Botox for Hyperhidrosis / Sweaty Feet?

What is Botox for Hyperhidrosis / Sweaty Feet?

Botox for plantar hyperhidrosis--commonly referred to as sweaty feet--uses botulinum toxin type A, injected into the soles to inhibit the nerve signals that stimulate sweat glands. This reduces perspiration by blocking acetylcholine transmission to eccrine glands. In the UK, Botox is licensed for underarm hyperhidrosis and used off-label for palms and feet when administered by experienced practitioners.

Who Can Benefit from Botox for Hyperhidrosis / Sweaty Feet?

• Adults with persistent, problematic plantar sweating--feet that feel constantly damp, leave footprints, damage shoes, or trigger fungal infections.
• Those who have not found relief from prescription antiperspirants or powders.
• Individuals whose social, professional or physical comfort is impacted by foot sweat and soaked socks.
• Candidates must be medically appropriate--Botox isn't suitable during pregnancy or breastfeeding, and is contraindicated with certain neuromuscular or heart conditions, bleeding disorders, or certain medications.

What Does Botox for Hyperhidrosis / Sweaty Feet Involve?

1. Initial Consultation & Assessment

A podiatrist reviews your medical history, inspects the areas of sweating, and confirms that Botox is a suitable option.

2. Preparation & Local Anaesthesia

Numbing cream or local anaesthetic may be used to reduce discomfort due to the foot's sensitivity.

3. Injection Procedure

A grid of micro-injections--typically spaced about 1-2 cm apart--is administered across the soles using a very fine needle.

4. Post-Treatment & Activities

Patients can resume most normal activities immediately but should avoid strenuous exercise or saunas for 24 hours. Minor redness or tenderness is common and usually resolves quickly.

5. Onset and Duration of Results

Sweating reduction typically begins within 3-7 days, with peak effects around two weeks. Results usually last 4 to 9 months; repeat treatments every 4 to 12 months help maintain results.

What Are the Benefits of Botox for Hyperhidrosis / Sweaty Feet?

• Substantial sweat reduction--studies suggest many patients achieve over 50% sweat reduction, with some reporting results up to 80-90%.
• Better foot hygiene--reduces odour, moisture-related infections, fungal overgrowth, and damage to footwear.
• Improved daily comfort and confidence--enables wearing sandals, walking barefoot, better grip, and more secure footing in social or professional settings.
• Minimal recovery time--non-surgical, quick procedure with little downtime.
• Cumulative efficacy--effects may last longer over repeated sessions.

Some people may find injections painful despite anaesthesia, and rare side effects include mild bruising, transient muscle weakness, or compensatory sweating in untreated areas.

Similar Treatments / Services That Could Help?

If Botox isn't suitable or doesn't yield adequate results, alternative treatments include:

• Prescription antiperspirants, such as high-strength aluminium chloride solutions--first-line topical therapy.
• Iontophoresis, which uses mild electrical currents to reduce sweating and often gives durable relief--found effective for palms and soles.
• Surgical sympathectomy, reserved for severe, refractory cases--however, it carries significant risks such as compensatory sweating and serious autonomic side effects.

Summary

Botox injections for sweaty feet offer a proven, effective, and convenient solution for plantar hyperhidrosis. While not universally approved in the UK, off-label use is common and well-supported when administered by skilled clinicians. The treatment offers months of relief, improved comfort and hygiene, and increased confidence--but it isn't suitable for everyone. Alternative treatments such as iontophoresis, oral medications, and prescription topicals may be recommended where Botox is not appropriate. At Chiropody.co.uk, we offer expert assessment and personalized treatment plans to help you choose the right path for your comfort and confidence.

Arrange an appointment for cosmetic podiatry today by emailing office@chiropody.co.uk or call 0330 088 4222

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