My experience so far getting Botox in my armpits

TLDR: loving the Botox right now. 40ish year old female.

*****

I got Botox in my armpits about 2 weeks ago for hyperhidrosis. First time treatment. So far, this is my experience. I'll break it down by my treatment experience first. Then I'll break it down on how the outcomes affect my life.

Treatment Experience

  • I have never had the worst hyperhidrosis, but enough that it affected my life (more on that later). It only really affects me in my armpits.
  • I have visited GPs (GP = general practitioner) about this many times in the past, and they just prescribe me medical strength aluminum that I have to put on once a week. I have tried this a number of times during my life, and it was never effective. When I was 19 years old and tried this, I actually got red burns in my armpits that made me cry they were so painful. Reflecting back, I was probably putting it on too frequently.
  • I am originally from the US, and have lived in 5 other countries. I moved to Italy about 1.5 years ago. I visited my GP and asked for a Botox prescription and he happily gave it to me after I described my experience. Though I have access to the public health care system in Italy, the wait times are very long. Like most people, I carry private health insurance as a result. I wanted my treatment before summer started, otherwise I would have had to wait until November for an appointment in the public system.
  • My appointment was with a neurologist in Milan. The procedure took about 15 minutes. There were around 20 pokes in each armpit. I have a high pain tolerance. I would rate this a 2 or 3 out of 10. Very pokey. I just took some very measured breathing to calm myself through it.
  • The cost was €340 without insurance. My insurance covers the procedure. I have Googled other procedures in other cities and at cosmetic clinics I can see it ranging from 700 to 1,000 for a treatment.
  • My neurologist told me that I would feel the effects within 4 to 10 days, and that they should last anywhere between 4 to 9 months. Some people report the effects are gone by 2 months, but he cannot treat me again before 3 months otherwise I can develop antibodies to the procedure.
  • I already felt the effects on days 2 and 3, and everything was definitely in full swing by day 4. More on the effects/outcomes next.
  • My neurologist did tell me that hands are more painful but all of his patients come back for their repeat treatments because the outcomes are worth the pain. He also offered that if I get underboob sweat that he can treat me there too (I declined this first time).

Outcome Experience
First take:

  • I would say that my sweating has dropped by 90-95%.
  • If I do sweat, it just has a more "normal" acceptable odor to it rather than being gagging rancid.
  • I am still wearing deoderant for the 5-10% but I only need to apply once a day. And some days I forget to apply.
  • Even if my insurance didn't cover this treatment, I would pay for it out of pocket. I would not visit a cosmetic clinic though because their prices are higher, I would simply visit a neurologist and pay out of pocket for the treatment there (which is what I do anyway, run the credit card and get reimbursed by my insurance company).
  • I have not noticed any increased sweating anywhere else on my body, however summer really only just started so will be monitoring/journaling that one closely.

It is almost hard to have known how badly my sweating affected me until after the procedure. Some of my own reflections:

  • Ghost Sweat/Smell and Anxiety/Panic: It's going to take me a long time to lose the sweating/smelling panic and anxiety. I have this almost phantom sweating now. I go about my day, I think I feel that I'm starting to sweat, then I panic about "oh gosh, now I'm out in public and I'm going to smell bad and my shirt will be ruined and I will have to change before I go to dinner later and darnit I should have brought my deoderant with me and yuck I hope no one can smell me right now and I'll just keep my arms squished down to tightly pack the smell in there until I get home". And then I do a sweat and smell check - and there is nothing. No wet stains. I smell absolutely fine.
  • Wardrobe Options Unlocked: Pre-Botox I would say that I was very limited in wardrobe options. I bought/wore maybe 10% of the possible outfits that I would actually like to wear. Shopping freaking sucked. I would not buy any clothing tops or dresses that touched my armpits. Period. So all of my clothes were either tank tops with a kimono or other cover top I could easily swap out when it got too sweaty/stinky, or very loose t-shirts. Nothing form fitting, ever (except swimsuits and tank tops). Even tank tops I was very particular that the lower portion needed to dip as low as possible, I could not wear any tank tops where the arm pit was tight/touching. It's crazy to think of the wardrobe styles and colors that have been unlocked now.
    • One story I tell my friends was a few years ago I was speaking at a conference of around 100-150 attendees. This is a normal part of my job, I love public speaking and thrive on it. Even so, I will of course get a bit anxious in the 1 hour before I go on. For this specific conference, I had worked with my executive coach to buy a new top that had a pop of color - something memorable - in bright blue silk. Luckily I was staying at an Airbnb about a 10 minute walk away from the facility. After arriving in the morning, within 30 minutes I looked down and I was soaking wet through this bright blue silk blouse, with wide water marks. I was horrified at my rookie mistake. I immediately ran back to my Airbnb, changed into my dull frumpy black top and black sweater, and then ran back to do my speech/panel.
  • Travel Packing: Holy heck now I realize how people can travel so light with just a backpack. They can re-wear most of their clothing. I have always needed to bring a lot of change of clothes. Not necessarily bottoms, but tops yes. Because even though I might have the ability to at least hand wash, it may take too long for them to dry before I need to wear them again. So I just pack a little bit more clothes to be safe. Just this last week I never had to do laundry and I was on a 10 day trip, and I re-wore every top I put on at least 2-3 times. Some clothes I never even wore because I didn't need to. I have unlocked so much more possibility for traveling light.
  • Cute Airport Looks: I am a person that believes you should look nice when you travel, and since you never know who you are going to meet then you should look your best to be ready for such random encounters. But, I never got to be that person because of my sweating. "Travel Day" (arrival and departure) was always just planned around the outfit that would make me sweat/smell the least. I wouldn't even bother putting on makeup because I felt gross and wet and stinky anyway so why bother? Usually by the time I got to the airport, I was already wet and smelly from going up and down stairs and taking public transportation, just trying to hide it for my flight until I could change and reapply deoderant. But now? I can look cute when I travel. Today I hauled my suitcase to the airport, flew home to Italy from the Netherlands, with no sweat and no smell. I'm really looking forward to finally being able to "dress cute" at the airport and feel confident in myself.
  • Intimacy: Pre-Botox I would make my outfit and dating choices around my sweating. I would have to really analyze the situation, the weather, whether we would be sitting outdoors or indoors or in air conditioning or not, if he had air conditioning at his home or not, all to determine whether or not I would go home with him. All of that anxiety about sweating/smelling meant that intimacy was never spontaneous, always planned, which I hate. Additionally, if the stars did align for something spontaneous (perfect outfit choices for the setting) then if I got to his home and realized I didn't have any deoderant with me I would check his bathroom cabinet for spray deoderant. If I found spray deoderant that I could use to top up before getting sexy and to top up again in the morning, then I would stay over. If not, I would leave and go home. Another example of one my crutches: I would always stink in the morning so I would try my best to wake up before him, run to the bathroom and apply deoderant, and then come back to bed before any morning intimacy began.

Overall, 10 out of 10 will get the procedure done again when the effects have worn off.