Excessive sweating (Hyperhidrosis)

Excessive sweating (hyperhidrosis)
 can have a significant adverse effect on patients. It is essential that patients see their GP in the first instance so that common conditions that can cause excessive sweating such as an overactive thyroid gland or diabetes can be ruled out before they seek further help from a specialist. 

Depending on the distribution of excessive sweating, Mr. Chong is able to offer patients the option of Botulinum Toxin A (BOTOX) injections as a quick and safe procedure in the clinic. This procedure is performed with a topically applied local anaesthetic cream to make the BOTOX injections more comfortable for patients. BOTOX works best for hyperhidrosis of the armpits and to a lesser extent, hyperhidrosis of the palms. BOTOX offers temporary relief from sweating symptoms and  patients often have to undergo repeat injections every 4 to 7 months. Some patients with hyperhidrosis will not be eligible for BOTOX. These include patients who are pregnant, patients who have neurological or muscular conditions and patients who may have a documented allergy to BOTOX. There is little evidence that BOTOX works for hyperhidrosis of the feet. If your symptoms are mainly confined to hyperhidrosis of the feet, you may wish to consider iontophoresis therapy.

Some patients with predominantly hyperhidrosis of the palms may wish to consider endoscopic thoracoscopic sympathectomy (ETS) surgery for more permanent relief of symptoms. However ETS is an invasive procedure that requires a general anaesthetic. ETS also carries a small risk of complications such as compensatory sweating and Horner's syndrome. Other surgical techniques exist but at present do not have sufficient evidence for us to recommend them to our patients. BOTOX and ETS are no longer funded by the NHS but patients can still access both these treatments privately. Not all health insurers will cover treatment for hyperhidrosis. Private patients are advised to check with their health insurers beforehand when considering treatment for hyperhidrosis. 

Botulinum Toxin A intradermal injections to both arm pits for hyperhidrosis cost £386 "all-in" for self-funding patients at the Surrey Vascular Clinic and can be done as an outpatient procedure at our clinics in Farnham, Camberley or Reading.


The information contained in this website is not a substitute for medical advice or treatment. The Surrey Vascular Clinic recommends consultation with your doctor or healthcare professional.
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