From what I've heard from friends and family Botox treatments can go either way, and are start to add up. One of my cousins was getting botox for her underarms and at first it worked pretty well, but started to become less effective the more she went in. MiraDry is also an alternative that is relatively new, and FDA approved - It just costs SO much. I can't afford either options, but if I could I would probably try MiraDry before botox.