Excessive Sweating (Hyperhidrosis) Richmond, BC
Understand the cause, then the options.
Hyperhidrosis is sweating beyond what the body needs to cool down, most often in the underarms, palms or feet. It can be primary or linked to a medical condition, medication or hormonal change, so a physician should assess it first. Options a physician may discuss include stronger antiperspirants and injection treatment. At RAAC in Richmond, BC, Dr. Jiang's team starts with a consultation.
- Assess First
- Rule out other causes of sweating
- 4–6 Mo
- Typical effect of injection treatment, then repeated
- Physician-Led
- Doctor assesses and plans treatment
- Assess First
- Rule out other causes of sweating
- 4–6 Mo
- Typical effect of injection treatment, then repeated
- Physician-Led
- Doctor assesses and plans treatment
Does This Sound Like You?
Hyperhidrosis goes beyond normal sweating. If these sound familiar, an assessment can help. Select all that apply:
If you recognize two or more of these, you may have hyperhidrosis. Because sweating can have medical causes, an assessment comes first.
Why Do Some People Sweat Excessively?
In primary hyperhidrosis, the nerves that control sweating are overactive, so glands produce far more sweat than needed for temperature control.
Overactive Sweat Glands
In hyperhidrosis, sweat glands respond to nerve signals out of proportion to the body's actual cooling needs.
Sympathetic Nerve Overactivity
The sympathetic nervous system sends strong signals to sweat glands, particularly in the underarms, palms and soles.
Genetic Component
Primary hyperhidrosis often runs in families, so a parent with it raises the likelihood.
Stress & Anxiety Triggers
Emotional stress can amplify sweating, which can feed a cycle of sweating and anxiety.
What Are the Options for Excessive Sweating?
Options range from antiperspirants to prescription treatments. Which suits you depends on the area, the cause and your health, which is why a physician assesses first.
Step by step: start with an assessment and, if needed, tests to look for an underlying cause. Treatment is then matched to the area affected.
2Areas Commonly Affected
How We Approach Excessive Sweating
Physician Assessment
A physician reviews your history and decides whether injection treatment is suitable, and whether other causes need to be checked.
Looking for Other Causes
Sweating can be linked to thyroid or hormonal changes, infection or medicines. We recommend your family doctor check these when the pattern is new or unusual.
Comfort Discussed
Underarm injections are usually tolerated well. For palms and soles, which are more sensitive, comfort options are discussed at consultation.
Clear Expectations
We explain that effects are temporary, that results vary, and what the possible side effects are.
Common Questions
Ready to Talk About Excessive Sweating?
Book a consultation to discuss your sweating, possible causes and the options a physician may suggest.
Related articles
- Comparing Neuromodulator Formulations: Which Is Right for You?
Neuromodulator formulations are physician-administered prescription treatments, but they differ in key ways. Learn which one suits your anatomy, treatment goals, and lifestyle — from a Richmond physician's perspective.
- The RAAC Guide to Neuromodulators: Precision, Artistry, and Modern Aesthetics
Neuromodulators beyond wrinkles: subtle tweakments, prevention, and therapeutic uses for jaw clenching and excess sweating, with how a personalized, safety-first plan is made.


