67.3% of Hyperhidrosis Patients Unaware of Insurance Eligibility for Botox｜Experts Explain Treatment Duration and Costs Based on 2,000+ Cases

## Survey Key Findings
If diagnosed with primary focal hyperhidrosis, Botox injections for the underarms are covered by insurance with a 30% copay, costing approximately 20,000–30,000 yen, with effects lasting an average of 4–9 months. Treatment for palms and soles is available but not covered by insurance. The difference from Miradry is that Botox is a convenient injection with temporary effects, while Miradry can provide long-term results in a single session.

- 67.3% of patients are unaware of the exact insurance eligibility criteria.
- 82.4% of those who have undergone Botox treatment reported experiencing its effectiveness.
- The primary reason for hesitating to seek treatment is 'anxiety about cost' at 43.7%.

## Glossary
■ Botulinum Toxin (Botox)
A pharmaceutical product derived from protein produced by the botulinum bacterium. It temporarily blocks nerve signals to sweat glands, suppressing sweating. It is approved for insurance coverage in hyperhidrosis treatment.

■ Primary Focal Hyperhidrosis
A condition involving excessive sweating in specific areas (underarms, palms, soles, face) without an underlying medical cause. It is eligible for insurance coverage if criteria such as symptoms persisting for over 6 months and impairment of daily life are met.

■ Miradry
A treatment using medical devices that use microwave energy to destroy sweat glands. It is a non-incisional, FDA-approved treatment that promises long-term results in one session.

## Hyperhidrosis Treatment Comparison: Botox vs. Miradry
| Comparison | Botox Injection | Miradry |
| :--- | :--- | :--- |
| Duration | 4–9 months (varies) | Long-term (semi-permanent) |
| Cost (Underarm) | 20,000–30,000 yen (30% copay) | 250,000–400,000 yen (Out-of-pocket) |
| Treatment Time | Approx. 10–15 mins | Approx. 60–90 mins |
| Downtime | Virtually none | 2–3 days swelling/pain |
| Sessions | 1–2 times per year | Typically once |
| Areas | Underarms, hands, feet, face, etc. | Underarms only |
| Scars | Injection marks only (fade quickly) | None |

Icy Clinic, operated by the Medical Corporation Tetsuketsukai, conducted a survey on hyperhidrosis treatment. Under the supervision of Dr. Kota Takakuwa (15+ years of experience in dermatological surgery, 2,000+ cases), the clinic aims to provide useful information for treatment decision-making.