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Excessive Sweating Treatment
with Botox Injections

Improving Confidence & Daily Life Quality

Botox for Hyperhidrosis

Excessive sweating may not be harmful in any way, but it’s a common cause for embarrassment and concerning at the very least – look at the number of deodorants in the shelves at Tesco (UK Department Store)! It’s true, “hyperhidrosis” is something that many people put up with from a very young age and never really acknowledge until they reach the point of despair or even depression. Over the counter, deodorants combat normal routine sweating and not excessive sweating. Botox excessive sweating injections can treat specific areas prone to sweat profusely.

Treatment Summary

  • Anaesthetic Icon



  • Treatment Results

    Results | Duration

    2-3 Weeks | 4-6 Months

  • Treatment Procedure Time

    Procedure Time

    20 Minutes

  • Treatment Risk and Complications

    Risk & Complicationss

    Allergic reactions

  • Full recovery from treatment

    Full Recovery

    No Downtime

  • Back to Work from Treatment

    Back To Work


Hyperhidrosis is when sweating occurs for no physiological reason. Sweat is the body’s temperature control method. In hyperhidrosis, the sweat is not reducing the body’s temperature as it is technically a malfunction of the electrical impulse to the sweat glands of a particular region. Hence, this answers a common question people having treatment ask us that does reduce sweat affect their body temperature? The answer is no because there are plenty of other sweat glands that can regulate body temperature.

Studies show how this disorder affects up to 3% of the population, and the excessive sweating of the forehead & scalp is a particular frustration for males who might be balding. What’s more, hyperhidrosis is often said to be something that manifests during school days and then carries into a person’s adulthood. There are decades in life when it seems to be better or worse.

Excessive sweating forces individuals to change their lifestyle from clothing to behaviours, such as shaking hands. Hence, we offer the best-recommended; botox excessive sweating injections at our specialised hyperhidrosis clinics, so that you can gain control over your sweating and start living a confident life.

At the same time, this is an issue that impacts both males and females with sweaty palms, feet or underarms just a few examples that stand out. Either way, it’s a common disorder and unlikely to go away until certain products, medication or treatments are used to combat and alleviate the condition.

But what causes this excessive sweating in the first place? Let’s take a closer look at this common disorder and how to stop excessive sweating:

What Causes Hyperhidrosis and How to Stop Excessive Sweating?

Sweat helps to regulate body temperature and most often, there is nothing wrong or harmful about sweating. General body excessive sweating occurs due to general systemic conditions such as thyroid or other hormonal imbalance. Focal excessive sweating usually occurs due to overactivity of the nerves supplying that region. More specifically, the sympathetic nervous system is responsible. The sympathetic nervous system controls the automatic functions of the body, like temperature control and heart rate. These nerves are existent throughout the body. In some places, the nerves trigger off accidentally to even a smaller trigger such as normal anxiety such as meeting new people or when giving a presentation.

Botox excessive sweating treatment for feet

A trigger factor will cause activation of the sympathetic system everywhere in the body. Hence, your heart rate may increase slightly in these situations. However, where the nerves are "hyper" the trigger causes excessive stimulation of the nerve and hence sweating in those areas becomes extreme and out of control. The same process goes for blushing in the face, and therefore the same treatment can work for blushing, i.e. botox is used for facial and neck blushing. Compensatory sweating, gustatory sweating can also be treated with botox (see botulinum toxin below)

CosmeDocs is one of the very first clinic for hyperhidrosis in London treatments for excessive sweating using botox (botulinum toxin) for standard and complex areas such as facial sweating.

We are a proud member of the International Society for Hyperhidrosis.
Reference 1 | Reference 2

Hyperhidrosis Disease Severity Scale (HDSS)

It is a point scale which set certain benchmarks to rate the severity of a patient’s condition. It evaluates how much the problem of excessive sweating is interfering with the daily working routine and activities of the patient.

Hyperhidrosis Disease Severity Scale (HDSS) Score
My sweating is never noticeable and never interferes with my daily activities. 1
My sweating is tolerable but sometimes interferes with my daily activities. 2
My sweating is barely tolerable and frequently interferes with my daily activities. 3
My sweating is intolerable and always interferes with my daily activities. 4

Generally, there are two different types of excessive sweating.

1- Focal or Primary Hyperhidrosis

The cause of Excessive sweating is not an underlying medical condition. Instead, it is idiopathic (spontaneous occurrence) which equally affects both sides of the body. It affects specific areas of the body more than others such as underarms, face, palms of hands and feet sole, which sweat heavily than average.

Reasons of Focal Hyperhidrosis

  • Primary Idiopathic Hyperhidrosis
  • Gustatory Sweating [Frey’s Syndrome]
  • Certain Neurologic Issues [Neuropathies and Spinal Injury]

2- Generalized or secondary hyperhidrosis

The cause of excessive sweating is the underlying medical conditions or its side effects. It affects the complete body instead of some specific body areas.

Reasons of Generalized Hyperhidrosis

  • Cardiovascular Disorders [Shock, Heart Failure]
  • Toxicity [Alcoholism, Substance Abuse]
  • Malignant Disease [Hodgkin’s Disease, Myeloprofilerative Disorders]
  • Neurologic [Cerebrovascular Accident, Parkinson’s Disease, Spinal Cord Injury]
  • Endocrine [Acromegaly, Carcinoid Syndrome, Diabetes Mellitus, Hyperthryoidism, Hyperpituitarism, Menopause, Pheochromocytoma, and Pregnancy] Infection
  • Respiratory Failure
  • Drugs [Fluoxetine, Venlafaxine, Doxepin]
  • Over-the-Counter Deodorant As you know, there is a very distinct difference between deodorant and antiperspirant. While deodorant blocks underarm bacteria proliferation, the latter is known to seal off sweat glands to keep the armpits dry.

    Deodorant is probably the most common solution in terms of how to stop excessive sweating and aside from the fact that there is no proven health risk to over-the-counter antiperspirant.
  • Strong Roll-OnAs you might expect, night roll-on is another popular choice for those with excessive sweating under the arms. However, while this can certainly do the trick, the effect of roll-on doesn’t last very long and can irritate the skin later on. Commonly used ingredients in these include aluminium chloride. Popular brands include perspirex and driclor however, skin irritation is likey.
  • Iontophoresis You might have trouble pronouncing the word, and this is an equally cumbersome way to treat excessive sweating in hands and feet. Put, Iontophoresis is a process that sends a very mild electrical current through the surface of the skin. In most cases, this will involve placing the hands or feet in a shallow pan of water before transmitting the current through the water.
  • Oral Medication (Glycopyrrolate)Glycopyrrolate is a medication that doctors often prescribe for various conditions, including abdominal pain and peptic ulcers. This medication can indeed have some uncomfortable side effects including anxiety, dry mount and headaches but the drug is sometimes a fast-track solution for excessive sweating.
  • Botulinum Toxin (Botox / Azzalure / Dysport) Did you also know that botox can combat excessive sweating? As this drug is a nerve blocker, it blocks the signals to the sweat gland. The effect usually lasts 4-7 months, and many complicated areas such as facial sweating are treatable. We have experience in treating the whole scalp, palms as well as feet even. In London, we have been performing treatments with botox since 2007.

    What’s more, these injections are entirely safe and cause minimal discomfort to the person receiving them.

    There are still potential side effects such as pain, headache and flu-like symptoms but the associated risks are much lower with botox than almost any other treatment. Other side effects of botox are dependent on where the botox injections take place. For palmer hyperhidrosis, muscle weakness in the hand is common leading to awkward buttoning your shirt movement for a few weeks, which most clients do report us but doesn't prevent repeating the treatment. For facial sweating injections, smile asymmetry can occur. The underarms, fortunately, don’t have any small muscles that can be affected similarly.
  • Endoscopic Thoracic Sympathectomy (ETS)Although ETS combats excessive sweating, this “minimally invasive procedure” is no longer a good option due to the number of potential side effects. Dry facial skin, decreased heart rate, and compensatory sweating are common side effects for patients who undergo this treatment.

    The author of a popularsweat blog (Yes, there is such a thing) refers to ETS as“the biggest mistake of my life” and to be honest; compensatory sweating is now a common issue that needs to be treated by specialists.

    In case you might be asking yourself, ETS involves giving the patient a series of tiny injections to clamp or cur the sympathetic chain that causes excessive nerve activity.
  • Neurolinguistic Programming (NLP)For many people, NLP can seem like a very unusual or unorthodox treatment for excessive sweating. Though physiological reasons tend to be the cause of this sweating increased anxiety is likely to increase the amount of sweat and compound any issue that a person might be having with hyperhidrosis. For this reason, NLP is sometimes combined with hypnotherapy to dissect and alleviate this increased anxiety state which inevitably reduces the likelihood of excessive sweating. Although every circumstance is different, patients can benefit greatly from as little as two or three NLP sessions, and the results tend to last for a long time after treatment.

The benefits of botox excessive sweating treatment

There are numerous benefits which are associated with the non-surgical hyperhidrosis treatment.

  • Small and limited incisions
  • Low pain level
  • Speedy recovery time
  • Fast and quick return to the daily routine activities

The side effects of excessive sweating treatments

There is no procedure which does not involve any side effects or risk factors. A significant side effect of surgery can be excessive compensatory sweating; in other body areas that used to be sweating free. It can occur in 70% of the patients treated with Thoracoscopic treatment, but it can be well-tolerated.

Botox excessive sweating treatment effect fades away in 4-9 months, depending on the individual. It can cause the swelling and bruising at the injection site, and flu-like allergy after the injections which are temporary and goes away in a few days or week. Temporary muscle weakness can occur in areas such as palm treatment.

Other treatments might cause, dryness of mouth, soreness of throat and mouth, inflammation or skin irritation at the site of the procedure.

The treatments for facial and underarms are minimally painful and can be well-tolerated because we make use of very fine needles called the invisible needle. The injections are a superficial and quick time of treatment ensures discomfort is minimum. The palms of hands and feet soles are relatively sensitive.

For the underarms treatment, 100-150 units of botox are used on average. The amount of Botox varies between men and women because men’s underarm area is larger than women. After the completion of treatment, we offer complimentary top up appointments to some people to treat their any residual excessive sweating problems. It is important to note that, the mentioned doses causes approximately 70% -80% reductions in your sweating.

This is quite a common question because people often have fear for the number of injections and the discomfort which they might feel as a result of treatment. Injections are generally injected at a distance of 1-2cm apart covering the entire effected area. So the number of injections mainly depends upon the area of treatment.

The sweat glands are basically located between the dermis and the layer of subcutaneous fat i.e. between the skin and underlying layer of fats. Low dose injection are superficially placed, which generally leave behind a temporary visible wheal (bleb), which instantly settles down.

There is a possibility that it relaxes some of the other muscle partially as well such as forehead muscles which gives an additional benefit to such people because it soften the fine lines and wrinkles, naturally.

While treating the problem of sweating in palms, there is a probability of weakness in the fingers or hand muscles but it is usually temporary and for short time. The permanent weakness of muscles is a rare possibility in treating the hyperhidrosis in underarms.

It is a relatively safe treatment for excessive sweating. There can be small bruises and swelling in the treated area which vanish within few days. You might also feel muscle weakness around the injected area but these symptoms also go away in a week or two and do not affect the normal daily routine life.

As mentioned earlier, there is minimal pain and discomfort after the treatment. there might be minor swelling and bruising in the treated area but will disappear in few days.

The botox treatment for hyperhidrosis lasts for about 6 months then you again need to undertake the botox treatment for excessive sweating.

The price of the hyperhidrosis treatment varies with the type of treatment you choose and the area of treatment for the excessive sweating problem. The price starts from £250. You can check our price tab to get complete information about hyperhidrosis treatment prices.

The amount of Botox varies between men and women because men’s underarm area is generally larger than women. After the completion of treatment, we offer complimentary follow-up appointments. It is important to note that the treatment results in approximately 70% -80% reductions in excessive sweating and not normal sweating.


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