect. Korean clinics are known for their meticulous mapping of sweat areas using diagnostic tests (e.g., Minor’s iodine-starch test) to optimize injection sites.

4. Product Used

Korean clinics may use various Botox brands, including:

  • Allergan’s Botox® (global standard)
  • Korean-made Botulax, Neuronox, or Innotox
    Different formulations may vary slightly in longevity, but most offer comparable efficacy.

🕒 Typical Duration of Botox Effects for Hyperhidrosis in Korean Clinics

Treatment AreaAverage DurationComments
Underarms4 to 6 monthsLongest lasting; many patients report up to 7 months
Palms (Hands)3 to 5 monthsShorter due to frequent hand use and gland density
Soles (Feet)3 to 5 monthsSensitive area; may require nerve block for comfort
Face & Scalp3 to 4 monthsResults depend on sweating severity and dosage

🔄 Maintenance and Re-Treatment: Korean Clinics’ Recommendations

When to Schedule Your Next Treatment?

  • Korean dermatologists usually advise scheduling follow-up injections every 4 to 6 months, depending on how quickly sweating returns.
  • Patients often notice sweat gradually returning rather than an abrupt increase. Once sweat levels reach about 30%–40% of baseline, it’s time for re-treatment.

Why Regular Maintenance Is Important

  • Consistent Botox use may improve long-term efficacy: Some studies suggest repeated treatments reduce sweat gland activity over time.
  • Helps avoid social discomfort and anxiety caused by sudden sweating return.
  • Enables gradual dose adjustment based on patient feedback and sweating patterns.

👩‍⚕️ What Korean Dermatologists Say About Botox Duration

“We emphasize patient education on the expected timeline of Botox effects. While most enjoy 6 months of dryness, individual results vary. We monitor patients closely and adjust treatment plans accordingly.”
— Dr. Jung H., Seoul Skin Care Center

“Proper injection technique and accurate sweat gland mapping are key to maximizing duration. Many patients report longer effects after 2-3 treatment cycles as their sweat glands become less active.”
— Dr. Min S., Apgujeong Dermatology Clinic


📝 Post-Treatment Care to Maximize Duration

Korean clinics recommend several best practices to prolong Botox effects:

  • Avoid vigorous exercise, saunas, and hot baths for 48 hours after treatment to reduce toxin diffusion.
  • Refrain from massaging or rubbing treated areas to maintain injection precision.
  • Maintain healthy skin with gentle cleansing and moisturization to prevent irritation.
  • Inform your doctor of any new medications or supplements that could interfere with Botox metabolism.

🔍 Patient Experience: Real-World Duration in Korea

Many patients treated in Seoul and Busan report:

  • Underarm dryness lasting 5–7 months, sometimes extending beyond 8 months with follow-up sessions.
  • Palms and soles may need re-treatment sooner, around 3 to 4 months.
  • Some note improved sweat control with subsequent treatments, requiring lower doses.

📊 Summary: How Long Does Botox Last for Hyperhidrosis?

  • Underarms: 4–6 months (can reach 7 months)
  • Palms and Soles: 3–5 months
  • Face/Scalp: 3–4 months
  • Maintenance every 4–6 months is ideal to sustain results
  • Proper technique and personalized dosing from experienced Korean clinics ensure optimal duration and safety

Ready for Botox Hyperhidrosis Treatment in Korea?

If you want to experience the high standards of Korean dermatology, expect expert diagnosis, customized injection plans, and ongoing care to keep sweating under control long-term.

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