Dr Harry Clinic
Hyperhidrosis treatment in Chiswick London
Hyperhidrosis Treatment

Excessive sweating of underarms, hands, feet, or face

Treated with therapeutic botulinum toxin

Improves comfort, social confidence, and quality of life

  1. Home
  2. Medical Aesthetic Treatments
  3. Effective Sweat Reduction for All Areas

Medical aesthetic treatments

Effective Sweat Reduction for All Areas

Reduce excessive sweating and regain comfort with targeted hyperhidrosis treatment using therapeutic botulinum toxin.

At a glance

What it does

Controls underarm, hand, foot, and facial sweating

Also

Improves social and professional confidence

And

Provides lasting dryness and comfort

Timing

Non-surgical and clinically proven

Guide price

£475

Practitioner

Dr Harry James
MBChB PGDip (CAIT), GMC 7528423

Clinics

Chiswick and Covent Garden

Consultation

£75, book online

Understanding Hyperhidrosis

Hyperhidrosis is a medical condition characterised by excessive sweating that goes beyond what is necessary for temperature regulation. This condition affects millions of people worldwide and can significantly impact quality of life, social interactions, and professional activities.

Primary hyperhidrosis typically affects specific areas such as the underarms, palms, feet, or face, whilst secondary hyperhidrosis may be caused by underlying medical conditions or medications. Understanding the different types and causes is essential for effective treatment planning.

Dr. Harry’s expertise in hyperhidrosis treatment comes from his comprehensive medical background and his experience as a trainer in aesthetic medicine. This knowledge ensures that treatments are based on solid medical principles whilst providing significant symptom relief.

Hyperhidrosis Treatment Explained

01How Botulinum Toxin Treats Excessive Sweating

Excessive sweating is caused by overstimulation of the eccrine sweat glands by nerves in the autonomic nervous system. Botulinum toxin works by temporarily blocking the chemical signals that activate these sweat glands. Once injected, it reduces sweat production in the treated area while preserving normal function elsewhere.

This approach allows patients to experience substantial relief, often with effects lasting several months, without affecting overall body temperature regulation.

Dr. Harry’s advanced knowledge of anatomy ensures that every treatment is accurately targeted, especially in complex or sensitive areas such as the hands, feet, or face. His method ensures the best outcomes while maintaining comfort and natural movement.

02Treatment Areas and Clinical Approaches

Underarm Hyperhidrosis

Excessive underarm sweating is one of the most common and distressing forms of hyperhidrosis. It can affect daily clothing choices, personal comfort, and professional confidence.

Treatment involves small, carefully placed injections across the underarm area to block sweat gland activity. Most patients experience an 80–90% reduction in sweating, with results typically lasting 6 to 12 months. The improvement in comfort and quality of life is often immediate and dramatic.

Palmar Hyperhidrosis (Hands)

Sweating of the palms can interfere with everyday activities like writing, handshaking, or using devices. It may also lead to significant social anxiety.

Treating the hands requires careful injection into specific muscle and skin layers, avoiding key nerves and vessels. Dr. Harry uses advanced techniques to minimise discomfort while delivering effective results. While this area may require more preparation, patients often report a dramatic improvement in function and confidence within 1 to 2 weeks.

Plantar Hyperhidrosis (Feet)

Excessive sweating on the soles of the feet can cause persistent discomfort, odour, and problems with footwear.

Treatment in this area involves deeper injections due to the thickness of the skin and unique anatomy. While slightly more uncomfortable than underarms, the improvement in symptoms and hygiene is well worth it, helping patients feel more comfortable and confident in daily life.

Facial Hyperhidrosis

Sweating of the face, particularly the forehead, nose, or upper lip, is both highly visible and emotionally distressing.

Facial treatment requires exceptional precision. Dr. Harry takes great care to maintain natural facial movement and expression while achieving effective sweat reduction. His extensive anatomical knowledge allows him to treat even small areas with confidence and safety.

03Diagnostic Mapping with Starch-Iodine Testing

Before treatment, Dr. Harry may use a starch-iodine test, a simple yet highly effective diagnostic technique that maps the exact location and intensity of sweat gland activity. This allows for a tailored injection plan that targets only the areas in need, improving both efficiency and treatment outcomes.

This visual mapping ensures no gland is missed and provides reassurance that the treatment is completely customised to the patient’s pattern of sweating.

04Comfort and Patient Experience

While hyperhidrosis treatment involves injections, Dr. Harry prioritises patient comfort at every stage. In more sensitive areas such as the hands or feet, numbing creams, cooling techniques, or vibration distraction devices may be used to reduce discomfort.

The treatment itself is quick, usually completed within 30 to 45 minutes, and there is no downtime. Patients can resume normal activities the same day, with noticeable reduction in sweating within the first week and full effect by two weeks.

05Life-Changing Results Beyond Physical Relief

Hyperhidrosis isn’t just a physical condition, it has profound emotional and psychological effects. Treatment often results in:

  • Increased confidence in social settings

  • Freedom to wear chosen clothing without fear of stains

  • Improved performance and comfort in professional environments

  • Relief from anxiety associated with physical contact or public speaking

  • Improved sleep and peace of mind

Many patients describe the result as life-changing, no longer having to worry about damp palms, stained shirts, or the constant fear of being seen as unhygienic.

06Long-Term Management and Maintenance

While hyperhidrosis treatment with botulinum toxin is highly effective, it is not permanent. Most patients require maintenance treatments every 6 to 12 months, depending on the treatment area and individual response.

Dr. Harry provides a personalised plan for each patient, ensuring results are maintained while avoiding overtreatment. Regular reviews help monitor effectiveness and adjust timing, dosage, or areas treated as needed.

Ongoing support is part of Dr. Harry’s commitment to long-term patient care.

Dr Harry James, MBChB PGDip (CAIT), at Dr Harry Clinic
Dr Harry JamesMBChB PGDip (CAIT) · Aesthetic Doctor & Clinical Director

Meet Dr Harry James

Certified trainer. Award-nominated aesthetic medicine expert.

Dr Harry James brings a wealth of experience and clinical precision to our London clinics. As a certified trainer in aesthetic medicine and a finalist in multiple national aesthetic award ceremonies, Dr Harry is recognised for his advanced techniques, patient-focused results, and commitment to setting high standards in non-surgical aesthetics.

His expertise extends beyond delivering treatment, he actively trains other practitioners and remains at the forefront of the field through continuous education and professional development.

  • Certified Aesthetic Medicine Trainer
  • Finalist in Multiple Aesthetic Award Ceremonies
  • Advanced Facial Injection Techniques Specialist
  • Medically Qualified with Extensive Postgraduate Training
  • Committed to Excellence in Patient Care & Safety
  • GMC registered, 7528423

Common questions

Hyperhidrosis Treatment with Botulinum Toxin FAQs

01Is botulinum toxin treatment for sweating safe, and will it stop sweating completely?

Yes, when performed by a trained medical professional, it’s very safe. Botulinum toxin simply blocks the nerve signals that trigger excessive sweat production in overactive glands. It does not stop all sweating or affect temperature regulation, only in the targeted treatment area. Dr. Harry ensures that dosing and placement are precisely tailored to your anatomy and symptoms to maintain safety and comfort.

02How long does the treatment last, and how often will I need it?

Most patients enjoy a significant reduction in sweating for 6 to 12 months, depending on the area treated and individual response. Underarms typically have the longest duration of effect, while hands and feet may require more frequent top-ups (every 4 to 6 months). Dr. Harry will develop a personalised treatment plan and schedule based on your lifestyle, severity of symptoms, and treatment goals.

03Is the treatment painful, especially for sensitive areas like hands or feet?

The procedure involves a series of small injections, which can cause mild discomfort, particularly in more sensitive areas like the palms or soles. To minimise this, Dr. Harry uses topical numbing agents, fine needles, and proven comfort techniques. Most patients find the underarm treatment virtually painless, while hands and feet may require more advanced comfort management, which Dr. Harry provides as part of every session.

04Am I suitable for this treatment even if I’ve tried other options like prescription deodorants or tablets?

Yes, this treatment is ideal for patients who haven’t found relief from topical or oral medications, or who prefer a non-systemic solution. Dr. Harry’s medical consultation includes a comprehensive assessment of your condition, history, and any previous treatments, ensuring you receive the most appropriate care. Botulinum toxin therapy is especially well-suited for primary focal hyperhidrosis (e.g. underarms, hands, feet, face) and offers excellent results when other options fail.

Our locations

Two premium clinics across London

West London

Dr Harry Clinic, Chiswick

The consultation room at Dr Harry Clinic
Dr Harry Clinic, Aesthetic Clinic in Chiswick300 Chiswick High Road, Chiswick, London W4 1NP
Telephone020 3633 8687
HoursMonday to Sunday, 10am to 7pm, by appointment only
Getting hereChiswick Park station (District Line), 3 min walk. Bus routes 27, 237, 267, E3. Free parking on surrounding streets.

★★★★★ Rated 5.0 on Google

Central London

Dr Harry Clinic, Covent Garden

Dr Harry James in the consultation room
Dr Harry Clinic, Aesthetic Clinic in Covent GardenJubilee Hall, 30 The Piazza, Covent Garden, London WC2E 8BE
Telephone020 3633 8687
HoursMonday to Sunday, 10am to 7pm, by appointment only
Getting hereNearest: Covent Garden (Piccadilly Line).

★★★★★ Rated 5.0 on Google

All treatments are available at both our Chiswick clinic and Covent Garden clinic.

Dr Harry James in the consultation room at Dr Harry Clinic

Not sure which treatment is right for you?

Every journey begins with a consultation.

Schedule a consultation with Dr Harry James to discuss your goals and discover the right treatment plan. Dr Harry will assess your concerns, explain suitable treatment options, and create a personalised plan designed to achieve your desired results.