If you find yourself avoiding handshakes, wearing dark clothing, or feeling anxious in social situations because of sweat, you’re not alone, and you have real, effective options.
Excessive sweating, clinically known as hyperhidrosis, affects millions of people across the United States. It can strike the underarms, palms, feet, face, or entire body, and unlike normal perspiration, it occurs independently of heat or exercise. For many patients, it significantly impacts quality of life. The good news: today’s sweating treatments are more effective than ever, and board-certified dermatologist Dr. Jessica Krant can help you find the right fit for your body and lifestyle.
At Art of Dermatology at the Laser & Skin Surgery Center of New York, Dr. Krant evaluates each patient individually to create a personalized treatment plan. Here’s a breakdown of the most common options:
Treatment Options for Hyperhidrosis
miraDry®
miraDry® is one of the most sought-after long-term solutions for underarm excessive sweating. This FDA-cleared, non-invasive procedure uses precisely controlled microwave energy to permanently reduce or eliminate sweat and odor glands in the underarm area. Because sweat glands do not regenerate, results are lasting, and most patients see a significant reduction after just one to three sessions, with minimal downtime. miraDry is an excellent option for patients who want a permanent solution without surgery.
Botox® for Sweating
Botox® for sweating (botulinum toxin injections) is a well-established, clinically proven treatment for hyperhidrosis. When injected into the underarms, palms, or feet, Botox temporarily blocks the nerve signals that trigger sweat glands, dramatically reducing perspiration for six to twelve months per treatment. It is especially popular for patients seeking a highly effective, non-permanent option. Please note: Botox for sweating is not a service currently offered by Dr. Krant — she is happy to discuss this treatment with you and whether miraDry or another option is the right choice for you or refer you to a colleague if you prefer Botox.
Topical Treatments
For mild to moderate hyperhidrosis, prescription-strength antiperspirants containing aluminum chloride are often the first line of defense. These topical treatments work by temporarily blocking sweat ducts and are applied at night to dry skin. Newer prescription topical anticholinergic gels (such as glycopyrronium) have also shown strong clinical results for the face and underarms with minimal systemic side effects. Topical options are ideal for patients seeking a straightforward, accessible starting point.
Oral Medications
Systemic oral medications, particularly oral anticholinergics like glycopyrrolate or oxybutynin, can reduce sweating throughout the entire body by blocking nerve signals to sweat glands. These are often considered when sweating affects multiple areas or when localized treatments haven’t provided sufficient relief. Dr. Krant will review your health history to determine whether oral medication is appropriate and monitor for potential side effects such as dry mouth or blurred vision.
Which Treatment Is Right for You?
Choosing the best sweating treatment depends on several factors: the severity of your hyperhidrosis, the area(s) affected, your medical history, and your personal goals. What works beautifully for one patient may not be the ideal fit for another, which is why a thorough consultation with a qualified dermatologist in NYC is the essential first step.
Why Choose a Board-Certified Dermatologist?
Managing excessive sweating is not one-size-fits-all. Additionally, the procedures and the prescription medications available all have potential risks associated that should be reviewed with you and minimized by a physician. Working with a board-certified dermatologist ensures your treatment plan is grounded in the latest clinical evidence, tailored to your skin type, and delivered safely. Dr. Jessica Krant, MD, MPH, is a board-certified dermatologic and cosmetic surgeon with extensive experience treating hyperhidrosis. Her approach is compassionate, thorough, and deeply individualized, giving patients in NYC access to expert care in a welcoming environment.
Whether you’re exploring miraDry for a permanent solution or want to start with a topical treatment, Dr. Krant at Art of Dermatology at the Laser & Skin Surgery Center of NY is ready to guide you every step of the way.
Ready to Stop Sweating the Small Stuff?
Schedule a personalized consultation with Dr. Krant and discover which excessive sweating treatment is right for you.
Jessica Krant, M.D., MPH, is a board-certified dermatologist with specialized experience in cosmetic, laser, surgical, and medical dermatology, but above all, Dr. Krant is most proud to be a caring, comprehensive physician who takes the time to listen and send her patients home with a smile.


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