Excessive sweating responds well to the same injection family used for facial lines, and it changes quality of life.
Hyperhidrosis, excessive sweating, is one of the most quality-of-life-affecting conditions that we treat. Many clients have lived with it for years before realising there is a clinical solution. The treatment is well established and the results are striking.
What the treatment does. The same injection family used for facial lines is administered into the dermis of the affected area, blocking the nerve signals that activate sweat glands. Sweating in the treated area reduces dramatically, with the effect typically holding for around six to nine months.
Where we treat. The underarms, by far the most common request. The palms, where excessive sweating affects writing, gripping, and social comfort. The soles, where it affects shoes and gait. The face and scalp, where it affects daily presentation.
The session. Around 30 minutes for the underarms, slightly longer for palms and soles. Multiple small injection points across the treatment area. The needle is fine and the depth is shallow, so the discomfort is modest. We use topical numbing cream and ice for palm and sole treatments, where the skin is more sensitive.
What to expect. The effect begins within 3 to 7 days and is typically full by 14 days. The reduction lasts six to nine months, sometimes longer. Most clients book twice yearly for sustained control.
Practical effects. Clients consistently describe the change as transformative. No longer planning outfits around sweat visibility. No longer avoiding handshakes. No longer changing shirts multiple times a day. The quality-of-life improvement is genuinely meaningful.
What it does not do. It does not affect the sweat glands in other parts of the body, the body's overall ability to thermoregulate is unaffected. It does not cause compensatory sweating elsewhere, despite a common concern about this. The body is not compensating for missing sweat from a small treated area.
Who should consider it. Anyone whose sweating affects their daily life. The threshold for considering treatment is not "diagnosed hyperhidrosis," it is "this is bothering me." If you are reading this article and recognising the description, the consultation is worth having.