(excessive sweating)

Excessive or uncontrollable sweating, also known as hyperhidrosis, can be very distressing and embarrassing, but it's quite common & treatable.


Hyperhidrosis, a condition characterized by excessive sweating beyond the body's normal needs, can significantly impact one's quality of life. There are two primary forms of hyperhidrosis: primary and secondary. Primary hyperhidrosis is a genetic condition that affects approximately 1 in 20 people, leading to profuse sweating in areas such as the palms, feet, underarms, face, and scalp. Those with primary hyperhidrosis often face social limitations due to the unpredictable nature of their excessive sweating. In contrast, secondary hyperhidrosis is linked to an underlying medical condition, such as infections, endocrine disorders, metabolic issues, neurological conditions, and more. The treatment for secondary hyperhidrosis involves addressing the root cause.

Primary Hyperhidrosis Treatment:

Treatment options include:

1. Aluminium Chloride (Topical Medication): Products like Driclor, which contain aluminium chloride, can be applied topically to reduce sweating.

2. Iontophoresis: This involves placing the affected area in electrically charged water/sodium glycopyrrolate to manage excessive sweating.

3. Anti-Cholinergic Medication: Certain medications can help control sweating.

4. Anti-Wrinkle Injections: An innovative treatment option that provides relief by targeting sweat glands.

5. Endoscopic Thoracic Sympathectomy (Surgery): In extreme cases, surgery may be considered as a last resort.

How Anti-Wrinkle Injections Work for Primary Hyperhidrosis:

Anti-wrinkle injections target the source of sweating, blocking the release of a chemical signal responsible for perspiration. The procedure typically takes around 15 minutes. Most clients experience a significant reduction in sweating within 3 to 7 days after treatment, with results lasting between 3 to 6 months, and some reporting relief for up to 9 months.

While anti-wrinkle injections are well-known for reducing facial wrinkles, they are equally effective when applied to areas prone to excessive sweating. The underarms (axilla) is the most common treatment area. Other areas, including the scalp, hands, and feet, can also benefit from anti-wrinkle injections.

The Treatment Process:

The treatment process begins with thorough cleansing of the targeted area using an antiseptic. To ensure comfort during the procedure, particularly in sensitive areas like the hands, several measures are taken to minimize discomfort with the use of fine acupuncture needles and the use of numbing cream ½ hour prior to the injection.

Multiple injections are administered at the superficial dermis level.

Results typically become evident 4 to 7 days post-treatment. Common side effects, including swelling, bruising, redness, and irritation, are temporary in nature. Notably, any side effects experienced are generally mild and short-lived. These may include perceived increased sweating in areas other than the treated site, pain at the injection site, hot flushes, and transient arm weakness.


Dr May Marr Cosmetic Physician Lennox Head


Dr May Marr is a Flinders University Medical School graduate and a member of the Royal Australasian College of Physicians. She has a long-held interest in aesthetic medical procedures and evidence-based skin care. She holds a passionate belief that people should have access to procedures and products that are research-backed, ethically prescribed and skilfully delivered.

Dr Marr has trained with Dr Jacque Le Coz at the Institute of Mesotherapy in Paris. She holds an Advanced Diploma in Dermatology from the Australian Institute of Dermatology and in 2020 completed her Dermatology Fellowship.

The ethical, educational and procedural standards that Dr Marr brings to aesthetic medicine have been recognised by some of the largest aesthetic companies in the world. She holds advanced injector status and her extensive clinical experience sees her regularly called upon as an industry educator.

The art of creating a naturally refreshed younger looking face without looking “stunned” and expressionless requires advanced injecting techniques and individualised dosing. ”