Cosmetic Dermatology, BIBI CLINIC, Bangkok, Thailand | 9.00 am. - 8.00 pm.
For Those Struggling with Excessive Sweating
Focal Hyperhidrosis
Focal Hyperhidrosis
Focal hyperhidrosis is the most common form of excessive sweating, characterized by increased sweat production in specific areas of the body. It frequently affects the underarms, but may also appear on the face, scalp, palms, and soles—regions where eccrine sweat glands are densely concentrated. Depending on the affected area, the condition is medically classified as axillary hyperhidrosis (underarms), palmar hyperhidrosis (palms), or plantar hyperhidrosis (soles).
Generalized Hyperhidrosis
Generalized Hyperhidrosis
Generalized hyperhidrosis is a condition in which excessive sweating occurs across the entire body. In addition to causing discomfort and fatigue, severe cases may lead to dehydration. Therefore, it is important to seek medical evaluation and receive appropriate treatment.

There are various possible causes of hyperhidrosis. Understanding how sweating works and what triggers it can help in identifying appropriate treatments and preventive measures.

High Density of Eccrine Glands
There are two types of sweat glands in the body: apocrine glands and eccrine glands. Apocrine glands are responsible for body odor, commonly known as bromhidrosis. They secrete a thick, sticky sweat that contains proteins and lipids. When this type of sweat mixes with skin bacteria, it produces a strong, distinctive odor.

In contrast, eccrine glands produce clear, watery sweat composed mainly of water and salt. This type of sweat is essentially odorless, though it can develop a noticeable smell when combined with skin bacteria. Factors such as stress, an unbalanced diet, or hormonal changes can stimulate the sebaceous glands to produce excess oils, which mix with sweat and feed bacteria, leading to unpleasant odors.

The number of eccrine glands varies between individuals. People with a higher number of these glands tend to sweat more easily and may be more prone to hyperhidrosis. In some cases, excessive sweating occurs when the eccrine glands become overactive, even without a physical need for cooling.
High Density of Eccrine Glands
Autonomic Nervous System Imbalance
Autonomic Nervous System Imbalance Sweating is strongly regulated by the sympathetic nervous system, a part of the autonomic nervous system. When the sympathetic nervous system becomes overactive, it stimulates the eccrine sweat glands, increasing the risk of hyperhidrosis. Causes of autonomic nervous system imbalance include psychological factors such as tension, anxiety, and stress, as well as hormonal imbalances, irregular eating habits, disrupted daily routines, lack of sleep, extreme temperature changes, and menopause.

For hyperhidrosis caused by these factors, approaches that help regulate the autonomic nervous system are also important.
Autonomic Nervous System Imbalance
Medication Effects and Medical Conditions
Certain medications such as antidepressants, antipyretics, analgesics, and hormone therapies can stimulate the sympathetic nervous system, leading to increased sweating. In some cases, medication-induced hyperhidrosis may improve by discontinuing or changing the medication; however, it is crucial not to stop any medication without consulting a doctor.

Hyperhidrosis can also be caused by specific medical conditions. For example, hyperthyroidism (Graves’ disease) increases metabolism, resulting in excessive sweating. Hormonal changes during menopause, diabetes, and neurological disorders may also cause abnormal sweating. When hyperhidrosis is due to an underlying condition, treating the primary disease is essential.
Medication Effects and Medical Conditions
Primary Hyperhidrosis of Unknown Cause
The most common type of hyperhidrosis is primary hyperhidrosis, which has no identifiable underlying cause. Primary hyperhidrosis tends to occur more frequently in people with active social lives and those in highly productive age groups. It is also more likely to develop in individuals who experience significant psychological stress, such as interpersonal pressure.
Primary Hyperhidrosis of Unknown Cause
Thorough Counseling with Multilingual Support
Bibi Clinic is supervised by BIANCA CLINIC, a leading Japanese aesthetic medical institution. We pride ourselves on providing delicate, high-quality treatments and services that reflect the best of Japanese medical standards. Our doctors have received specialized training from BIANCA CLINIC professionals to ensure expert care and counseling.

To ensure smooth communication, our clinic offers support in multiple languages including Japanese and English, so patients can feel comfortable discussing their concerns. Hyperhidrosis is a sensitive issue, and we understand that it can be difficult to talk about. That’s why we provide a private and respectful environment where each patient’s concerns are carefully heard and addressed with personalized treatment plans.

During the initial consultation, we thoroughly explain the treatment options based on the severity of symptoms and lifestyle, ensuring you fully understand and agree with the proposed approach before proceeding. Treating hyperhidrosis can significantly improve your quality of life, so please feel free to reach out for a consultation with confidence.
Thorough Counseling with Multilingual Support
Minimally Invasive Injection Treatment to Relieve Hyperhidrosis Concerns
There are various treatment options for hyperhidrosis, including surgical procedures involving incisions. At Bibi Clinic, we offer an injection treatment specifically for axillary hyperhidrosis (excessive underarm sweating). This treatment works by blocking acetylcholine, a neurotransmitter that stimulates sweat glands, thereby reducing sweating. By decreasing sweat production, it also helps inhibit bacterial growth on the skin, which can reduce unpleasant odors.

Since this treatment is performed via injection, it leaves minimal scarring and takes only about 10 minutes to complete. We use ultra-fine needles to minimize pain, and anesthesia is available to further increase comfort during the procedure. The effects typically last for 3 to 4 months after a single session, with almost no downtime. This makes it a convenient option even for busy individuals. We also recommend receiving the treatment before the hot season begins to prepare for increased temperatures.

Additionally, our clinic offers two types of high-quality formulations, allowing us to tailor the treatment to your needs and budget. If you are seeking effective hyperhidrosis treatment in Bangkok, please feel free to contact us for a consultation.
Minimally Invasive Injection Treatment to Relieve Hyperhidrosis Concerns

 
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27 3rd Floor, Room 306, Sukhumvit 55 (Thonglor), Khlong Tan Nuea, Wattana, Bangkok, 10110

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