Botulinum Toxin — Excessive Sweating (Hyperhidrosis)

Botulinum toxin injections for axillary hyperhidrosis (excessive underarm sweating), administered by MUDr. Natálie Kaplanová at MEDIKAP Pardubice. The toxin is delivered via multiple fine needle injections along each axilla, blocking the nerve signals that stimulate eccrine sweat glands. Both armpits are treated in one appointment for a single fee of 9 200 Kč. The effect lasts 6–12 months — significantly longer than the 3–6 months seen with cosmetic facial use — because eccrine glands respond differently to the toxin than striated muscles do. Patients report a marked reduction in sweating and an improvement in quality of life, particularly for social and professional situations.

Axillary hyperhidrosis — excessive sweating of the armpits — affects quality of life for a significant proportion of adults, causing clothing staining, social anxiety, and discomfort that topical products cannot adequately manage. At MEDIKAP Pardubice, MUDr. Natálie Kaplanová offers botulinum toxin injections as a proven, minimally invasive solution. The mechanism differs from wrinkle treatment: rather than relaxing a striated muscle, the toxin here blocks cholinergic nerve terminals supplying the eccrine sweat glands in the dermis. The Minor starch-iodine test can be used during assessment to map the active sweating zones and identify the precise injection pattern needed for each patient's anatomy. The procedure covers both armpits in a single session priced at 9 200 Kč total. The skin is cleaned, and a topical anaesthetic cream (EMLA) may be applied for comfort. Each axilla receives a grid of approximately 10–20 small intradermal injections spaced 1–2 cm apart. The procedure takes around 20–30 minutes for both sides. Minimal discomfort is associated with each injection; patients typically describe a brief sting. There is no downtime — normal activity can resume immediately, although vigorous exercise is best avoided for 24 hours. The compensatory increase in sweating elsewhere (a concern sometimes raised) is not typically observed with axillary-limited treatment. Results become apparent within 1–2 weeks and typically last 6–12 months. Most patients return once a year for maintenance. The longer duration compared with facial botox reflects the slower turnover of cholinergic synaptic connections in sweat gland innervation. This treatment is suitable for adults with clinically significant axillary hyperhidrosis. Contraindications include pregnancy, neuromuscular junction disorders, and known hypersensitivity to botulinum toxin. Patients with secondary hyperhidrosis (caused by an underlying condition such as hyperthyroidism or infection) should address the root cause first.