Hyperhidrosis
Excessive sweating stopped at the gland.
Hyperhidrosis is sweating well beyond thermoregulatory need, most commonly of the underarms, palms, soles or face. It is a genuine medical condition with a marked effect on work, clothing and social confidence.
- None
- Downtime
- 3–7 days
- Onset
- 6–9 mo
- Duration
- Topical
- Anaesthesia
- Neuromodulator injection
- Prescription aluminium chloride
- Starch-iodine mapping
- Iontophoresis
Diagnosed first, treated second.
Treatment is highly effective and graded: prescription antiperspirants first, then neuromodulator injections that block the nerve signal to the sweat glands for six to nine months at a time.
- 01Neuromodulator injection
- 02Prescription aluminium chloride
- 03Starch-iodine mapping
- 04Iontophoresis
- 05Oral anticholinergic therapy
- Sweating through clothing daily
- Damp palms affecting work or handshakes
- Sweating unrelated to heat or exertion
- Antiperspirants no longer effective
- Social or occupational impact
How the treatment works
A sequence, not a single appointment — each step informs the next.
- 01
Assessment
Severity is scored and secondary medical causes excluded.
- 02
Mapping
The starch-iodine test identifies exactly where the active glands sit.
- 03
Injection
Precise intradermal neuromodulator placement across the mapped area.
- 04
Review
Response is assessed at two weeks and the interval planned from there.
Results measured, not promised.
What to expect
- 01Clinical studies report substantial reductions in underarm sweating
- 02Six to nine months per treatment
- 03Clothing staining resolved
- 04Confidence restored at work and socially
- 05Non-surgical options available
Results, treatment timing and recovery vary by diagnosis and individual factors. This page is educational and does not replace a medical consultation or guarantee an outcome. Suitability and alternatives are confirmed during assessment.
Begin with a diagnosis,
not a guess.
Share a few details and the clinic will reply with available consultation times for hyperhidrosis — one-to-one with Dr. Arely.
- Response
- Within 24 hours
- Consultation
- One-to-one, 45 min
- Assessment
- Trichoscopy included
- Location
- Dr. Arely Clinic
Frequently asked
Typically six to nine months in the underarms, slightly less in palms.
Injections are superficial and brief; topical anaesthetic is used for palms and soles.
Meaningful compensatory sweating is not seen with injectable treatment.
Temporary injection-site effects can occur, and treatment of the palms may cause short-lived hand weakness. Suitability and repeat treatment are reviewed individually.