Excessive Sweating Treatment (Botulinum Toxin)

Botulinum toxin injected into the skin to reduce excessive, socially troubling sweating of the underarms, palms or soles. The toxin temporarily blocks the nerve signals that activate the sweat glands in the treated area, which is associated with markedly drier skin for several months. At Medeste Clinic the treatment is a straightforward in-clinic procedure for people whose sweating is not controlled by antiperspirants.

Excessive sweating, or hyperhidrosis, can affect the underarms, palms and soles out of proportion to temperature or activity and is often distressing socially and professionally. Botulinum toxin offers an effective non-surgical option: injected in a grid of small, shallow doses across the affected area, it temporarily blocks the chemical messenger that tells the local sweat glands to produce sweat, which is associated with a substantial reduction in sweating in the treated zone. At Medeste Clinic the area is mapped and, for sensitive sites such as the palms and soles, numbing is used to improve comfort before a series of fine injections is given; the appointment takes around twenty to thirty minutes. There is little downtime, with only minor redness or tenderness at the injection points. The effect is not immediate — sweating typically reduces over several days — and once established it commonly lasts in the region of four to six months or longer before the glands gradually recover and a repeat treatment is considered. Underarm treatment is the most straightforward, while palms and soles are more sensitive and very occasionally produce temporary, mild local weakness of small muscles in the hand. Hyperhidrosis treatment suits adults whose sweating is not adequately controlled by strong antiperspirants; the physician confirms suitability and reviews contraindications, and it is avoided during pregnancy and breastfeeding.