Wrinkles: frown lines, crow's feet & forehead
Soften frown lines, crow's feet and forehead lines with a subtle treatment, so you look rested while keeping your natural expressions.
Excessive underarm sweating (hyperhidrosis) is treated by injecting a muscle relaxant into the skin, so the sweat glands there temporarily produce much less sweat. In most people underarm sweating decreases clearly and the effect lasts several months. At Zalat Clinics in Rotterdam, BIG-registered doctor Dr. Pravesh Gadjradj performs the treatment personally, for women and men.
Sweat glands are controlled by nerve signals. A muscle relaxant temporarily blocks that signal where it is injected, so the sweat glands in the armpits produce much less sweat. Your body continues to sweat through the rest of the skin, so temperature regulation is not affected; the armpits contain only a small share of all sweat glands.
Excessive sweating can have a big impact on daily life: sweat marks on clothes, self-consciousness at work or in meetings, and constantly changing shirts. When antiperspirants with aluminium chloride do not help enough, this treatment is a good next step for many people. The effect is temporary, but in most people it lasts longer than wrinkle treatment.
The treatment is suitable for adults aged 18 and over with primary hyperhidrosis: excessive sweating without an underlying illness. If sweating starts suddenly, occurs mainly at night or affects your whole body, please have your GP rule out a cause first. Not during pregnancy or breastfeeding.
We discuss your complaints, what you have already tried and your medical history. You receive a fixed price in advance.
Shave your armpits 1–2 days beforehand and do not use deodorant on the day itself. The doctor marks the area where you sweat most.
Many small, superficial injections are given in a grid pattern with a very fine needle. The treatment takes about 30 minutes.
The doctor assesses the effect. If there is a small spot where you still sweat, it can be touched up.
Small bumps and some redness right after treatment are normal and usually disappear within a few hours. A bruise or temporarily tender armpit occasionally occurs. Some people notice slightly more sweating elsewhere, but this is usually limited. If you have questions you can reach the doctor via WhatsApp.
Treatment of both armpits costs from €340. Because the effect lasts on average 4–9 months, most people have treatment once or twice a year. The final price is agreed during the consultation. The consultation and the two-week check-up are free.
Medically reviewed by Dr. Pravesh Gadjradj, BIG 39924163701.
No. The armpits contain only a small share of all sweat glands. Your body keeps sweating through the rest of the skin and regulates its temperature normally.
You usually notice less sweating within 2–7 days. The full effect is visible after about two weeks.
On average 4–9 months, sometimes longer. It varies from person to person.
At the moment we focus on the underarms. For excessive sweating of the hands or feet, we discuss the options during the consultation or refer you on.
Dutch insurers sometimes cover treatment of severe hyperhidrosis through a dermatologist, under certain conditions. With us it is self-funded, and you know what you will pay in advance.
Soften frown lines, crow's feet and forehead lines with a subtle treatment, so you look rested while keeping your natural expressions.
Soften horizontal forehead lines with a low, evenly spread dose of muscle relaxant, so your eyebrows stay light and expressive.
A low dose of muscle relaxant above the upper lip lets the lip roll out slightly, showing more of the red part without adding volume.
Book a no-obligation consultation. We take time for your questions, and you know exactly what to expect before anything is done.