Hyperhidrosis is a condition characterized by excessive axillary sweating. Although primarily a physical burden, hyperhidrosis can deteriorate a persons quality of life from a psychological, emotional, and social perspective. Patients are often self conscious of their odour, they can’t wear certain types of clothing and are usually quite embarrassed by their sweating. It can truly have a negative impact on their daily lives. Botulinum toxin injections can help significantly and patients often report a reduction in sweating for up to 6 months. Individual results will vary and sometimes larger dosing is required. This procedure is quick, effective and has no downtime. Anaesthetic cream is used for comfort.