At work, during sports, or in everyday social situations — excessive sweating can cause significant discomfort. Whether you have diagnosed hyperhidrosis, experience stress-related sweating in tense situations, or simply sweat heavily, you’ve likely encountered the limits of cosmetic antiperspirants.
Today, botulinum toxin treatment is considered the gold standard for managing this unpleasant symptom of overactive sweat glands — something that cannot be controlled by willpower alone, no matter how hard you try. The effects become noticeable within just a few days and last for several months. The procedure itself is quick, safe, minimally invasive, and requires virtually no downtime, allowing you to return to your normal routine immediately.
Which Areas Can Be Treated with Botulinum Toxin for Excessive Sweating?
Overactive sweat glands often affect specific areas of the body. Factors such as stress, lifestyle, or individual predisposition may contribute to increased perspiration. Fortunately, botulinum toxin can be used in virtually any area where sweating causes discomfort. The most commonly treated areas include:
- underarms
- palms
- soles of the feet
- décolletage area
- forehead and scalp
- back and chest
- and other problematic areas according to your individual needs.
How Botulinum Toxin Helps Control Sweating?
Botulinum toxin is well known as a substance effectively used to reduce mimic wrinkles, and this is its most common application at our clinic. It is a naturally derived neurotoxin that blocks nerve signals between the brain and either muscles or glands — and it is this mechanism that helps with excessive sweating.
When precisely injected into the targeted area, botulinum toxin temporarily blocks the nerve impulses that stimulate sweat glands, thereby significantly reducing sweating in the treated area.
How Long Do the Effects of Botulinum Toxin Last?
The effect develops gradually over several days. Sweat production in the treated area is reduced by approximately 80%, and in some cases may stop completely. The results typically last between 7 and 12 months, after which sweat gland activity gradually returns and the treatment can be repeated.
Treat Sweating with Botulinum Toxin
How Botulinum Toxin Treatment Is Performed
The procedure is carried out by a physician using a very fine needle and a series of small injections. The treatment itself is almost painless, as a topical anesthetic cream is applied to the area beforehand. After the injections, the skin is gently disinfected, and you can return to your daily activities immediately without any special restrictions.
A Clinically Proven Solution for Excessive Sweating
There is no need to worry that reducing sweating could negatively affect your health. Sweating primarily serves two functions — thermoregulation and the elimination of metabolic waste. Both of these functions remain fully intact.
How is this possible? The skin has a very large surface area — in adults approximately 1.5 to 2 square meters — so the body easily redistributes cooling across the remaining untreated areas. While sweating is reduced or temporarily stopped in the treated region, you will still sweat normally elsewhere, just in a more balanced and less bothersome way. In addition, sweating is only one of several ways the body eliminates waste substances.
This method of sweat reduction has been used for over 20 years and is widely approved in medical practice as both effective and safe. It is essential that the procedure is performed by a qualified physician, as precise injection technique and correct dosing are key to achieving a safe and optimal result.
- Avoid alcohol and blood-thinning medications 24 hours before and after the procedure.
- For 4–6 hours after the treatment, do not touch or massage the treated area.
- For 1–2 days after the procedure, avoid intense exercise, sauna, tanning beds, and swimming in public pools.
- For underarm treatments, we recommend avoiding deodorant or antiperspirant for 24 hours.
- Before the botulinum toxin treatment, your physician will review all instructions with you once again.
Botulinum toxin should not be administered to pregnant or breastfeeding women, individuals with neuromuscular disorders (such as myasthenia gravis), or those with hypersensitivity to any component of the product. It is also not recommended in the presence of any active infection (including everything from a mild cold to active cold sores or canker sores).
On the day of treatment, blood-thinning medications (e.g., warfarin, aspirin/Acylpyrin) should be avoided when medically possible.
Patients who have previously suffered from botulism may develop resistance to botulinum toxin, meaning the treatment may not be effective.
FAQ – Frequently Asked Questions
In most clients, sweating is reduced by around 80%, and in some cases it may stop completely.
The ideal time for treatment is when the body is not exposed to high temperatures. We recommend autumn, winter, or spring.
Yes, the treatment is considered safe. Botulinum toxin works locally in the treated area only and does not affect the body’s overall ability to regulate temperature or eliminate waste.
Usually once or twice a year, depending on how quickly sweat gland activity returns in each individual.
Yes, the procedure requires virtually no downtime.
Price list
| Botulinum toxin | Price |
|---|---|
| Initial examination (paid only on the 1st visit) | 500 CZK |
| Treatment of excessive perspiration | 6,300 - 7,300 CZK |
