Hyperhidrosis
Hyperhidrosis is the production of sweat in quantities exceeding the body’s normal thermoregulatory requirements.
This is a condition that goes far beyond mere physical discomfort. For those affected, it often becomes a real limitation in everyday life and personal relationships, and a constant source of embarrassment that is difficult to manage with traditional remedies alone. Today, there is a safe, effective and minimally invasive solution: treatment with botulinum toxin.
What is hyperhidrosis and what are its symptoms?
Hyperhidrosis can affect the whole body – in which case it is referred to as generalised hyperhidrosis – or be confined to specific areas, resulting in focal hyperhidrosis, which is the most common form and the one most easily treated using a minimally invasive outpatient approach.
Axillary hyperhidrosis
This is the most common site of hyperhidrosis and the one that has the greatest impact on daily life. Excessive underarm sweating limits your choice of clothing, leaves visible stains and can cause odours that are difficult to control, even with high-strength deodorants. This is the form that responds best and most rapidly to treatment with botulinum toxin.
Hyperhidrosis of the hands
Excessive sweating of the palms is one of the most debilitating forms of the condition in terms of social and professional life. It can make it difficult to shake hands, use touchscreens, write, or work with paper and pen. Excessive sweating of the hands interferes with seemingly simple everyday tasks, causing constant discomfort that many people live with for years without realising there is a solution.
Hyperhidrosis of the feet
Excessive sweating on the soles of the feet leads to constant dampness, difficulty in wearing certain types of footwear and an increased risk of fungal infections and skin irritation. As with the hands, it responds effectively to treatment with botulinum toxin, with results that significantly improve the quality of daily life.
Causes of hyperhidrosis: why it develops
The causes of hyperhidrosis cannot always be pinpointed with certainty. In the primary form, there is no underlying medical condition: the sweat glands function correctly from an anatomical point of view, but the autonomic nervous system that regulates them sends excessive and disproportionate activation signals. It often appears at a young age and tends to persist over time without resolving spontaneously.
In the secondary form, however, excessive sweating is the result of an underlying medical condition: endocrine disorders such as hyperthyroidism, hormonal imbalances, certain neurological conditions, or specific drug treatments. In such cases, a preliminary medical assessment is essential to rule out treatable causes before drawing up a personalised treatment plan.
Symptoms of hyperhidrosis: how to recognise it
How to treat hyperhidrosis: solutions that work
Treating hyperhidrosis with botulinum toxin: how it works
Botulinum toxin works by temporarily blocking the transmission of nerve signals to the sweat glands in the treated area. The glands are neither damaged nor removed: they simply stop receiving the signal to produce excess sweat. The result is an immediate and dramatic reduction in sweating in the treated area, with a high safety profile and no effect on the body’s overall thermoregulation, which continues to function normally via the other sweat glands.
The treatment takes place in the clinic and lasts 20–30 minutes: after applying a topical anaesthetic, the doctor administers micro-injections into the affected area, following a precise map. It does not require general anaesthesia, leaves no scars and involves no recovery time. The patient can resume their normal daily activities immediately after the session.
The results are visible within a few days and last for an average of 6–12 months, with a tendency to last longer in patients who repeat the treatment over time.
A personalised hyperhidrosis treatment plan: from assessment to results
Every treatment programme begins with a thorough medical consultation: Dr Garavaglia assesses the type of hyperhidrosis, the affected areas, the patient’s medical history and whether there are any underlying conditions to be taken into account. It is only on the basis of this assessment that the most suitable treatment protocol is determined, with the injection map tailored to the specific characteristics of the area and the individual’s response.
Maintenance sessions are scheduled according to how long the results last for each individual patient, building up a treatment plan over time that ensures stable and continuous management of excessive sweating.
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Why choose Studio Garavaglia?
Hyperhidrosis is a medical condition rather than merely a cosmetic one, and as such requires clinical expertise, not just technical skill. At our clinic in Milan, the treatment is assessed and carried out by Dr Garavaglia himself, with particular attention paid to the precision of the injection map – which is crucial to the effectiveness and longevity of the results – and to managing the patient’s expectations over time.
Book a consultation
If excessive sweating is affecting your daily life, the first step is to see a doctor. Dr Garavaglia will assess your situation and suggest the most suitable solution.