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Hyperhidrosis (excessive sweating)

By Dr. Perviz Alidina and Dr. Zahra Alidina

Hyperhidrosis is a medical condition where excessive sweating is experienced. This condition affects millions of people all over the world (approximately 3% of the world’s population). Most commonly, areas such as the underarms, hands, feet, face and head are affected.

Do you have hyperhidrosis?

You can begin to determine if you are suffering from hyperhidrosis by asking yourself a few simple questions:

Have you experienced visible, excess sweating for at least 6 months without apparent cause?

If your answer is “YES” then the next step is to determine whether you meet at least 2 of the following criteria:

  • You sweat the same amount on both sides of your body (bilateral and symmetrical sweating)
  • Your excess sweat impairs your daily activities
  • You experience at least one episode a week
  • The onset of your excess sweat is earlier than age 25
  • You have a family history of excess sweating (other members of your family suffer from similar sweating issues)
  • You stop sweating when you are sleeping

If you can identify with at least two of the above criteria, chances are you have primary hyperhidrosis. You should book a consultation with our DermaSpa Doctors, in order to determine your diagnosis and treatment options.

Dr. Zahra Alidina and Dr. Perviz Alidina are educated and experienced in the treatment of primary hyperhidrosis, and can assess your condition to determine if you may be a candidate for Botox therapeutic injections for hyperhidrosis. Many private insurance plans cover Botox for hyperhidrosis, if appropriately prescribed by a physician.

Watch Dr. Alidina treat palmar hyperhidrosis (excessive sweating of the hands) in this video:



Watch Jessica discuss how long Botox for Hyperhidrosis lasts:



Watch Jessica discuss her Botox for Hyperhidrosis results at DermaSpa:



Dermatologists believe that 90% of hyperhidrosis cases are Primary Hyperhidrosis, but there are 10% of cases which are Secondary Hyperhidrosis. These are conditions where the hyperhidrosis (excessive sweating) is caused by another factor (ie. Medications, illnesses, etc). Distinguishing factors in Secondary Hyperhidrosis include: Sweating in your sleep, late onset of sweating disorder, and sweating on larger or other areas of the body (generalized sweating).

A consultation with a doctor is a very important step in determining if you have hyperhidrosis, whether your hyperhidrosis is primary or secondary, and what treatment would be best for you.

Primary Hyperhidrosis treatment options include

  • Strong deodorants
  • Botox therapeutic
  • Oral Medications
  • Surgery

Drs. Alidina are members of the International Hyperhidrosis Society, and provide Botox treatment for hyperhidrosis.

Please contact us at (905)837-7546 or for more information and to book a complimentary consultation.


Walling, HW and Swick, BL. “Treatment options for hyperhidrosis”. Am J Clin Dermatol 12:5 (2011): 285-295.

Doft, MA, et al. "Treatment of axillary hyperhidrosis with botulinum toxin: a single surgeon's experience with 53 consecutive patients". Aesthetic Plast Surg 2011 May 11.

Grunfeld, Alexander, et al. “Botulinum toxin for hyperhidrosis”. Am J Clin Dermatol 10:2 (2009): 87-102.

Glaser, Dee Anna MD, et al. “Primary focal hyperhidrosis: scope of the problem”. Cutis 79:suppl 5 (2007): 5-17.

Glaser, Dee Anna MD, et al. “4-Year longitudinal data on the efficacy and safety of repeated botulinum toxin type A therapy for primary axillary hyperhidrosis”, presented at the 65th Annual Meeting of the American Academy of Dermatology, February 2-6, 2007, Washington, DC.

Lear, William BSC, MD, et al. “An epidemiological study of hyperhidrosis”. Dermatol Surg 33 (2007): S69-S75.

Glaser, DA, et al. “Botulinum toxin type A improves occupational impairment associated with primary axillary hyperhidrosis and results in high levels of satisfaction with treatment”, presented at the American Academy of Dermatology Summer Meeting, July 28- August 1, 2004, New York, NY.


Video Tour of DermaSpa

Hyperhidrosis Videos

Dr. Alidina Injects Botox for Hyperhidrosis

How long does Botox for Hyperhidrosis last?

No More Sweaty Palms!