Hyperhidrosis is sweating far beyond what the body needs to cool itself, most often from the underarms, palms, soles or face. It is a medical condition, and it is treatable.
Treatment is stepped: strong antiperspirants first, then iontophoresis or tablets, then botulinum toxin injections or a microwave device for the underarms. Surgery on the sympathetic nerves is a last resort because of its side effects.
What Hyperhidrosis Treatment involves
For botulinum toxin treatment, the sweating area is first mapped with an iodine and starch test, which turns dark where sweat is produced. The doctor then injects small doses just under the skin in a grid, blocking the nerve signal to the sweat glands. For the underarms, a microwave treatment called miraDry destroys the glands with heat and gives a lasting reduction.
Who is a good candidate for Hyperhidrosis Treatment?
A doctor first checks that the sweating is not caused by another condition or a medicine.
- Excessive underarm, palm or sole sweating for at least six months without another cause
- Prescription antiperspirants have not been enough
- Sweating that affects work, social life or mental wellbeing
- Wants a reversible treatment before considering anything permanent
It is usually not the right choice if:
- Generalised sweating that started recently, which needs medical investigation for thyroid disease, infection, medication effects or other causes
- Pregnancy or breastfeeding
- Neuromuscular disease, in the case of botulinum toxin
- Expecting one injection to last for years
Technique options
- Aluminium chloride antiperspirants: first-line, applied at night
- Iontophoresis: a mild electric current through water, for hands and feet, done regularly at home
- Botulinum toxin: licensed for underarm sweating; also used for palms, soles and forehead
- Microwave thermolysis: miraDry, for underarms only, a lasting reduction after one or two sessions
- Oral anticholinergics: tablets for widespread sweating, limited by dry mouth
- Sympathectomy: keyhole surgery on the nerve chain, reserved for severe palm sweating
What happens during your treatment
Underarm injections take 20 to 30 minutes and are easily tolerated. Palms and soles are much more sensitive, so nerve blocks or strong cooling are used. miraDry takes about an hour under local anaesthetic.
Preparing for your trip
Botulinum toxin is a single visit and works within one to two weeks, so it suits travel well, but it needs repeating once or twice a year. miraDry may need a second session three months later.
- Tell the doctor about medication, allergies, pregnancy or breastfeeding, and any history of cold sores, keloid scars or autoimmune disease
- Avoid alcohol, aspirin and anti-inflammatory painkillers for a few days beforehand if your own doctor agrees, to reduce bruising
- Arrive without make-up on the treatment area and avoid sunbeds and strong sun for two weeks before
Recovery and results
After injections there is no downtime. Hands may feel slightly weak for a couple of weeks after palm treatment. After miraDry the underarms are swollen, numb and tender for one to two weeks.
- Back to everyday activity: None for injections; 1 to 2 weeks for microwave
- When results show: 1 to 2 weeks
- How long they last: 4 to 9 months for toxin; lasting for microwave
Safety, risks and revision policy
Risks depend on the method chosen:
- Botulinum toxin: bruising, and temporary weakness of grip after palm injections
- Microwave treatment: swelling, numbness, lumps under the skin and, rarely, temporary arm weakness
- Tablets: dry mouth, blurred vision, constipation and difficulty passing urine
- Sympathectomy: compensatory sweating elsewhere on the body, which is common, permanent and sometimes worse than the original problem
Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.
Cost of Hyperhidrosis Treatment in Türkiye
Clinic-Y does not publish a single price for Hyperhidrosis Treatment, because the honest figure depends on your case. What moves it:
- The product or device used and how much of it your treatment needs
- Who performs it: a doctor's time costs more than a technician's
- The number of sessions in the course
- Whether it is combined with other treatments in the same visit
Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.
Frequently Asked Questions
How long does Botox for sweating last?
Around six to seven months in the underarms and somewhat less in the palms and soles.
Is there a permanent treatment?
For the underarms, microwave treatment gives a lasting reduction of around 80 per cent because destroyed sweat glands do not regrow. For the palms, surgery is permanent but carries a high risk of compensatory sweating.
Should I see a doctor before cosmetic treatment?
Yes, if sweating is new, affects the whole body or happens at night. Those patterns can point to a medical cause that needs treating first.