Body Harmonization · Non-Surgical
Excessive Sweating in the underarms and hands, treated with Botulinum Toxin
Some people always keep a sweater on hand to cover the stains, or dry their palm before shaking hands. If this happens to you, know that it is a common reason for consultation, in both men and women, and it has a name: hyperhidrosis. Dr. Thuel evaluates it discreetly and, if appropriate, applies botulinum toxin to the skin to reduce sweating. So you can shake hands, hug or get dressed without worrying about it.
Medical consultation · US$100, VAT included. This amount is applied in full toward your treatment or procedure if you formalize it with your payment on the same day or within the following seven calendar days. It can be the full payment or a first payment of more than US$100.
Dr. Thuel personally sees every consultation, so her appointment availability is limited. We suggest booking in advance.

- Duration
- 20 to 40 minutes
- Recovery
- Back to your routine the same day
- When it shows
- Between 2 and 10 days
- How long it lasts
- Usually 3 to 10 months
Body treatments, without going into the operating room.
Dr. Irene Thuel · Physician and Surgeon, Expert in Aesthetic Medicine and Surgery · MED10355

The essentials before you decide
What Excessive Sweating treatment involves, step by step
General information so you arrive at your consultation with a clear idea. In your case it may vary; Dr. Thuel will confirm it during the consultation.
It may be right for you if…
- You choose your clothes so sweat stains will not show.
- You dry your hand before shaking hands or signing a document.
- You always carry a sweater or a spare shirt, just in case.
- You have already tried antiperspirants and want a medical option.
- What it is
- Small injections of botulinum toxin into the skin of the area that sweats. It temporarily reduces the activity of the sweat glands.
- How it is done
- The area is marked and several superficial injections are applied with a very fine needle, spread out in a grid.
- Advantages
- Non-surgical. It takes little time and you return to your routine the same day.
- Who performs it
- Dr. Irene Thuel, in the clinic's office.
- Anesthesia and discomfort
- For the underarms, anesthetic cream or none at all. For the hands, which are more sensitive, cold or local anesthesia may be used. The injections are brief pricks with a very fine needle; most people tolerate them well.
- Duration
- Usually between 20 and 40 minutes, depending on the areas.
- Sessions
- One application per area. It is repeated when the sweating returns, usually between 3 and 10 months later.
- Recovery and care
- You return to your activities the same day. Avoid intense exercise and strong heat, such as a sauna, for 24 hours. Do not massage the area that day.
- When it shows
- It usually starts to show between 2 and 10 days later, and reaches its peak at around 2 weeks.
- How long the result lasts
- In the underarms and hands it usually lasts between 3 and 10 months; it varies from person to person.
- Who should not have it
- It is not applied during pregnancy, with some neuromuscular diseases or if there is an infection in the area. If you are breastfeeding, let the doctor know. The doctor reviews this at the consultation.
- Follow-up visits
- Usually a follow-up visit at around 2 weeks. After that, when the sweating starts to return.
Areas treated
Mainly the underarms and hands
Underarms
So sweat does not soak or stain your clothes as it used to.
Hands
To shake hands or sign a paper without worrying about sweat.
Other areas
Other areas with excessive sweating, depending on what the consultation indicates.
Sweating too much has a medical name: hyperhidrosis. It is not a lack of hygiene, and there is no reason to feel embarrassed about seeking help.
How sweating is treated
How the toxin is applied for sweating
Consultation
The doctor talks with you about when and where you sweat, and reviews your health.
Area and dose
The doctor decides where to apply and how much, and explains what you will feel.
Application
Small injections with a very fine needle, in the office.
Follow-up visit
We review how the area responded and when it is best to come back.
Before the application
The effect on sweating builds gradually, and it is temporary
The discomforts are listed here too, so nothing takes you by surprise.
What to expect
- You will not notice it yet on the same day. The effect appears gradually.
- It is temporary. How long it lasts depends on each person and is assessed by the doctor.
- You can continue with your activities, following simple instructions.
Discomfort and risks
- Discomfort from the injections and small bruises.
- In the hands, temporary weakness may be felt.
- It is not applied during pregnancy or with some neuromuscular diseases. If you are breastfeeding, let the doctor know.
Before treatment, and other options
If you sweat all over your body, first we need to find the cause
The toxin works in specific areas, such as the underarms and hands. If you sweat all over your body, if the sweating started suddenly or comes with other symptoms, your doctor should first check whether there is another cause. And if you would also like to care for another area, these options may help:
Is this treatment right for you? During the consultation, Dr. Thuel reviews your case and tells you frankly whether it suits you and what it involves. The consultation costs US$100, VAT included, which is applied in full toward your treatment or medical procedure if you confirm it with your payment the same day or within the following seven calendar days. This can be the full payment or a first payment of more than US$100.
Frequently Asked Questions
What people who sweat too much ask
Will it hurt?
It is a little uncomfortable because of the injections, although the needle is very fine. Small bruises sometimes appear.
Is it the same Botulinum Toxin used on the face?
Yes, it is the same substance. What changes is where it is applied (the skin of the area that sweats) and the goal.
What is the investment for sweating treatment?
It depends on the area and the dose. We give you the price at the consultation, before anything is applied.
The consultation costs US$100, VAT included. If you decide to have a medical treatment or procedure, that amount is applied in full toward your treatment or procedure when you formalize it with your payment on the same day as the consultation or within the following seven calendar days. It can be the full payment or a first payment of more than US$100.
If I stop sweating in one area, will I sweat more in another?
The treatment acts only where it is applied. If you notice changes in other areas, tell the doctor at your follow-up visit and she will evaluate them.
What if the sweating started suddenly?
Then it is best to check with your doctor first, especially if you sweat all over your body or have other symptoms. Sometimes sweating is a sign of something else that needs to be looked into.
To shake hands, hug and get dressed without thinking twice
Tell us about your case in complete confidence. Dr. Thuel listens to you, examines the area and tells you whether the toxin is right for you. We reply on WhatsApp during business hours.
Medical consultation · US$100, VAT included. This amount is applied in full toward your treatment or procedure if you formalize it with your payment on the same day or within the following seven calendar days. It can be the full payment or a first payment of more than US$100.
Dr. Thuel personally sees every consultation, so her appointment availability is limited. We suggest booking in advance.