How effective is BTX against hyperhidrosis?

Hyperhidrose behandeln München

Even away from the hot summer days, it is normal that we sweat. For example, physical exertion such as carrying heavy things or sporting activity encourage our sweat glands to start working. However, some people sweat a lot regardless of this and even without much exertion. In these cases, hyperhidrosis may be the cause of the heavy sweating. If those affected suffer from it and are ashamed of the large sweat lines that usually form on their clothes, we can use Botox to combat the heavy sweating.

Botox can do more than fight wrinkles

Many people associate Botox with a pure “anti-wrinkle agent” that smooths expression lines and leads to a rejuvenated appearance. But the active ingredient can do even more: in medicine, it has long been used to provide relief for patients with muscle spasms or recurring migraine attacks.

The active principle of Botox is based on the fact that, after injection, it shuts down the transmission of excitation from the nerve to the muscle. The muscle in question is paralyzed. Both medicine and beauty medicine use this effect to relax muscles. In wrinkle treatment, this means that wrinkles are smoothed out, and the pain of muscle spasms or migraine attacks can be treated in many patients as a result.

Botox also relies on this effect to treat hyperhidrosis: it binds to the peripheral nerve endings that use acetylcholine as a transmitter to activate the sweat glands and blocks signal transmission there. This reduces the secretion of the sweat glands and the patient sweats significantly less.

Dr. Tatjana Pavicic

Dr. Tatjana Pavicic is a specialist in dermatology and venereology with her own practice in Munich. She is an internationally recognized expert in aesthetic dermatology with a special focus on dermocosmetics, botulinum toxin, fillers and lasers.

Botox against hyperhidrosis: use for excessive underarm perspiration, sweaty hands and soles of the feet

Botox can help patients affected by severe underarm sweating. In preparation, we draw a grid on the skin marking the entire sweating area. This ensures an even distribution of the active ingredient. Then the Botox is injected into the skin at a specific distance with the finest needles currently available worldwide, almost painlessly, about 20 to 30 times per armpit. There it unfolds its effectiveness, which lasts for about half a year.

In the same way, we can treat excessive sweating on the palms of the hands and the soles of the feet.


Dermatologist Munich: In case of very strong underarm perspiration and constantly moist hands or feet (hyperhidrosis), we can recommend Botox therapy. We can usually achieve very good results with this.

Do you have any questions? Please feel free to contact us!

Foto: © mimagephotography /

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