Less sweating and more freedom in everyday life
Excessive sweating can make choosing clothes, shaking hands and situations at work difficult. Botulinum toxin can temporarily reduce sweating in selected areas. I first discuss the cause, previous treatments and your personal goal with you. Particularly when sweating is new or occurs at night, a medical assessment is more important than a quick injection.
The findings and scope of treatment determine your individual treatment journey.
Treatment at a glance
Key information about hyperhidrosis treatment. These details put duration, recovery and costs into context for your personal planning.
The aim is relief in everyday life; complete dryness cannot be guaranteed.
Signal transmission from the nerve to the sweat gland is temporarily inhibited.
The hands and feet require a separate assessment.
Injections into the palms and soles can be considerably more uncomfortable.
Pain and local reactions can temporarily affect your activities.
The follow-up takes place once enough time has passed for the effect to develop.
This guide mainly applies to underarm sweating; other areas may differ.
Hyperhidrosis treatment · one planned session. The starting price relates to the individually agreed scope of treatment. It is not a flat rate for the underarms, hands and feet together; the area and the amount of preparation needed are specified in your quotation.
Timings are a guide. An in-person examination will clarify what applies to you.
Understanding what changes
Botulinum toxin inhibits the release of a chemical messenger that activates sweat glands. The preparation is injected into the skin at several points in the planned treatment area. The effect is temporary and targeted at the treated area.
The distribution of sweating, existing medical conditions and medications determine the further assessment needed.
The treated sweat glands are temporarily activated less strongly.
Clothing, daily life at work and the personal impact of sweating help with the assessment.
First, I distinguish primary hyperhidrosis from sweating caused by a medical condition or medication. The onset, time of day, distribution and accompanying symptoms help with this assessment. Night sweats, fever or unintentional weight loss should be investigated further before local treatment.
For underarm sweating, topical antiperspirants are often considered first. Tap-water iontophoresis is a possible option for the hands and feet. Whether botulinum toxin suits your situation also depends on what you have already tried and how well it helped.
There are botulinum toxin preparations licensed for certain severe forms of underarm sweating. Use on the hands or feet falls outside the licence and is discussed separately as off-label use. Grip strength may temporarily decrease when treating the hands; this is particularly relevant for manual work or activities requiring fine motor skills.
Our shared goal is to reduce the impact on your life. How much sweating decreases and how long the effect lasts varies from person to person. Lasting dryness in everyday life cannot be promised.
Treating a limited area aims to reduce excessive sweating. It does not stop sweat production throughout the body. Whether a local approach is suitable for your symptoms is assessed beforehand.
Sensitivity, licensing and possible muscle weakness differ. Please tell me if you play an instrument, do work requiring fine motor skills or particularly need your grip strength at work. This affects the planning and, where appropriate, the choice of treatment.
Is this right for me?
Your wishes are the starting point. I assess whether the clinical findings, your health and the expected benefit align.
Localised hyperhidrosis affects your everyday life despite appropriate initial measures.
New-onset sweating, sweating all over the body or night sweats require medical assessment first.
Different causes need different solutions. Sometimes choosing not to have a procedure is the right decision.
Compare alternativesLocal procedures on the sweat glands work differently and have different risks.
Explore the optionsThe same active ingredient is used for a different goal, with different planning.
Explore the optionsFor severe focal hyperhidrosis, injections may be considered if simpler treatments do not help enough or are not tolerated. Use on the hands and feet is generally off-label. Pain relief, temporarily reduced grip strength and the treatment involved for each area must all be specifically considered when making the decision.
Understand the concern in more detailCompare local procedures and their limitations with repeated injections.
Compare options and limitationsYour treatment journey
We discuss triggers, accompanying symptoms and previous treatments. If the cause is unclear, diagnostic assessment takes priority.
After preparation and, where needed, anaesthesia, the preparation is injected into the skin at several points.
Once enough time has passed for the effect to develop, we assess the benefit and how well you tolerate the treatment. Repeat treatment depends on how your symptoms develop.
Before you leave, we agree on how you can contact me directly for aftercare. General enquiries: team@dottore.caletti.de.
Your return to everyday life
Redness, tenderness or bruising may occur.
An initial reduction in underarm sweating often becomes noticeable. The hands and feet may respond differently.
As the effect wears off, we decide together on further treatment. Symptoms and how well you tolerate treatment matter more than a fixed schedule.
These timeframes are a guide, not a firm promise. Your individual progress may differ.
Speaking openly about risks
Even outpatient treatment can have unwanted effects. Your individual risks, an appropriate medical indication and an achievable goal are all part of the decision.
If you have difficulty swallowing, speaking or breathing, seek medical help immediately; if you are short of breath, call 112. New-onset severe night sweats with fever or unintentional weight loss also need medical assessment.
Understand the costs and take your time to decide
Hyperhidrosis treatment in Berlin: from €600. The starting price relates to the individually agreed scope of treatment. It is not a flat rate for the underarms, hands and feet together; the area and the amount of preparation needed are specified in your quotation.
Starting price
from €600
Hyperhidrosis treatment · one planned session
The starting price relates to the individually agreed scope of treatment. It is not a flat rate for the underarms, hands and feet together; the area and the amount of preparation needed are specified in your quotation.
The underarms, hands and feet differ in the treatment involved and the pain relief needed.
The scope is planned following examination and assessment of the distribution of sweating.
The temporary effect may mean further sessions are needed; costs are discussed beforehand.
Your individual quotation sets out which services are included in the total amount.
A course of treatment or a later top-up is not automatically included in the price of one session. Additional diagnostic tests or corrections are also discussed separately. Clarify any possible reimbursement with your insurer before starting; aesthetic treatments are usually self-funded.
An examination and shared planning help you understand the costs. You will receive your personal cost plan before deciding whether to proceed with treatment.
The specialist personally responsible for your care
Specialist in Plastic and Aesthetic Surgery
Get to know meGood to know
A website can offer guidance. We will discuss your personal situation during your medical consultation.
Ask your questionNo. Heat, physical exertion and fever trigger normal sweating. In hyperhidrosis, sweating is excessive in relation to the cooling the body needs. The cause and how it develops over time need to be assessed.
In the underarms, the effect often lasts around four to seven months. A fixed duration cannot be promised, and the response in the hands or feet may differ.
Using botulinum toxin for sweaty hands falls outside its licensed indication. The benefits, risks, alternatives and this off-label use are explained beforehand.
Yes, temporary muscle weakness can occur when treating the hands. Please mention any activities for which precise gripping or strength is particularly important.
This depends on the diagnosis, eligibility criteria and your policy. Cover is not automatic. Clarify any possible reimbursement with your insurer in writing before treatment.
Costs start from €600. This is for hyperhidrosis treatment · one planned session. The starting price relates to the individually agreed scope of treatment. It is not a flat rate for the underarms, hands and feet together; the area and the amount of preparation needed are specified in your quotation. You will receive your personal cost plan before making your decision.
Further clinical information on the procedures described, their limitations and risks.
Diagnosis and stepwise treatment; distinguishes, among other things, between the underarms, hands and feet, and between injections and surgical procedures.
Contact & Directions
My team will be happy to help with questions about your appointment and how to get here.
Let's begin with a conversation
Tell me what matters to you.
I will take time for your questions.
