Hyperhidrosis, the medical term for excessive sweating, is a condition where the body produces far more sweat than is needed for temperature regulation. It can affect the underarms, hands, feet, or face, and for many patients it is a source of significant daily embarrassment and discomfort.
Sweat production is controlled by chemical signals sent from nerves to the sweat glands. Botulinum toxin (Botox) works by temporarily blocking those signals, which reduces the amount of sweat the gland produces. The treatment does not affect sensation in the skin.
The injections are placed just below the skin surface in the affected area using very fine needles. Local anaesthetic cream is applied beforehand, so most patients experience only mild discomfort during the procedure.
The procedure takes around 30 to 60 minutes depending on the area treated, and there is no clinical downtime. You can return to normal light activity the same day.
Underarms – £595 The most commonly treated area. Botulinum toxin is placed across the underarm in a grid pattern to deactivate the sweat glands evenly.
Hands – £475 Palmar hyperhidrosis (excessive hand sweating) can significantly affect daily activities, from handshakes to keyboard work. Treatment with local anaesthetic allows the injections to be well tolerated.
Feet – £595 Plantar hyperhidrosis (excessive foot sweating) is treated in the same way as the underarms and hands, and can significantly reduce associated odour and discomfort.
Teeth grinding (bruxism) – £375 Botulinum toxin injections into the masseter muscles reduce their activity and help manage the jaw pain, headaches, and dental damage associated with teeth grinding. This is the same procedure and same consultation pathway.
A consultation with Dr Dan is required before treatment. He will take a history, confirm the diagnosis of primary hyperhidrosis, discuss the treatment in detail, and arrange a treatment date approximately two weeks later. The consultation fee (£150) is redeemable against treatment cost if treatment proceeds within one month.
At the treatment appointment, the skin is cleaned, local anaesthetic cream is applied, and the injections are given. The area may appear slightly pink or red for a few hours afterwards. Most patients notice a significant reduction in sweating within three to four days.
Initial consultation: £150 (redeemable against treatment within one month). Underarm treatment: £595. Foot treatment: £595. Hand treatment: £475. Teeth grinding treatment: £375. Full pricing is on the pricing page.
Wow! Dr. Dan was extremely knowledgeable and attentive to my health and well being. I’m so glad to have found him!
I have been going to Dr Wright for a number of years now. He is highly knowledgeable, compassionate, open minded and efficient, I couldn’t recommend him highly enough
I have been a patient of Doctor Dan for some time and continue to consult with him despite having left the UK. Dan has the enthusiasm and energy of a young man, whilst taking the holistic “physician” approach of an old school family doctor, equipped with the most modern insights and technology.
Dr Jain was great. Expert knowledge with practical advice
Clinical studies and clinical experience consistently show a reduction in sweating of more than 80% for most patients. The treatment is one of the most effective available for primary hyperhidrosis.
Results typically last around six months. When sweating gradually returns, treatment can be repeated.
Local anaesthetic cream is applied before treatment to minimise discomfort. Most patients describe the sensation as mild.
No. A two-week interval between consultation and treatment is standard. This allows time for any pre-treatment questions to be addressed and ensures the treatment plan is appropriate.
The treatment reduces excessive sweating in the targeted area. Normal sweating elsewhere in the body is unaffected.
No. Most patients return to their usual activities immediately. Strenuous exercise is best avoided for 24 hours.
Treatment can be repeated when sweating returns, typically after around six months. There is no restriction on the number of treatment courses.
Botulinum toxin for hyperhidrosis is available through some NHS dermatology departments, but access is limited and waiting times can be long. Private treatment at The Wright Practice is available promptly.
Book online | Call: +44 (0)207 139 1833 | Email: info@thewrightpractice.com
101 Harley Street, London, W1G 6AH
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