Hyperhidrosis is sweating beyond what the body needs to stay cool. It can affect the underarms, palms, feet, face or the whole body, and it can interfere with work, relationships and clothing. It is a medical condition, not a hygiene problem.
Primary and secondary. Sweating that affects specific areas, often from childhood, is common and has no other cause. Sweating that starts later, affects the whole body or comes with fever, weight loss, night sweats or palpitations can be caused by another condition or medicine and needs a doctor. The American Academy of Dermatology advises that a board-certified dermatologist diagnose the type of hyperhidrosis and look for any medicine or medical cause.
We assess your sweating pattern and history first and tell you whether tests or a doctor's review come before any treatment. Our underarm treatment page covers darkening of the underarm skin.
Sweating that soaks clothes or drips from hands
Sweaty palms or feet affecting grip or footwear
Underarm sweat marks despite antiperspirants
Facial or scalp sweating
Night sweats or whole-body sweating
Sweating with fever, weight loss or palpitations
Dr. Karishma Singh, Founder and Skin & Aesthetic Specialist (BHMS, FCHD), leads treatment planning and procedures. Dr. Monica C., Consultant Dermatologist (MD Dermatology, Venereology & Leprosy; NMC-registered), assesses medical causes and prescribes medicines where they are needed.
Botulinum toxin and prescription medicines are medical treatments. We tell you at the consultation which doctor assesses you and prescribes or performs them, and we refer you if your sweating looks like a symptom of something else.
Consultation & Diagnosis
We ask where, when and how much you sweat, your family history, medicines and other symptoms, and examine you. We advise tests where a cause is suspected.
Personalised Plan
We explain the options in order, from topical products to procedures, with the risks, the number of sessions and the written fee.
Treatment
Depending on the plan, treatment may be prescription antiperspirants, iontophoresis sessions, injections or prescribed medicines.
Aftercare & Review
You get written aftercare. We review at set intervals and change the plan if it is not helping.
Prescription-Strength Antiperspirants and Topicals
The AAD says many people need prescription-strength antiperspirants applied at bedtime. Irritation can occur.
Iontophoresis
A low electric current passed through water to treat hands or feet, usually in a course of sessions, then maintenance. Tingling or a mild burn can occur.
Botulinum Toxin Injections
A prescription injection for underarms, hands, feet or face. The AAD says improvement usually appears within 7 to 10 days and lasts about 3 to 10 months for underarms or hands. We tell you who would perform it.
Oral Medicines
Prescribed by a doctor for widespread sweating, with side effects such as dry mouth and overheating risk.
Referral for Office Procedures or Surgery
Options such as microwave thermolysis or surgery are considered when other treatments fail, and we refer where needed.
Combination Plans
Combined plans are adjusted as your sweating changes.
Results depend on the treatment. Botulinum toxin typically works within 7 to 10 days and wears off over months, per the AAD, so repeat injections are needed. Antiperspirants and iontophoresis need continued use to maintain benefit.
Hyperhidrosis can usually be controlled but not always cured, and results vary from person to person and cannot be promised.
The cost depends on the option chosen (topical, iontophoresis, injections or medicines), the area treated, the number of sessions and repeat visits.
We don't work from a fixed price list. After your consultation you receive the recommended plan and a written fee, so you can decide at your own pace.
Looks for a cause first. Some sweating is a sign of another condition.
Starts with the simplest effective option. Then steps up if needed.
Explains who prescribes and performs treatments.
Explains how long each treatment lasts. So you can plan repeats.
Gives honest expectations. Control, not always a cure.
Reviews and adjusts. The plan changes if it is not helping.
Topical treatments and iontophoresis have little downtime. Irritation or tingling can occur.
After injections, small bumps, bruising or soreness at the sites can occur for a few days.
Most people return to routine activities the same day.
Follow product instructions exactly, including applying antiperspirant to dry skin at bedtime.
Stop aspirin, some anti-inflammatory drugs and vitamin E before injections if we advise, as the AAD notes.
Avoid rubbing or massaging injected areas for the time we advise.
Avoid heavy workouts and saunas for 24 hours after injections, if advised.
Wear loose, breathable clothing.
Report rashes, severe irritation, weakness, vision changes or difficulty swallowing at once.
Antiperspirants can cause irritation, and some prescription products can cause dry mouth. Iontophoresis can cause tingling or, rarely, mild burns. Botulinum toxin can cause pain, bruising, headache and, rarely, weakness near the injection site. Oral medicines can cause dry mouth, constipation, blurred vision and overheating.
Tell us if you are pregnant or breastfeeding, have a heart condition, a pacemaker or metal implants, a nerve or muscle condition, or glaucoma, and about every medicine and supplement you take.
Dr. Karishma Singh, Skin Specialist
no one-size-fits-all
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thousands of happy patients
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People whose sweating affects daily life despite regular antiperspirants.
People with sweaty palms, feet or underarms.
People wanting a doctor's diagnosis of the cause.
People who understand treatment controls sweating but may not cure it.
People willing to repeat treatment where needed.
Treatment may need to wait or change if you are pregnant or breastfeeding, have a pacemaker or implants, a skin infection in the area, or a nerve or muscle condition. Tell us at your consultation.
We welcome hyperhidrosis patients from across South Pune, including NIBM, Mohammed Wadi, Kondhwa, Wanowrie, Undri, Magarpatta, Hadapsar and Camp, and from nearby areas of Pune.
If excessive sweating is affecting your daily life, The Skin Firm is at Mohammed Wadi, NIBM, South Pune. A consultation covers an assessment of your sweating, the options that suit it, who prescribes or performs them, and a written fee.
We see patients from Kondhwa, NIBM, Wanowrie, Undri and nearby areas. Call +91 8308669966 or use the button below to request a time.