Hyperhidrosis Treatment (Botulinum Toxin for Sweating)

Excessive sweating in defined areas such as the underarms, palms, forehead or scalp can be treated with small intradermal injections of botulinum toxin. The toxin temporarily interrupts the chemical signal between nerves and the eccrine sweat glands in the treated zone, which is commonly associated with a substantial reduction in local sweat production while the rest of the body continues to thermoregulate normally.

At Rivendell Clinic a physician first maps the area to be treated and may use a simple starch-iodine guide to highlight the most active regions. A grid of fine injections is then placed just under the skin; the underarms usually take a single ampoule, while larger or paired areas may need two. The procedure itself takes around twenty to thirty minutes, with little downtime beyond possible minor tenderness or small marks. The effect typically begins within…