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Explore skin
Care starts with your skin, not a treatment name.
Explore injectables
A medical consultation and an individual approach.
Explore face & body
Explore options for contour, muscle and firmness.
Explore concerns
You do not need to know the treatment. Tell us your concern.
Body and medical concerns · London
Imagine wearing the pale silk shirt to the meeting, lifting your arms on the Tube, shaking hands without a second thought. Sweating that soaks a shirt by mid-morning is a medical condition with a straightforward treatment, and a fifteen minute appointment on Wimpole Street brings around six months of relief.
Hyperhidrosis is sweating well beyond what the body needs to regulate temperature. It is a medical condition, nothing to do with nerves or hygiene, and it responds beautifully to treatment.
Around one in twenty people has it to some degree. Primary hyperhidrosis, the common form, starts in adolescence and has no underlying cause, though it runs in families. The nerves controlling the sweat glands are simply overactive, which is exactly what treatment calms.
The social cost is what brings people here rather than the sweating itself. Choosing clothes by whether they show marks, keeping arms down, avoiding handshakes, carrying a spare shirt. Patients often tell us the best part is simply forgetting about it, after years of planning their working life around it.
Regents Park Aesthetics treats hyperhidrosis at our Wimpole Street clinic, in the Harley Street medical district. Your clinician runs through your medical history at the consultation.
Axillary hyperhidrosis
The most common form and the one that responds best. Visible marks appear within an hour of dressing and antiperspirant stopped working years ago. Injection into the underarm blocks the nerve signal to the sweat glands, and results typically last six months.
Palmar hyperhidrosis
Hands that are damp constantly, making handshakes, paperwork and touchscreens difficult. Treatment works well and is more uncomfortable than the underarm, because the palm is densely supplied with nerves. Priced higher at £550 for that reason.
Craniofacial hyperhidrosis
Sweat running from the hairline and forehead with minimal exertion, often accompanied by flushing. Treated with a light, precise hand, so every facial expression stays exactly as it is.
Following surgery elsewhere
Sweating that has increased in one area after treatment or surgery reduced it in another, most often after surgical sympathectomy. More technical to treat, so your clinician talks through what to expect before starting.
Assessment at Regents Park Aesthetics begins with when the sweating started and where. Primary hyperhidrosis begins in the teens or twenties, affects specific areas symmetrically, and stops during sleep. Your clinician runs through your medical history at the consultation, so the plan fits you.
A prescribing clinician takes the history, since this is a prescription-only medical treatment, and that medical care runs through every appointment.
We also map the affected area rather than injecting a standard grid. The underarm’s active sweating area varies considerably between people, and a starch-iodine test can be used where the boundary is unclear. Treating the mapped area is what delivers six months of even, reliable relief.
As a guide, this is how we typically match each type to a treatment. Your own plan is always confirmed at consultation, and where a type is best seen by a specialist, your clinician points you to the right door.
| Underarm Injections The standard treatment for axillary hyperhidrosis. A grid of small injections across each underarm blocks the signal to the sweat glands. Fifteen to thirty minutes, no downtime, lasting four to six months. | Hand Injections For palmar hyperhidrosis. The palm is densely innervated, so comfort measures are built in, and it is priced at £550 to reflect the dose and the technique required. | Top-Up Appointment Where a treated area has partially returned or was slightly under-dosed, a top-up is available at £100, with no need to repeat the full treatment. Assessed at your review. | |
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| £450 | £550 | £100 | |
| Explore Underarm Injections | Explore Hand Injections | Explore Top-Up Appointment |
Clinical-strength antiperspirants containing aluminium chloride are the sensible first step and are available from a pharmacy without prescription. They work by plugging the sweat duct. Applied to completely dry skin at night rather than in the morning, they are considerably more effective, and a gentle moisturiser in the morning keeps skin comfortable.
Fabric choice makes a real difference. Merino wool and technical fabrics move moisture away from the skin. Cotton absorbs and shows it. Underarm shields are a handy, effective extra.
Iontophoresis, passing a mild electrical current through water, works reasonably well for hands and feet and requires a device and regular sessions.
Diet and supplements play little part, because the nerves themselves are overactive. Managing anxiety helps where anxiety is a trigger, and for most people with primary hyperhidrosis the anxiety eases once the sweating is treated.
Sweating substantially beyond what the body needs for temperature regulation. Primary hyperhidrosis usually begins in adolescence, affects specific areas symmetrically and has no underlying cause. It affects roughly one in twenty people.
In primary hyperhidrosis, overactive nerve signalling to the sweat glands. It frequently runs in families. Secondary hyperhidrosis has an underlying cause such as a thyroid condition, medication or menopause, and your clinician runs through your medical history at the consultation.
Injections into the affected area block the nerve signal to the sweat glands. It is the most effective treatment for underarm and palm sweating and lasts around four to six months.
£450 for underarms on the cosmetic pathway or £350 on the medical pathway, and £550 for hands. A top-up, where needed, is £100.
Four to six months, often longer than a cosmetic treatment because the dose is higher. Some patients get closer to nine months.
For underarm sweating it is highly effective in the treated area, and most patients describe it as life-changing rather than merely helpful. Palms respond well. Facial and compensatory sweating are more technical, and your clinician talks through what to expect.
The underarm is very manageable, with a series of small injections across the area. The palm is densely supplied with nerves, so we use topical anaesthetic and a nerve block where appropriate to keep you comfortable.
Within three to seven days, with the full effect at two weeks.
None. You can return to work immediately.
Sometimes, for severe hyperhidrosis after clinical-strength antiperspirants, though provision varies considerably by area and waiting lists are long. That is the reason we offer a medical pathway price.
Compensatory sweating is well documented after surgical sympathectomy. Injections work locally on the treated area, leaving the nerve chain untouched, which is why it is uncommon after this treatment.
Yes. The underarms contribute a very small proportion of the body’s total sweating and thermoregulation is unaffected.
A medically led clinic where every plan starts with an assessment and every injectable is placed by a medical professional, so the result looks like you on your best day.
Tell us what you’d like to achieve. Regents Park Aesthetics will be in touch within one working day to arrange your consultation.
