Excessive Sweating (Hyperhidrosis) Treatment

Perfect Visage treats excessive sweating (hyperhidrosis) of the underarms, palms and feet two ways: botulinum toxin injections that block the nerve signal to sweat glands for many months (8,000 Kč), or Crystalit microneedle radiofrequency sessions that thermally reduce sweat gland activity (from 3,000 Kč). Both are physician-supervised, non-surgical options that can transform daily comfort.

Hyperhidrosis — sweating beyond what the body needs for temperature regulation — most commonly affects the underarms, palms and soles, and can significantly affect confidence, clothing choices and work life. Perfect Visage offers the two leading non-surgical approaches. **Botulinum toxin injections (8,000 Kč):** A grid of tiny intradermal injections delivers botulinum toxin across the affected zone, blocking the cholinergic nerve signal that activates the eccrine sweat glands. Sweating in the treated area reduces dramatically within one to two weeks. The classic indication is the underarms, where a single session typically provides six to nine months of relief — often spanning the entire warm season — before the effect gradually wears off and treatment can be repeated. The injections are quick (around 30 minutes) and require no downtime. **Crystalit microneedle radiofrequency (underarms or palms 3,000 Kč, feet 4,000 Kč):** Insulated microneedles deliver radiofrequency heat directly to the depth of the sweat glands, reducing their activity thermally. Because the gland tissue itself is treated, a course of sessions can produce longer-lasting reduction than injections, making it an option for patients seeking a more durable result or those who prefer to avoid repeated toxin treatments. Sessions are spaced several weeks apart with minimal recovery — mild redness and tenderness for a day or two. The appropriate method, zone and session plan are agreed at consultation, which is free when followed by treatment. MUDr. Kadeřábková performs the injection treatment; the clinic's blog covers both protocols ('nadměrné pocení').