excessive perspiration
Hyperhidrosis is a medical condition characterised by excessive sweating that exceeds what is necessary for body temperature regulation. It can significantly impact your quality of life, leading to social discomfort, the need for frequent clothing changes, and physical skin irritation.
For many patients, high-strength antiperspirants are insufficient or cause skin sensitivity. Our clinical approach focuses on a targeted injectable therapy that addresses the root cause of the problem.
Injection Site Irritation: Due to the number of injections required to cover the surface area (often 15–20 per underarm), it is normal to experience mild swelling, redness, and a “bumpy” appearance immediately following the procedure. This typically subsides within a few hours.
Minor Ecchymosis (Bruising): The underarm and palm areas are highly vascular. Small bruises at the injection points are common but usually resolve within 3 to 5 days.
Localised Tenderness: The area may feel slightly “achy” or sensitive for 24–48 hours as the product integrates with the local tissue.
Compensatory Sweating: Some patients notice a temporary increase in perspiration in untreated areas (such as the back or thighs) after the primary site is treated. This is the body’s way of adjusting, is usually very mild, and almost always resolves as the system stabilises.
Post-Treatment Systemic Response: A small number of patients report a mild headache or “flu-like” symptoms (fatigue or slight muscle ache) in the 24 hours following treatment. This is a temporary immune response and is easily managed with rest and paracetamol.
Temporary Skin Sensitivity: Occasionally, the treated skin may feel slightly itchy or over-sensitive to friction for several days.
Localised Muscle Weakness: This is specifically relevant when treating the palms of the hands. Because the sweat glands sit close to the small muscles of the hand, the product can occasionally migrate, causing a temporary reduction in grip strength or fine motor skills (such as buttoning a shirt). This is rare and typically resolves within a few weeks.
Asymmetry or “Patchy” Dryness: If a small cluster of sweat glands is missed during the initial mapping, you may notice a small “patch” of perspiration while the rest of the area is dry. This is easily corrected with a minor touch-up at your two-week follow-up.
Infection: While Mr Nakul Patel maintains strict sterile clinical standards, any procedure involving multiple skin punctures carries a microscopic risk of infection. Signs include spreading redness, heat, and increasing pain.
Allergic Reaction: Extremely rare, but as with any medical protein, a localised or systemic allergic response can occur. We monitor all patients closely following their first treatment.
No. The effect is temporary as the body eventually regenerates the nerve endings. To maintain dryness, most patients return for treatment twice a year.
Yes. The underarms contain only about 2% of the body's total sweat glands. Stopping sweat in such a small area does not interfere with your body's ability to cool itself down.
The needles are very fine, similar to those used in acupuncture. Most patients describe the sensation as a series of small, quick pin-pricks. Underarm treatment is generally very well tolerated.
You should notice a significant reduction in sweating within 2 to 4 days, with the full clinical effect achieved by the 2-week mark.
We recommend avoiding antiperspirants or perfumed products on the treated area for 24 hours to prevent skin irritation. After that, you can resume your normal routine.
Because hyperhidrosis is a recognized medical condition, some private health insurance providers may cover the cost of the consultation or treatment. You should check your specific policy details or speak with your insurer.