Type
Botox & Fillers
Duration
30 min
What's included
4 deliverables in this treatment
- Starch-iodine contact test to map active sweat-gland zones
- Botulinum toxin injection into the axillary (underarm) sweat glands
- Post-procedure care instructions
- Treatment of both underarms included in the stated price
Botulinum toxin injections into the sweat glands of the underarms (axillae) to treat primary hyperhidrosis — excessive sweating that persists regardless of temperature or physical activity. By blocking the acetylcholine signals that trigger eccrine sweat-gland secretion, the treatment dramatically reduces sweating in the treated area for seven to twelve months, far longer than the effect seen in facial muscle applications. At Estetické centrum Praha MUDr. Handlová performs a contact starch-iodine test before the procedure to precisely locate the most active sweat-gland zones, ensuring targeted injection placement.
About this treatment
Primary hyperhidrosis is a condition characterised by excessive sweating beyond what the body needs for thermoregulation, typically affecting the axillae, palms or forehead. When conservative treatments such as prescription antiperspirants fail to provide adequate control, botulinum toxin injection into the eccrine sweat glands is one of the most effective and evidence-backed interventions available without surgery.
The mechanism differs from the facial muscle application: rather than blocking a neuromuscular junction, the toxin here inhibits the cholinergic sympathetic nerve fibres that innervate the eccrine glands. Without the acetylcholine signal, the gland cells cannot be stimulated to secrete sweat. Because sweat glands are not muscle fibres and do not regenerate their receptor apparatus as quickly, the duration of effect in hyperhidrosis is considerably longer…
At Estetické centrum Praha MUDr. Renata Handlová begins the procedure with a contact starch-iodine test: the underarm is dried, painted with iodine solution and then dusted with starch. Where sweat is actively produced, the iodine-starch combination turns a characteristic dark blue-black, generating a map of the most active secreting zones. This map guides the injection grid, ensuring that the botulinum toxin is deposited at each active gland cluster…
Good to know
- Indication
- Primary axillary hyperhidrosis (excessive sweating)
- Pre-test
- Starch-iodine map for precise gland targeting
- Duration of effect
- 7–12 months (longer than facial applications)
- Both underarms
- Yes — price covers bilateral treatment
Who is this for?
Adults with primary axillary hyperhidrosis (excessive underarm sweating) that is not adequately controlled by prescription antiperspirants
Preparation required
Shave the underarms 24–48 hours before (not immediately before to avoid skin irritation). Do not apply deodorant or antiperspirant on the day of treatment. Wear a loose top for comfort during and after the procedure.
About the clinic
Reviews, team and credentials
Independent review links and clinic-reported team information.
70 clinic reviews
From independent platforms
Clinical team
Estetické centrum Praha is founded and solely operated by MUDr. Renata Handlová. She graduated from the Faculty of General Medicine, Charles University Prague in 1986. Until 1994 she worked at the I. Eye Clinic of the General Teaching Hospital (Prague 2), followed by a period as an ophthalmologist at Královské Vinohrady Teaching Hospital. Since 1998 she has practised aesthetic dermatology as a supplementary…
Languages: Czech
What clients say
"Excellent doctor, extremely precise and knowledgeable. I have been coming for botulotoxin for years and the results are always natural. — Google review"
"Professional approach, clean clinic, very satisfied with the results of my filler treatment. The doctor explains everything thoroughly. — Google review"
Treatment highlights
- Starch-iodine contact test to map active sweat-gland zones
- Botulinum toxin injection into the axillary (underarm) sweat glands
+2 more items in What's included
From 12,000 Kč for both underarms. Effect lasts 7–12 months in sweat-gland applications — significantly longer than the 3–4 months seen in facial muscle treatments. Call +420 775 077 055 to arrange a consultation.