Concern

Excessive Sweating Treatment in Marylebone, London

Excessive sweating treatment in Marylebone, London for underarm sweating that soaks through clothes regardless of temperature or effort. Helena, a Registered Nurse, provides a prescription-only treatment after a face-to-face consultation, with a review at 2 weeks.

Understanding excessive sweating

Excessive sweating, or hyperhidrosis, is sweating that is out of proportion to heat, exercise or nerves and that interferes with daily life. The most common form is primary axillary hyperhidrosis: underarm sweating with no underlying cause, often starting in the teens and running in families. NHS guidance on hyperhidrosis describes it as a common condition that can be treated.

People living with it often change shirts during the day, avoid certain fabrics and colours, and feel self-conscious in meetings or on dates. Antiperspirants, including prescription-strength ones, are the first step and sometimes enough. When they are not, an injectable treatment can reduce sweating in the underarm for several months at a time.

Helena treats primary axillary hyperhidrosis with a prescription-only medicine, provided only after a face-to-face consultation and prescription in line with NMC and MHRA requirements. It works by temporarily blocking the nerve signals that switch on the sweat glands. If your sweating is new, affects the whole body, happens at night or comes with other symptoms, Helena will ask you to see your GP first to rule out a secondary cause.

What causes excessive sweating?

  • Overactive nerve signalling to the sweat glands, with no underlying illness (primary hyperhidrosis)
  • Family history: primary hyperhidrosis often runs in families
  • Anxiety and stress, which can trigger or worsen episodes
  • Secondary causes such as thyroid conditions, menopause, infections or certain medicines, which need medical assessment

Common
questions

How do I know if my sweating is excessive?

If your underarms sweat through clothing regardless of temperature or activity, if it has gone on for six months or more and if it affects what you wear or do, it is likely hyperhidrosis. NHS guidance on hyperhidrosis describes it as sweating that interferes with everyday life. Helena will confirm this at your consultation.

Do I need to see my GP first?

Not always, but sometimes. If your sweating started recently, affects the whole body, happens mainly at night, or comes alongside weight loss, fever or a racing heart, Helena will ask you to see your GP first to rule out a secondary cause. Long-standing underarm sweating since your teens usually does not need that step.

How long does the treatment take to work and how long does it last?

Most people notice a clear reduction in sweating within one to two weeks, which is why Helena reviews you at 2 weeks. The effect typically lasts 4 to 6 months and sometimes longer, after which it can be repeated. Results vary between individuals, and the treatment reduces sweating rather than stopping it completely.

Does it hurt?

The injections are shallow and use a very fine needle, so most people describe a series of small pinpricks and find it very manageable. The underarm is treated in a grid pattern and the appointment itself is short. Helena can apply a numbing cream beforehand if you are worried about discomfort, so do ask.

Will I sweat more elsewhere instead?

Compensatory sweating, where the body sweats more in other places, is mainly associated with surgical treatments for hyperhidrosis. It is uncommon with injectable treatment of the underarms. Any side effects, such as small bruises or mild tenderness at the injection points, are usually short-lived. Helena covers all of this at your consultation.

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Novaderma Aesthetics • 1 Orchard Street, UNTIL Marylebone, London W1H 6HJ

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Appointments typically available within 1–2 weeks