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Excessive sweating can be embarrassing to say the least and is a very common problem in our tropical climate.  Imagine if a simple injection could save you from facing that ever again!

What is Hyperhidrosis ?

Excessive sweating is when you sweat more than you might expect based on the surrounding temperature or your activity level or stress. Excessive sweating can disrupt daily activities and cause social anxiety or embarrassment.

Excessive sweating, or hyperhidrosis (hi-pur-hi-DROE-sis), can affect your entire body or just certain areas, particularly your palms, soles, underarms or face. The type that typically affects the hands and feet causes at least one episode a week, during waking hours.

Excessive Sweat Causes

If heavy sweating has no underlying medical cause, it's called primary hyperhidrosis. This type occurs when the nerves responsible for triggering your sweat glands become overactive and call for more perspiration even when it's not needed. Primary hyperhidrosis may be at least partially hereditary.

If the sweating can be attributed to an underlying medical condition, it's called secondary hyperhidrosis.

Non-Surgical treatment for Hyperhidrosis 

If an underlying medical condition is contributing to the problem, that condition will be treated first. If no clear cause can be found, treatment focuses on controlling excessive sweating. Sometimes one may need to try a combination of treatments; even if your sweating improves after treatment, it may recur.


USA FDA approved Botox for use to treat excessive underarm sweating also known as primary axillary hyperhydrosis back in 2004.  Botox for hyperhydrosis involves the injection of Botox directly into the skin where the excessive sweating occurs.


Normally within a couple of days after the hyperhydrosis treatment, people have shown remarkable results of up to an 75-85% decrease in excessive sweating in the problem area and within a week of the treatment the sweating problem is removed completely.


Strong body odor resulting from excessive sweating is also eradicated after the treatment as the two go hand in hand and by removing one's sweating problem the resulting body odor is also resolved.

Sweat Botox Result


The longest lasting control for excessive sweating!

After the treatment, you can resume your normal activity right away. The sweat will decrease 5-7 days after treatment and obviously after 2 weeks. Many of our customers feel the effects show faster than that. The odor and skin color will improve at the same time the sweat decrease as well as the quality of life. The result can last for a year after treatment, most will last for 9 months.

100 % of the client say ...worth it !


"I have been receiving Botox for excessive sweating of the armpit from Dr. Chontirot for about a year. It has been a truly life-changing experience for me.

Dr. Chontirot and her staff are so nice to work with and I feel my comfort is their priority.  I hardly had ANY pain and NO anxiety during my injections. I have so much more confidence and freedom as my symptoms are nearly non-existent! I would recommend Dr. Chontirot and Revival Clinic to anyone who is seeking relief from this condition."

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What research says?


The longest lasting control for excessive sweating!


Most patients report an improvement in symptoms within the first week after treatment. Following the above treatment regimen, re-injection with toxin due to initial treatment failure is rarely required.


Patients who have undergone injections claim a significant decrease in excess sweat production and improvement in the quality of life. Patients have reported decreases in occupational and emotional impairment, time managing their Excessive sweat, and difficulty in social and occupational situations.


 In randomized placebo-controlled trials with botulinum toxin, patient satisfaction markedly increased after treatment with botulinum toxin compared to placebo (93% vs 30%).


 Patients also report increased satisfaction with botulinum toxin treatment over nonsurgical options for hyperhidrosis, such as topical agents.


 When reviewing the data for axillary hyperhidrosis treatment, patient satisfaction with the procedure ranged from 66% to 100%, indicating that patients were very happy overall with this treatment.

What patients say?


100% satisfaction!


"A friend referred me here and Yesterday I had a treatment at Revival Clinic. The offices were very nice and the receptionist was very caring and helpful. Dr. Chontirot is very thorough in explaining things and makes me feel very comfortable. I had sweat Botox injections. I would definitely recommend Revival Clinic."


"Revival Clinic has changed my life! Suffering from excessive sweating since childhood, I have never felt comfortable wearing tight-fitting shirts or colored clothing. Then Dr. Cho spoke with me about Botox injections in my underarms to reduce sweating. I could not have imagined the results that I got! Dr. Cho was meticulous during injections and used a variety of techniques that reduced my sensitivity during the treatment- which ended up being way less painful than I was expecting. I now feel confident to wear whatever I want! In my line of work, I do a ton of public speaking and presentations and I finally feel like I can just be myself in front of a crowd. This treatment truly is a game changer! I am so grateful to Dr. Cho and the whole team at Revival Clinic!"


Prepare yourself for the treatment 

  • Avoid anti-inflammatory/blood thinning medications, if possible for a period of 2 weeks before treatment. 

  • Medications and supplements that have a blood thinning effect and can increase the risk of bruising and swelling after injections.  Some examples are aspirin, vitamin E, ginkgo biloba, ginseng, St. John’s Wort, Omega 3/Fish Oil supplements, Ibuprofen, Motrin, Advil, Aleve and other NSAIDS.

  • On the day of the treatment our doctor will interview and do a physical examination to ensure a complete understanding of the desired outcome, checking contraindication and plan the treatment.


  • Tincture of iodine is applied to the skin and allowed to air-dry. After drying, the area is dusted with cornstarch. When sweat reaches the surface of the skin, the starch and iodine combine, causing a dramatic color change (yellow to dark blue), allowing sweat production to be easily visualized.

  • The treatment areas will be sterilized with cleanser and alcohol to ensure minimum chance of complications.

  • A numbing cream will be applied and allowed 45 minutes to reach peak effectiveness, this reduces the discomfort during the treatment. 

  • Your chosen botulinum  product will be injected into the desired treatment areas.

After care 

  • Avoid using a sauna for 2 weeks.

  • Avoid dirty activity or heavy exercise 24 hrs after injection 

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Revival Clinic 

  • Tailor-made design treatment in every case to create the best result

  • We use only genuine botox from an official retailer for long term safety

  • Every case and every step will be done by a specialist medical doctor

  • Price transparency: there is no hidden cost, no hard sale, no sale agent in our clinic

  • We are specialists in international care. The doctor and staffs speak English fluently.

  • Professional opinion: Your benefit, your long-term safety, your privacy are our top priorities.


Doctor Chontirot Srikasedsarakul is a specialist in Dermatology and Aesthetics. She graduated as a doctor of medicine from Chulalongkorn University in 2008.


Always seeking to expand her knowledge she has furthered her studies attaining a Diploma in Dermatology and Dermatosurgery from the Skin Institute of Thailand and receiving a Diplomate certification from the American Board of Anti-Aging Medicine. Extending her understand of skin she completed a Certificate in Primary Skin Care, Cancer Medicine from the University of Queensland, Australia.


Although her primary focus has always been the skin she did not ignore complementary fields, for example, studying hair loss and hair transplant in a Fellowship in Hair Restoration program and most recently has been awarded a Genetics and Genomics Certificate from Stanford University.

"I am committed to every patient and devoted to every procedure. My staff and I are dedicated to delivering the best results and service to our clients. Our client’s satisfaction is a reflection of our success and this is why we strive to deliver the very best experience!"

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Other treatment option for Hyperhidrosis 

Oral and topical treatment

  • Prescription antiperspirant: Your doctor may prescribe an antiperspirant with aluminum chloride (Drysol, Xerac Ac). This product can cause skin and eye irritation. It's usually applied to the affected skin before you go to bed. Then you wash the product off when you get up, taking care to not get any in your eyes. If your skin becomes irritated, hydro-cortisone cream might help.

  • Prescription creams: A prescription cream that contains glycopyrrolate may help hyperhidrosis that affects the face and head.

  • Nerve-blocking medications: Some oral medications block the chemicals that permit certain nerves to communicate with each other. This can reduce sweating in some people. Possible side effects include dry mouth, blurred vision and bladder problems.

  • Antidepressants: Some medications used for depression can also decrease sweating. In addition, they may help decrease the anxiety that worsens the hyperhidrosis.



Non-Invasive procedure

  • Iontophoresis: The current and mineral particles in water act together to thicken the outer layer of skin, thereby blocking the flow of sweat. This is reduced to a 70% success rate for the underarms. The effects are only temporary and the treatment will need to be ongoing whilst you continue to have symptoms of hyperhidrosis. The initial treatment schedule usually involves 7 treatment sessions over a 4- week period. You will then need top-up sessions as required on a weekly to monthly basis.

  • Botox injection: Treatment with botulinum toxin temporarily blocks the nerves that cause sweating. Your skin will be iced or anesthetized first. Each affected area of your body will need several injections. The effects last 9 to 12 months, and then the treatment needs to be repeated. 



More invasive procedure

  • Microwave therapy[Miradry]: With this therapy, a device that delivers microwave energy is used to destroy sweat glands. Treatments involve two 20- to 30-minute sessions, three months apart. Possible side effects are a change in skin sensation and painful. This therapy may be expensive and not widely available.

  • Sweat gland removal: If excessive sweating occurs just in your armpits, removing the sweat glands there may help. A minimally invasive technique called suction curettage may be an option, too, if you aren't responding to other treatments.

  • Nerve surgery (sympathectomy): During this procedure, the surgeon cuts burns or clamps the spinal nerves that control sweating in your hands. In some cases, this procedure triggers excessive sweating in other areas of your body (compensatory sweating). Surgery is generally not an option for isolated head and neck sweating. A variation on this procedure interrupts the nerve signals without removing the sympathetic nerve (sympathotomy).