While many people associate sweating with heat or stress, palmar hyperhidrosis is often unrelated to these factors and may occur even when the body does not require cooling.

Understanding Palmar Hyperhidrosis
Palmar hyperhidrosis is considered a form of primary focal hyperhidrosis. This means the condition is typically caused by overactivity of the sympathetic nervous system, which sends signals to the eccrine sweat glands in the hands.
In individuals with this condition, these signals may be more active than required, leading to increased sweat production. This is not related to hygiene and is not necessarily caused by anxiety, although stress and environmental factors may act as triggers in some individuals.
There may also be a genetic component, with some patients reporting a family history of excessive sweating.

How Botulinum Toxin May Reduce Sweating
Botulinum toxin works by temporarily blocking the nerve signals that stimulate the sweat glands. When administered into the skin of the palms, it may reduce the activity of these glands in the treated area.
This treatment does not affect sweating elsewhere in the body. As with all medical treatments, outcomes vary between individuals and suitability must be determined during consultation.
Due to Australian regulations, brand names for prescription-only medicines are not used.

The Treatment Process
Consultation:
Your BBD clinician will assess your symptoms, medical history, and treatment goals to determine whether this approach is appropriate for you.

Procedure:
Small amounts of botulinum toxin are placed across the palms using a series of superficial injections. For comfort, topical numbing cream and/or other supportive measures may be used where appropriate. Individual tolerance to the procedure can vary.

Duration:
The procedure typically takes approximately 30–40 minutes.

Aftercare and Downtime
Most patients are able to return to usual daily activities following treatment. Some individuals may experience temporary tenderness, mild swelling, or pinpoint bruising at the injection sites, which generally resolves within a few days.
Patients may be advised to avoid excessive pressure on the hands for the remainder of the day following treatment.

Expected Onset and Duration
A reduction in sweating may begin to be noticed within several days, with the full effect typically developing over 1 to 2 weeks.
The duration of effect varies between individuals, but results may last several months. Repeat treatments may be required to maintain outcomes.

How much does it cost?
Pricing varies depending on the number of units required and the treatment area. As a general guide, treatment for excessive sweating of the hands may range from $660 to $1320 per session.
A personalised quote is provided following consultation.

Considering treatment for excessive sweating of the hands?
If excessive sweating is affecting your daily activities, a consultation at Beauty by Doctor can help determine whether treatment may be appropriate for you. Our clinic is located in Bondi Junction, Sydney, and all treatment recommendations are tailored to the individual.

Suitability for treatment is determined during consultation. All medical and cosmetic procedures carry risks, and outcomes vary between individuals. While complications are uncommon, it is important that potential risks, including rare adverse events, are understood. For more information, please refer to our Treatment Complications page:
https://beautybydoctor.com/pages/concerns/treatment-complications