100 Units



Sweaty hands are frequently associated with nervousness or a symptom of certain medical disorders. However, there are causes of sweaty hands that do not have to do with either of the above causes. Some people may experience sweaty hands for no discernible reason. This is known as palmar hyperhidrosis. The condition can cause patients distress and change the way they function in everyday life. Luckily, one of the most effective treatments for hyperhidrosis is BOTOX. The Gallery of Cosmetic Surgery offers the best BOTOX for palmar hyperhidrosis Bellevue and Kirkland provide.


As alluded to above, palmar hyperhidrosis is a condition where the hands become excessively sweaty. This can happen in nearly any environment and at any time. It most frequently begins around puberty, though certain medications and conditions can bring on excessive sweating.

When there is an identifiable cause such as a medication or medical condition, this is known as secondary generalized hyperhidrosis. Although, when the cause is unclear or there simply is not one, this is known as primary focal hyperhidrosis. 

When afflicting the hands, it is more likely to be primary focal hyperhidrosis, since secondary generalized hyperhidrosis causes sweating over larger areas. While this can include the hands, the hands are usually not the only body part affected. Additionally, primary focal hyperhidrosis almost always presents on both sides, meaning that both hands will experience sweating. Therefore, BOTOX for palmar hyperhidrosis primarily treats primary focal hyperhidrosis.


The main symptom of hyperhidrosis is sweating. The sweating is often excessive. It may also occur at times when sweating may not be normal (such as on a cold day or when stationary). Other symptoms of hyperhidrosis include:

  • Rashes
  • Clammy hands
  • Frequent sweating with no obvious cause
  • Sweating localized to the hands (or another part of the body)
  • Mental anguish and distress due to the condition
  • Alterations in life or work to account for sweating


As previously discussed, the two types of hyperhidrosis are categorized via sweating that has a cause and sweating that does not. The cause of primary focal hyperhidrosis is not yet fully understood. However, it does appear that genetics may play a role. Secondary generalized hyperhidrosis can have a variety of causes. Some of which include:

  • Obesity
  • Parkinson’s Disease
  • Diabetes
  • Hyperthyroidism
  • Gout
  • Anxiety
  • Some cancers
  • HIV
  • Menopause
  • Certain medications including some SSRIs, inhalers, and opioids


Treating hyperhidrosis of the hands often becomes a constant battle of trial and error. With many possible treatments, not all work the same from patient to patient. Most patients tend to try home remedies and less invasive methods before looking at other treatment techniques. However, if these methods are not adequately treating your palmar hyperhidrosis or you have a particularly severe case, BOTOX is the next treatment to try.

How BOTOX Works

BOTOX, or Botulinum toxin, belongs to a class of injection known as neurotoxins. Neurotoxins, including BOTOX, cause temporary and partial paralyzation of the injection site. Essentially, it halts certain transmissions to the brain. When used for wrinkle treatment, BOTOX inhibits the transmissions that form certain movements.

Similarly, when injecting BOTOX to treat hyperhidrosis, BOTOX blocks the nerve signals that tell your brain to produce sweat. While it may not completely stop sweating (though in some it does), BOTOX often vastly improves quality of life. 

Other Possible Treatments

When treating hyperhidrosis, patients frequently use many treatments concurrently. They may also try known and proven treatments until they find the one that works best for them. There are multiple non-invasive options as well as the rarest solution, surgery. Often a combination of treatments, sometimes including BOTOX, works best for managing hyperhidrosis. Let’s explore some of the most common treatments for hyperhidrosis other than BOTOX injections.

At Home Remedies

Before seeking treatment or being diagnosed with hyperhidrosis, many patients will use home remedies to manage their sweating. While home remedies cannot adequately treat hyperhidrosis, they can make it easier to manage and less bothersome. Some examples of at home treatments for hyperhidrosis including:

  • Daily bathing
  • Application of over-the-counter tannic acid
  • Change clothing often
  • Use sweat guards to prevent staining clothing
  • Avoid wearing stifling materials that may worsen sweating
  • Manage stress with relaxation techniques


Beyond BOTOX, there are other prescription medications, creams, and antiperspirants that may improve or treat hyperhidrosis. In the case of secondary hyperhidrosis, medications to treat the condition will often result in the hyperhidrosis improving or going away. Sometimes nerve blockers or antidepressants may relieve hyperhidrosis symptoms.

Microwave Therapy

Microwave therapy uses microwaves and the energy they produce to destroy sweat glands. This is not a commonly sought or performed solution because it is costly and not as effective as other solutions. However, in some cases, it may be the right treatment.

Surgical Solutions

Surgery to relieve hyperhidrosis is rare and usually only performed under extreme circumstances. The surgical removal of the sweat glands is effective at treating primary focal hyperhidrosis. In this procedure, the surgeon removes the sweat glands of the afflicted area to stop the sweating. 

Another surgical technique that may treat hyperhidrosis is nerve surgery. This is not the preferred technique for most patients and can cause hyperhidrosis to move to a new area. During this procedure, the surgeon damages the nerves in your spine that cause palmar hyperhidrosis to stop the sweating.

For most hyperhidrosis patients, a combination of non-surgical therapies and home remedies is enough to keep their hyperhidrosis in check. Discussing the treatments you currently use and how they work for you is an important part of your BOTOX for hyperhidrosis consultation.



Before undergoing hyperhidrosis BOTOX treatment at The Gallery of Cosmetic Surgery, you will meet with an injector for a consultation. During your appointment, your injector will ask about your history of hyperhidrosis, treatments you currently use and what you have tried, and what you hope to achieve with BOTOX for hyperhidrosis.

Following this discussion, your injector will assess the treatment area to determine if you are a good candidate for the necessary tenants of your injections. If you are a good candidate, they will describe the procedure. Sometimes they may perform the treatment the same day. Otherwise, you are free to schedule your BOTOX for hyperhidrosis in Kirkland.


Palmar hyperhidrosis treatment consists of several injections on the palms of the hands. At The Gallery of Cosmetic Surgery, we start with 100 units of BOTOX, injecting 50 units on each palm. After your initial treatment, your injector will follow up with you. They will determine if 100 units are enough to adequately treat your hyperhidrosis.

The first step your injector will perform is to disinfect the palms of your hands with alcohol. Next, every patient is offered topical numbing cream to make the procedure more comfortable. In general, most patients find BOTOX injections bearable and not overly painful.

After the initial steps, your injector will begin treatment. As described earlier, hyperhidrosis injections require several small injections across the palm. Therefore, BOTOX for hyperhidrosis tends to take slightly longer to perform than other BOTOX treatments. You should feel little pain beyond some pinching.


Following BOTOX injections for palmar hyperhidrosis, you may feel some tightness in your hands. They may also carry some redness and pain as the BOTOX begins to settle and take effect. You should limit your activities for a couple of days and avoid hot environments or places that may cause normal sweating. 

Depending on your treatment and response, your injector may recommend icing any areas of swelling or tenderness. Side effects usually begin to subside within a couple of days and go away completely within two weeks.

As far as results, BOTOX takes around two weeks to take full effect. Therefore, in the interim, you may see some sweating still occur. In some patients, BOTOX does not totally eliminate sweating, but usually significantly reduces it. If you are still experiencing full hyperhidrosis, you may need more units or another treatment option. Studies have found that BOTOX does reduce or eliminate sweating in 80 to 90% of hyperhidrosis patients.

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    First time getting injections here. Great experience! Friendly staff and doctor. Answered all my questions. Would definitely recommend this place.


    Great service ❤️❤️ I get botox several every few months here and micro needling . Staff is genuine and cares about clients. Thank you to all the wonderful, beautiful people who work here. I couldn’t be happier with the service provided. Thank you


    Great patient care! Makes injections painless. Highly recommend the Gallery


    Service and experience was great. Knowledgeable staff.



    Hyperhidrosis is not a life threatening condition, but it can interfere with everyday life. BOTOX injections offer one of the most effective treatments for excessive sweating of the hands. Our highly trained team of injectors regularly performs BOTOX injections for the treatment of hyperhidrosis. They offer free consultations and customize your BOTOX for palmar hyperhidrosis especially to your needs.

    The Gallery of Cosmetic Surgery is one of the foremost plastic surgery practices and medical spas in the Greater Seattle area. Located just across from Alderwood Mall, The Gallery of Cosmetic Surgery is easy to access and provides the top standard of care for your Bellevue BOTOX.

    To schedule a free consultation, call us at 425-775-3561. You can also reach us online using our Price Simulator®, chat, or contact form.


    Is Palmar Hyperhidrosis Rare?

    Many people experience temporary hyperhidrosis in their lifetime. However, only about 1% to 2% of people experience primary hyperhidrosis. A smaller percentage have primary palmar hyperhidrosis. So, yes, palmar hyperhidrosis is a rare, though typically benign condition.

    Can Hyperhidrosis Be Cured?

    There is no definitive cure for hyperhidrosis. Secondary hyperhidrosis–the more common of the two types–can often be treated effectively. It usually goes away once the cause is discovered and treated. Even so, there is no one “cure” for every patient.

    Primary hyperhidrosis, however, will vary from patient to patient. Some may respond well to certain treatments, such as hyperhidrosis BOTOX injections. Others may see their excess sweating improve or cease with adulthood.

    How Many Units Of BOTOX For Sweaty Hands?

    When treating hyperhidrosis with BOTOX, it is standard to begin with a minimum of 100 units. If that is not sufficient, your injector may recommend increasing the number of units. This will vary depending on each patient the severity of their hyperhidrosis. 

    Is It Painful?

    BOTOX injections generally do not cause too much pain or discomfort. The hands are a particularly sensitive area to treat. Therefore, some may find it more painful than routine BOTOX injections. 

    With that said, topical numbing cream is offered. Most find the discomfort easy to bear for the duration of the procedure. Additionally, to improve their quality of life and reduce sweating, most people with hyperhidrosis find the treatment worth it.

    How Much Is BOTOX For Hyperhidrosis Treatment?

    At The Gallery of Cosmetic Surgery, the minimum of 100 units begins at $1,300. More units may result in additional costs. Your injector can provide a more accurate estimate after your consultation. Northwest Face & Body does work with three outside financing companies including Care Credit. For more information on financing and direct links to apply, visit our financing page.