Hyperhidrosis botox in Tallinn: underarms, palms and how long it lasts
Prices as of 24.10.2026
Hyperhidrosis or another cause: when to see your own doctor first
Botulinum toxin treats primary hyperhidrosis.
Looks like primary hyperhidrosis if…
- heavy sweating for over 6 months
- both sides: underarms, palms or feet
- it began before age 25
- weekly, but you wake up dry
- it runs in the family
- it disrupts work or social life
See your own doctor first if…
- you sweat over most of your body
- night sweats, soaked bedding
- new sweating that began in adulthood
- fever, tiredness or unexplained weight loss
- it started with a new medicine
How long does botox for sweating last?
Tap a point on the timeline.
Treatment day
Mild redness and pinprick marks; palms and soles may feel tender. Usually gone in a couple of days.
Days 3–7
Sweating in the treated area starts to drop noticeably.
Around day 14
Peak effect: noticeably less sweat in the treated area. The result can be checked at a follow-up visit.
Months 1–4
The effect holds. The rest of your body sweats as before – the sweating does not move elsewhere.
Months 4–9
Sweating returns gradually; timing depends on the area and the person, and the effect may be shorter on the soles. Then the treatment is repeated.
Hyperhidrosis treatment areas: underarms, palms, soles, scalp
Underarms
Most common area. Usually not painful; no deodorant on the day.
Palms
More sensitive; numbing cream if needed. The hand may feel weak for a while.
Soles
The most sensitive area; can stay tender for days. The effect may be shorter.
Scalp
When the scalp sweats heavily and gets oily fast.
Underarm and palm botox: how it works
Consultation
Health, neurological conditions, allergies, medicines. Before a first botulinum treatment: a skin test.
Preparation
The skin is disinfected, numbed if needed, and the points are marked in a grid.
Injections
Tiny pricks into the skin with a very fine needle: 20–40 minutes, depending on the area.
About 2 weeks
Peak effect; a follow-up visit is possible.
Before treatment and 24-hour aftercare
Choose a stage.
Avoid
- Ibuprofen or aspirin taken on your own, and alcohol: 24–48 h beforeLess bruising
- Deodorant or cream on the areaThe skin must be clean
Important
- Medicines prescribed by your doctor: never stopped on your own, discussed at the consultation
- Mention neurological conditions, allergies, regular medicines
Avoid
- Exercise and heavy exertionHeat and effort widen blood vessels
- Sauna, hot baths, strong heat
- Massaging the treated area
Fine
- Everyday life without heat or exertion
Nothing to worry about
- Mild redness and pinprick marksUsually gone in a couple of days
- Tender palms or solesIt is temporary
Fine
- Exercise, sauna and massage after 24 hours
No rush
- Judging the result too earlyThe peak effect comes within 2 weeks
Fine
- A follow-up visit after about 2 weeks, by arrangement
Side effects: what is normal and when to call 112
Common
- redness, pinprick marks – a couple of days
- tenderness, mostly palms and soles
- a small bruise
- mild headache
Sometimes
- after palm injections, weak hand or fingers – usually a few weeks
- sore or weak muscles in the area
Tell the clinic
Call 112 now
- difficulty breathing, swallowing or speaking
- rash, swelling of the face or lips
Emergency number in Estonia: 112
Dry for summer or a wedding: when to have it
Wedding, holiday, photo shoot — pick how long you have until the event.
In more detail
How botulinum toxin reduces sweating, in plain words
Sweat glands work on a signal from a nerve. A small amount of botulinum toxin temporarily blocks that signal in the treated area, so less sweat is produced there. After a few months the signal recovers, which is why the effect is temporary.
The effect is local: sweating elsewhere in the body does not stop and does not shift to another area.
Primary vs secondary hyperhidrosis
In primary hyperhidrosis the sweating is the problem itself; no other illness is behind it. It usually affects the underarms, palms, soles or head on both sides, starts in childhood or the teens, stops during sleep and often runs in families.
Secondary sweating is a sign of something else, for example an infection, a thyroid condition, a tumour or a side effect of a medicine. It more often affects the whole body, happens at night and starts in adulthood. Then the cause comes first, with your own doctor.
Other hyperhidrosis treatments (with a dermatologist)
At Melior Clinics hyperhidrosis is treated with botulinum toxin. Other options come from a dermatologist or your own doctor and are listed here only for orientation:
antiperspirants with aluminium salts (including aluminium chloride) for milder sweating; iontophoresis, a weak current passed through water, for palms and soles; tablets that reduce sweating all over the body but can cause a dry mouth; microwave treatment that destroys underarm sweat glands; surgery, after which compensatory sweating can appear elsewhere.
Who should not have it
Pregnancy and breastfeeding, allergy to botulinum toxin, acute inflammation or infection in the area. Some neurological conditions need your own doctor’s prior approval.
Blood thinners prescribed by your doctor are not stopped on your own – they are discussed at the consultation. The specialist makes the decision.
Frequently asked questions
How much does hyperhidrosis botox cost in Tallinn?
At Melior Clinics: underarms €450, scalp €450, palms €500, soles €600 (price list of 24.10.2026). Which areas to treat is decided at the consultation.
How long does underarm botox last?
Usually 4–9 months, depending on the area and the person. First changes come within 3–7 days, the peak effect within 2 weeks. When sweating returns, the treatment is repeated.
Does underarm or palm botox hurt?
Underarms are usually not painful. Palms and soles are more sensitive, so numbing cream is used if needed. Injection sites can stay tender for a few days, especially on the palms and soles.
Will I sweat more somewhere else?
Usually not. Botulinum toxin works only where it is injected; sweating in the rest of the body stays normal.
Does botox help with menopause sweating?
For hot flushes and all-over sweating it is not a first choice, because the cause is hormonal. If the underarms are constantly wet and antiperspirant does not help, local treatment can help. Hot flushes are a topic for your own doctor.
Will my hands feel weak after palm botox?
Temporary weakness in the hand or fingers sometimes occurs and usually passes within a few weeks. If your work or hobby needs strong, precise hands, mention it at the consultation.
Can I take ibuprofen or aspirin before treatment?
If you take them on your own, say for a headache, skip them and alcohol for 24–48 hours before: less bruising. Medicines prescribed by your doctor are never stopped on your own; they are discussed at the consultation.
Hyperhidrosis treatment in Tallinn
Read next
- American Academy of Dermatology: Hyperhidrosis: Diagnosis and treatment
- International Hyperhidrosis Society: Two types of hyperhidrosis
- Lakraj AAD, Moghimi N, Jabbari B. Hyperhidrosis: anatomy, pathophysiology and treatment with emphasis on the role of botulinum toxins. Toxins, 2013 (PMC)
- Collercandy N. et al. When to investigate for secondary hyperhidrosis: data from a retrospective cohort of all causes of recurrent sweating. Ann Med, 2022 (PMC)
This article is general information and does not replace a consultation. Whether a treatment suits you is decided by a specialist at the consultation. Melior Clinics (Star Company OÜ), Liivalaia 53, Tallinn · Estonian Health Board licence L04198.
