Hyperhidrosis consists of excessive sweating in the regions of the armpits, forehead, palms of the hands or soles of the feet. It is a genetic condition that limits the social life of those who suffer from it, even affecting relationships between people. At De Felipe Dermatology Clinic we have proven experience in eradicating excessive sweating in London with the latest medical treatments.
Our Dermatology London clinic provides a specialist-led approach to the diagnosis and management of hyperhidrosis where patients can expect to receive a personalised treatment tailored to both the individual and the affected area.
What is hyperhidrosis?
Hyperhidrosis is a condition characterised by excessive perspiration in specific areas of the body, occurring in a disproportionate and often uncontrollable way. It often occurs in the absence of heat or physical exertion. This excessive sweating most commonly affects the underarms, hands, feet, and/or scalp and it can have a significant impact on daily life. Beyond the patient’s physical discomfort, it may lead to social anxiety, reduced confidence, and difficulties in both personal and professional interactions.
When a patient presents with overactive sweat glands, it is essential that a dermatologist is able to make an accurate diagnosis. This allows us to distinguish between primary (or focal) or secondary (generalised) hyperhidrosis, the latter of which may be associated with neurological, metabolic or hormonal imbalances.
A precise diagnosis not only helps rule out the underlying conditions, but also allows us to determine the most effective and personalised treatment for each patient, ultimately achieving long-term improvement in symptoms and overall quality of life.
Types of hyperhidrosis based on the affected area
Hyperhidrosis can affect different areas of the body, with the most common being the underarms, hands, feet and craniofacial region. Each location presents specific characteristics and requires an individualised therapeutic approach.
In all cases, a personalised dermatological assessment is essential to identify the type of hyperhidrosis and determine the most appropriate treatment based on the affected area, the severity of sweating, and each patient’s individual characteristics.
Hyperhidrosis treatment London
The first-line treatment for hyperhidrosis typically involves prescription-strength antiperspirants formulated with aluminum salts (such as aluminum chloride). These work by temporarily blocking the sweat ducts. They are generally effective in mild to moderate cases and are applied regularly, ideally at night, to maximise their effect.
When topical treatments are not sufficient, the next step is the use of botulinum toxin injections, one of the most effective and well-established treatments for hyperhidrosis. This works by blocking the nerve signals that stimulate the sweat glands, resulting in a significant reduction in sweating in the treated area for several months.
For more severe or complex cases, or when a broader approach is required, additional treatment options may be considered depending on the patient’s profile. These include oral anticholinergic medications, which reduce sweat gland activity systemically; microwave-based therapy, which selectively targets and reduces sweat glands in areas such as the underarms; and in highly selected cases, surgery (sympathectomy), reserved for resistant cases where other treatments have not been effective.
Botulinum toxin treatment for hyperhidrosis in London
Botulinum toxin is a highly effective treatment for managing hyperhidrosis, widely used in clinical practice in London to control excessive sweating safely and effectively. The treatment starts with a small injection in several points of the area to be treated. The injection will reduce the electrical signals from the nerves that produce sweat. After 7 to 10 days, the patient will notice a noticeable reduction in sweating. It is recommended to repeat this treatment once or twice a year and usually at the beginning of spring or summer.
It should be noted that sweat is a secretion that is produced at the same time as sweating. Thus, sweat that is not produced in the armpits or hands does not accumulate in the body. The anti-sweat injection works like a medicine that reduces the production of sweat but instead of lasting for hours like common drugs, it lasts for months.
Advantages of anti-sweat injection over other procedures
Experts in the field of medicine assure that the effectiveness of anti-sweat injection against hyperhidrosis marks a differential value with respect to other techniques and/or procedures.
Is it safe to treat hyperhidrosis with botulinum toxin?
Yes. Botulinum toxin treatment for hyperhidrosis is scientifically well established and has a strong safety profile when performed by specialist dermatologists.
At our London clinic, we follow strict medical protocols, ensuring patient safety at every stage while delivering effective and long-lasting results
Why treat hyperhidrosis at our London clinic?
DE FELIPE group is an international network of clinics and not all treatments are available at every location. We kindly invite you to contact us to confirm whether the treatment you require is offered at your chosen clinic.
Hyperhidrosis treatment costs in London
Hyperhidrosis is a treatable medical condition. With the right approach, sweating can be significantly reduced, helping to improve daily comfort and quality of life.
Frequently asked questions about hyperhidrosis
Patients who want to eliminate excessive sweating ask us:

