Hyperhidrosis · Shimbashi & Ginza

Underarm sweating, and the shirt you keep checking

Botulinum toxin into the underarm reduces how much the sweat glands produce, and the odour that comes with the sweat eases with it. About fifteen minutes, nothing cut, nothing burned. Male patients only.

¥29,800About 15 minutesLasts 3–6 monthsMen only

Underarm botox for excessive sweating is ¥29,800 at Shinbashi Ginza Swift Clinic in Shimbashi, Tokyo. Botulinum toxin injected where you sweat slows the sweat glands, so both the sweat and the odour that goes with it are reduced. It normally takes effect within one to two weeks and lasts three to six months. A session takes about fifteen minutes; nothing is cut and nothing is burned. Treatment at a first visit is possible, and because this is self-pay there is no first-visit surcharge.

Underarm botox
¥29,800
Takes about
15 minutes
Takes effect in
1–2 weeks
Lasts
3–6 months
Insurance
Not required
Pricing

What it costs

Botox for underarm sweating
TreatmentPrice
Underarm hyperhidrosis (botox)¥29,800

All treatment here is self-pay, so Japanese national health insurance does not apply. See the botox page for the other areas we treat, or the full price list.

How it works

What the injection does

Botulinum toxin injected into an area that sweats heavily slows the working of the sweat glands there, so less sweat is produced — and because the odour comes with the sweat, that eases too. It is normally done in the underarm, and the palms and the soles are the other common sites.

It normally takes effect within one to two weeks and lasts three to six months. Nothing has to be cut open and nothing is burned with a laser, so a session takes about fifteen minutes and you go back to your day afterwards.

It is worth asking about if

  • Underarm sweat gets in the way at work or in daily life.
  • You worry about the odour reaching people around you.
  • Yellowing on the underarms of your shirts bothers you.
  • Someone close to you has mentioned the smell.
Before you decide

Who cannot have it

Even if none of these apply, the doctor may decide not to treat depending on your history, your current medication and how you are on the day. Tell the doctor about everything you take, including anything bought over the counter.

Botox injections cannot be given to you if

  • You have a neuromuscular disorder — myasthenia gravis, Lambert-Eaton syndrome or amyotrophic lateral sclerosis, for example.
  • You are hypersensitive to botulinum toxin or to plasma-derived products.
  • You have glaucoma.
  • You take antiplatelet or anticoagulant medication.
  • You take any medicine that may affect neuromuscular transmission.
How it works

Your visit

  1. Book a slot onlinePick a date and time on the booking page. Same-day slots are often open.
  2. Fill in the questionnaireThe pre-visit questionnaire covers your symptoms, medical history and any medication you already take.
  3. See the doctorA free consultation and an examination in a private room. The doctor confirms whether the injection is suitable for you and explains the risks before treatment.
  4. Treatment on the day, where suitableTreatment may be possible at the first visit, or on a later booked date. How long it takes depends on your case. Aftercare is given on the day.
  5. PaymentCash, credit card (including UnionPay) and QR payment (including WeChat Pay and Alipay) at the clinic. Online consultations are paid by credit card or bank transfer.
Before you book

What you need to know

Important information

  • It normally takes effect within one to two weeks rather than immediately, and it lasts three to six months. How much it changes varies between people.
  • Botulinum toxin wears off. When to repeat it is something the doctor sets out at the consultation.
  • Tell the doctor about any neuromuscular condition, glaucoma, and any blood-thinning or nervous-system medication you take — these rule the injection out.
  • All treatments on this page are self-pay (自由診療). Japanese national health insurance does not apply, and the full amount is charged at the clinic.
  • Prices shown include consumption tax and are the prices at the time of writing. They can change without notice — the price confirmed at your consultation is the one that applies.
  • Any procedure carries some risk. A doctor checks your history and current medication beforehand, and will decline to treat where it is not safe to do so.

Coming as an English speaker

You can be seen here without speaking Japanese. Consultations are handled with a translation app and written notes rather than by an English-speaking doctor, which works well for treatments where the decision is straightforward — repeat prescriptions, testing, hair removal — and is slower where you have a complicated history to explain. Treatment information, pricing and access details on these pages are in English. The booking system and the pre-visit questionnaire are in Japanese, so message us on LINE beforehand if you would like help completing them.

FAQ

Common questions

How much does hyperhidrosis treatment cost in Tokyo?

¥29,800 for underarm botox at this clinic. It is self-pay, so Japanese national health insurance is not required for the fee listed here, and because it is self-pay there is no first-visit surcharge.

How soon does it work, and how long does it last?

It normally takes effect within one to two weeks and lasts three to six months. How much it changes varies between people, and when to repeat it is set out by the doctor at the consultation.

Does it help with the odour as well as the sweat?

The odour comes with the sweat, so reducing how much is produced eases it too. How much difference it makes varies between people.

Does it hurt, and is there anything cut?

Nothing is cut and nothing is burned with a laser — it is an injection, and a session takes about fifteen minutes. Tell the doctor if it is uncomfortable.

Is there anyone who cannot have it?

Yes. It cannot be given to anyone with a neuromuscular disorder such as myasthenia gravis, Lambert-Eaton syndrome or ALS; anyone hypersensitive to botulinum toxin or plasma-derived products; anyone with glaucoma; anyone taking antiplatelet or anticoagulant medication; or anyone taking a medicine that may affect neuromuscular transmission.

Book a hyperhidrosis consultation

One minute from Shimbashi Station, a short walk from Ginza. Male patients only, and the consultation is free.

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