Hyperhidrosis

Treatment: Injection

Effect: reduced sweat production

Hyperactive sweat glands?

Every person has around three million sweat glands, which are distributed all over the body. A particularly large number of them are found under the armpits. In combination with certain skin bacteria that feel particularly at home in the armpits, sweat can lead to unpleasant odours. However, sweat can also be problematic from a cosmetic point of view, for example if clothing becomes soaked with sweat and stains form.

However, some people (according to estimates around 3% of all German citizens) suffer from a Excessive sweat production (hyperhidrosis) which cannot be kept in check even by the strongest deodorants. Although they do not exert themselves physically and it is cold outside, sweat production runs at full speed. The quality of life of those affected is often severely restricted. However, there are also ways to stop sweating and thus improve quality of life.

Price
Hyperhidrosis treatment

Hyperhidrosis treatment

€ 400

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Interesting facts about hyperhidrosis

Hyperhidrosis?Treatment Risks FAQ Experience Related topics

Origin of hyperhidrosis

Sweating is our body's cooling system and is actually a vital function. The water released by the sweat glands evaporates on the surface of the skin and protects our body from overheating thanks to the cooling effect. To ensure that this cooling system does not come to a standstill, it is particularly important to drink enough, especially during sporting activities or on very hot days.

What causes excessive sweat production?

In many cases, no other underlying disease is found for the "phenomenon" or a genetic predisposition is suspected. Doctors then speak of primary hyperhidrosis.

If the excessive sweating can be attributed to other underlying diseases (e.g. diabetes, infections, cancer), disorders (e.g. hyperthyroidism), hormonal changes (e.g. menopause, pregnancy) or psychiatric disorders, it is referred to as secondary hyperhidrosis.

If only certain parts of the body are affected (e.g. the armpits), this is known as focal hyperhidrosis (localised sweating). If the entire body is affected (sweating outbreaks), this is referred to as generalised hyperhidrosis.

Hyperhidrosis treatment

Our body automatically maintains a constant body temperature and - under normal circumstances - adapts perspiration to the individual circumstances. During intense physical exertion or in hot temperatures, we produce more sweat than in cold temperatures or with little physical exertion.

For this reason, sweating cannot be influenced voluntarily, but is controlled by nerves and messenger substances (acetylcholine).

Botox® against underarm perspiration

This is exactly where our treatment for hyperhidrosis comes in. We ensure that the messenger substance acetylcholine, which is responsible for sweating, can no longer be passed on to the sweat glands. In this way, sweating is suppressed before it occurs.

The active ingredient used here is Botulinum toxinwhich is better known under the brand name Botox®. Hyperhidrosis treatment with Botox® is considered the most effective non-surgical therapy for excessive underarm perspiration (see: SCHLERETH, T.: Hyperhidrosis - causes and treatment of excessive sweating, Dtsch Arztebl Int 2009; 106(3): 32-7).

The treatment itself only takes about 15 minutes. Before the injection, we apply a numbing anaesthetic gel so that you do not have to worry about any pain from the injections.

As the treatment does not lead to a permanent change in the body, it must be repeated at certain intervals (approximately every six months, in some cases only once a year).

Risks and complications of hyperhidrosis treatment

Fortunately, armpit surgery is not associated with any significant risks or complications, so you do not have to worry about any restrictions.

Temporary paralysis may occur as a side effect in the area of the hands or feet. For this reason, we only use this therapy method to treat excessive underarm perspiration.

FAQ - Hyperhidrosis

We have compiled a list of frequently asked questions about hyperhidrosis for you here. You will find short and concise answers to all questions.

How does treatment against excessive sweating work?

Excessive sweating is also known as hyperhidrosis and can lead to low self-esteem. It can also affect your skin. The cause is not always known. It lies in the genes, among other things. One Botox Treatment reduces sweat production. The treatment can be repeated at any time. The Acura medical centre carries out the treatment using the Vaser technique and thus achieves lasting results.

Am I suitable for treatment against excessive sweating?

Botox treatment is suitable for the armpits, palms and also the soles of the feet. The results of a Botox treatment last for around 5 to 10 months. The treatment can then be repeated. Botox is not suitable if you suffer from a nerve disorder and/or muscle disease.

The Vaser method is not suitable for everyone. During the consultation, the doctor will discuss the most suitable treatment for your situation with you.

What does treatment for excessive sweating mean?

Botox treatment is carried out without anaesthetic. During the treatment Botulinum toxin injected directly under your skin using a fine needle. There are 25 injections per armpit. This blocks the sweat glands and stops sweat production in the treated area. The treatment lasts approx. 15 minutes.

The Vaser method uses a local anaesthetic. Ultrasonic sound waves are used to generate heat, which switches off the sweat glands. The doctor then sucks out the sweat glands with a suction needle. This treatment takes about 1.5 hours.

What can I expect after the treatment against excessive sweating?

You can go home immediately after the Botox treatment. You can resume your daily activities immediately. The treated area may still feel a little painful due to the injections. This sensation varies from person to person.

The Vaser method is somewhat more drastic. You should recover in the clinic after the treatment. As soon as the anaesthetic has worn off, you may experience some pain. You may take painkillers for this. Bruising and swelling under the armpits may occur in the first few days after the treatment. You can cool the treated area for 15 minutes a day. The bruising will disappear in the first few days after treatment. The swelling may last a little longer, but will also disappear on its own. You should not do any sport in the first few days after the treatment.

What results can I expect from a treatment for excessive sweating?

The results of Botox treatment against excessive sweating can be felt after about 3 to 5 days. About 2 weeks after the treatment, your muscles are relaxed and the effect is maximised.

The effect of the Vaser method is immediately noticeable and long-lasting. Your removed sweat glands will not come back. Your sweat production will not be reduced to zero. You will sweat less and your armpits will stay drier.

Can I influence the result of the treatment against excessive sweating?

There are no fixed rules that negatively or positively influence the result of the treatment against excessive sweating. There is also no recovery phase. If you are treated with the Vaser technique, you should not exercise after the treatment. Apart from that, you can go about your daily work and activities as usual.

Is the treatment for excessive sweating painful?

Botox injections may feel a little uncomfortable and painful. The treatment is very short and anaesthesia is therefore not usually required. If you are treated on your hands or feet, the skin is cooled to reduce the sensation of pain.

If you are treated with the Vaser technique, you will be locally anaesthetised. You will feel almost nothing of the procedure. As soon as the anaesthetic wears off, you may feel some pain. Painkillers such as paracetamol relieve the pain.

What are the benefits of treatment for excessive sweating?

Treatments against excessive sweating have been scientifically proven. Where Botox treatment produces significantly less sweat over several months, the Vaser method even produces permanent results.

Is treatment for excessive sweating carried out under general anaesthetic?

Treatments for excessive sweating are not carried out under general anaesthetic. Botox treatment is usually carried out without anaesthetic. Are you being treated with the Vaser method? In this case, you will be given a local anaesthetic.

How does the treatment for excessive sweating work?

The Botox treatment is very quick. In a short time, the doctor will administer around 25 injections to each armpit. In this way, the sweat glands are switched off. The injections can be a little uncomfortable. The procedure is not really painful.

Treatment with the Vaser method is more invasive and more expensive than the Botox treatment. The area to be treated is locally anaesthetised. Ultrasound waves are used to kill the sweat glands. The doctor then sucks out the sweat glands using a special suction needle. The treatment takes about 90 minutes.

When is the effect of the treatment against excessive sweating optimal?

Optimal results from Botox treatment are achieved after 2 weeks. The duration of the result varies from person to person and ranges from 5 to 10 months. The Botox treatment can be repeated if desired. The more often you have Botox treatment, the longer the results will remain visible.

The results of the Vaser method are noticeable immediately after the treatment and are permanent. The removed sweat glands do not reappear. However, this method does not completely stop your sweat production. Most patients do not need a second treatment. Your armpits will remain drier after the procedure and you will sweat less. In addition, hair growth in the armpits is also reduced after the Vaser method.

How much does the treatment for excessive sweating cost?

The Acura medical centre charges €400 for treatment against excessive sweating.

Can the costs of treatment for excessive sweating be reimbursed?

Cosmetic treatments are only reimbursed by health insurance companies in exceptional cases. If the excessive sweating is causing you psychological stress, there is a possibility of reimbursement. For more information on reimbursement options, please contact your health insurance company. Here you can find out more about the reimbursement options and which documents you may need to submit.

What are the risks of treatment for excessive sweating?

Botox treatments have been carried out safely and without serious side effects or complications for many years. Botulinum toxin has no effect on your nerve endings. These are sensitive to pain and/or touch. Botox only blocks the neurotransmitters. It is possible that sweat production may increase slightly in other parts of the body. This is a rare side effect that stops on its own.

Treatment with the Vaser technique rarely leads to complications. Certain side effects and risks, such as infection, poor wound healing, bleeding, numbness, allergic reactions and thrombosis, are associated with many cosmetic treatments. Sometimes there is an accumulation of fluid in the treated area. This disappears by itself.

Should I opt for treatment in the Netherlands or abroad?

Many clinics offer cosmetic treatments at attractive prices. Clinics abroad are sometimes cheaper than Dutch clinics. Enquire at several clinics and don't be guided by price alone. Acura Medical Centre is known for its high quality and customer satisfaction. Our clinic is accessible by both private and public transport. We are also known for our competitive prices.

Is the treatment for excessive sweating safe?

Both treatment with botulinum toxin and the Vaser method are safe. Both treatments have been used for years to treat excessive sweating with great satisfaction.

Can I pay for the treatment against excessive sweating in instalments?

The cost of treatment for excessive sweating is relatively low compared to other cosmetic procedures. Treatments with a cost price of €2,000 or more can be paid for in instalments. The Acura medical centre works with a lender for this purpose. The lender will assess your situation and decide whether you are eligible to pay in instalments.

How does the treatment for excessive sweating feel?

The Botox treatment feels like several small injections. Bruising may occur after the treatment. The painful feeling disappears quickly.

Treatment with the Vaser method is carried out under local anaesthetic. You will hardly feel anything from the procedure itself. If anything, you will feel a sensation of heat. However, this treatment may cause some pain. You can take a painkiller for this.

Is there a consultation before the treatment against excessive sweating?

Yes, during this consultation you will get to know the doctor and the clinic better. Your personal situation and your wishes will be discussed in detail. The doctor will examine your armpits and inform you about the most suitable treatment. During the consultation, the expected results and possible risks will be discussed. In addition, the doctor will enquire about your general state of health and medical background.

What causes excessive sweating?

Often the cause of excessive sweating is and remains unknown. It is known that some illnesses can cause excessive sweating and hyperhidrosis. This also applies to a number of medications and certain heart diseases. However, for most people who struggle with excessive sweating, the cause remains unknown.

What can I do about excessive sweating?

As a rule, normal antiperspirant products do not help. You can change your shirts, T-shirts and socks regularly and wash the sweat away with water. However, this only combats the symptoms.

Can I have excessive sweating treated without an operation?

Excessive sweating can be treated effectively in a non-surgical way. The sweat glands are inhibited with the help of Botox injections. During the short treatment, the cosmetic doctor uses ultra-fine injection needles to inject Botox. Sweat production is reduced or even stopped completely.

How does a Botox treatment for excessive sweating work?

Botox injections are mainly carried out under the armpits. The palms of the hands can also be treated if necessary. The treatment of the armpits is carried out without anaesthetic. The intensity and location of the sweating is worked out in a so-called iodine strength test. Based on this, the treating doctor knows where to inject the Botox. Botox is injected in a series of small injections. The treatment takes about 15 to 25 minutes.

What results can I expect from Botox treatment?

The first improvements can be seen within approx. 48 hours. Your armpits will be less wet and sweat production will normalise. The results last for about 4 to 10 months. After that, you can have the treatment repeated. Once you undergo Botox treatment regularly, the results will last longer.

What can I expect immediately after the treatment for excessive sweating?

The treatment does not require a long recovery period. You can resume your daily activities immediately after the injections have been inserted. The cosmetic doctor will advise you to relax for the first 24 hours and avoid intensive movement. After two days, the degree of perspiration will be significantly reduced and the result will be maximised after about two weeks.

Can the treatment be carried out under local anaesthetic?

Botox injections in the armpits are carried out without anaesthetic. If you are being treated on the palms of your hands or soles of your feet, an anaesthetic cream will be applied to the skin before the treatment begins. You will hardly feel anything from the injections. Are you very sensitive? If so, let us know during the consultation. The doctor treating you can apply an anaesthetic cream to your armpits before the treatment. It is always an advantage to relax in the treatment chair.

Am I suitable for a Botox treatment for excessive sweating?

Most adult men and women are suitable for a Botox treatment for excessive sweating. The treatment is particularly suitable for the armpits and is carried out by one of our experienced cosmetic surgeons. Pregnant or breastfeeding women are not advised to undergo Botox treatment. The treatment is also not suitable for patients with nerve and/or muscle disorders.

What are the side effects and risks of Botox treatment?

Botox is a relatively safe treatment unless you are being treated by an inexperienced cosmetic doctor. You may experience slight bruising in the treated area after the treatment. However, this is only temporary. As with any other cosmetic treatment, there is a small risk of infection.

Is botulinum toxin a dangerous substance?

The amount of Botox used in a treatment for excessive sweating poses no risk to your health. On average, no more than 200 units are used. The use of 2,500 to 3,000 units can lead to dangerous situations.

How much does Botox treatment for excessive sweating cost?

The cost of a Botox treatment for excessive sweating at the Acura medical centre is €400.

Can the costs be reimbursed by my health insurance?

Only in very rare cases do health insurance companies reimburse cosmetic procedures. If you suffer from psychological complaints due to excessive sweating and/or your social life is drastically impaired as a result, you may be entitled to reimbursement. The conditions for this are set out in your health insurance documents.

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Experience

Fast and effective treatment against sweating
If you want a quick and effective treatment for sweating, I recommend you visit the Acura medical centre in Weert. Here you will be warmly welcomed by the various specialists. I was a little embarrassed to talk about my 'problem' during the consultation, but of course the doctors see countless people with similar problems every day. That's why I felt comfortable quite quickly. The effect and onset of the treatment was explained. The treatment itself was a breeze. A few small injections in both armpits and that was it!

Pamela

Definitive solution to excessive sweating after the menopause
Why do women go through the menopause? Many women around me told me how terrible they found the menopause. Firstly, of course, it's very intense because you're entering a whole new phase of life. On top of that, this terrible transition brings all sorts of obstacles. For me, the hot flushes were the most annoying. They were accompanied by sweating, especially under the armpits. It seemed like I would have to live with them for years to come. So I decided on a definitive solution to this. That's why I opted for the Vaser technique. The advantage of this method is the long-lasting effect. The treatment takes a little longer than a Botox treatment, but it was actually over quite quickly and not very painful. I am very glad that I decided in favour of this treatment. My mum suffered from menopausal sweats for years. Thanks to this procedure, the menopause has become a little more bearable for me.

Pleun

I tried everything, but only Botox helped
With the onset of puberty, the unpleasant odour of sweat developed. It wasn't too bad at first, but it got worse and worse over time. Some of my classmates even teased me about it. You can imagine the permanent damage this can do to a child. For this reason, my time at school was not so good. At the age of 18, I decided to undergo treatment for excessive sweating. This gave me a fresh start at university. I haven't had a single comment about it at university and am enjoying my time at university to the full. I know that there are many other people who suffer from this. If you are one of them, don't hesitate to go to the clinic for a counselling session. You really aren't the only one and there are so many options. I tried everything, but nothing worked as well as the Botox treatment.

Hans

No more pungent sweat odour
I felt so insecure because of the constant smell of sweat. It didn't even have to be warm. As soon as I didn't feel completely comfortable, I started sweating. The sweating itself isn't that bad, but the smell of sweat is quite pungent. Not only do others smell it, I smell it myself. After it was pointed out to me several times, I decided to do something about it. My doctor made me aware of the possibility of Botox treatment for my armpits. Such Botox treatments have a temporary effect, so the treatment has to be repeated from time to time. That was absolutely no obstacle for me. In my case, one treatment a year is enough. I usually go to the clinic at the beginning of the summer. The effect only diminishes at the beginning of the following year. It's almost time for another treatment. It was a real relief for me.

Debby

The best clinic for treating excessive sweating
Even when I was young, I always opted for good quality. Especially when it comes to my body, I pay attention to quality. At some point, I realised that the smell of my sweat was becoming increasingly unpleasant. The odour lingered in my T-shirts and jumpers. I found a lot of information online about how to prevent excessive sweating and unpleasant odours. Thanks to a relatively new treatment, it is now possible to permanently remove the odour of sweat. I was in two minds between Botox and the Vaser technique. In the end, I decided in favour of the latter option. The main reason was that I didn't want to come back for a follow-up treatment all the time. The treatment itself was not painful at all and was over in no time. There was hardly any after-pain either. My brother is struggling with the same problem.... I have now also referred him to the Acura medical centre.

Joppe

No longer insecure about my odour.
The amount of sweat wasn't actually that much, but the odour was exceptionally strong. I occasionally heard people around me talking about it. At first I wasn't very concerned about it. When my children and wife started talking about it, it was time to do something about it. I started researching the possibilities of treatment for unpleasant sweat odour on the Internet. One option was to treat the armpits with Botox. This should make me sweat less and thus minimise the odour. At this point, I was already quite insecure about my body odour. It eventually got so bad that I avoided birthdays and other activities with people. Since the treatment at Acura, I no longer have any reason to be ashamed. I threw away the clothes in which the unpleasant odour was stuck. Unfortunately, the odour couldn't be washed out. With my new clothes and full of self-confidence, I now go to all my birthdays and events again. The treatment really is a must for me.

Jannes

A permanent solution to excessive sweating
After receiving Botox treatment twice for excessive sweating, I thought it was time for a permanent solution. To be honest, I was a little scared at first that it might hurt. I also had some questions about the treatment. What happens during a Botox treatment is clear. But a treatment in which the sweat glands are removed from the armpits raised a number of questions for me. For this reason, I first went to the clinic for a consultation. The doctor answered all my questions properly. Now I could undergo the treatment with a clear conscience. I am now finally free of excessive sweating! It's still hard to imagine. As far as I'm concerned, this treatment is highly recommended for anyone who suffers from excessive sweating.

Tineke

A solution against sweating for men too
When I do sport or get warm, I always start sweating quickly. I don't mind sweating a little, but it got worse and worse over time. I can literally wring out my T-shirt after exercise. My doctor said that there is no real cure for excessive sweating. When I'm warm or exercising, my body sweats. I told him that the sweat stains actually bothered me the most. Finally, he referred me to the Acura Clinic. Here I was helped to my satisfaction. It still feels strange that I don't sweat as much under my armpits anymore. For me, the treatment is a must for anyone who suffers from excessive sweating. I may undergo permanent treatment for excessive sweating in the future.

Guus

Botox as a solution to excessive sweating
My sweating has been getting worse and worse since I was a teenager. The profuse sweating made me embarrassed in front of my friends. When I finally dared to talk to my mum about it, she suggested that there was a good solution to my problem these days. Together with her, I went to the Acura medical centre in Weert. We discussed my situation and considered which treatments were possible. In the end, we decided in favour of Botox treatment. An incredible relief! At last I no longer have to worry about sweat marks. I am very glad that I took the plunge!

Fenna

Finally something against excessive sweating that really works
What a nuisance, this enormous sweating. I've heard that quite a lot of people have this problem. Somehow, I sometimes start sweating for no reason at all. No matter what kind of shirt or jumper I wear, sweat patches form immediately. Botox treatment for excessive sweating is therefore a great solution for me. I go to the Acura medical centre in Weert for the treatment. I noticed a big difference very quickly after the treatment. Fortunately, the effect lasted a long time. As soon as the feeling of sweating a lot comes back, I will go for another treatment. It really is a relief for me. I used to have to regularly throw away shirts because stains would form near my armpits. Thanks to the treatment, I save a lot of clothes!

Leontia

A solution to excessive sweating thanks to botulinum toxin
I didn't realise at first that Botox was so versatile. I've been annoyed by the large patches of sweat for years. I started sweating at every little thing and it became unstoppable. Apart from the fact that it didn't look very neat, it was also at the expense of all my clothes. Ugly yellow stains formed in the armpit area of almost all my shirts. I smelled of sweat even after wearing them just a little. I never really smelled it myself, but I knew that others smelled it and I was ashamed of it among colleagues and other people. My doctor referred me to Botox. He referred me to a very friendly doctor at the Acura medical centre. The treatment itself wasn't really pleasant, but it was more than worth it. I immediately bought new clothes and have never felt so happy and relieved. For me, this treatment really is a godsend!

Franz