Hyperhidrosis Treatment (Botulinum Toxin for Excessive Sweating)
Type
Botox & Fillers
Duration
30 min
What's included
4 deliverables in this treatment
- Pre-treatment assessment of sweating pattern and area mapping
- Grid-pattern botulinum toxin injections across the hyperhidrotic zone
- Topical anaesthetic application for sensitive areas (palms/soles)
- Post-treatment guidance on activity restrictions and expected timeline
Botulinum toxin injected directly into sweat-gland-rich areas blocks the nerve signals that trigger excessive perspiration, offering 6–12 months of relief from hyperhidrosis (excessive sweating). Eva Clinic treats underarms, palms, and soles using a grid injection technique that distributes the toxin evenly across the target zone. Unlike prescription antiperspirants or oral medication, this approach acts locally on the eccrine sweat glands without systemic effects. MUDr. Chovančíková has been performing this procedure since 2009; results typically appear within days and last considerably longer than anti-wrinkle botulinum toxin due to the slower turnover of sweat gland nerve endings.
About this treatment
Hyperhidrosis — medically defined as sweating beyond what is physiologically necessary for thermoregulation — affects an estimated 2–3% of the population and can profoundly affect quality of life, causing social anxiety, clothing damage, and occupational interference. At Eva Clinic in Hradec Králové, MUDr. Chovančíková treats primary focal hyperhidrosis using botulinum toxin injections, a technique with robust clinical evidence and a well-established…
The mechanism: eccrine sweat glands are innervated by sympathetic cholinergic nerve fibres that release acetylcholine to stimulate secretion. Botulinum toxin injected intradermally blocks this acetylcholine release at the gland level, halting local sweat production. Unlike whole-body sweating, this effect is localised — other areas compensate minimally, and normal thermoregulation is preserved.
The treatment session begins with identification of the hyperhidrotic zone using a starch-iodine (Minor's) test if needed, then a topical anaesthetic is applied for 30 minutes prior to injections in sensitive areas (palms, soles). MUDr. Chovančíková uses a grid-marking technique to ensure uniform distribution across the treatment area, typically placing injection points every 1–2 cm. For underarm treatment, between 15 and 25 injection points are placed…
Good to know
- Duration
- 20–30 minutes
- Longevity
- 6–12 months
- Downtime
- None
- Areas treated
- Underarms, palms, soles
Who is this for?
Primary focal hyperhidrosis unresponsive to antiperspirants; social or occupational impact from excessive underarm, palm, or sole sweating
Preparation required
Shave underarms 2 days before (not on the day of treatment). Do not apply antiperspirant or deodorant on the day. Avoid aspirin and ibuprofen for 5–7 days before treatment to reduce bruising.
About the clinic
Reviews, team and credentials
Independent review links and clinic-reported team information.
Clinical team
The clinic is founded and led by MUDr. Eva Chovančíková, a specialist in aesthetic medicine with over 15 years of clinical practice. MUDr. Chovančíková holds certifications in laser medicine, injectable aesthetics, and non-invasive body contouring, and completed advanced training in Fotona laser systems including the 4D Lifting and IncontiLase/Intimalase protocols. Her practice philosophy emphasises comprehensive…
Languages: Czech
Treatment highlights
- Pre-treatment assessment of sweating pattern and area mapping
- Grid-pattern botulinum toxin injections across the hyperhidrotic zone
+2 more items in What's included
From 10 000 Kč per treated area (e.g. underarms). Ceník also lists from 12 000 Kč per area for some zones. Results last 6–12 months — significantly longer per-treatment cost compared to topical antiperspirants.