Excessive Sweating

Sweating is normal. But when it happens more than expected, shows up without warning, or interferes with daily life, it can be more than just an inconvenience.


Excessive sweating, also known as hyperhidrosis, is a real medical condition. Many people deal with it quietly for years, assuming there’s nothing that can be done. In reality, there are effective options that can help manage it safely.

At a Glance

Condition Type

Sweating beyond what’s needed for temperature regulation

Common Areas

Underarms, hands, feet, face

Goal

Meaningful reduction in sweating and improved daily comfort

Learn More

Excessive sweating, or hyperhidrosis, is sweating more than you need to. We all need to sweat — it helps us regulate body temperature. Hyperhidrosis is when sweating goes beyond what’s necessary for cooling.

Signs of excessive sweating:

  • Sweating through clothes during normal daily activities
  • Some patients sweat through a t-shirt, normal shirt, and sweatshirt even without significant physical activity
  • Sweating that occurs even when you’re not hot or exercising
  • Visible wetness or dripping in specific areas

 

Areas commonly affected:

  • Underarms
  • Palms of the hands
  • Soles of the feet
  • Face or scalp

 

Important characteristic: Hyperhidrosis will typically include both sides of the body — both underarms, both palms, both feet. This bilateral pattern is a hallmark of the condition.

Excessive sweating is not related to hygiene and is not something you’re causing.

Excessive sweating is usually caused by overactive sweat glands that respond more intensely than necessary.

Primary hyperhidrosis: The nerves that signal the sweat glands are more active than they need to be. This type often begins in adolescence or early adulthood and may run in families. It typically affects specific areas (underarms, hands, feet, face) rather than the whole body.

Secondary hyperhidrosis: This type can be related to medications or underlying medical conditions. It may affect larger areas of the body and often begins in adulthood.

During a consultation, your provider will help determine which type may be contributing to your symptoms.

Hyperhidrosis can cause social anxiety and embarrassment that goes far beyond simple discomfort.

Common experiences:

  • Sweating through clothes at work or social gatherings
  • Clothing stains that are visible and difficult to manage
  • Frequent outfit changes throughout the day
  • Avoiding certain colors or fabrics that show sweat

Impact on function:

  • Hands can become so sweaty that it’s difficult to write with a pen or even turn a doorknob
  • Difficulty with handshakes or maintaining grip
  • Makeup or skincare that won’t stay in place
  • Staining of clothes over time

Social and professional impact: Many people will avoid any situation in which they could be embarrassed. Students and business people often fear giving presentations because they may sweat through their clothes. The anticipation of sweating can sometimes make it worse.

These experiences are very common among people with hyperhidrosis. Seeking treatment is about improving quality of life — not vanity.

A consultation at Lazaderm is focused on understanding your symptoms and providing clear guidance.

During your visit, your provider will:

  • Discuss when and where sweating occurs
  • Assess whether the pattern suggests primary or secondary hyperhidrosis
  • Review your medical history and any medications
  • Determine whether treatment is appropriate
  • Explain treatment options, including what to expect from each
  • Discuss treatment areas (underarms, hands, feet, or other)

 

You’ll have time to ask questions and decide what feels right for you.

Treatment for excessive sweating can provide significant relief, but results are not permanent.

What to understand:

  • Botox/Dysport treatments typically last 6 to 12 months
  • Duration varies depending on the area treated and individual response
  • Maintenance treatments are needed to sustain results
  • Some areas (like hands) may require more frequent treatment than others
  • Treatment does not affect the body’s overall ability to regulate temperature

 

The goal is meaningful reduction in sweating and improved day-to-day comfort — not complete elimination of all sweating.

Treatment Options

Treatment depends on where the sweating occurs and how severe it is. A consultation allows your provider to evaluate symptoms and recommend the most appropriate options for your situation.

Botox / Dysport for Hyperhidrosis

Botox and Dysport are the most common and effective treatments for excessive sweating.

How they work: These neuromodulators are injected into the affected skin, where they block the nerve signals that stimulate sweat glands. This significantly reduces sweating in the treated area without affecting the body’s overall ability to regulate temperature.

FDA status: Botox is FDA cleared for the treatment of hyperhidrosis, providing an established, well-studied option.

Areas that can be treated:

  • Underarms (most common)
  • Palms of the hands
  • Soles of the feet
  • Other areas as appropriate

Treatment details:

  • Injections are administered directly into the skin of the affected area
  • Procedure takes approximately 15-30 minutes depending on the area
  • Results begin within a few days to two weeks
  • Results typically last 6 to 12 months
  • Maintenance injections are needed to sustain results

What to expect: Treatment of the underarms is generally well-tolerated. Treatment of hands and feet may be more sensitive, and numbing options can be discussed.

Supporting Treatments and Management

Depending on the area affected and severity of symptoms, additional options may be discussed.

Clinical-strength antiperspirants: Prescription-strength antiperspirants containing aluminum chloride may be recommended as a first-line or complementary approach, particularly for underarm sweating.

Lifestyle strategies:

  • Wearing breathable, moisture-wicking fabrics
  • Layering to help absorb moisture
  • Carrying backup clothing for important events
  • Identifying and avoiding personal triggers

 

When to consider additional evaluation: If sweating is new, sudden, or accompanied by other symptoms, your provider may recommend evaluation for underlying conditions before proceeding with treatment.

The goal is to find an approach that is effective, safe, and fits your daily life.

Treatment Areas Explained

Different areas may respond differently to treatment and have unique considerations.

Underarms:

  • Most commonly treated area
  • Generally well-tolerated
  • Excellent response to Botox/Dysport
  • Duration typically 6-12 months

Hands (Palmar Hyperhidrosis):

  • Can dramatically improve daily function
  • Helps with writing, gripping, handshakes
  • Treatment may be more sensitive (numbing available)
  • May require more frequent maintenance

Feet (Plantar Hyperhidrosis):

  • Improves comfort in shoes
  • Reduces issues with slipping, odor, skin breakdown
  • Treatment similar to hands
  • Numbing options available

Face/Scalp:

  • Less commonly treated but possible
  • Requires experienced provider
  • Dosing is carefully calibrated

Your provider will discuss which areas are appropriate to treat based on your symptoms and goals.

Talk With a Provider Near You

If excessive sweating has been affecting your comfort or confidence, a consultation can help you understand your options. At Lazaderm, consultations focus on education, safety, and helping you feel comfortable moving forward.