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Hyperhidrosis

Excess Sweating (Hyperhidrosis) Treatment with Botulinum Toxin (Botox)

Sweating is a natural and essential process that helps regulate body temperature. However, for some people, sweating becomes excessive and uncontrollable, even when it’s not triggered by heat or physical activity. This condition, known as hyperhidrosis, can have a significant impact on a person’s professional, social, and personal life. Fortunately, botulinum toxin (Botox) offers a highly effective, non-surgical solution to control excessive sweating and help individuals regain their confidence.

Understanding Excess Sweating (Hyperhidrosis)

Hyperhidrosis commonly affects areas like the underarms (axilla), palms, soles of the feet, and face. There are several potential causes, including:

  • Genetics
  • Hormonal changes
  • Stress and anxiety
  • Certain medications or medical conditions


Excessive sweating often leads to heightened anxiety. For example, someone who notices sweat stains forming on their clothing during a work presentation may start feeling anxious, which in turn triggers even more sweating. This creates a vicious cycle where sweating and anxiety feed into each other, becoming emotionally and physically debilitating.

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Hyperhidrosis can make even routine activities stressful:

  • Social Situations: Fear of visible sweat stains or damp handshakes can cause embarrassment and lead to social withdrawal.
  • Professional Settings: Public speaking, interviews, or high-stress meetings can trigger excessive sweating, making individuals feel self-conscious and apprehensive.
  • Clothing Choices: Many people with hyperhidrosis find themselves limited in their clothing options, avoiding light or fitted clothing to hide sweat stains.


This constant worry about sweating can affect self-esteem, mental health, and overall quality of life.

Botox is well-known for reducing wrinkles, but it’s also an effective treatment for hyperhidrosis. The treatment works by temporarily blocking the nerves that stimulate the sweat glands, significantly reducing sweat production in the treated area.

  • Targeted Treatment: Botox is injected directly into the problem area, typically the underarms, palms, or soles of the feet.
  • No Compensatory Sweating: Unlike some treatments, Botox doesn’t cause your body to sweat more in other areas to compensate.


By stopping sweat at its source, Botox helps individuals feel dry and confident, even in high-stress situations or warm environments.

One of the biggest advantages of treating hyperhidrosis with Botox is how straightforward the procedure is:

  • Time-Efficient: The treatment typically takes 15 to 20 minutes.
  • Minimal Discomfort: Fine needles are used for precise injections, and numbing agents can be applied to sensitive areas for additional comfort.
  • Quick Results: Most people notice a significant reduction in sweating within 3 to 7 days.
  • Long-Lasting Effects: Results typically last between 4 to 6 months, after which a follow-up treatment can maintain the effects.
  • No Downtime: You can resume your normal activities immediately after the procedure.

The impact of Botox for hyperhidrosis goes beyond physical dryness. It transforms how people feel and function in both social and professional settings:

  • Social Confidence: Enjoy gatherings, parties, and handshakes without worry.
  • Wardrobe Freedom: Wear lighter-coloured, fitted clothing without fear of embarrassing sweat stains.
  • Professional Success: Approach meetings, presentations, and interviews with renewed confidence.


Many clients describe the treatment as life-changing, allowing them to live without constantly worrying about sweat and its social or professional consequences.

If excess sweating is interfering with your life, Botox could be the solution you’ve been looking for. Our clinic offers expert, tailored treatments to help you regain control and confidence.
Book a consultation today to discover how Botox can help you overcome hyperhidrosis and reclaim your life.
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Dr Zsaki Sidhu

Dr Zsaki Sidhu competed his medical degree at the prestigious King’s College London. He also completed a Masters degree in Clinical Neuroscience whilst there, achieving a distinction in clinical research.

Dr Zsaki has comprehensive training in Plastic Surgery and has attained full membership with The Royal College of Surgeons. Dr Zsaki has also received formal training in Emergency Medicine and Psychiatry, specialties that are pertinent in consulting and managing Aesthetic patients.

Dr Zsaki is passionate in delivering exceptional natural looking results. He is constantly reinforcing his clinical skills with training and research in the fields of Aesthetics and Surgery, bolstering his expertise to the highest level.

Zsaki is an expert in all non-invasive aesthetic treatments having complete over 10,000 successful treatments. We are thrilled to welcome him to the Carriages team where he will be performing all available treatments.

Dr Haroon

Dr Haroon is a highly experienced aesthetic doctor who specialises in all advanced dermal filler, skin booster, and Anti-Wrinkle injection treatments.

Having carried out over 8000+ successful aesthetic procedures, Dr Haroon is able to combine the science and art of aesthetic medicine. For his clients, he is able to deliver life-changing results that remain natural and enhance their beauty.

Dr Haroon also works as an aesthetic trainer for the world-renowned training academy, Derma Medical. Dr Haroon is ethical in his approach and works with your desired outcomes to give you the best possible results.

Dr Elena Chantry MBChB

Dr Elena Chantry MBChB is a fully certified GMC registered doctor. She graduated from Leeds University Medical School and then went on to do her foundation years in East London Deanery. She started her aesthetics journey alongside her NHS work in 2016. She completed a post-graduate diploma in dermatology and then qualified as a General Practitioner in 2020.

She offers a wide variety of treatments including anti-wrinkle injection and injectable skin boosters such as Profhilo Sunekos and Polynucleotides. Advanced procedures include treatment for hyperhidrosis (excessive sweating), bruxism, jaw-reduction, gummy-smile and brow lift. Her attention to detail and fine-tuned practical skills allow her to create a treatment plan tailored to meet your individual needs, whilst keeping results looking fresh and natural.

QUALIFICATIONS:
MBChB – University of Leeds
BSc Primary Care – University of Leeds
PG Dip Dermatology – Queen Mary University
Advanced botox and fillers- Derma Medical

Fez Mannan

A prize-winning UCL graduate of Biochemical Engineering, co-founder Fez Mannan brings sharp business acumen to the cosmetic arena having spent nine years successfully working within the finance sector in London.

With a combination of entrepreneurial spirit and foresight into future-proofing business, Fez will continue to drive Carriages of Harley Street forward, and with it the future of the cosmetic industry.

Fez’s business philosophy of excellence with agility bodes well for such a fast-moving cosmetic industry, ensuring that Carriages of Harley Street remains as state-of-the-art as the treatments it will be offering.

He achieved the highest marks in the year group for his research project, allowing him to win the IMRC Prize for his study of “a novel feeding strategy for mammalian cells”. The resulting discovery reduced costs and improved efficiency in antibody production while gaining him a PhD offer.

In his degree, Fez studied biochemistry, pharmaceutical manufacture, process design, reactor engineering and therapeutics.

After university, Fez joined investment banking giant J.P Morgan Chase in their London office. He started in the technology graduate program, where he spent two years learning best practices in managing high-performance systems, building resiliency and providing rapid response to incidents.

He then moved into the Front Office as an equities trader, initially trading for global clients wanting exposure to the Europe, Middle East and African (EMEA) markets. In his final role, Fez spent four years managing the firm’s money, having his own trading book running proprietary strategies across EMEA.

During his time in banking, Fez managed to navigate through incredibly volatile events such as the 2014 Russian crisis, the 2016 Brexit referendum & US presidential election and the COVID-19 pandemic.

After a total of nine years, Fez departed Investment Banking having held the title of Vice President.

Fez brings an analytical mindset with thorough perseverance to problem solve. He is passionate about improving efficiences and providing value to end clients.

Dr Richard Devine

Dr Devine is a leading Aesthetic Doctor with expertise and natural flair for a wide range of non-invasive cosmetic procedures. He boasts an impressive CV having previously worked for 2 highly acclaimed and internationally recognised Harley Street clinics, The Consultant Clinic and Harley Street Skin Clinic. Over the past 7 years, he has mastered his skill in Aesthetic Medicine having successfully performed thousands of procedures.

Dr Devine’s attention to detail and impressive natural results have made him a recognised name within the Aesthetics industry. He is a strong advocate for patient safety and is highly sought-after due to his true interest in the well-being of his clients.

From humble beginnings, Dr Devine was born and raised in London. From a young age, Dr Devine had a natural ability in art, but his strong interest in science would see him go on to study medicine at the highly prestigious university, King’s College London. During this time Dr Devine developed a passion for surgery and later took a year out of medical school to complete a Master’s in Orthopaedic Surgery at the esteemed University College London. Still impassioned for excellence and growth, he completed an elective in Orthopaedics at Yale University, USA.

After graduating from medical school Dr Devine discovered Aesthetic Medicine through his keenness to learn and explore all surgical fields. With his artistic flair and strong surgical skills, Dr Devine took to the speciality naturally. His ability was recognised by the highly acclaimed Harley Street Skin Clinic (HSSC) which went on to recruit him. Over the following 5 years, Dr Devine would master his knowledge and skill in Aesthetics, performing a wide range of cosmetic treatments ranging from minor surgeries to non-invasive procedures. His talent gained the attention of the international award-winning clinic, The Consultant Clinic, who later requested he joins their exclusive team. Through his work with The Consultant Clinic and HSSC, Dr Devine performed thousands of cosmetic treatments across the UK and made a name for himself as an expert in this field.

Due to his strong commitment to the NHS, Dr Devine chose to spend the latter half of that time also training as a General Practitioner, ensuring he would always be able to give his services back to the NHS. He qualified as a GP in 2020 and continues to balance his time between NHS duties and his passion for Aesthetic Medicine.

Dr Devine is a strong advocate for patient safety and strives to empower his clients with knowledge and information, guiding them on their Aesthetic journey. His devotion to patients led to the creation of Carriages of Harley Street with long-term friend and Co-Founder Fez Mannan, a novel concept that provides unparalleled value to patients which is sure to revolutionise the Aesthetics industry. Dr Devine practises Aesthetic solely as CEO and medical director for Carriages of Harley Street, leading the company forwards in the unchartered territory that he and his partner have forged.