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    Medical Treatment

    Hyperhidrosis Treatment in Karlsruhe

    Effectively stop excessive sweating. With Botox injections for long-lasting dryness.

    Medically reviewed by the Derma Luma medical team · Last updated: October 2026

    What is Hyperhidrosis?

    Hyperhidrosis refers to excessive sweating that goes far beyond the body's normal thermoregulation. Those affected often sweat heavily even at rest – regardless of temperature or physical exertion.

    For many, this is not just uncomfortable but a significant burden in daily life: visible sweat stains, wet hands when shaking hands, constant discomfort in social situations. Normal deodorants and antiperspirants often don't help.

    The good news: Botox offers a medically proven, highly effective solution. Through targeted injections, the sweat glands are temporarily blocked – providing months of noticeable dryness and quality of life.

    Treatment Areas

    Applications

    The most common form of hyperhidrosis. Botox injections in the armpits reduce sweating by up to 90% for 4-9 months. Finally wear clothes worry-free.

    Sweaty hands are stressful in professional and private life. Botox can keep palms dry for several months.

    Heavy sweating on the forehead and face is particularly visible. Botox treatments can also help effectively here.

    Sweaty feet are uncomfortable and can lead to skin problems. Botox can also be a solution here.

    Suitability

    Who is this treatment suitable for?

    ✓ Suitable for

    • •Excessive sweating without identifiable cause (primary hyperhidrosis)
    • •Sweating even at rest or in cool temperatures
    • •Failure of deodorants and antiperspirants
    • •Impaired quality of life due to sweating
    • •Desire for a long-lasting solution

    ✗ Less suitable for

    • •Sweating as a symptom of an underlying condition (needs investigation first)
    • •Pregnancy or breastfeeding
    • •Certain neuromuscular disorders
    • •Allergy to botulinum toxin
    • •Acute skin infections in the treatment area

    Process

    How the treatment works

    1
    Detailed consultation: We clarify the cause and extent of your excessive sweating.
    2
    Iodine-starch test: For precise localization of active sweat glands (for underarm treatment).
    3
    Botox injections: Many small, superficial injections into the affected area. About 15-20 minutes for underarms.
    4
    Follow-up: After 2 weeks, we check the result and treat individual spots if needed.

    Investment

    Prices & Costs

    Underarms (both sides)from €499
    Hands (both sides)from €499
    Forehead / Facefrom €159
    Feet (both sides)from €499

    Safety

    Risks & Safety

    ✓Medically recognized treatment
    ✓Performed by physicians
    ✓Over 20 years of clinical experience with Botox for hyperhidrosis
    ✓Approved products for this indication
    ✓Reversible effect
    ✓High success rate (over 90%)

    Durability & Aftercare

    The effect of hyperhidrosis treatment with Botox starts after about 2-7 days. Full effect shows after 2 weeks. Depending on the body area and individual response, the effect lasts 4-9 months. Underarm treatments often show the longest duration.

    FAQ

    Frequently Asked Questions

    The injections are superficial and well tolerated. For sensitive areas like hands or feet, local anesthesia can be applied. Most people only feel a slight pinch in the underarms.

    Compensatory sweating is rare with Botox treatments and if it occurs, usually mild. Unlike surgical procedures, the body is not forced to compensate.

    Depending on the body area, 4-9 months. Underarm treatments often last the longest. With regular treatments, many report extended intervals.
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    Ready for Your Personal Consultation?

    Schedule a consultation now and find out which treatment is best for you. Consultation €50 – credited if treated the same day.

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