Hyperhidrosis treatment
Hyperhidrosis treatment in Estonia: botulinum toxin injections for underarms 350–600 €, palms and soles. Health Board-licensed beauty clinics.
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Hyperhidrosis treatment is an aesthetic medicine procedure available in Estonia, aimed at reducing the overactivity of the sweat glands in the underarms, the palms or the soles of the feet. The most common clinical solution is botulinum toxin injections, which temporarily block the signal for sweat production. In Estonia, hyperhidrosis treatment must be carried out by a doctor at a beauty clinic licensed by the Health Board (Terviseamet). This is not a cosmetic whim — with mild to moderate hyperhidrosis, everyday life is affected, and the right treatment plan can offer 4–7 months of staying dry. Below we explain how the procedure works, what the price bracket is, and how to choose a suitable beauty clinic.
What is hyperhidrosis treatment?
Hyperhidrosis treatment most often refers to botulinum toxin injections into the problem area — most commonly the underarms, the palms or the soles of the feet. The toxin locally blocks the release of acetylcholine from the nerve to the sweat gland, and the glands temporarily stop working. The result begins 4–7 days later and lasts 4–7 months, depending on the dose and the individual.
Besides injections there are other methods too: prescription-strength antiperspirants (aluminium chloride 20–25%), iontophoresis (treatment with an electric current in water), oral anticholinergic medicines, and the most radical methods such as the microwave procedure (miraDry) and thoracic sympathectomy. Injections are the most popular, because the effect is predictable and the recovery time minimal.
Hyperhidrosis treatment in Estonia — prices and how the procedure runs
In Estonia, botulinum toxin injections for the underarms usually cost 350–600 € (both underarms), for the palms 400–700 € and for the soles 400–700 €. The price depends on the brand of toxin used (Botox, Dysport, Bocouture, Xeomin), the number of units and the doctor's experience. The price difference is mostly tied to the price per unit — at the consultation, ask about the number of units and the total sum, not simply the headline total.
At the consultation the doctor assesses how severe the sweating is (sometimes using the iodine-starch test, which makes the affected area visible). The actual procedure lasts 15–30 minutes. A very fine needle is used, along with a numbing cream where needed (for the palms, numbing is particularly important). The injections are given at roughly 10–20 points on a one-centimetre grid.
The recovery time is minimal — you can go straight back to work. For 24 hours, avoid the sauna, intense exercise and pressure on the treated area. The effect reaches full strength after 10–14 days.
How do you choose a beauty clinic that does hyperhidrosis treatment?
The primary criterion is a Health Board licence and the presence of a doctor — botulinum toxin injections are a medical procedure, not a cosmetic one. Injections given by a nurse or a beautician are illegal. Before booking, ask who specifically administers the injections (a cosmetic surgeon, a dermatologist, or a GP with additional aesthetic training).
Look at experienced beauty clinics on our /kliinikud page. Read the reviews of the specific doctor — hyperhidrosis injections are given routinely, and an experienced doctor doses them correctly, avoiding excessive rebound or asymmetry.
The price difference between clinics can look large — it usually reflects the number of units of toxin used. A lower price may mean fewer units, which in turn means a shorter-lasting effect.
Risks, side effects and contraindications
The injections are well tolerated. Typical side effects are temporary pain at the injection site, small bruises and mild tenderness. In treatment of the palms, a rare but possible side effect is mild weakness of the hands for 1–3 weeks — this is temporary. Side effects of underarm treatment are minimal.
The contraindications are pregnancy and breastfeeding, neuromuscular diseases (myasthenia gravis, ALS), active skin inflammation in the treatment area, and allergy to the components of the toxin. Discuss all your medications and your medical history at the consultation.
Hyperhidrosis treatment in Estonia's more popular cities
The largest concentration of hyperhidrosis treatment providers is in Tallinn and Tartu, where experienced aesthetic medicine beauty clinics operate. Qualified doctors can also be found in Pärnu and Narva. In smaller towns they are rarer, but some travelling aesthetic medicine doctors offer the service locally on set days.
See the full list on our /kliinikud page and filter by city.
Frequently asked questions
How much does hyperhidrosis treatment cost in Estonia?
In Estonia, botulinum toxin injections for the underarms cost 350–600 €, for the palms 400–700 € and for the soles 400–700 €. The price difference comes from the number of units used and the brand of toxin. The consultation is usually charged separately, at 30–60 €.
How long does the result of hyperhidrosis treatment last?
The effect of botulinum toxin injections usually lasts 4–7 months, depending on the dose and the individual. In a hot summer the effect may last a shorter time. Repeat treatment 1–2 times a year keeps the result stable.
Are hyperhidrosis treatment injections painful?
Underarm treatment is mostly well tolerated — the injections are given with an extremely fine needle and the pain is minimal. Treatment of the palms and soles is more sensitive, which is why a numbing cream is usually applied 30–45 minutes before the procedure.
When will I see the result of hyperhidrosis treatment?
You will notice the first changes 4–7 days after the injections, and the full effect is reached within 10–14 days. Assessment and any correction take place after roughly 2 weeks.
Can I have hyperhidrosis injections while pregnant?
No. Pregnancy and breastfeeding are absolute contraindications to botulinum toxin injections, because the safety of the toxin for the foetus has not been studied sufficiently. Wait until breastfeeding has ended, then consult a doctor.
Who is allowed to give hyperhidrosis injections in Estonia?
Hyperhidrosis treatment injections must be given by a doctor (a cosmetic surgeon, a dermatologist or a GP with additional aesthetic training) at a beauty clinic licensed by the Health Board. A beautician or a nurse without a doctor's supervision may not inject botulinum toxin.
Do the injections keep odour away too?
Yes — if sweating decreases noticeably, underarm odour decreases as well, because the bacteria that create the smell by breaking down sweat are left with nothing to feed on. Many patients describe this as an additional bonus.
Do botulinum toxin injections cause dependency?
No. The toxin is metabolised by the body over 4–7 months, and if you have no further injections, sweating returns to its previous level. No physiological dependency develops, but many patients decide to continue with regular treatment because of the result.