Effects begin within several days, with full effect in ~2 weeks
Results
Effects begin within several days, with full effect in ~2 weeks
When you'll see changes
Sessions
Typically every 3–4 months depending on individual response
Sessions
Typically every 3–4 months depending on individual response
Recommended treatment plan
Recovery
Minimal downtime; mild swelling or tenderness possible
Recovery
Minimal downtime; mild swelling or tenderness possible
What to expect after
How It Works
Neurotoxin is injected into targeted muscles to reduce tension and improve comfort and function.
A bundle option combining the P-Shot with BOCOX is also available to address both tissue quality and muscle-related factors.
Benefits
May reduce muscle tension
Improves comfort
Supports function
Discreet, physician-led care
Why Randali
The Randali difference
Physician-directed care
Every plan is overseen by our Medical Director — clinical judgment, never a questionnaire.
Whole-person, individualized planning
We weigh your full health picture to recommend the right treatment — or combination — for you.
Safety & compliance first
Care delivered to medical standards and in line with state and federal regulations.
Trusted since 2001
Two-plus decades of refined, natural results and lasting patient relationships.
Frequently Asked Questions
What is BOCOX®?
BOCOX® is a treatment that uses botulinum toxin injections to help reduce excessive sweating, a condition known medically as hyperhidrosis. It works by temporarily blocking the nerve signals that stimulate sweat glands in the treated area.
What is hyperhidrosis?
Hyperhidrosis is the medical term for excessive sweating that occurs beyond what the body needs for normal temperature regulation. It commonly affects the underarms, hands, feet, face, and scalp and can interfere with daily activities, confidence, and quality of life.
What areas can be treated with BOCOX®?
BOCOX® is commonly used to treat excessive sweating of the underarms, palms, soles of the feet, forehead, scalp, and other areas where sweating may be bothersome or impact daily life.
How does BOCOX® work?
BOCOX® uses small amounts of botulinum toxin to temporarily block the nerve signals responsible for activating sweat glands. As a result, sweating is significantly reduced in the treated area.
Is BOCOX® an effective treatment for hyperhidrosis?
BOCOX® is commonly used to treat hyperhidrosis by temporarily reducing the activity of sweat glands in the treated area. Many patients experience a significant reduction in excessive sweating following treatment, although individual results vary.
Will BOCOX® stop all sweating?
No. The goal of treatment is to significantly reduce excessive sweating in the treated area, not eliminate sweating throughout the body. Sweating remains an important natural function that helps regulate body temperature.
Will I be swollen after treatment?
Mild swelling, redness, tenderness, or sensitivity at the injection sites can occur following treatment. These effects are generally temporary and improve within a few days.
Can I wear deodorant after treatment?
Most patients can resume normal hygiene practices shortly after treatment. Your provider will review any specific aftercare instructions based on the treatment area and your individual treatment plan.
Can BOCOX® be combined with other treatments?
Yes. Depending on the treatment area and your goals, BOCOX® may be incorporated into a broader treatment plan. Your provider will discuss the most appropriate options during your consultation.
Will my body sweat more somewhere else if I treat one area?
Some patients ask whether treating one area causes excessive sweating elsewhere. Compensatory sweating is more commonly associated with certain surgical treatments for hyperhidrosis than with botulinum toxin injections. Individual responses vary and will be discussed during your consultation.
Does the treatment hurt?
Most patients tolerate treatment well. Because multiple injections are performed within the treatment area, patients may experience temporary pinching, pressure, or mild discomfort during treatment.
Will I bruise after treatment?
Possibly. Any time we place a needle into the skin, bruising is a possibility. Temporary redness, swelling, tenderness, pinpoint bleeding, or bruising may occur at the injection sites and generally resolve within several days.
Is BOCOX® safe?
Botulinum toxin has been used for many years in both medical and aesthetic treatments. As with any medical procedure, risks and side effects can occur and will be reviewed during your consultation before treatment.
Is there any downtime?
Most patients return to normal daily activities immediately following treatment. Temporary redness, swelling, tenderness, or bruising may occur at the treatment sites.
What should I avoid before treatment?
To help minimize bruising, we generally recommend avoiding alcohol for at least 24 hours before treatment and avoiding blood-thinning supplements such as fish oil, vitamin E, turmeric, garlic, and ginkgo for 5–7 days beforehand, if medically appropriate. Do not stop prescription medications unless directed by your healthcare provider.
What should I avoid after treatment?
Following treatment, we generally recommend avoiding strenuous exercise, excessive heat exposure, hot tubs, saunas, steam rooms, and vigorous rubbing or massage of the treated area for at least 24 hours. Follow all post-treatment instructions provided by your provider.
When will I see results?
Many patients begin noticing improvement within several days, with continued improvement over the following 1–2 weeks as the treatment takes full effect.
How long do results last?
Results vary, but many patients experience improvement for approximately 4–9 months. Repeat treatments are often recommended to maintain results.
Are results guaranteed?
No. Individual results vary based on factors such as the severity of sweating, anatomy, lifestyle, medications, and individual response to treatment. No medical treatment can guarantee a specific outcome.
Am I a candidate for BOCOX®?
Many patients experiencing excessive sweating may be candidates for BOCOX®. During your consultation, we'll review your symptoms, medical history, medications, and treatment goals to determine whether treatment is appropriate for you.
How much sweating reduction can I expect?
Most patients experience a noticeable reduction in sweating within the treated area. However, the degree of improvement varies between individuals, and results cannot be guaranteed.
Pricing
Starting from
$1,500
Your personalized pricing is confirmed at your consultation.
Ready to Get Started?
Schedule a consultation to discuss if BOCOX is right for you — with a personalized, physician-directed plan.