Excessive Sweating Treatment (Botulinum Toxin)

Botulinum toxin treatment for excessive sweating (hyperhidrosis) of the underarms or palms at My Best Care. A grid of micro-injections blocks the nerve signal to overactive sweat glands, typically reducing sweating dramatically within one week and lasting 6–9 months or longer — a clinically established option when antiperspirants fail.

Focal hyperhidrosis — excessive sweating of the underarms or palms beyond what temperature regulation requires — affects work, social confidence and clothing choices daily. When clinical-strength antiperspirants fail, intradermal botulinum toxin is the established next-line treatment. **How it works:** Sweat glands are activated by the same neurotransmitter (acetylcholine) that botulinum toxin blocks at muscle endings. A grid of superficial micro-injections across the treated area switches off the local sweat glands while leaving the body's overall thermoregulation unaffected — the skin elsewhere compensates without noticeable change. **The session:** The area may be mapped (iodine-starch test) to localise the most active zones. Underarm treatment is quick and only mildly uncomfortable; palms are more sensitive and treated with cooling or topical anaesthesia. The whole visit takes 30–45 minutes with no downtime. **Results:** Sweating drops markedly within 4–7 days, with full effect at two weeks. Duration is typically 6–9 months for underarms (often longer with repeat treatments) and somewhat shorter for palms. Patients commonly describe the result as life-changing during summer months — and the treatment can simply be repeated when the effect tapers. **At My Best Care:** Performed by the physician-led aesthetic medicine team at both Prague branches, with a promotional price of 8,990 Kč for both underarms running to 30.6.2026 (standard 15,990 Kč).