Excessive Sweating Treatment (Hyperhidrosis)

If your sweating occurs regardless of temperature or exercise, is unpredictable, affects both sides equally, and interferes with your daily life or emotional wellbeing — these are the diagnostic criteria for primary hyperhidrosis. Dr. Bangalee will conduct a clinical assessment to confirm the diagnosis and recommend the right treatment approach.

For hyperhidrosis, Botox typically lasts 6–9 months — significantly longer than the 3–5 months for cosmetic facial Botox. This is because the sweat glands require higher doses for sustained effect, and there is no dynamic muscle activity to break down the toxin faster.

No. The body has 2–4 million sweat glands — treating a small area of underarms, hands, or feet blocks only a tiny fraction of total sweat capacity. Your body's overall thermoregulatory capacity is completely unaffected. You will still sweat normally everywhere else.

Underarm injections are well-tolerated, with mild stinging at each injection point. Hands and feet are more sensitive areas — we offer a nerve block for palmar treatment. Most patients say the procedure is much more comfortable than anticipated.

Yes — the treatment is temporary, lasting 6–9 months. As Botox gradually wears off, sweating returns to its previous level. Repeat treatment restores the same degree of relief. There is no evidence that Botox becomes less effective with repeated treatments over time.

A small percentage of patients experience a mild increase in sweating in adjacent areas — this is more common with very extensive treatment. Dr. Bangalee manages this risk through careful, precise dosing.

Some medical aids provide benefit for clinically diagnosed hyperhidrosis (ICD-10 code R61). We recommend contacting your scheme directly and requesting pre-authorisation. We can provide all necessary clinical documentation to support your claim.

Yes — as usual. Botox does not interact with antiperspirant or deodorant. Many patients switch to a lighter deodorant once treatment is effective, as heavy antiperspirant is no longer necessary.

Contact us at +27 (0)31 573 1325 or info@staraesthetic.site. We will book a consultation and typically treat in the same appointment if you are medically suitable. Allow 2 weeks for full effect before any important event.

Yes — the same Botulinum Toxin Type A. The difference is technique and target: for hyperhidrosis, small doses are injected intradermally (into the skin) at closely spaced intervals across the sweat zone, rather than deeper into muscles as with cosmetic Botox.