Hyperhidrosis Treatment (Botox)

Hyperhidrosis treatment at SKIN CARE Liberec uses botulinum toxin injections to block the nerve signals that activate eccrine sweat glands, eliminating excessive sweating in the armpits, palms, or soles for a minimum of six months. The physician injects small doses of BTX into a grid of points across the target area after applying numbing cream. The protein binds to the nerve terminals innervating the sweat glands and prevents acetylcholine release — the neurotransmitter that triggers sweating. The effect begins within two to ten days as the nerve-gland communication progressively ceases. Normal sweating elsewhere in the body continues unaffected; only the treated area is impacted. The treatment is particularly useful for patients whose sweating does not respond adequately to clinical-strength antiperspirants. Pricing from 12,500 Kč.

Primary hyperhidrosis — excessive sweating not caused by heat, exercise, or systemic conditions — affects approximately 2–3% of the population and can have significant impacts on social confidence, work situations, and quality of life. The most common locations are axillary (armpits), palmar (palms), and plantar (soles), which are exactly the three zones treated at SKIN CARE Liberec. The treatment mechanism is the same as cosmetic botulinum toxin but applied to a different end: rather than relaxing a mimetic muscle, the BTX here blocks the cholinergic nerve fibres that innervate eccrine sweat glands. Eccrine glands — the glands responsible for thermoregulatory sweat — are activated by acetylcholine released from sympathetic nerve terminals. BTX binds irreversibly to the nerve terminal and prevents acetylcholine vesicle fusion, halting the sweat-gland activation signal. Because the treatment is local to the injected zone, sweating in the rest of the body is entirely unaffected; the thermoregulatory system compensates seamlessly. At SKIN CARE Liberec, numbing cream is applied 30 minutes before the session to the treatment area. For axillary hyperhidrosis, the physician marks an injection grid across the armpit, then places multiple small-volume injections systematically at equal spacing to ensure even gland coverage. Palmar treatment requires attention to nerve anatomy to avoid any transient finger weakness — a known but temporary side effect when BTX migrates to motor nerves in the palm. The session takes approximately 20 minutes. Effect onset is two to ten days, with the minimum six-month duration being well-established in clinical data. Many patients achieve eight or more months. The treatment can be repeated indefinitely. Contraindications include pregnancy and breastfeeding. Post-treatment instructions: no massaging the treated area, no antiperspirant immediately after, shave armpits only after 72 hours.