Excess Sweating treatment in Karachi
Underarms, palms, soles and face dry for six to nine months with botulinum toxin injections. Twenty minutes, mapped and dosed by a doctor.
What is causing it?
- Overactive sweat glands respond to nerve signals more than they need to; the cause is usually genetic.
- Sudden or generalised sweating can have a medical cause and is investigated.
- Botulinum toxin blocks the nerve signal to the glands for months.
Understand the cause first.
Hyperhidrosis, sweating beyond what the body needs, affects the underarms, palms, soles and face, and it affects confidence, clothes and work. It is a medical condition with an effective treatment: botulinum toxin injected into the skin blocks the signal to the sweat glands for six to nine months.
The clinic treats it in twenty minutes after mapping the area, with numbing for the palms and soles, and investigates sudden or generalised sweating before treating it.

The treatments that work for it.
Excess sweating treatment
Botulinum toxin injections mapped to the area.
Excess sweating treatment → AreaUnderarms
The most reliable area.
Underarms → AreaPalms and soles
With numbing.
Palms and soles → AreaForehead and scalp
Selected cases.
Forehead and scalp → SupportPrescription antiperspirants
For milder cases or between treatments.
Prescription antiperspirants → RelatedBotox
The same toxin for lines and jaw.
Botox →Good candidates
- Sweating that soaks clothes or affects work.
- Sweating unresponsive to antiperspirants.
- Adults and older teenagers.
- Anyone who wants a reversible solution.
Not suitable for
- Pregnancy and breastfeeding.
- Neuromuscular conditions.
- Infection in the area.
- Sudden new sweating, investigated first.
How the clinic approaches it.
Mapping
Starch-iodine test shows the sweating area.
Injections
A grid of tiny injections after numbing.
Repeat
When sweating returns, every six to nine months.
From consultation to results.
Twenty minutes.
Sweating markedly reduced.
As needed.
Many patients need less over time.

"Twenty minutes and a problem that shaped a patient's wardrobe 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 and well studied.
Underarms barely; palms and soles are numbed.
Botox for underarm sweating usually keeps sweating down for six to nine months, sometimes longer. Most people repeat it once or twice a year.
Compensatory sweating is uncommon and mild.
It 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 your face, or whether something gentler or stronger would serve you better. Message on WhatsApp or leave your number and the clinic calls you back.
D200, Block 5, Clifton, Karachi. Monday to Friday 9:00 to 5:00, Saturday 9:00 to 4:00.
Call or WhatsApp 0301 827 9630