Hyperhidrosis treatment Stuttgart
For a carefree life without excessive sweating
Excessive sweating, also known as hyperhidrosis, is a widespread problem that affects both men and women and can significantly impair quality of life. The armpits, palms and soles of the feet are often particularly affected, with excessive sweating occurring even without physical exertion or high temperatures. In addition to the physical burden, heavy sweating can also lead to psychological stress, as those affected often have to hide sweat stains on their clothing or avoid close contact with other people.
The causes of hyperhidrosis are varied: while some people have increased sweat production from birth, hormonal changes, stress or certain medications can intensify sweating further. Conventional methods such as deodorants or antiperspirants often provide only short-term relief, while lasting solutions require targeted treatment of the sweat glands.
However, there are effective treatment options for those affected: in aesthetic and medical dermatology, two proven methods have become established – Botox injections to temporarily inhibit sweat production and suction curettage, in which the sweat glands are surgically removed. Both procedures enable a noticeable improvement and lastingly increase well-being. Which method is right for you depends on individual factors that can be clarified in a personal consultation.
Key facts at a glance
| Special features: | Outpatient |
|---|---|
| Treatment duration: | approx. 30 minutes |
| Type of anesthesia: | application of an anesthetic cream or local anesthesia if necessary |
| Hospital stay: | Botox treatment can easily be carried out in the practice |
| Aftercare: | Botox: follow-up after 2–3 weeks, dose increase / adjustment if necessary |
| Sports activities: | after 2 days |
| Follow-up treatment: | no deodorants on the day of treatment |
| Back to social life: | immediately |
| Back to work: | immediately |
| Treatment costs: | from €400 depending on the size of the area to be treated |
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Causes & treatment options
Hyperhidrosis can have various causes. In many cases, it is primary hyperhidrosis, in which the sweat glands are overactive without any recognizable medical cause. However, there is also secondary hyperhidrosis, which is triggered by hormonal changes, medications or other conditions.
Two proven methods are available for the effective treatment of excessive sweating:
- Botox injections to temporarily inhibit sweat production
- Suction curettage to permanently remove the sweat glands
Botox or suction curettage – which method is right?
The choice between treatment with Botox or surgical suction curettage depends on various factors, including the extent of sweating, the desired effect and the durability of the treatment. Botox injections offer a quick and non-surgical solution that reduces sweat production for several months. The treatment is ideal for patients who prefer a less invasive method and do not want a long-term change.
Suction curettage is a minimally invasive surgical solution in which sweat glands are permanently removed. It is particularly suitable for patients who are aiming for a long-term reduction in sweating. Both methods are safe and well tolerated, but differ in the duration of their effect and their area of application.
Botox treatment in detail
Treatment with botulinum toxin (Botox®) is a proven method for reducing sweat production. Botox specifically blocks the transmission of signals between nerve and sweat gland, which greatly reduces sweating. The effect usually lasts several months, and a long-term improvement can be achieved with repeated treatments. As it is a non-surgical procedure, this method is particularly popular with patients looking for a quick and uncomplicated solution to excessive sweating.
Suction curettage in detail
Suction curettage is a minimally invasive method for permanently removing sweat glands. Special cannulas are inserted through small skin incisions and used to gently remove the sweat glands from the subcutaneous tissue. As the majority of the sweat glands are permanently eliminated, this method leads to a long-term reduction in sweating. It is particularly suitable for patients who are looking for a permanent solution to excessive sweating and are willing to plan for a short healing phase after the treatment.
| Special features: | Outpatient |
| Treatment duration: | approx. 60–90 min |
| Type of anesthesia: | local anesthesia, twilight sedation or general anesthesia on request |
| Hospital stay: | none, outpatient – you can go home after the procedure |
| Aftercare: | follow-up after a few days and then after 2–3 weeks |
| Sports activities: | after 4 weeks |
| Follow-up treatment: | no deodorants on the day of treatment, compression bandage for 24–48 h, then a compression shirt for 1–2 weeks if necessary |
| Back to social life: | immediately |
| Back to work: | after 1–3 days |
| Treatment costs: | from €1,500 |
* The costs of anesthesia and accommodation in the private clinic are invoiced separately and transparently.
The hyperhidrosis treatment procedure
The Botox treatment procedure
Treatment with botulinum toxin (Botox®) is carried out on an outpatient basis and usually takes no more than 30 minutes. Before the treatment, an anesthetic cream can be applied on request to minimize any discomfort. Botox is then injected specifically into the affected sweat glands using very fine needles. The effect sets in within a few days and usually lasts up to six months. After the treatment, a follow-up is carried out after two to three weeks to check the result and make adjustments if necessary.
The surgical sweat gland removal procedure (suction curettage)
Suction curettage is performed on an outpatient basis under local anesthesia or twilight sedation. Special cannulas are inserted through small skin incisions and used to gently suction out and remove the sweat glands. The procedure takes about 60 to 90 minutes. After the procedure, a compression bandage is applied to support healing. The first follow-ups take place after a few days and again after two to three weeks in order to monitor the healing process optimally.
Cost of hyperhidrosis treatment
Cost of Botox treatment
Treatment costs for Botox injections start from €400, depending on the area to be treated. The exact cost breakdown is determined individually in the personal consultation.
Cost of suction curettage
Surgical sweat gland removal costs from €1,500, depending on the individual extent of the treatment. Here, too, the exact costs are determined after a personal examination and consultation.
Risks and side effects
Risks and side effects of Botox
Treatment with Botox is usually very well tolerated, but mild side effects can occur in some cases. These include temporary redness or slight swelling at the injection sites, which subside on their own within a few hours. In rare cases, small bruises or a brief weakening of adjacent muscles can occur. Allergic reactions are extremely rare but cannot be completely ruled out.
Risks and side effects of suction curettage
Surgical removal of the sweat glands is a minimally invasive procedure that runs smoothly in most cases. Immediately after the treatment, slight swelling, bruising or tenderness may occur, which subside on their own after a few days. In rare cases, temporary sensory disturbances can occur in the treatment area. Infections or scarring are extremely rare, but can be minimized through careful aftercare and following medical instructions.
Frequently asked questions (FAQs) about hyperhidrosis treatment
How can I prepare for hyperhidrosis treatment?
No special preparation is required before Botox treatment. For surgical sweat gland suction (suction curettage), the armpits should be shaved one to two days before the procedure to avoid infections. In addition, irritating substances such as deodorants should not be used before the treatment.
What do I need to bear in mind after hyperhidrosis treatment?
After Botox treatment, no irritating substances such as deodorants should be used for 24 hours. After surgical sweat gland suction, a dressing is worn for one to two days to support healing. In addition, sports should be avoided for one week and the skin should be cared for with an anti-inflammatory cream.
How long do the effects of the treatments last?
The effect of Botox usually lasts between three and six months. After that, the treatment can be repeated. Sweat gland suction, on the other hand, leads to a permanent reduction in sweat production in most cases, as the majority of the sweat glands are removed.
Is there a risk that I will sweat more in other places after the treatment?
No, the body has millions of sweat glands, so treating the armpits only affects a small part of sweat production. “Compensatory sweating” in other parts of the body has not been observed in practice.