Treatment

Facial Sweating

Treating Excessive Facial Sweating

Excessive facial sweating, also called facial hyperhidrosis, is a common concern that can cause embarrassment and discomfort. Many people report difficulty in social or professional settings due to visible perspiration.

In some cases, excessive sweating has a genetic component and can run in families.
At The Manse Clinic, we offer non-surgical treatments that help manage perspiration on specific areas of the face through precise, targeted application by experienced practitioners.

Consultation for Excessive Sweating Assessment

A detailed consultation is essential before treatment. Your clinician will take a full medical history and discuss:

  • Whether there is a family history of excessive sweating

  • Previous treatments and how well they worked

  • Duration of results and any changes in pattern

  • Areas of the body affected (e.g. face, back, underarms, feet)

  • Any history of side effects such as temporary weakness or drooping

  • Occupation and hobbies, to understand if facial movement or expression is important to your activities

  • Which specific facial zones are most affected

Examination

Your practitioner may perform an iodine starch test, where the skin is gently cleansed and a light starch powder applied. This can help identify areas of increased perspiration for precise treatment planning.

Choosing the Treatment Plan

Your clinician will tailor the plan based on your goals, lifestyle, and previous treatment outcomes.
Different dosing levels may be discussed depending on the severity of sweating and desired longevity of results.

  • A higher strength approach may be used for broader or more persistent concerns

  • A lower strength approach may be used for a gradual or subtle effect

All treatment details are explained and agreed upon prior to proceeding.

Comfort Measures

To ensure your comfort throughout the procedure, several options may be offered, including:

  • Application of a numbing cream approximately 45 minutes before treatment

  • Use of cooling with ice before the procedure

  • Nitrous oxide (“Happy Gas”) or an inhaled pain-relief option, if suitable

What Happens During Treatment

  • The face is gently cleansed and cooled

  • The product is applied through a series of small, targeted placements across the affected area

  • Gentle pressure with gauze follows each application

The process usually takes under 20 minutes, and most people can resume normal activities shortly afterwards.

Appearance After Treatment

Most patients notice little to no visible change immediately after treatment.
Mild redness or temporary small raised areas may occur and generally subside quickly.

Possible Side Effects

When performed by experienced practitioners, this treatment is considered low risk.
Possible side effects include:

  • Mild bruising, swelling, or tenderness

  • Temporary headache (occasionally in first-time patients)

  • Slight facial weakness, eyebrow or eyelid droop, or altered smile (rare and usually temporary)

  • Subtle asymmetry between sides (common and correctable)

  • Very rare infection at the application site

  • Rarely, a perceived increase in perspiration in another body area

Who Is Unsuitable for Treatment

This procedure may not be suitable for:

  • Individuals who are pregnant or breastfeeding

  • Those with certain underlying medical or neuromuscular conditions

Your practitioner will determine suitability during consultation.

Aftercare Instructions

For best results:

  • Avoid strenuous activity or exercise for the rest of the day

  • Do not massage or touch the treated areas for several hours

  • Avoid applying makeup immediately afterwards

  • Follow any additional instructions from your clinician

What to Expect Afterwards

  • Initial changes may appear within 2–8 days

  • Full improvement is typically visible around 3–4 weeks

  • A review appointment after about 3 weeks allows for progress assessment and any necessary adjustments

If one side of the face responds faster than the other, it usually balances by the time of review.

Longevity of Results

Results vary for each person depending on metabolism, dose, and individual factors.
Most patients find that results last several months before maintenance is required.

When to Schedule Maintenance

You may choose to return when perspiration begins to return—typically every 4 to 6 months.
Your practitioner can recommend a timeframe based on your individual response.

FAQs — Excessive Facial Sweating

1. What causes facial sweating?
Facial sweating occurs when the sweat glands are overactive. It can be influenced by stress, temperature changes, or hereditary factors.

2. How does this treatment help?
The procedure helps reduce overactivity in targeted sweat glands to minimise perspiration in specific facial areas.

3. Is the treatment uncomfortable?
Most people tolerate the process well. Cooling, numbing cream, or inhaled pain relief may be used for comfort.

4. How long does the appointment take?
Treatment usually takes less than 20 minutes, and you can typically return to your daily routine immediately.

5. When will results appear?
Improvement often begins within a few days, with full results seen after several weeks.

6. How long do results last?
Effects usually last for several months, varying by metabolism and lifestyle.

7. Are there side effects?
Minor redness, tenderness, or swelling can occur. Rarely, temporary muscle weakness or unevenness may be noticed but usually resolves.

8. Who should avoid this treatment?
It may not be recommended for those who are pregnant, breastfeeding, or with certain health conditions. Suitability will be confirmed during your consultation.

THE MANSE