Type
Botox & Fillers
Duration
30 min
What's included
4 deliverables in this treatment
- Physician assessment to confirm primary (localised) hyperhidrosis
- Topical anaesthetic cream applied to the treatment area
- Grid of intradermal botulinum toxin injections across the affected zone
- Both underarms treated in one session for axillary hyperhidrosis
Botox for hyperhidrosis at Dermafit uses the same botulinum toxin type A to switch off the nerve signals that drive overactive sweat glands. Excessive underarm, palm or sole sweating — the kind that soaks through clothing or makes hands clammy regardless of temperature — is caused by sweat glands being over-stimulated, and the toxin blocks the chemical messenger between nerve and gland so the glands sharply reduce their output at the treated site. The procedure is a series of small intradermal injections spread in a grid across the affected area; for the underarms both sides are treated, and the skin is first numbed with anaesthetic cream for comfort. As a dermatology clinic, Dermafit assesses the cause and extent of sweating before treating. The effect builds over about two weeks and lasts considerably longer than facial botox — typically six to twelve months — after which the treatment can be repeated.
About this treatment
Primary focal hyperhidrosis is excessive sweating that is out of proportion to temperature or physical activity and is driven by overactive eccrine sweat glands rather than any general medical problem. It most often affects the underarms (axillae), the palms of the hands and the soles of the feet, and it can be socially and professionally disabling. Botulinum toxin type A is a well-established second-line treatment when antiperspirants are not enough.
The mechanism is the same as for wrinkle treatment but the target is different: instead of relaxing a muscle, the toxin blocks the acetylcholine signal that tells the eccrine sweat glands to secrete. With that signal interrupted, the glands in the treated zone produce far less sweat. At Dermafit the affected area is first mapped, the skin is numbed with topical anaesthetic cream, and the toxin is then delivered as a grid of many small, shallow intradermal…
Because Dermafit is a dermatology practice, the physician first confirms that the sweating is primary (localised, idiopathic) rather than secondary to another condition, which is the correct clinical approach before injecting.
Good to know
- Onset
- Develops over ~2 weeks
- Duration
- 6–12 months
- Areas
- Underarms, hands, feet
- Comfort
- Anaesthetic cream as standard
Who is this for?
Excessive underarm, palm or sole sweating not controlled by antiperspirants
Preparation required
Avoid antiperspirant on the treatment area on the day of the appointment. Avoid blood-thinning medication and alcohol on the day, and shave underarms 1–2 days beforehand if treating the axillae.
About the clinic
Reviews, team and credentials
Independent review links and clinic-reported team information.
5 clinic reviews
From independent platforms
Clinical team
The Dermafit team comprises four dermatology specialists, each holding a Ph.D. The founder and lead physician is Doc. MUDr. Tomáš Fikrle, Ph.D., who graduated from the Charles University Faculty of Medicine in Plzeň in 1997, passed his specialist examination (atestace) in dermatovenereology in 2004, completed his Ph.D. in 2006 and became docent (associate professor) in 2013. He worked from 1998 to 2023 at the…
Languages: cs
Treatment highlights
- Physician assessment to confirm primary (localised) hyperhidrosis
- Topical anaesthetic cream applied to the treatment area
+2 more items in What's included
Bilateral underarm (axillary) hyperhidrosis treatment from 8,000 Kč for both sides. Botulinum toxin is priced at 60 Kč per unit; the number of units depends on the size of the sweating area, so the final price is confirmed at consultation. Hands and feet can also be treated by agreement.