Symptoms · Hyperhidrosis
Excessive sweating can affect your clothing, work and social interactions. Before treating the sweat glands, I assess the affected area and possible causes. Underarm suction, botulinum toxin treatment and procedures for the hands or feet are different approaches, each with its own limitations.
Your clinical findings and the extent of treatment determine your individual treatment journey.
Treatment at a glance
Key information about sweat gland treatment. We will clarify what applies to you based on the clinical findings.
Sweating is a normal way of regulating body temperature; its intensity and impact vary from person to person.
New symptoms, medication and systemic conditions are taken into account.
The glands are not removed during this treatment.
Sweat glands are loosened from the underside of the skin and removed by suction.
Lasers, microwaves and other technologies are not interchangeable.
A surgical procedure requires wound care and more rest than an injection.
Complete, permanently guaranteed dryness is not a realistic promise.
Depending on the area and chosen procedure
Timings are a guide. An individual examination will clarify what applies to you.
Understanding what changes
During suction curettage, sweat glands in the underarm area are loosened from the underside of the skin through small access incisions and removed by suction. Botulinum toxin treatment, by contrast, temporarily inhibits the nerve signals that activate the glands. Energy-based procedures act on tissue in a targeted way and require their own assessment of benefits and risks.
Identify when sweating occurs, the areas affected, triggers and its impact.
Compare conservative measures, injections and surgery.
Assess residual sweating, side effects and further treatment.
Primary focal hyperhidrosis often affects specific areas from a younger age. Sweating that is new, occurs at night or is pronounced across the whole body may have other causes. Medication, hormonal changes or medical conditions must then be assessed by a doctor first.
Sweat gland suction for the underarms cannot simply be adapted for the hands and feet. Here, options to compare include tap-water iontophoresis and, depending on the clinical findings, other medical procedures. Gentle local treatment options, such as suitable antiperspirants, are also considered.
Relief in everyday life as the measure of success Treatment aims to reduce both the amount you sweat and its impact on your life. Botulinum toxin has a temporary effect and is repeated if needed. Suction curettage may have a longer-lasting effect, but residual sweating or a recurrence is still possible.
This umbrella term tells you nothing about the device, the depth of penetration or the risks. I therefore discuss the specific procedure. Laser or microwave treatment is included here as an option for comparison, not as a general assurance that every device is available at the practice.
Injections into the hands can be more painful and may temporarily reduce hand strength. A treatment suitable for the underarms is therefore not automatically suitable for the palms, soles or face.
Is this right for me?
Your clinical findings, health and desired outcome need to be considered together.
Burdensome, localised sweating once the cause has been established
Unexplained night sweats, fever, weight loss or new generalised sweating
Different causes require different solutions. Sometimes, choosing not to have a procedure is the right decision.
Compare alternativesLearn more about injection treatment with a temporary effect.
Find out moreUnderstand different concerns about the body.
Find out moreStart with an examination if the cause of your symptoms is unclear.
Find out moreFor pronounced focal hyperhidrosis, injections may be considered if simpler treatments do not help enough or are not tolerated. Treatment of the hands and feet is generally an off-label use. Pain relief, temporarily reduced grip strength and the treatment involved for each area must be explicitly considered in the decision.
Understand this concern in more detailYour treatment journey
We discuss the affected areas, measures you have already tried, medication and changes in your health.
I explain the effects, duration, side effects and availability of the procedure that may be suitable for you.
Follow-up checks depend on the method and also assess the relief you experience in everyday life.
Before you leave, we will agree on a direct contact route for your aftercare. General enquiries: team@dottore.caletti.de.
Your return to everyday life
Minor injection-site reactions or bruising are possible. We allow some time before assessing the onset of the effect.
Movement, sport, personal hygiene and, where appropriate, compression are planned according to the underarm area treated.
Persistent pain, hardened areas or recurrent sweating will be reassessed.
These timeframes are a guide, not a fixed promise. Your individual recovery may differ.
Speaking openly about risks
Potential benefits and risks both belong in your decision. The following points complement the information discussed in your personal consultation.
Rapidly increasing swelling, severe pain, fever or unusual wound discharge require immediate advice through your agreed aftercare contact. If you experience shortness of breath, chest pain or circulatory problems, call 112. Difficulties with swallowing or breathing after injections are also an emergency.
Understand the costs and take your time to decide
Injection treatment, suction curettage and device-based treatment have different costs. Your individual plan also sets out repeat treatments and aftercare.
Individual cost estimate
Based on your individual plan
After the examination, you will receive a breakdown for the agreed extent of treatment. You will know the planned services and their costs before making your decision.
Establishing the cause and the size of the affected area.
The active substance, device or extent of surgery involved.
Duration of the effect, follow-up checks and possible repeat treatments.
Your individual quotation will specify which services are included in the total amount.
Your individual quotation sets out which services are included and which are charged separately. Further sessions, additional procedures or later corrections are not automatically included. Clarify any possible reimbursement with your insurer before starting treatment.
An examination and shared planning help you understand the costs. You will receive your individual 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 individual situation in a medical consultation.
Ask your questionSuction curettage is a procedure for the underarms. The palms and soles require other approaches, such as iontophoresis or selected medication or injection treatments.
No. Botulinum toxin temporarily reduces the nerve signals that activate the glands. The effect wears off, so repeat treatment may be considered later.
Glands that have been removed no longer contribute to sweat production to the same extent as before. However, active glands may remain and symptoms may increase again. Permanent, complete dryness is not guaranteed.
That depends on the actual procedure. Heat can also damage surrounding tissue. What matters is the method, the clinical findings, experience and aftercare, rather than the umbrella term ‘ablation’.
Yes, especially if it is new, occurs at night or affects the whole body. Accompanying symptoms such as fever or unintentional weight loss should be assessed promptly by a doctor.
Reimbursement may be considered if hyperhidrosis causes a significant medical burden. This depends on the indication, previous treatments, the procedure and your insurance policy. Confirm approval and billing arrangements for treatment in a private practice before starting.
Injection treatment, suction curettage and device-based treatment have different costs. Your individual plan also sets out repeat treatments and aftercare. Costs are based on the area and the chosen procedure. You will receive a clear cost plan before making your decision.
Further clinical information on the procedures described, their limitations and risks.
Diagnosis and stepwise treatment; distinguishes between areas including the underarms, hands and feet, as well as 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.
