Excessive Sweating – Dr Hans Clinics

Excessive Sweating (Hyperhidrosis)

Realistic Solutions That WorkWork

When Sweat Stops Being Normal

Sweating is healthy. It regulates body temperature and protects your skin. But for 1–3% of the population, sweat production goes into overdrive.

Palms dripping before a handshake.
Sweat patches after a short walk.
Feet sliding in shoes.
Underarms ruining clothes.

This is hyperhidrosis — when sweat is produced far more than the body actually needs.

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Why Does It Happen?

Primary hyperhidrosis – overactive sympathetic nerves drive sweat glands (not linked to another illness). Usually starts in childhood/teens.
Secondary hyperhidrosis – due to an underlying condition (thyroid disease, diabetes, menopause, medications). Always needs medical evaluation.

Why the Term “Sweat Control” is Misleading

No treatment removes sweat glands permanently without risks. The aim is to reduce activity, improve comfort, and restore confidence.

Evidence-Based Treatment Options

1. Prescription-Strength Topical Agents

● Aluminium chloride hexahydrate antiperspirants – first-line, effective for mild-moderate sweating.

● Applied at night; can cause irritation.

2. Botulinum Toxin Injections (Underarms, Palms, Soles, Forehead)

● Gold standard for focal hyperhidrosis.

● Blocks nerve signals to sweat glands for 6–9 months.

● Evidence-backed, MHRA-approved.

● Downtime: minimal.

● Pain: tolerable with numbing.

3. Oral Medications (prescribed selectively)

● Anticholinergics (oxybutynin, glycopyrrolate).

● Reduce sweating system-wide but side effects (dry mouth, blurred vision, urinary issues) limit long-term use.

4. Biostimulators (Radiesse, Sculptra, Biofiller/PRF EZ Gel)

● PRF Biofiller / EZ Gel → improves atrophic scars with volume replacement + growth factor release.

● Sculptra / Hyperdilute Radiesse → biostimulatory effect for broad or fibrotic scars.

● Polynucleotides / Growth Factors → stimulate fibroblast activity, improve hydration and skin quality.

5. Energy-Based Devices

● Microwave thermolysis (e.g., miraDry®) – destroys sweat glands; evidence shows long-lasting results but limited availability.

● Laser or RF-based options – variable results; not first line.

6. Supportive Care

● Lifestyle adjustments – breathable fabrics, shoe liners, absorbent powders.

● Referral to dermatology/endocrinology – for secondary hyperhidrosis or resistant cases.

At Dr Hans Clinics

We offer:
● Consultation & diagnostics → to rule out secondary causes.

● Botulinum toxin injections – for axillary, palmar, plantar, or facial hyperhidrosis.

● Referral pathway → to dermatology or surgery for complex cases.

Who Is It For?

● ✅ Adults with disabling sweat despite over-the-counter products.

● ✅ Patients seeking non-surgical, quick relief.

● ❌ Not for those unwilling to repeat treatments (botox wears off).

● ❌ Not for untreated secondary causes (we always check).

Pricing

Packages can be created if multiple sites are treated at once.

Honest Takeaway

Excessive sweating isn’t “just in your head.” It’s a recognised medical condition with real, evidence-based solutions. While no treatment is permanent, modern approaches — especially botulinum toxin — can give back daily comfort and confidence.