Excess Sweating in Karachi
Hyperhidrosis treated with botulinum toxin injections: dry underarms, palms or soles for six to nine months from one twenty-minute session.
Is Excess Sweating right for me?
- For excessive sweating of the underarms, palms, soles or forehead that antiperspirants cannot control.
- A twenty-minute session with numbing; a grid of tiny injections in the area.
- Sweating reduces within a week and stays reduced for six to nine months.
Dry, for most of the year.
Excessive sweating, hyperhidrosis, is a medical condition, not a hygiene problem, and it is treated very effectively. Botulinum toxin injected into the skin of the underarms, palms or soles blocks the nerve signal to the sweat glands, and sweating in that area stops for six to nine months.
The treatment takes twenty minutes, is done with numbing, and is performed by Dr. Fehmida to ensure the correct dose and mapping. For patients who prefer a device, or for the scalp and face, prescription antiperspirants and other options are discussed at the consultation.

Areas treated.
Underarms
The most common and most reliable area.
Underarms → AreaPalms
Dry hands for handshakes and work; numbing used.
Palms → AreaSoles
For sweating that damages shoes and skin.
Soles → AreaForehead and scalp
Selected cases, with careful mapping.
Forehead and scalp → AlternativePrescription antiperspirants
For milder cases or between treatments.
Prescription antiperspirants →Good candidates
- Sweating that soaks clothes or affects work and confidence.
- Sweating unresponsive to strong antiperspirants.
- Adults and older teenagers.
- Patients who want a reversible, non-surgical solution.
Not suitable for
- Pregnancy and breastfeeding.
- Neuromuscular conditions.
- Infection in the area.
- Sudden new sweating, which is investigated first.
Map, inject, dry.
Starch-iodine mapping
The sweating area is mapped precisely.
Injections
A grid of tiny injections after numbing. Twenty minutes.
Glands rest
Nerve signals are blocked; sweating stops within a week for six to nine months.
From consultation to results.
Mapping and injections; back to work immediately.
Sweating markedly reduced.
When sweating returns.
Many patients need fewer treatments over time.

"Hyperhidrosis patients are among my most grateful. Twenty minutes, and a problem that shaped their lives is gone for most of the year."
Consultant Dermatologist and Laser Specialist. Over 35 years of dermatology, trained in Zurich, practising in Clifton since 1999. Page medically reviewed September 2026.
Excess Sweating, answered.
Straight answers from the clinic. If your question is not here, ask on WhatsApp.
Ask on WhatsAppYes. Botulinum toxin for sweating is licensed, well studied and safe when dosed by a doctor.
About twenty minutes for both underarms.
None. Avoid the gym, saunas and heavy exercise for the rest of the day.
Within a week. Sweating drops noticeably within a few days, with the full effect at about two weeks.
Underarms barely; palms and soles are numbed.
Slight compensatory sweating is uncommon and mild.
Pricing depends on the area and units. Ask on WhatsApp for current pricing.
Start with a consultation.
A twenty-minute consultation with Dr. Fehmida decides whether this is the right treatment for you, or whether something gentler or stronger would serve you better. Message on WhatsApp or leave your number and the clinic calls you back.
200/1 Clifton 1, Block 5, Clifton, Karachi. Monday to Friday 9:00 to 6:00, Saturday 9:00 to 5:00.
Call or WhatsApp 0301 827 9630