Injectables and anti-ageing
Treatment for excessive sweating at Chamak Clinic, Chennai
Doctor-led treatment for heavy sweating of the underarms, palms and soles.
Price after your skin assessment: the doctor tells you the cost for your area and number of sessions before anything is done.
Hyperhidrosis Treatment at a glance
- Sessions
- One visit; repeated when it wears off
- Session time
- 20 to 30 minutes
- Downtime
- None
- Results last
- Usually 4 to 6 months
- Starting price
- After consultation
- What is it?
- Small injections of botulinum toxin into the skin of the underarms, palms or soles that switch off the nerve signal to the sweat glands there.
- How many sessions?
- Usually one visit, repeated when the effect fades, often once or twice a year.
- How long does it last?
- Usually four to six months, sometimes longer in the underarms.
- Is it safe for Indian skin?
- Yes. The injection works on the sweat glands, not on skin colour, so it is suitable for all skin tones.
What is Hyperhidrosis Treatment?
Hyperhidrosis is sweating beyond what the body needs to cool down. It can soak clothes, stain underarms, or make hands wet enough to affect writing, phone use or handshakes. It is a medical condition and not a hygiene problem.
Botulinum toxin treatment places small injections just under the skin of the affected area. The toxin blocks the nerve signal that tells the sweat glands to make sweat, so the area stays much drier for several months.
Before treatment the doctor checks for other causes, because sweating can sometimes be a sign of thyroid problems, diabetes, infection, certain medicines or other conditions.
What it can help with
- Drier skin
Often a clear drop in sweating in the treated area.
- Quick
A short visit with no recovery time.
- Confidence
Fewer sweat stains and less worry about handshakes.
- Non-surgical
No cuts and no general anaesthetic.
- Repeatable
Can be repeated as needed.
Areas we treat
- UnderarmsThe most common area; works well and needs the fewest injections.
- PalmsMore injections and more discomfort; hand weakness can happen briefly.
- SolesNeeds many injections; the soles are tender.
- Scalp or foreheadSometimes treated; the doctor avoids the muscles that move the brows.
How does it work?
- Mapping
A starch-iodine test can colour the sweating area so the doctor can see where to inject.
- Injections
Many tiny injections are placed in a grid across the area, just under the skin.
- Nerve block
The toxin blocks the chemical signal between the nerve and the sweat gland.
- Dry skin
Over one to two weeks, the treated skin sweats much less.
- Wearing off
The nerve gradually recovers over months, and sweating slowly returns.
What happens during a session?
- Assessment
The doctor asks when and where you sweat, checks for medical causes and tells you what treatment can do.
- Mapping
A starch-iodine test may be used to mark the sweating area.
- Injections
Many tiny injections are placed across the area. The underarms take about 20 minutes.
- After
You can go straight back to normal activity with simple instructions.
- Review
A review at two weeks checks the effect, and a touch-up can be added if some patches remain wet.
Who is a good candidate?
- Heavy underarm sweating that soaks clothes
- Wet palms that affect work, writing or touchscreens
- Sweaty soles that cause slipping, odour or fungal problems
- Sweating that has not improved with strong antiperspirants
- Those who want an option short of surgery
Is treatment for excessive sweating safe for Indian skin?
Treatment blocks the nerve signal to the sweat gland, so skin colour does not limit it, and it is suitable for Indian skin. Warm, humid weather means many people sweat more, so a clear diagnosis matters. The doctor checks that the sweating is excessive and not related to another cause, and also looks at the skin for fungal infection, rashes or darkening in the folds, which are common in the underarms.
Who should delay or avoid it?
- Pregnancy or breastfeeding
- Myasthenia gravis or another nerve-muscle disease
- An active infection, cold sore or open wound on the area
- Allergy to any ingredient in the product
- Blood thinners or a bleeding disorder (tell the doctor)
- Sweating from an untreated medical cause (the cause is checked first)
The doctor checks your medicines and health before any procedure and may advise waiting or a different treatment.
Hyperhidrosis treatment options
| Prescription antiperspirant | Botulinum toxin | Oral medicine | Surgery or device | |
|---|---|---|---|---|
| How it works | Blocks sweat ducts on the skin | Blocks the nerve signal to glands | Reduces sweat gland activity body-wide | Removes glands or cuts nerves |
| First step? | Usually yes | If antiperspirant fails | Selected people | When others fail |
| How long it lasts | While used | 4 to 6 months | While taken | Longer, with risks |
| Main drawback | Skin irritation | Injections; repeat visits | Dry mouth, blurred vision | Surgery risks, compensatory sweating |
Side effects and risks
Common and short-lived
- Small bumps and tenderness at the injection points
- Mild bruising
- Temporary extra sweating in other areas of the body
Uncommon
- Brief weakness of the hand muscles after palm treatment
- Infection at an injection point
- Flu-like feeling
- Allergic reaction
Call the clinic on +91 90434 09465 if anything worries you after a session.
Results: what to expect
Sweating starts to reduce within a few days and is usually at its lowest by two weeks. Most people find the treated area stays much drier for several months, and clothes stay dry. The effect fades gradually and the treatment can be repeated. How well it works depends on the area and on you.
Does it hurt?
The underarms feel like a series of small pinpricks that most people tolerate well. Palms and soles are more painful, and numbing cream, ice or a nerve block can be used. The doctor will discuss this beforehand.
Hyperhidrosis Treatment cost in Chennai
The cost depends on your skin and your plan. What decides it:
- The area treated: underarms, palms or soles.
- The dose needed, which grows with the size of the area.
- Repeat treatments once the effect wears off.
- A touch-up at review, if some patches remain wet.
At Chamak Clinic, Kandigai
Price after consultation
Depends on the area and the plan
- Consultation ₹500, paid at the clinic
- Your full price and number of sessions are told to you before treatment
- Treatments are billed at the clinic
Who does it
Dr Rohini K
How to prepare
- Do not shave the underarms for 24 hours before, to avoid small cuts.
- Avoid deodorant or antiperspirant on the day.
- Tell the doctor about medicines, pregnancy plans and any nerve or muscle condition.
- Wear loose clothing that you do not mind marking if iodine is used.
Aftercare
- No deodorant or antiperspirant on the area for 24 hours.
- Avoid heavy exercise, sauna or very hot showers for the rest of the day.
- Do not rub or massage the area for 24 hours.
- Expect sweating to reduce over one to two weeks.
- Call the clinic if you see redness, swelling or pus.
Home care: Sweat, odour & prickly heat on Chamak
Hyperhidrosis Treatment: questions
Is excessive sweating a medical condition?
Yes. It is called hyperhidrosis. It is often primary, with no other cause, but the doctor checks for thyroid disease, diabetes, infection and medicine effects.
What else can help before injections?
A prescription-strength antiperspirant with aluminium chloride is usually the first step. Some oral medicines and devices are other options. The doctor explains which suits you.
Does the sweat move elsewhere?
Some people notice slightly more sweating in untreated areas. It is usually mild and temporary.
Does it affect body odour?
Less sweat usually means less odour, though odour comes from bacteria and may still need care.
Can I have it on my face or scalp?
In some cases, yes. Face treatment is planned carefully to avoid affecting expressions.
Is palm treatment very painful?
It is more uncomfortable than the underarms. Numbing cream, ice or a nerve block can be used, and the doctor will discuss the options.
Will I be able to grip normally after palm treatment?
Some people have brief weakness in the hand muscles. It usually passes as the dose wears off.
How soon can I repeat it?
Usually after the effect has worn off, no sooner than about three months. The doctor advises.
Can I get treated if I am diabetic?
Often yes if sugar is well controlled. The doctor reviews your records first.
Do I need a consultation before a treatment?
Yes. Every treatment starts with a consultation. The doctor examines you and advises a procedure only if it suits you; many can be done the same day.
Related treatments
All treatmentsNot sure if treatment for excessive sweating is right for you?
A consultation comes first: Dr Rohini K examines you, explains the options that suit you, and tells you the plan and the price before anything is done.
Far from Chennai? Consult a skin doctor online: photos and a chat, and a prescription when one is right.