Axillary hyperhidrosis is excessive underarm sweating that occurs beyond what the body needs to regulate temperature. It can happen even when you’re not hot, exercising or feeling stressed, and can have a significant impact on confidence, clothing choices and day to day comfort.

Hyperhidrosis can be effectively treated using botulinum toxin, which temporarily blocks the nerve signals that activate sweat glands. A series of small injections are placed just under the skin across the underarm area, significantly reducing sweating.

Before treatment, I use a simple iodine-starch test (Minor’s test) to identify the areas where sweating is most active. The skin changes colour where excess sweating is occurring, allowing me to map the treatment area accurately and tailor the injections to you.

The appointment usually takes around 45-60 minutes, including assessment and mapping of the treatment area. The injections are very superficial and most people find them quite tolerable. You can return to normal day-to-day activities afterwards, with a few simple aftercare instructions. Results usually begin to develop after a few days and typically last 6 months or more.