The Piazza Center — Procedures

Woman with a bob haircut

Non-Surgical

BOTOX for Hyperhidrosis Austin

Hyperhidrosis — excessive sweating beyond what's needed to regulate body temperature — is a real, often embarrassing medical condition, and antiperspirants alone are frequently no match for it.

Board-Certified ABPS4.8 · 265 Google Reviews

Recovery Time

Discussed at consultation

Surgeon

Dr. Rocco Piazza II, ABPS

Location

Austin, TX

Overview

BOTOX for Hyperhidrosis in Austin

Hyperhidrosis — excessive sweating beyond what’s needed to regulate body temperature — is a real, often embarrassing medical condition, and antiperspirants alone are frequently no match for it. At The Piazza Center in Austin, TX, Dr. Rocco Piazza and his nonsurgical team use BOTOX® to treat hyperhidrosis medically, targeting the specific nerve signals responsible for excessive sweating so patients can move through daily life with more comfort and confidence.

At a Glance

Everything You Need to Know

01

Treatment Areas

Underarms, palms, feet, and forehead — the areas most commonly affected by excessive sweating. Multiple areas can be treated in the same session.

02

How It Works

BOTOX is a neuromodulator that blocks nerve signals — here, the signals that activate sweat glands — significantly reducing chronically heavy perspiration.

03

The Visit

A fast, in-office treatment with mild discomfort; topical numbing is available. There isn’t enough BOTOX used in hyperhidrosis treatment to restrict range of motion, though a slight, localized weakness is possible.

04

Results Duration

BOTOX’s sweat-minimizing effects typically last four to six months, somewhat longer than its cosmetic wrinkle-smoothing effects.

Why Patients Choose This Treatment

A medical treatment,
real quality-of-life relief.

For patients whose hyperhidrosis hasn’t responded to antiperspirants, BOTOX offers a fast, minimally invasive way to significantly reduce chronic excessive sweating — not a cosmetic fix, but a medical one aimed at day-to-day comfort and confidence.

  1. 01

    Dramatic Reduction in Sweating

    Most patients experience a significant decrease in perspiration in the treated areas.

  2. 02

    Long-Lasting Relief

    Effects typically last four to six months before a touch-up is needed.

  3. 03

    Multiple Areas, One Visit

    Underarms, palms, feet, and forehead can be treated together in a single, efficient session.

  4. 04

    Renewed Confidence

    Less worry over sweat stains during work and social activities, day to day.

Understanding the Condition

What Causes Hyperhidrosis?

The exact reason some people are predisposed to hyperhidrosis isn’t fully understood. What is known is that affected sweat glands become hyperactive, producing excessive sweat in response to social or physical stress — often well beyond what’s needed to regulate body temperature. A genetic component is commonly suspected as well. Regardless of the underlying cause, the goal at The Piazza Center is a treatment plan that measurably improves quality of life.

You may have hyperhidrosis if you experience heavy sweating — in the underarms, palms, feet, or face — even when you’re not physically or emotionally exerted. If that sounds familiar, it’s worth discussing with your primary care physician as a first step.

Am I a Candidate?

Is BOTOX for hyperhidrosis
right for you?

A consultation at The Piazza Center will confirm whether BOTOX is an appropriate medical treatment for your excessive sweating, taking into account your health history and where the sweating affects you most.

01Sweating Beyond Normal Thermoregulation
02Little or No Relief From Antiperspirants
03Affects Underarms, Palms, Feet, or Face
04In Good General Health
Close-up of an underarm injection to treat excessive sweating

Investment

Cost & insurance.

Because this is a medically necessary treatment rather than a cosmetic one, many insurance plans cover BOTOX for hyperhidrosis with prior authorization. Our team can help verify your benefits; where coverage doesn’t apply, flexible financing is also available through Cherry, CareCredit®, and PatientFi.

Results

Real Relief From Excessive Sweating

Most patients who undergo BOTOX treatment for hyperhidrosis at The Piazza Center experience a dramatic reduction in sweating in the treated areas, along with the day-to-day confidence of no longer worrying about sweat stains during work or social activities. Results vary by patient and by the severity of the underlying condition.

Because effects typically last four to six months, most patients return periodically to maintain their results as part of an ongoing treatment plan.

★★★★★ 4.8 · 265 Google Reviews
The Surgeon

Rocco C.
Piazza II

Dr. Rocco Piazza is a board-certified plastic surgeon in Austin, TX, who oversees every BOTOX treatment plan at The Piazza Center — including the medical use of BOTOX to treat hyperhidrosis — pairing precise injection technique with a thoughtful, individualized approach to each patient’s condition and goals.

At The Piazza Center, Dr. Piazza prioritizes exceptional patient care and results, creating lasting relationships with his clients.

16Years Solo
6Preceptorships
14Honors & Awards
  • Board Certified in Plastic Surgery by the American Board of Plastic Surgery
  • M.D., Alpha Omega Alpha, University of Texas Medical Branch, Galveston, Texas
  • Recognized as a Top Doctor on RealSelf
  • Recipient of the Doctor’s Choice Award for Plastic Surgery
  • Published author with significant contributions to the field of plastic surgery literature
Meet the Surgeon
Dr. Rocco C. Piazza II, plastic surgeon Austin TX Rocco C. Piazza II — MD, FACS · Founder, The Piazza Center

FAQ

Frequently Asked Questions.

Still have questions specific to your body and goals? Dr. Piazza addresses them one-on-one during your private consultation.

Schedule a Consultation

Yes, many insurance plans cover it for medical hyperhidrosis with prior authorization.

Ready to Get Started?

Schedule Your Consultation with Dr. Piazza

Every patient deserves individualized care. Meet with Dr. Piazza to discuss your specific goals and develop a plan tailored to you.

Contact UsCall Now