EXCESSIVE SWEATING
What is Hyperhidrosis (Excessive Sweating)?
Hyperhidrosis is a common disorder that causes excessive sweating in the whole body or in specific areas such as the forehead, hairline, armpits, hands, feet and other areas. Excessive sweating is not related to external factors and therefore, it cannot be improved by avoiding exposure to extreme temperatures or using certain clothes, deodorants, etc. Although the condition isn’t a life-threatening condition, it causes social embarrassment, frustration and stress.
Practical information
Treatment Purpose | Treat excessive sweating (head, armpits, hands and feet). |
Surgery time | 30 min. |
Anaesthesia | Topical anaesthesia (EMLA) |
Type | In office treatment – patient goes home right after the treatment. |
Recovery Time | No downtime. |
Postoperative care | Do not turn head down for 4 hours when treatment is done in the forehead/hairline area. Avoid direct sun exposure and strenuous activities on the day and the day after treatment; avoid massaging the treated area for 2 to 3 days. |
Result duration | 6 to 9 months. To have permanent results you must perform the treatment once or twice a year. |

TREATMENT
Treating excessive sweating with Botox®
Apart from skin rejuvenation benefits, botulinum toxin is also used to treat certain conditions such as Hyperhidrosis. Botox® treats excessive sweating by paralyzing a neurotransmitter that activates the sweat glands. During the procedure, micro injections of botulinum toxin are injected in the affected area, causing a temporary inhibitory effect on sweat production.
BODY AREAS
In which body areas can Botox® be injected to treat excessive sweating?
Botox® can be injected in any area of the body affected by excessive sweating. The most common areas are:
- Armpits (underarms).
- Palms.
- Soles.
- Scalp.
- Forehead and Groin.
CANDIDATE CRITERIA
Good candidates for Hyperhidrosis Botox® Treatment
Good candidates for Botox® injections are people who have tried all other treatment options for excessive sweating without success (sweat proof clothing, prescription antiperspirants and other oral or topical treatments). Good candidates for Botox treatment for excessive sweating are:
- At least 18 years of age.
- Suffer from heavy or severe sweating not responsive to other treatments.
- Patients in whom excessive sweating causes social embarrassment and interfere with daily activities.
- Are not pregnant or breastfeeding.

TECNIQUE
How is the treatment performed?
Before the procedure you will have a medical consultation with Dr. Zia to talk about your needs and expectations. According to the body areas you want to treat and how severe your hyperhidrosis condition is, the Botox quantity you need will be defined. A topical anesthetic cream can be applied and 30 minutes before the treatment for a more comfortable experience. The doctor will administer Botox through several micro injections in strategic points to “turns off” sweating in the area where it has been injected.

THE BENEFITS
Botox® for Excessive Sweating Benefits:
- Price: affordable price compared to other surgical procedures such as sweat gland removal.
- Speed: it takes only a few days to see Botox® results.
- Non-invasive: no surgery, scars and downtime.
- Minimal side effects.
- It only takes around 30 minutes and does not demand any restrictions in work or leisure activity.
- Minimal side effects and complications.
- Botox® is a very effective treatment for excessive sweating and it drastically improves the quality of life.
PREPARATION
Getting ready for the treatment
Botox® injections for excessive seating is a very simple treatment performed at the Doctor´s office. You will only need to consider the following recommendations:
- Avoid shaving 2 to 3 days prior to the treatment;
- If you take blood thinners, you may have to stop for a few days prior to the treatment to prevent bruising;
- Tell your Doctor about any medication or any medical condition you suffer.
WHAT TO EXPECT?
What to expect after the treatment?
After the treatment you can resume your daily activities including work and sports. It can take up to seven days for you to stop sweating and up to two weeks for total dryness.
Effects of Botox® are temporary, for permanent results you must repeat the treatment every few months. After two weeks, you must visit your Doctor for a follow up appointment. If needed, “touch ups” of missed spots can be performed.
RESULTS DURATION
How long can Botox® results last?
Botox® result is not permanent as it only temporarily blocks nerve impulse that cause muscle contraction. The result can vary from person to person but it last approximately 6 to 9 months. Underarm results usually last longer than hands and feet. For permanent results, you must perform Botox® treatment once to twice a year.

SAFETY
Is Botox® a safe treatment?
Botox® is a very safe medical treatment and is one of the most researched products in the market with thousands of published articles. It is an FDA approved substance for both cosmetic and medical use and it´s performed by millions of people all around the world. Some of the medical conditions treated with Botox® are neck spasms (cervical dystonia), excessive sweating (hyperhidrosis), overactive bladder and lazy eye. Botox injections are also used to prevent chronic migraines.
RISKS
Risks and Complications of Hyperhidrosis Treatment with Botox®
Side effects are minimal, and most people tolerate Botox® injections well. Possible side effects include pain or bruising at the injection site, flu-like symptoms. Compensatory sweating is also a possible side effect but is very rare.
FEES
Botox® for Excessive Sweating price in Karachi
The price of excessive sweating treatment varies according to the body areas you wish to treat. However, the price of excessive sweating treatment in Karachi is usually between Rs 25,000 and Rs 75.000-. During your Botox® consultation the doctor will evaluate the areas that need to be treated and the substance quantity required for your case. To schedule your Hyperhidrosis consultation in Karachi or for more information on prices and conditions, please contact us today on the following numbers:
- Aga Khan Hospital: +92 21 111 911 911
- Cooper Consultants Clinic: +92 21 353 706 714
BOTOX® SPETIALIST
Why choose Dr Zia ul Islam for my Botox® treatment?
Dr. Zia is a qualified and experienced plastic surgeon from Karachi with over 10 years of experience in performing excessive sweating treatments with Botox®.
- Dr Zia frequently performs hyperhidrosis treatments and other treatments using Botox®.
- Top rated plastic surgeon in Karachi with extensive experience in non-invasive treatments.
- Performs surgeries and non-invasive treatments in some of the best clinics in Karachi – Aga Khan Hospital and Cooper Clinic in Karachi.
FEES
Botox price in Karachi
The price of a Botox treatment it depends on the number of areas you wish to treat and weather you are a female or male patient. Male patients usually need more Botox quantity as muscles are stronger.
However, the price of a Botox treatment in Karachi is usually between ———– and ————. During you Botox consultation the doctor will evaluate the areas that need to be treated and the substance quantity required for your specific case. The exact price will be confirmed by the finance department after your medical consultation with Dr Zia. To schedule your Botox consultation in Karachi or for more information on prices and conditions, please contact us today on the following numbers:
- Aga Khan Hospital: +92 21 111 911 911
- Cooper Consultants Clinic: +92 21 35 37 0671 4
FURTHER INFORMATION
Excessive Sweating Frequently Asked Questions FAQ
What is Hyperhidrosis?
Hyperhidrosis is a medical condition that causes excessive sweating in certain body areas. It affects around 3% of the population and it can be socially embarrassing and cause psychological trauma. People who suffer from excessive sweating have a normal number of sweat glands, but they overproduce sweat for reasons that are not fully understood.
Which are the most common body areas where people sweat excessively?
There are several areas in the body where people experience excessive sweating. The most common are:
- Underarm.
- Hands.
- Feet.
- Face and hairline.
What causes excessive sweating?
Excessive seating can be an inherited condition or can be caused by a secondary condition, medication or behaviour. Hyperhidrosis causes are not fully understood by doctors.
How is Hyperhidrosis diagnosed?
The first step is listening to the patient´s story and understanding the causes of excessive sweating – when has the patient started experiencing the symptoms, if symptoms are permanent or caused by a secondary condition, medication or behaviour. The Doctor can also perform a test that determines how much sweat different parts of the body produce.
What are the treatments available for excessive sweating?
There are several treatments available including surgical and non-surgical. Non-invasive treatments are usually very effective and surgical approach is recommended when all other options have failed to deliver results.
- Non-surgical: Botox® injections, oral medications, topical mediations, Iontophoresis and Microwave Thermolysis.
- Surgical: surgical treatment known as a sympathectomy (removal of the sympathetic nerve).
What is compensatory sweating? Can it occur?
Compensatory sweating happens when the original excessive sweating is no longer localized at the treated area. This side effect is more common is surgery cases where the sympathetic nerve is removed, and it can occur in any area of the body. When this happens, there are medications available that can help.
Can compensatory sweating occur with Botox®?
Although it is a possible side effect, compensatory sweating is very rare in excessive sweating treatment with Botox®.
Are Botox® injections painful?
Botox® for hyperhidrosis is not painful and local anesthesia is not required. Needles are very thin so discomfort experienced is brief and minimal.
What’s the best age to start Hyperhidrosis treatment with Botox®?
Botox® for excessive sweating can be done when puberty is complete, usually by the age of 18.
Will I need to use Botox® for the rest of my life?
If excessive sweating in an inherited condition, it is very likely that you need to repeat the treatment once to twice a year to keep the results. However, as hyperhidrosis causes are not fully understood and a person´s body goes through changes along the years, you might find that you don’t need to perform the treatment as often.
SCHEDULE YOUR BOTOX FOR HYPERHIDROSIS
APPOINTMENT IN KARACHI
Aga Khan Hospital
+92 21 111 911 911
Cooper Consultants Clinic
+92 21 35 37 0671 4
If you have decided on performing your Botox for Hyperhidrosis treatment in Karachi or you simply want to learn more about the procedure, please schedule your appointment with Dr. Zia.