EXCESSIVE SWEATING OR HYPERHIDROSIS

What is hyperhidrosis ?

Hyperhidrosis, or excessive sweating, is an overproduction of sweat by the sweat glands. This condition often has a social and professional impact.
About 5% of the population is affected. Hyperhidrosis may be generalized or localized to specific areas of the body, such as the hands, armpits and feet. In these cases, it is often bilateral.

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Key Points

Treating excessive sweating with Botox in Geneva 

In cases of excessive sweating, or hyperhidrosis, sweat production is abnormally high. Axillary hyperhidrosis is common, but various parts of the body can be affected, such as the hands, feet and face.
Symptoms include sweaty palms, persistent sweating on the forehead, and sweat stains on clothing, especially under the arms.

People suffering from hyperhidrosis may opt for Botox injections, which are a safe and effective treatment to reduce the symptoms of excessive sweating. The quality of life of affected individuals is improved. Doctor Romano is a member of the International Hyperhidrosis Society and performs hyperhidrosis treatments in Geneva.

What are the symptoms of excessive sweating?

photo symptoms excessive sweating
  • Heavy sweating : sweat production that exceeds the needs of thermoregulation.
  • Affected areas : the most commonly affected regions are the armpits, palms of the hands, soles of the feet and the face. However, any part of the body may be affected. This includes palmar hyperhidrosis, plantar hyperhidrosis, and axillary hyperhidrosis.
  • Constant moisture : a constant feeling of dampness or wetness on the skin, even without physical activity or heat.
  • Sweat stains : frequent appearance of sweat marks on clothing, especially under the arms.
  • Wet hands and feet : hands and feet may be constantly clammy, making it difficult to handle objects or walk.
  • Body odor : although sweat itself is odorless, excessive sweating may cause unpleasant odors due to bacteria on the skin.
  • Skin irritation : the skin can become irritated and macerated due to constant moisture, causing rashes or fungal infections.
  • Impact on daily life : embarrassment, social anxiety, impact on quality of life with limitations in daily and social activities.

These symptoms vary in intensity and may be more or less bothersome depending on the individual.

What causes excessive sweating ?

Sweating is a physiological mechanism necessary for maintaining body temperature. We have around 3 million sweat glands.
Excessive sweating often begins at puberty and can have several causes.

  • Primary hyperhidrosis : this form of excessive sweating appears without any underlying medical cause and is often hereditary. It generally affects specific areas such as the armpits, hands, feet and face.
    It is often triggered by emotional factors or stressful situations.
  • Underlying medical conditions: Hyperhidrosis may be secondary to medical conditions.
    • Endocrine disorders (e.g. hyperthyroidism).
    • Infectious diseases.
    • Neurological disorders.
  • Medication side effects : excessive sweating can be a side effect of certain medications.
  • Environmental factors : excessive heat or high humidity can worsen sweating.


Factors that may trigger a ‘sweating crisis’ include :

  • Stress.
  • Anxiety.
  • Emotional sensitivity.
  • Stimulants : tea, coffee, taurine.

How to stop excessive sweating ?

Treatments for hyperhidrosis include :

  • Surgery.
  • Iontophoresis.
  • Medication (psychotropic drugs).
  • Psychotherapy.
  • Botox injections. Botox injections are a fast and effective solution that does not cause social downtime.

Why treat excessive sweating ?

Treating excessive sweating improves the patient’s physical well-being, emotional health and social life.
In fact, hyperhidrosis can cause significant physical discomfort due to constantly wet clothing and frequent skin irritation. Hyperhidrosis has a significant impact on social and emotional quality of life. Affected individuals may develop social phobia, avoiding interactions and public situations for fear of sweating ‘crises’. This can lead to decreased self-confidence, social isolation and deterioration of mental health.

image excessive perspiration treatment with botox

Botox underarms : Botox treatment for sweating

The principle of Botox injections is to block the nerve stimulation reaching the sweat glands. Doctor Romano is a member of the International Hyperhidrosis Society and follows the guidelines of Swiss scientific societies, a summary of which is available in the Revue Médicale Suisse. Although this injection can be performed on any part of the body, Doctor Romano only uses it to treat excessive sweating on the forehead and underarms. The doctor considers injections in the hands and feet potentially dangerous.

Botulinum toxin injections in the soles of the feet

Botulinum toxin injections on the soles target foot hyperhidrosis by reducing sweat production in this often difficult-to-treat area. This treatment helps reduce discomfort and prevent fungal or bacterial infections related to excessive sweating.

Botulinum toxin injections on the hands

Botulinum toxin injections in the hands are effective in treating excessive sweating of the palms, which can be bothersome in social and professional interactions.

Botulinum toxin injections on the forehead

Botulinum toxin injections on the forehead are used to treat facial hyperhidrosis, particularly excessive sweating of the forehead. By relaxing the sweat glands, this treatment helps control sweat production and improves daily comfort for about 4 to 6 months.

Botulinum toxin injections on the face

Botulinum toxin injections on the face specifically target areas such as the forehead, cheeks and temples, where excessive sweating can be troublesome. They help reduce hyperhidrosis without affecting facial expression. However, diffusion is common, which may cause functional and aesthetic disturbances.

What areas of the body can be treated for excessive sweating with Botox injections ?

Doctor Romano limits the use of Botox to the underarms and does not perform injections on the palms of the hands or soles of the feet.
In fact, using Botox in these areas can cause sensory disturbances that may be bothersome or even dangerous.
Reduced sensitivity in the palms may compromise the ability to safely grasp objects. Reduced sensitivity in the soles of the feet may lead to falls.
Underarm treatment is safe and comfortable.

Contraindications of Botox treatment for excessive sweating

Botox treatment, although generally safe and effective for reducing excessive sweating, has certain contraindications to consider. This treatment is not recommended in the following cases :

  • Pregnancy and breastfeeding.
  • Egg allergy : albumin is present in the preparation of Botox.
  • Infections or lesions at the treatment site.
  • Neuromuscular diseases.
  • Bleeding disorders or use of anticoagulants : this contraindication is relative and should be evaluated on a case-by-case basis.

Indications for Botox treatment of hyperhidrosis

hypersudation treatment with botox

Treatment of hypersudation with Botox is recommended in several situations.

  • Hyperhidrosis symptoms : this technique is particularly suitable for patients with marked symptoms of hyperhidrosis : sweat stains under the arms, clammy hands, and excessive sweating on the face and feet.
  • First-line treatment : for some individuals, Botox may be offered as a first-line treatment due to its proven effectiveness and quick results.
  • Failure of other treatments : Botox is also indicated for patients who have not achieved satisfactory results with other treatments (antiperspirants, medications, behavioural therapies).
  • Quality of life : individuals whose excessive sweating significantly affects their social and professional life may turn to this solution.
  • Safety and tolerance : Botox is a well-tolerated treatment option with minimal side effects, making it a safe method for improving quality of life.

How is Botox injected for excessive sweating ?

Botox treatment for hyperhidrosis is a simple and quick procedure performed in a medical office. The injection process takes about one minute.

Initial consultation
During the first visit, Doctor Romano evaluates the severity of the hyperhidrosis and discusses with the patient to ensure there are no contraindications and to assess the relevance of Botox injections.

Preparation of the area
The area to be treated, often the underarms, is disinfected. A topical anaesthetic or ice may be applied.

Marking
Doctor Romano marks the injection points for an even distribution of Botox. These points are generally spaced 1 to 2 centimetres apart.

Injection
Using a fine needle, Doctor Romano injects small amounts of Botox just under the skin at each marked point.

Number of Botox vials
Two to three vials of Botox are needed to treat both underarms.

Post-treatment
No recovery time is needed; patients can resume their activities immediately after the session.

Are Botox injections for sweating painful ?

Botox injections for sweating may cause some discomfort, but the pain is generally mild. The procedure involves multiple small superficial injections. To reduce discomfort, a topical anaesthetic or an ice pack can be applied before the session. Most patients describe a tingling sensation or slight burning. There is no pain after the injection.

Are Botox injections effective against sweating ?

Yes, Botox injections are very effective in treating excessive sweating, particularly in the underarms. Botox works by blocking the nerve signals that stimulate the sweat glands, thereby reducing sweat production.

How long does it take for Botox to work against underarm hyperhidrosis ?

The effects usually begin to appear a few days after treatment and last for about 6 months. To maintain the results, maintenance sessions are needed once or twice a year.

Results before / after botox injections for excessive sweating

The results of Botox injections for excessive sweating, or hyperhidrosis, are quick.

  • Significant reduction in sweat production.
  • Improved quality of life and daily comfort.
  • Reduced skin irritation and fungal infections caused by moisture.
  • Increased self-confidence in social and professional interactions.
  • Visible reduction of sweat stains on clothing.

Duration of results

The effects of Botox injections are noticeable a few days after the treatment and reach their peak after one week. Results typically last between 4 and 6 months.

What is the price of Botox injections for excessive sweating ?

The price of Botox for excessive sweating mainly depends on the amount of product used.
In general, the cost of Botox treatment for hyperhidrosis ranges between 500 and 850 CHF per session, and one session is often sufficient. A follow-up consultation for a possible free touch-up is scheduled two weeks later. To obtain an exact quote, it is recommended to consult a specialized physician.

Type of consultation Generally practiced rates
Botox for sweating
500 CHF for the 1st vial
350 CHF for each additional vial
One to three vials are required

Reviews on Botox treatment for excessive sweating

Is Botox effective against excessive sweating ? Botox treatment for excessive sweating is well known for its effectiveness and fast results.

  • Effectiveness : many patients notice a significant reduction in sweating within days of the injection.
  • Safety : Botox is a well-tolerated and safe treatment when administered by qualified professionals. Side effects are rare and usually temporary.
  • Comfort : patients report a noticeable improvement in their quality of life. They can wear the clothes they want without worrying about sweat stains or unpleasant odours.
  • Simplicity : the treatment is quick, usually performed in under 30 minutes, and requires no recovery time, allowing patients to resume their normal activities immediately afterward.

How to treat excessive sweating naturally ?

photo stop excessive sweating naturally

Unfortunately, there is no natural method to stop hyperhidrosis. However, certain habits can help improve daily comfort.

  • Regular hygiene : take regular showers with antibacterial soap to remove the bacteria responsible for unpleasant odours.
  • Appropriate clothing : choose clothes made from natural fibres like cotton, linen or bamboo, which allow the skin to breathe. Avoid synthetic fabrics that retain heat and moisture.
  • Balanced diet : avoid spicy foods, caffeine and alcohol, which increase sweating. It is advisable to consume foods rich in water such as fruits and vegetables.
  • Hydration : drink plenty of water to regulate body temperature and reduce sweating.
  • Herbs and supplements : some herbs, like sage, are known for their anti-perspirant properties. Sage herbal teas can be consumed regularly.
  • Stress management : practise relaxation techniques such as yoga, meditation or deep breathing to reduce stress, a trigger for sweating ‘crises’.
  • Natural antiperspirants : use natural antiperspirants made with baking soda and essential oils, which can help reduce sweating.
  • Weight loss : excess weight can contribute to increased sweat production.

How do I know if I have hyperhidrosis ?

Hyperhidrosis, or excessive sweating, generally manifests as heavy, unpredictable sweating not related to ambient temperature or physical activity. People who suffer from it may notice sweat dripping from their skin or constantly damp clothes, even when at rest or under minimal stress. The most commonly affected areas are the underarms, palms of the hands, feet and face. If this excessive sweating interferes with your daily activities, causes social or emotional discomfort, or requires frequent clothing changes, you may be suffering from hyperhidrosis. A medical diagnosis is essential to assess the severity of the symptoms and identify any underlying causes.

Excessive sweating : when to see a doctor ?

It becomes necessary to see a doctor when excessive sweating significantly affects your quality of life or when unusual symptoms occur, such as excessive localized sweating, unexplained night sweats, unexplained weight loss, or sweating accompanied by chest pain, shortness of breath or fever. A doctor will be able to determine whether the sweating is a sign of an underlying medical condition, such as an infection, hormonal disorder or other illness.

What hormone makes you sweat?

Perspiration is mainly regulated by the hormone called adrenaline (or epinephrine). Adrenaline is released in response to stress, excitement or "fight or flight" situations. This hormone stimulates the sweat glands, increasing perspiration.

Sweating profusely for no reason can be due to a number of factors.

  • Primary hyperhidrosis: caused by overactivity of the sweat glands for no apparent medical reason.
  • Secondary hyperhidrosis: resulting from medical conditions such as hyperthyroidism, diabetes, infections, or as a side effect of certain medications.
  • Emotional factors: stress, anxiety or intense emotions can increase sweat production.

In the event of hyperhidrosis, it is advisable to consult :

  • A dermatologist or general practitioner.
  • An endocrinologist: if underlying hormonal disorders are suspected.

Hyperhidrosis can sometimes diminish or disappear over time, especially if it is linked to temporary factors such as stress or hormonal changes. However, for many people, hyperhidrosis is a chronic condition.

Deficiencies in certain nutrients can affect perspiration.

  • Magnesium deficiency: magnesium plays a role in regulating body temperature, and a deficiency can cause excessive sweating.
  • B group vitamin deficiency: these vitamins are important for stress management and energy metabolism. A deficiency can increase sweating.

Hyperhidrosis is diagnosed by :

  • Medical history: the doctor will ask questions about your medical history and symptoms.
  • Physical examination: to check the areas affected by excessive sweating.
  • Specific tests: such as the iodine-starch test (which colours areas of excessive perspiration) or the blotting paper test (to measure the amount of sweat produced).
  • Sometimes a blood test: to rule out underlying conditions such as thyroid disorders or hormonal imbalances.

Certain pathologies can cause excessive sweating: hyperthyroidism, diabetes, infections, cancer, endocrine pathologies.

Homeopathic remedies such as Silicea, Calcarea carbonica and Natrum muriaticum can be beneficial.

Sage is a plant commonly used to reduce excessive perspiration.

There are several treatments for excessive sweating: antiperspirants, Botox injections, iontophoresis, anticholinergic drugs or surgery. The choice of treatment depends on the severity of the symptoms and the location of the hyperhidrosis.  

Yes, some natural remedies can help reduce excessive sweating, such as using sage tea, cider vinegar or applying bicarbonate of soda. A balanced diet and good hydration can also help reduce sweating.

Deodorants containing aluminium chloride are considered to be the most effective against hyperhidrosis. They temporarily block the activity of the sweat glands, thereby reducing sweat production.

To manage excessive perspiration on a daily basis, wear breathable clothing, apply effective antiperspirants, maintain good hygiene and avoid spicy or stimulating foods. In the event of serious discomfort, consult a health professional for appropriate treatment.

Excessive sweating may be due to primary hyperhidrosis (with no identifiable cause) or secondary hyperhidrosis (linked to a medical condition, hormones or certain medications).

Creams containing aluminium chloride hexahydrate are often recommended to treat mild to moderate hyperhidrosis. They reduce the production of sweat by temporarily obstructing the ducts of the sweat glands. Consult a dermatologist to choose the most suitable product.

As we age, the sweat glands may become more active due to hormonal changes or certain medical conditions. The body may also find it more difficult to regulate its temperature.

Sweating makes you lose water, but not fat. To lose weight, you need to burn calories through exercise and a balanced diet.

Anticholinergics, such as oxybutynin, are sometimes prescribed to reduce excessive sweating. They work by blocking the nerve signals that stimulate the sweat glands.

Sweat is the liquid produced by the sweat glands, while perspiration is the process by which the body releases sweat to regulate its temperature and eliminate certain toxins.

Sweating is regulated by the hypothalamus, a part of the brain that controls body temperature. It sends signals to the sweat glands to activate or reduce sweat production according to the body's needs.

Foods that are spicy, rich in caffeine or contain alcohol can increase sweating by stimulating the nervous system and raising body temperature.

Drinking water helps to regulate body temperature, but does not directly cause an increase in sweating. However, over-consumption of water in a hot climate can cause increased sweating to cool the body.

Baking soda is considered an excellent natural antiperspirant. It absorbs moisture and neutralises odours. Alum stone, a natural mineral, is also effective.

Excessive Sweating Appointment Geneva – Hyperhidrosis Consultation Geneva

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