Project Description

Hyperhidrosis Treatment


What causes Hyperhidrosis?

Sweating is controlled by parts of the brain which send signals along nerves to the small sweat glands in the skin.

These nerves are part of the ‘autonomic nervous system’ which controls many unconscious body functions. Increased sweating is a normal response to a rise in body temperature, and to emotions like anxiety.

Hyperhidrosis is the condition of sweating excessively, which can cause embarrassment to you, the sufferer. Examples of it would be sweating excessively whilst merely sitting at your desk at work or constantly having clammy hands.

It’s different from sweating during exercise or physical activities, which regulates your body temperature. But you may be sweating excessively if you’re sweating when your body does not need to cool down.

Hyperhidrosis can affect:

• the underarms and leave sweat marks on tops and shirts.
• the palms of the hands causing overly clammy and damp hands.
• the soles of the feet causing shoes to slip and slide.

The use of a naturally occurring protein for Hyperhidrosis is a proven, safe, and effective treatment.

Success rates are almost 100% and effects can be seen within 24 hours. Results can last between 9 and 12 months and the treatment can be repeated as needed.

Will I notice a change in body odour?

Anti-Wrinkle Injectables can be used for excessive sweating. This treatment can also reduce noticeable body odours that are caused by hyperhidrosis. When we sweat, our glands release certain odourless chemicals that come into contact with bacteria on our skin. These bacteria are responsible for creating the odours we typically associate with “BO”.

When we sweat less, we emit fewer of these chemicals, so body odour is reduced.


Pre & Post Treatment Advice

  • You may take paracetamol prior to your treatment.
  • Do NOT take aspirin or products containing aspirin as this will thin the blood.


  • Avoid applying deodorant, creams, lotions (other than those ,if any, agreed by Dr. Bratu) for at least 24 hours
  • Avoid shaving, waxing, laser treatment for at least 48 hours (please let Dr. Bratu know if you intend to remove hair in the days following treatment)
  • Avoid drinking alcohol for at least 5 days
  • Avoid vigorous exercise (i.e. any exercise that makes you sweat) for 48-72 hours
  • Wear loose fitting clothes to avoid irritation of the underarm


  • Avoid applying creams, lotions (other than those, if any, agreed by Dr. Bratu) for at least 24 hours.
  • Avoid manicures for at least 5 days and do not massage hands
  • Wash your hands with cool water and use a light soap, if necessary, for at least 24 hours.
  • Avoid driving/cycling immediately after treatment as your hands may be quite sensitive. If your hands are still sore the next day driving/cycling may need to be avoided for your safety.
  • Be aware of anaesthetic effects when washing hands, holding cups of tea/coffee straight after treatment – the water may be hot and you may not be able to feel the heat fully
  • Be aware of all the everyday activities that you use your hands for e.g. washing your hair. Plan ahead so that you don’t need to wash your hair the day of your procedure
  • Avoid drinking alcohol for at least 5 days


  • Avoid applying creams, lotions (other than those ,if any, agreed by Dr. Bratu) for at least 24 hours
  • Avoid pedicures for at least 5 days and do not massage feet.
  • Avoid drinking alcohol for at least 5 days
  • Avoid vigorous exercise (i.e. any exercise that makes you sweat) for 48-72 hours
  • Wear comfortable shoes – it is not advisable to wear new shoes or high heels post-treatment

Frequently Asked Questions

We are a doctor led clinic so one of our doctors will be your aesthetician. They will talk you through the process and will give you breaks through the procedure if you need to stop at any point. The treatment takes about 30 minutes.

A small number of people are not suitable for treatment due to, pre-existing medical conditions, lifestyle or current physical condition. At your consultation stage our doctor will be able to tell you if you are suitable for treatment.

In Refine Clinic, there is no pressure for our clients to go ahead with any treatment until they are ready, so there is no problem if you decide to take time to consider your treatment options and return to us another day.

A contraindication is a specific situation in which a drug, procedure, or surgery should not be used because it may be harmful to the person.

This will be thoroughly discussed with you during your consultation.

Firstly, it is advisable to have a full health check to ensure it’s not a hormonal issue that is causing the excessive sweating. Also check that it’s not a dietary factor by filling out a food diary to identify times the sweating is worse – you may find a correlation with your excessive sweating and some food you eat. Did you know that, for example, adding ginger to meals/juices can cause you to sweat more than normal?

If it’s clearly none of the above then we can help by treating with a naturally occurring protein.

Before your first injection, Dr Natalia will apply anaesthetic cream to the area to be treated. Ice may also help to numb the area. A naturally occuring protein (the same product used in anti-wrinkle injections) is injected, using a fine needle, into the sweat glands just under the skin that are responsible for the excessive sweating.

For some people this treatment can be painful as it is a sensation that they may have never experienced before. It’s not a regular occurence to receive injections into their underarm, palms or soles of feet.

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