Limit excessive sweating with a hyperhidrosis treatment. Targeted botulinum toxin injections temporarily reduce sweat production, for dry armpits, hands or feet and more self-confidence.
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Hyperhidrosis is a condition where you sweat excessively, often on the armpits, hands, feet or face, even without exertion or heat. This can cause discomfort, insecurity and social stress. A hyperhidrosis treatment with botulinum toxin provides an effective solution by temporarily blocking the sweat glands.
During the treatment, a specialist injects small amounts of botulinum toxin into the skin at the treated areas. This prevents the nerves from stimulating the sweat glands, so sweat production temporarily decreases. The treatment is quick and virtually painless, and requires no surgery.
The result is a significant reduction in excessive sweating, making you feel more comfortable and confident in social and professional situations. Hyperhidrosis treatments can be applied to different parts of the body and are often combined with other lifestyle adjustments for the best result.
A hyperhidrosis treatment starts with a consultation to determine the most problematic areas. Then the specialist marks the injection points and injects small amounts of muscle relaxants into the skin. The muscle relaxant temporarily blocks the nerve signals to the sweat glands, reducing sweat production. The session usually lasts 20-40 minutes, depending on the size of the treated area, and no anesthesia is needed; we do not use numbing cream.
The treatment is suitable for adults who:
We never treat during pregnancy or breastfeeding. People with muscle or nerve disorders are advised to seek medical advice first.
Usually no to minimal recovery time; sometimes slight redness or bruising at the injection sites, which disappear within a few days.
The first effect is usually noticeable after a few hours to 3 days and lasts an average of 4-6 months. Repeated treatments ensure the result remains consistent and can in some cases make the sweat glands "sleep" longer.

Hyperhidrosis is a medical condition where you sweat excessively, even without a clear reason such as heat or exertion. It often occurs on the armpits, palms, soles of the feet or face, and can seriously undermine your self-confidence and social comfort. Patients sometimes avoid shaking hands, wear only dark clothing or plan activities around the fear of sweat stains.
We distinguish two types: primary focal hyperhidrosis (without an underlying cause) and secondary hyperhidrosis (due to medication, hormonal changes or illness). At Dr T., we mainly treat the primary form, where botulinum toxin temporarily blocks the sebaceous and sweat glands. The injections are virtually painless and provide an average of 6 to 12 months of freedom from excessive sweating.
Botulinum toxin type A, better known as Botox, blocks the nerve signals that control the sweat glands. When we inject the protein into the skin of the armpits, hands or feet, it binds to the presynaptic endings of cholinergic neurons. This prevents acetylcholine, the neurotransmitter that activates sweat production, from being released. The result: the sweat gland no longer receives a signal and temporarily produces much less fluid.
This approach is local. The toxin remains only in the treated area and is broken down by the body after a few months. Therefore, a repeat treatment is needed once the effect wears off. Thanks to the precise technique used by Dr Thierry De Smedt, surrounding muscles remain unaffected and you retain natural skin function. The first effect is noticeable after a few hours to 3 days; the maximum follows after two weeks.
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