
Hyperhidrosis – Botox for Excessive Sweating in Berlin
Sweating performs a vital function by helping the body maintain a stable temperature. In hot weather, during strenuous physical activity or when you have a fever, perspiration cools the surface of the skin. Excessive sweating, however, can cause considerable physical and psychosocial distress. The medical term for this condition is hyperhidrosis. Localised hyperhidrosis most commonly affects the underarms, hands and feet. Treatment options include antiperspirants, medication, surgery and injections of botulinum toxin type A (Botox). At my specialist practice for plastic and aesthetic surgery in Berlin, I offer both surgical treatment and Botox injections to reduce excessive sweating.
- Treatment time
- 20 to 30 minutes
- Anaesthesia
- Numbing cream or local anaesthetic
- Hospital stay
- Outpatient treatment at our Berlin practice
- Social downtime
- None; you can resume social activities immediately
- Return to work
- Immediately after treatment
- Exercise
- Avoid strenuous exercise for the first two days
- Wound healing
- Not applicable
- Cost
- From €600
- Aftercare
- Avoid saunas and massages during the first week
During the physical examination, I determine the appropriate dose and injection sites. The treatment area is disinfected, and either a local anaesthetic or numbing cream is used to minimise discomfort. Botox is then injected into the underarm skin around the sweat glands. Treatment takes approximately 20 to 30 minutes and does not usually require any time away from work or social activities.
Botox treatment for excessive sweating is generally considered low-risk. Systemic side effects are uncommon, whilst intolerance or allergic reactions are very rare. As with any medical procedure, temporary local side effects can occur. Treatment should be carried out by an experienced specialist in plastic and aesthetic surgery who understands the relevant anatomy and can minimise avoidable risks and complications.
Botox injections for hyperhidrosis do not require any specific aftercare. Redness, swelling or bruising generally subsides within a few days. You may use deodorant as usual on the day of treatment. Strenuous physical activity should be avoided for the first two days. After one week, you may resume sun exposure, saunas, sunbeds and massage of the treated area.
Botox for Excessive Sweating in Berlin – Less Perspiration and a Better Quality of Life
Excessive sweating can be highly uncomfortable for those affected and may also be noticeable to others. Hyperhidrosis affects an estimated two to four per cent of the adult population. Common factors associated with primary hyperhidrosis and episodes of excessive sweating include stress, hormonal influences and genetic predisposition. Before treatment with botulinum toxin, a thorough medical assessment is therefore required to investigate the underlying cause.
Hyperhidrosis often responds very well to Botox treatment. Sweat production is triggered by chemical messengers that bind to nerve endings and activate the sweat glands. Botulinum toxin blocks this process by preventing the neurotransmitter responsible for perspiration from reaching its receptors, thereby significantly reducing sweat production. To treat underarm hyperhidrosis, Botox is injected into the skin around the sweat glands, where it limits the transmission of the nerve signals that stimulate perspiration. Botox treatment for excessive sweating in Berlin can therefore reduce underarm perspiration to a more manageable level.
How Does Botox Work for Hyperhidrosis?
Hyperhidrosis often responds very well to Botox treatment. Sweat production is triggered by chemical messengers that bind to nerve endings and activate the sweat glands. Botulinum toxin blocks this process by preventing the neurotransmitter responsible for perspiration from reaching its receptors, thereby significantly reducing sweat production. To treat underarm hyperhidrosis, Botox is injected into the skin around the sweat glands. This limits the transmission of the nerve signals that stimulate perspiration.

How Is Botox Treatment for Excessive Sweating Performed in Berlin?
To treat underarm hyperhidrosis, botulinum toxin is injected at multiple precisely defined points in the skin around the sweat glands. It blocks the nerve signals that stimulate these glands, thereby reducing sweat production in the treated area.
What Results Can Be Achieved with Botox Treatment for Excessive Sweating in Berlin?
Botulinum toxin type A injections do not usually stop underarm perspiration entirely. Instead, they reduce it to a more normal and manageable level. The first effects are generally noticeable within a few days, with the full effect developing after approximately ten to 14 days. Results typically last for around four to six months, after which repeat treatment may be required.
Botox for Excessive Sweating in Berlin – Personalised Advice and Care
Botox treatment for excessive sweating at my specialist practice for plastic and aesthetic surgery in Berlin begins with a detailed, personalised consultation. Please bring any available medical reports concerning the possible causes of your hyperhidrosis. During the consultation, I explain how the treatment works and what it involves, ask about relevant medical conditions and carry out a physical examination. If appropriate, Botox treatment may be performed immediately after the consultation.

Frequently Asked Questions
What Is Botox and How Does It Work?
Botulinum toxin is a naturally occurring neurotoxin produced by bacteria found in soil and, in some circumstances, improperly preserved food. Exposure through contaminated food or wounds can cause life-threatening botulism because the toxin disrupts communication between nerves and muscles.
For medical use, however, botulinum toxin is manufactured under strictly controlled conditions and administered in carefully measured doses. All botulinum toxin products available in Germany must undergo a rigorous approval and certification process before they can be authorised as medicines. As with any prescription treatment, its suitability and potential risks must be assessed individually.
Who Is Suitable for Botox Treatment for Excessive Sweating?
Botox treatment may be suitable for patients with excessive sweating that has not responded adequately or for long enough to antiperspirants or medication. The aim is to reduce sweat production to a normal, manageable level so that hyperhidrosis no longer causes the same degree of distress.
How Long Does Botox Treatment for Hyperhidrosis Last?
Botox generally reaches its full effect within approximately two to four weeks and is then gradually broken down by the body. The results commonly last around four months, although this varies between individuals. Treatment can be repeated when the effects begin to wear off.
Can Underarm Hyperhidrosis Also Be Treated Surgically?
Yes. Underarm hyperhidrosis can also be treated with a procedure known as suction curettage. This is a minimally invasive operation in which fatty tissue and sweat glands are removed using specialised cannulas. Because the treated sweat glands have only a limited capacity to regenerate, the procedure can provide long-lasting sweat reduction, although individual results vary. I also offer this surgical option at my specialist practice for plastic and aesthetic surgery in Berlin.
Is Botox Treatment for Hyperhidrosis Safe?
Botulinum toxin has been used in medicine since the 1980s to treat neurological conditions and movement disorders. It is now also an established treatment for excessive sweating. At my practice for plastic and aesthetic surgery in Berlin, I use Botox for sweat reduction and the following indications:
- Botox for wrinkle treatment
- Botox brow lift without surgery
- Botox for bruxism and teeth grinding
- Botox for masseter hypertrophy caused by excessive muscle activity
- Botox for excessive sweating of the hands and feet