Treatments · therapeutic

Excessive sweating

Assessment and treatment of hyperhidrosis of the underarms — a recognised medical condition, not a matter of grooming.

Not currently offered. This treatment is planned but not yet available. The page is here so you know what it involves; there is nothing to book for it yet. Ask and we will tell you when that changes.

Hyperhidrosis is sweating well beyond what the body needs for temperature control. It is common, it is not a hygiene problem, and for many people it is genuinely disabling socially and at work — ruined clothing, avoided handshakes, a change of shirt at lunchtime.

Injections can reduce sweating in a treated area by interrupting the signal to the sweat glands. The effect is temporary and generally lasts several months, varying between people.

Sweating that is new, one-sided, or that happens at night can point to an underlying cause that needs looking into rather than treating. That is part of the consultation.

Who it may suit

• Underarm sweating that antiperspirants have not controlled
• Sweating that interferes with work, clothing or daily life
• People who want the cause considered before the symptom is treated

This is not a list of people for whom treatment is appropriate — that is decided at consultation, and for some people the answer is no.

What happens at the appointment

1. Consultation and history, including how long it has been happening and what has been tried.
2. Assessment of whether an underlying cause needs investigating first.
3. If appropriate, treatment on the same visit — a grid of small injections across the area.
4. A conversation about timing, duration and what to expect.