At The Aesthetics Room, Botox for hyperhidrosis (excessive sweating) is priced from £300 to £450 per treatment, depending on what is being treated. Across the UK, private clinics publish very different figures, so the useful question is what a price covers, how long the result lasts and who is doing the injecting. This guide sets out all three, including underarm treatment, which is what most people searching for this are asking about.
TL;DR
- Our published price for hyperhidrosis treatment is £300 to £450, and we confirm your exact figure at consultation.
- Botox is licensed for severe underarm sweating that has not responded to antiperspirants. Effects usually last several months, so the cost recurs.
- The NHS rarely provides it, so most people pay privately. Compare clinics on practitioner, dose and aftercare, not on the headline figure alone.
- Hands and feet are different: Botox is generally not recommended there, because of pain and temporary muscle weakness.
- Work out the yearly cost, not the single-session cost, before you decide.
Table of Contents
- What Botox for hyperhidrosis costs in the UK
- What does an underarm quote usually include?
- What affects the price?
- How long does it last, and what does that do to the cost?
- What happens during treatment
- Risks and limits you should know about
- Can you get it on the NHS?
- Is it worth the cost?
- Perspective: how we approach hyperhidrosis
- Questions to ask any clinic before you book
- Book hyperhidrosis treatment with us
- FAQ
- Sources
What Botox for hyperhidrosis costs in the UK
Private prices are set by each clinic, and there is no national tariff. Published quotes vary a great deal between regions and between clinics. A low headline figure may cover a small dose or a single area. A higher one may include a consultation, a follow-up or a top-up window.
Our own price, as published on our price list, is:
| Treatment | Price |
|---|---|
| Hyperhidrosis (Excessive Sweating) | £300 to £450 |
| Anti Wrinkle (for comparison) | £200 to £358 |
The range reflects that treatment is planned around you. Your practitioner confirms the figure after an assessment, so you know the cost before any injection.
Two habits help when you compare quotes from any clinic:
- Ask what the quote includes: the consultation, the dose, any review appointment and any top-up.
- Ask which area it covers. A price for both underarms is not the same as a price for the forehead, scalp or another area.
What does an underarm quote usually include?
Underarm treatment is the best-evidenced use. Botox is licensed for severe hyperhidrosis of the armpits that does not respond to topical treatment with antiperspirants. NHS Dorset’s guidance on managing hyperhidrosis describes a licensed dose of 50 units delivered by multiple small injections spaced about 1 to 2 cm apart.
A good quote should be clear about:
- The assessment. A practitioner should take a history, ask what you have already tried and confirm the sweating is not caused by something else.
- The mapping. Many clinics identify the sweating area before injecting, as hospitals do with an iodine and starch test.
- The dose. Ask how many units are planned and whether a top-up is included if a spot is missed.
- The aftercare. You should know what to expect and whom to call if something feels wrong.
We do not publish a separate underarm price. The figure that applies to you is the one confirmed at consultation.
What affects the price?
Several things explain why two clinics quote differently for what sounds like the same treatment.
Treatment area and dose
Underarms are the standard licensed area. Other areas, such as the forehead, upper lip or scalp, are treated off-licence by some practitioners, and a different dose may apply. The amount of product used is the most direct driver of cost.
Who treats you
A doctor, dentist or nurse prescriber with specific training in this treatment will often charge more than a high-volume operation. This is also the factor to weigh most heavily. Botox is a prescription-only medicine, and the safety of the injection depends on the person giving it. All our treatments are performed by medically trained professionals, and we are CQC-registered and members of the ACE Group, which is dedicated to patient safety.
Location
Central London rents and clinical standards feed into prices. Our clinics in Knightsbridge, Harley Street and Mayfair sit in that bracket, and our fee reflects medical oversight and the setting rather than a discount model.
Consultation and follow-up
Some clinics charge a separate consultation fee. Others fold it into the treatment or offer it free. Check whether a review is built in, since the first treatment is the one where dose adjustments are most likely.
How long does it last, and what does that do to the cost?
Botox does not cure hyperhidrosis. The British Association of Dermatologists says that the benefit typically lasts 2 to 6 months, and some people see benefit for up to 12 months after repeated sessions. Treatment can be repeated when symptoms return, provided it is clinically appropriate.
NHS Dorset’s guidance gives a similar picture: improvement generally appears within the first week, persists for 4 to 7 months, and injections should not be repeated more often than every 16 weeks.
That makes the annual cost the figure that matters:
| If results last | Sessions a year | Annual cost at £300 | Annual cost at £450 |
|---|---|---|---|
| About 6 months | 2 | £600 | £900 |
| About 4 months | 3 | £900 | £1,350 |
These are simple multiples of our published range and a guide to budgeting, not a promise of how long your result will last. Response differs from person to person. Our guide to the Botox maintenance schedule explains how top-up timing works in practice.
What happens during treatment
The process is short and done in clinic. At a hospital, the typical sequence is an iodine solution and starch powder to show where you sweat, then a series of small injections into the skin. Private clinics may map the area differently, so ask how yours does it.
Afterwards:
- Most people can return to normal activities straight away.
- You may be advised to avoid deodorant for 2 to 3 days.
- Improvement usually builds over the first week.
Injections into the underarm skin can sting. Ask in advance how discomfort is managed.
Risks and limits you should know about
Botox for sweating is well established, but it is a medical treatment with possible downsides.
- Common effects. An NHS formulary document lists injection-site pain or reactions and compensatory sweating elsewhere on the body as adverse effects.
- Rare serious risk. The same document notes toxin spread, which can cause muscle weakness or breathing difficulties. This is rare, and it is why the practitioner’s training and the dose both matter.
- Hands and feet. The BAD says botulinum toxin is generally not recommended for the palms or soles, because of temporary muscle weakness and significant injection pain. If a clinic offers hand treatment as a routine add-on, ask it to explain why.
Tell your practitioner about pregnancy or breastfeeding, neuromuscular conditions and any medicines you take. If your sweating began suddenly, is at night, or comes with weight loss or fever, see your GP first, because it may be a symptom of another condition.
Can you get it on the NHS?
Usually not. The BAD states that botulinum toxin is widely available privately in the UK but rarely available on the NHS. Where it is funded, local policies set strict criteria.
The Pan Mersey Area Prescribing Committee recommends it for severe underarm sweating in patients who have not responded to topical antiperspirants or other antihidrotic treatments. Commissioning policies typically cap funding at two sessions a year and track success with scores such as HDSS or DLQI.
Before injections, your GP is likely to start with simpler steps. One integrated care board policy highlights avoiding triggers such as caffeine or spicy food and choosing suitable clothing. Prescription-strength antiperspirants usually come next. Eligibility depends on where you live, so ask your GP what your local policy says.
If you have tried those steps and still cannot get funding, private treatment is the realistic route.
Is it worth the cost?
It is worth it for some people and not for others. These points help you decide.
It tends to be worth it if:
- Antiperspirants have not controlled your underarm sweating.
- Sweating affects your work, clothing choices or social life.
- You can budget for repeat sessions across the year.
Think again if:
- Your main problem is the hands or feet, where other options are usually preferred.
- You are hoping for a one-off permanent fix.
- A quote is far below others and the clinic cannot tell you who the practitioner is or what dose you receive.
Perspective: how we approach hyperhidrosis
We see sweating as a medical concern first and a cosmetic one second. People often arrive having tried several products, and they have usually been embarrassed for a long time. Our first job is to listen, check the history and agree a realistic plan.
We do not treat price as the only measure. The injection is a small part of the visit. The assessment, the dose decision and the follow-up are where safety and a natural-feeling result come from. That is why every treatment here is carried out by a medically trained professional in a CQC-registered clinic, and why we explain the repeat schedule before you pay anything.
If you want to understand what a first appointment involves, our guide to London aesthetic consultations walks through it.
— Vishul
Questions to ask any clinic before you book
- Who will inject, and what is their medical qualification?
- Is this treatment for the underarms, and how many units are planned?
- What does the price include, and is a review or top-up covered?
- How long should I wait before the next session?
- What are the side effects, and who do I contact afterwards?
A clear, unhurried answer to all five is a good sign.
Book hyperhidrosis treatment with us
We offer hyperhidrosis treatment from £300 to £450 at our London clinics, with the exact price confirmed after your consultation. You can see everything we publish on our price list, or start at our home page to arrange an in-person or virtual consultation.
FAQ
Does the NHS do Botox for hyperhidrosis?
Rarely. The BAD says it is widely available privately but rarely on the NHS. Where funding exists, it is usually for severe underarm sweating that has not responded to antiperspirants, and local policies often limit it to two sessions a year.
Is Botox for sweating worth it?
For many people with severe underarm sweating it is, because the effect lasts months rather than days. It is a repeat treatment, though, so budget for the yearly cost. Hands and feet respond less well to this approach.
Can a GP treat hyperhidrosis?
Yes, a GP can assess you, rule out other causes and start with trigger avoidance and prescription-strength antiperspirants. They can also advise whether you meet local criteria for referral to a specialist.
Is Botox available for sweating in the UK?
Yes. It is licensed for severe underarm sweating and offered mainly by private clinics. Choose a clinic where a medically trained professional assesses you and plans the dose.
Sources
- British Association of Dermatologists: Hyperhidrosis
- University Hospitals Sussex: Botox injection for hyperhidrosis
- Pan Mersey: Botulinum toxin type A injection for severe axillary hyperhidrosis
- NHS Dorset: Management of hyperhidrosis
- Bedfordshire, Luton and Milton Keynes ICB: Hyperhidrosis policy
