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Reception area — Klinika Kasiopea, Palác Paukert, Prague
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Upper eyelid surgery — women
Upper eyelid surgery — men

Hyperhidrosis Treatment — Excessive Sweating (Dysport)

Type

Botox & Fillers

Duration

30 min

What's included

4 deliverables in this treatment

  • Starch-iodine mapping of active sweat zones (axillary treatment)
  • Dysport injections in a grid pattern across treatment area
  • Post-treatment care instructions
  • No dressings, no recovery period required

Excessive underarm, palm or foot sweating (hyperhidrosis) that is embarrassing or socially limiting can be effectively controlled for eight to twelve months with Dysport injections at Klinika Kasiopea. MUDr. Bittner injects multiple small doses of Dysport (botulinum toxin type A) into the sweat glands of the treated area — blocking the nerve signal that triggers excessive sweat production without affecting the surrounding skin, sensation or thermoregulation. The outpatient procedure takes under 30 minutes, requires no anaesthesia and produces no scarring. Effects begin within a few days and are fully established within one week, with a single treatment controlling sweating for eight to twelve months.

About this treatment

Hyperhidrosis — primary focal hyperhidrosis — is a recognised medical condition characterised by sweating that exceeds the body's thermoregulatory needs. Affecting approximately 2–3% of the population, it occurs most commonly in the axillae (underarms), palmar surfaces (palms) and plantar surfaces (soles), and is driven by overactivation of eccrine sweat glands by the sympathetic nervous system. For many sufferers, the condition is significantly…

At Klinika Kasiopea, hyperhidrosis is treated with Dysport — abobotulinumtoxinA, a botulinum toxin type A preparation with a slightly wider diffusion radius than Botox, which makes it particularly efficient for covering the distributed gland field of the axilla or palm. Dysport blocks the release of acetylcholine at the sympathetic nerve-gland junction, effectively silencing the sweat gland's ability to secrete. Crucially, only the eccrine glands…

The injection procedure at the clinic is brief and well tolerated. For axillary treatment, the skin of the underarm is cleansed and the treatment field is mapped using a starch-iodine test (minor test) to identify the most active sweating zones, then Dysport is delivered in a grid pattern of 10–20 injections per axilla using fine-gauge needles. The procedure takes 15–25 minutes for both axillae. Palm and sole treatment follows the same grid approach with…

Good to know

Product
Dysport (abobotulinumtoxinA)
Areas treated
Underarms, palms, soles — priced separately
Effect onset
Within days; full effect at 1 week
Duration
8–12 months

Who is this for?

Primary axillary, palmar or plantar hyperhidrosis; patients for whom antiperspirants and other treatments have failed

Preparation required

Avoid shaving the underarm area 3 days before axillary treatment. Arrive without deodorant or antiperspirant. No special preparation for palmar treatment.

About the clinic

Reviews, team and credentials

Independent review links and clinic-reported team information.

4.5

8 clinic reviews

From independent platforms

Clinical team

Klinika Kasiopea is staffed by three physicians. MUDr. Petr Vondra is the leading plastic surgeon, specialising in eyelid surgery (blepharoplasty), autologous fat transfer to the face, hands and décolletage, and carpal tunnel decompression. MUDr. Ondřej Brychcí is a plastic surgeon with particular expertise in Body Jet water-jet-assisted liposuction and fat-transfer breast augmentation — a combination procedure that…

Languages: Czech, English, German, Italian, Ukrainian

What clients say

"{"author":"Jaroslav Brousil","location":"Prague","text":"I had upper eyelid surgery at Klinika Kasiopea and the result was exactly what I hoped for. The approach was professional throughout — from the initial consultation to the post-operative follow-up.","treatment":"Upper eyelid blepharoplasty"}"

"{"author":"Monika Schneider","location":"Vienna","text":"I travelled from Vienna for breast augmentation with my own fat. Dr. Brychcí explained everything clearly and the result after three months is natural and exactly the size I wanted. I would recommend Klinika Kasiopea without..."

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