Botulinum toxin is an established and clinically recognised treatment for primary axillary hyperhidrosis, a condition characterised by excessive and uncontrolled underarm sweating. This condition can persist regardless of temperature or activity level and may significantly interfere with daily comfort, clothing choices, and quality of life. When injected into the underarm area, Botulinum toxin works by blocking the nerve signals that stimulate sweat glands, thereby reducing sweat production in the treated region. This treatment is typically considered when topical or oral therapies have proven ineffective or are not well tolerated.