Botox for sweating in Berlin
Sweat stains on your blouse, damp hands when greeting someone: excessive sweating can dominate everyday life. We would like to help you feel more at ease again. Botulinum toxin can temporarily reduce sweat production. Together, we look at what is causing your symptoms and which treatment suits you.
- Active ingredient
- Botulinum toxin; Botox is a brand name
- Treatment goal
- Reduce excessive sweat production
- Clinic stay
- Outpatient treatment at our practice in Berlin
- Duration of effect
- For underarm sweating, often around four to seven months; varies from person to person
- Body areas
- Underarms; hands and feet require separate treatment planning
- Beforehand
- Medical assessment of the causes and examination
- Good to know
- Reduces sweating but does not eliminate its cause
- Costs
- Individual cost planning during a personal consultation
- Repeat treatment
- As needed and based on medical assessment
We discuss your symptoms and examine the affected areas. If botulinum toxin is an option, we determine the injection sites and discuss possible anaesthesia. After disinfecting the skin, we inject the active ingredient into the skin at several sites using very fine needles. Afterwards, you receive guidance on aftercare and follow-up.
Swelling, pain or minor bruising may occur. We discuss which other risks are relevant to you based on the body area, your health and the intended product.
We explain what you should watch out for after treatment, when a follow-up is advisable and how to contact us if you experience any symptoms.
When sweating affects everyday life
Damp hands when greeting someone, visible stains on your favourite shirt or frequent changes of clothes: excessive sweating can make many small moments stressful. Our aim is to help you feel more comfortable in these situations again. Tell us what affects you most and which remedies you have already tried.
Particularly if sweating is new, pronounced at night or accompanied by fever or unintentional weight loss, the cause should be assessed promptly by a doctor.
What hyperhidrosis means and why the cause matters
Hyperhidrosis means that the body produces more sweat than is needed for cooling. It can occur without an identifiable underlying condition or be triggered by medications and medical conditions, for example. We therefore first establish the cause and examine the affected areas.
This helps us get to know you
- Where do you sweat particularly heavily, and how long has this been happening?
- Do you notice any triggers, or do you also sweat at night?
- What medical conditions, medications or intolerances are known? Please feel free to bring any existing medical reports.
- What have you tried so far, and how has it helped?
- What would make your daily life easier?
Your answers help us plan your treatment with you.
How Botox works against sweating
Botulinum toxin temporarily inhibits the release of a neurotransmitter that nerves use to activate the sweat glands. This can reduce sweat production in the treated area. Botox is a brand name for this active ingredient.
Our goal is noticeable relief in everyday life. The extent to which sweating decreases varies from person to person; complete dryness cannot be achieved for everyone.
Unlike wrinkle treatment, the focus here is on signal transmission to the sweat glands, not on relaxing the muscles responsible for facial expressions.
Targeted treatment for underarms, hands and feet
Injections into the hands and feet are often more uncomfortable than those into the underarms. Grip strength may also temporarily decrease in the hands. Find out more about treatment for sweating hands and feet.
Botulinum toxin products are approved for certain forms of severe underarm sweating. Treatment of the hands and feet falls outside the approved indications, known as off-label use. We explain in advance what this means for your treatment and discuss benefits, risks and alternatives.
Which alternatives may help you
Topical antiperspirants are often considered first. Tap water iontophoresis may help with the hands and feet: this involves treating the affected areas in water baths with a weak electrical current. Depending on the findings, medications or local procedures on the sweat glands may also be options. Together, we compare effectiveness, the effort involved and risks. Our page on sweat gland treatment provides an overview.
How we support you through your treatment
Planning together: After a consultation and examination, we explain the treatment and discuss possible anaesthesia. Botulinum toxin is injected into the skin at several sites using fine needles.
Monitoring the effect: With underarm sweating, improvement often becomes apparent within the first week. The effect often lasts about four to seven months. The course may differ for hands and feet. We discuss with you when we will assess the result and what you should bear in mind regarding work, exercise and skin care.
Repeating if needed: If the effect wears off, we decide on further treatment based on your symptoms and how well you have tolerated treatment so far.
What you should know about safety
Possible side effects: Redness, swelling, tenderness, pain and bruising may occur. Headaches, temporary muscle weakness and allergic reactions are also possible.
Important beforehand: Treatment is not recommended during pregnancy or breastfeeding. Infections at the injection sites and certain nerve or muscle disorders may be contraindications. Please tell us about all medications and known intolerances.
Please seek help immediately: Very rarely, the effect can spread beyond the treated area. If you have difficulty swallowing, speaking or breathing, you need immediate medical help; if you experience shortness of breath, call 112.
Please contact us if symptoms persist or worsen. If the desired effect does not occur, we reassess the situation before considering further injections.
Your costs and your consultation appointment
You will be informed of the costs before treatment. They depend on the body area, the extent of treatment and the amount of product required. We also explain the costs of consultation, follow-up appointments and possible repeat treatments. Please clarify directly with your health insurer in advance whether it will cover any costs and which documents it requires.
I am Andrea Caletti, a specialist in Plastic, Reconstructive and Aesthetic Surgery and a specialist in Surgery. I look forward to welcoming you at Vita Aesthetica, Kurfürstendamm 200, 10719 Berlin. You can arrange our personal consultation via the contact page with online appointment booking.
More about my qualifications: You can find details of my specialist qualifications in the legal notice.
Frequently asked questions
Is heavy sweating always hyperhidrosis?
No. Sweating in hot weather, during exercise or when excited is a normal bodily response. If it goes beyond that or causes you considerable distress, we take a closer look together.
What can I bring to the initial consultation?
Note when and where you sweat particularly heavily. Please bring your medication list, any existing medical findings and details of previous treatments.
Is botulinum toxin an option for every body region?
Not for every region. For widespread sweating, the focus is particularly on identifying the cause. For localised symptoms, we assess the suitability and approval status of the respective preparation.
Does treatment of the armpits differ from treatment of the hands and feet?
Yes. Pain perception, anaesthesia and possible side effects differ. For the hands, we pay particular attention to your grip strength and the demands of your daily life.
How do we find the right treatment?
What matters is what can help in the affected body region and how much is involved. Together with you, we weigh up the expected relief, duration of effect and risks – also taking your previous experiences into account.
What symptoms should prompt me to seek help?
Please contact us if you experience persistent pain, increasing redness or unusual weakness.
If you have difficulty swallowing, speaking or breathing, seek medical help immediately; if you experience shortness of breath, call 112.
When does repeat treatment make sense?
For underarm sweating, the effect often lasts about four to seven months. If sweating increases again and you found the treatment helpful, we can discuss repeating it. We take tolerability and the necessary treatment intervals into account; we plan separately for the hands and feet.
Botox for sweating: Which costs does health insurance cover?
Your health insurer decides this on a case-by-case basis. Ask in advance about possible reimbursement and the required medical findings or details of previous treatments.