Underarm Botox for Excessive Sweating in Tokyo | Hyperhidrosis Treatment at Shimbashi

Before you read: what people ask us most

Is this you?

• Sweat marks show through the underarms of your shirt during meetings.
• Sweating increases before a presentation or a client meeting, even in a cool room.
• Antiperspirants and prescription topicals are not keeping up.
• You avoid taking your jacket off, or you keep a spare shirt at the office.
• You choose clothes by how well they hide sweat rather than by what you want to wear.

What underarm botulinum toxin treatment does

Botulinum toxin is injected into the skin of the underarm, where it suppresses the activity of the eccrine sweat glands. The aim is to reduce both the volume of sweat and the odour that comes with it.

There is no incision and no hospital stay. The treatment is done in a single visit, and you go home the same day. It is a way of acting on the sweat glands themselves, rather than applying something to the skin surface that has to be reapplied.

How much difference it makes, and how quickly, varies from person to person.

What we offer

Pricing

Payment by VISA, JCB, Mastercard, American Express or Diners Club, by debit card, or in cash. These treatments are self-pay and are not covered by Japanese National Health Insurance, so no insurance card is needed and nothing is sent to your home or employer.

What the appointment involves

How long it takes

About one hour in total, including roughly 30 minutes for the numbing cream to take effect.

How long the effect lasts

The effect is generally reported to last somewhere between three and six months. If you wish to continue, an interval of three to six months is the usual guide. Duration and how noticeable the change feels vary from person to person.

Discomfort

This varies between individuals. Some people feel a prickling sensation during the injections. Afterwards, the area often feels rather like mild sunburn.

How this compares with treatment under insurance

In Japan, severe primary axillary hyperhidrosis can be treated under national health insurance using a domestically approved preparation. Being treated that way requires meeting set conditions, including a formal severity assessment. Some people are found not to qualify, and the assessment itself can take time.

Treatment at this clinic is self-pay. No severity assessment is required, and in some cases the treatment can be carried out on the day of the consultation. It is offered as an option for people whose symptoms are moderate and therefore fall outside the insured route, and for those who would rather not wait.

Who cannot have this treatment

Botulinum toxin injections cannot be given to people in the following groups:

• Those with neuromuscular disease, including myasthenia gravis, Lambert–Eaton syndrome and amyotrophic lateral sclerosis
• Those with hypersensitivity to botulinum toxin or to plasma-derived products
• Those with glaucoma
• Those taking antiplatelet or anticoagulant medication
• Those taking any medication that may affect neuromuscular transmission

If you have had this treatment at another clinic, an interval of two weeks to three months is required before it can be repeated here. Please tell us at the consultation about any medication you take, any allergies, and any past reactions to injections.

Booking, access and cancellation

Getting here

The clinic is a one-minute walk from the Ginza exit of JR Shimbashi Station. Opening hours are 14:00–21:00 on weekdays and 10:00–18:00 on weekends and public holidays. First-time patients are received until 30 minutes before closing, and returning patients until 10 minutes before. Appointments can be made through LINE or the website.

Cancellation policy

Cancellations and changes made three days in advance are free. Two days to one day in advance are charged at 75%, and same-day cancellations at 100%. For course bookings, a cancellation counts as one session used.

If you arrive late, the treatment is carried out within the remaining time of your booked slot, and the full price of the booked menu (or one session of a course) is charged.

Your first visit, step by step

Practical information for international patients

Access and opening hours

How to book

1. Open the booking form using the button below.
2. Choose the treatment you would like and a date and time that suit you.
3. Enter your contact details and submit. We will confirm your appointment.

The booking form is in Japanese. If that is difficult, you can still complete it using your browser's translation, and you are welcome to write your enquiry in English in the free-text field.

Learn more

• Botox (Botulinum Toxin): Effects, Duration, Side Effects & Treatment Process | Medically Reviewed
• How to Choose an AGA Clinic: 5 Criteria & 10-Question Checklist | Doctor-Reviewed

Important information