Hyperhidrosis
Excessive sweating stopped at the gland.
Hyperhidrosis is sweating well beyond thermoregulatory need, most commonly of the underarms, palms, soles or face. It is a genuine medical condition with a marked effect on work, clothing and social confidence.
- None
- Downtime
- 3–7 days
- Onset
- 6–9 mo
- Duration
- Topical
- Anaesthesia
- Neuromodulator injection
- Prescription aluminium chloride
- Starch-iodine mapping
- Iontophoresis
Diagnosed first, treated second.
Treatment is highly effective and graded: prescription antiperspirants first, then neuromodulator injections that block the nerve signal to the sweat glands for six to nine months at a time.
- 01Neuromodulator injection
- 02Prescription aluminium chloride
- 03Starch-iodine mapping
- 04Iontophoresis
- 05Oral anticholinergic therapy
- Sweating through clothing daily
- Damp palms affecting work or handshakes
- Sweating unrelated to heat or exertion
- Antiperspirants no longer effective
- Social or occupational impact
How the treatment works
A sequence, not a single appointment — each step informs the next.
- 01
Assessment
Severity is scored and secondary medical causes excluded.
- 02
Mapping
The starch-iodine test identifies exactly where the active glands sit.
- 03
Injection
Precise intradermal neuromodulator placement across the mapped area.
- 04
Review
Response is assessed at two weeks and the interval planned from there.
Results measured, not promised.
What to expect
- 01Sweating reduced by 80–90 percent
- 02Six to nine months per treatment
- 03Clothing staining resolved
- 04Confidence restored at work and socially
- 05No surgery required
Begin with a diagnosis,
not a guess.
Share a few details and the clinic will reply with available consultation times for hyperhidrosis — one-to-one with Dr. Arely.
- Response
- Within 24 hours
- Consultation
- One-to-one, 45 min
- Assessment
- Trichoscopy included
- Location
- Dr. Arely Clinic
Frequently asked
Typically six to nine months in the underarms, slightly less in palms.
Injections are superficial and brief; topical anaesthetic is used for palms and soles.
Meaningful compensatory sweating is not seen with injectable treatment.
Yes. It has been used for hyperhidrosis for over two decades with strong safety data.