Treating hyperhidrosis with botulinum toxin in Wolfsburg
Excessive, situation-independent sweating (hyperhidrosis) is often a real daily burden – typically in the underarms. At our Wolfsburg practice, physician Rafee El Kaddour reduces sweat production precisely with botulinum toxin, which temporarily blocks the activation of the sweat glands in the treated area. The treatment is short and with no significant downtime.
How does botulinum toxin work against excessive sweating?
In the treated area, botulinum toxin interrupts the signal from the nerve to the sweat gland. Without this signal, the glands locally produce much less sweat. It is delivered just under the skin with many small injections – usually in the underarms. The body’s overall sweat regulation is preserved.
Most commonly we treat the underarms (axillary hyperhidrosis). We place many fine, superficial injections across the area so the substance reaches the sweat glands evenly. Optionally, the area can be visualised with the iodine-starch (Minor) test to precisely map heavily sweating zones.
Because only a small, clearly defined area is treated, the body continues to sweat normally overall and regulates its temperature unchanged. Only the local overproduction is dampened.
In the underarms the effect tends to last longer than for aesthetic uses on the face – often about four to seven months, and longer in some people. Before treatment you should not shave the area and should avoid deodorant.
With very pronounced or pathological sweating, a prior work-up may be sensible to rule out other causes. We discuss this in the consultation.
How the treatment works
- 01Free consultation and assessment of the affected area
- 02Iodine-starch (Minor) test on request to map the sweating zones
- 03Cooling or numbing cream for added comfort if needed
- 04Many fine, superficial injections distributed across the area
- 05Duration: about 20–30 minutes, usually with no downtime
Results & longevity
Sweat production usually decreases noticeably within a few days, with the full result after about one to two weeks. In the underarms the effect typically lasts about four to seven months – often longer than aesthetic uses on the face. It can then be refreshed; in some people the duration extends with repeated treatment.
Results are individual and may vary. Before/after images show real treatments and are published only with the patient’s explicit consent.
Risks & side effects
Risks & side effects
- Common and temporary: mild redness, small bruises or tenderness at the many injection sites.
- Occasionally: a temporary feeling of tightness or soreness in the treated area in the first few days.
- Possible: slightly increased sweating elsewhere on the body (compensatory); for the underarms this is usually minor.
- Rare: temporary muscle weakness near the injection site, possible for example when treating the hands due to the position of the muscles.
- Very rare: allergic reactions.
Aftercare
- Do not rub or massage the treated area firmly for the first few hours
- No intense sport, sauna or tanning for 24 hours
- Avoid deodorant and shaving the area for the first 24 hours
- Avoid tight, rubbing clothing where possible for the first few hours
Who is it for?
Suitable for excessive, burdensome sweating that does not respond sufficiently to antiperspirants – best studied in the underarms. It markedly dampens local sweat production but does not abolish it permanently and needs refreshing.
Every medical treatment carries risks. This information does not replace a personal medical consultation. In our free initial consultation we assess your individual suitability, the procedure and possible side effects.
Price
Price on request
The exact price depends on individual scope and is discussed in the free consultation.
View pricingFrequently asked questions
How long do I stay dry?
In the underarms usually about four to seven months, longer in some people. The treatment can then be refreshed.
Will I sweat more elsewhere?
Slightly increased sweating elsewhere is possible but usually minor with underarm treatment. Overall temperature regulation is preserved.
Is treating the underarms painful?
It involves many small, superficial pricks. On request we cool the area or use a numbing cream for added comfort.
What is the iodine-starch test?
The Minor test stains sweating skin zones dark, making it visible where sweating is heaviest, so treatment can be targeted.
Should I shave or use deodorant beforehand?
Please do not. Avoid shaving and deodorant in the area on the treatment day – this makes the treatment and a possible iodine-starch test easier.
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