Type
Botox & Fillers
Duration
15 min
What's included
4 deliverables in this treatment
- Assessment of hyperhidrosis severity and treatment area mapping
- Botulinum toxin injections across the treatment zone (underarms, palms, or soles) in approximately 10 minutes per area
- Post-treatment instructions including 72-hour post-shaving wait for underarms
- Results tracking — follow-up available if partial response
Hyperhidrosis (excessive sweating) treatment at Brandeis Clinic uses botulinum toxin type A injections to block the nerve signals that activate eccrine sweat glands in the affected area. MUDr. Lucie Kalinová injects small amounts of botulinum toxin across the treatment zone — most commonly the underarms, but also palms and soles of feet — in a session lasting approximately 10 minutes per area. Results begin in 2–10 days and last 8–12 months on average, substantially longer than the 4–6 months typical of cosmetic facial applications. The procedure requires no anaesthesia for underarm treatment and is performed as an outpatient appointment.
About this treatment
Hyperhidrosis treatment with botulinum toxin at Brandeis Clinic addresses a condition that significantly affects quality of life — primary focal hyperhidrosis, defined as excessive sweating that exceeds the body's thermoregulatory needs and is not caused by systemic disease or medication.
Mechanism of action
Sweat glands are innervated by sympathetic cholinergic nerve fibres — unlike most of the sympathetic nervous system, which uses adrenaline, the sweat gland innervation uses acetylcholine. Botulinum toxin blocks acetylcholine release at these nerve terminals in exactly the same way it blocks neuromuscular junctions in cosmetic applications. The result is a localised, selective suppression of sweat gland output that persists until the nerve terminal…
Good to know
- Session time
- ~10 minutes per area
- Onset
- 2–10 days
- Duration
- 8–12 months (longer than cosmetic use)
- Areas
- Underarms, palms, soles of feet
- Anaesthesia
- None required for underarms
Who is this for?
Adults 18+ with primary focal hyperhidrosis affecting underarms, palms, or feet who have not achieved adequate relief from topical antiperspirants
Preparation required
Shave the underarm area 24–72 hours before (not immediately before) for axillary treatment. Avoid deodorant and antiperspirant on the day of treatment. Wear comfortable clothing with easy underarm access. No specific fasting or medication pauses required unless otherwise advised.
About the clinic
Reviews, team and credentials
Independent review links and clinic-reported team information.
Clinical team
The clinic is led by MUDr. Lucie Kalinová, Ph.D., head of plastic surgery, who is one of the few female plastic surgeons practising in the Czech Republic. Dr. Kalinová holds certified-trainer status in botulinum toxin and hyaluronic acid fillers — a qualification that requires a higher proficiency standard than standard practitioner certification. Her second surgeon is MUDr. Madina Babakalanova, a plastic surgeon…
Languages: Czech, German, English, Russian
Treatment highlights
- Assessment of hyperhidrosis severity and treatment area mapping
- Botulinum toxin injections across the treatment zone (underarms, palms, or soles) in approximately 10 minutes per area
+2 more items in What's included
From 10,500 Kč per area (underarms, palms, or soles of feet). Each anatomical zone is priced separately. Results last 8–12 months — significantly longer than cosmetic botulinum toxin areas.