# What does *sweat treatment* cost?

> Hyperhidrosis treatment of the armpits in Essen: from €500 at VIVA DERM, billed under the GOÄ. Why the price is higher than for wrinkles

- Source: https://www.vivaderm.de/cost-hyperhidrosis-treatment-essen-en.html
- Language: en
- Publisher: VIVA DERM, Privatpraxis für ästhetische Medizin, Rosastraße 6a, 45130 Essen, Germany, +49 1520 8367711
- Responsible physician: Katayoun Mostaghimi (Fachärztin für Allgemeinmedizin)
- Updated: 2026-10-05

A treatment that usually lasts the whole summer. What it costs, why it costs more than a wrinkle zone – and where it can be an insured service.

## How the price is formed.

**Why the price is higher:** the armpits need considerably more units of botulinum toxin than a wrinkle zone – usually 50 to 100 units per side. In return the effect lasts longer, six to nine months. Most manage with one treatment a year, many only before summer.

**How the price is formed:** VIVA DERM is a private practice; every service is billed under the German medical fee schedule (GOÄ). The invoice lists codes for consultation, examination and injection plus the material costs – the product and the amount used. Flat rates or package prices are not permitted for medical services; hence all figures here are 'from' prices.

**What the price includes:** the medical examination and consent talk, the treatment itself by the physician, anaesthesia (numbing cream if needed), aftercare information and the check-up after about two weeks. Not included is additional material if more is needed along the way – that is discussed beforehand.

**Why 'cheaper' is rarely cheaper:** offers far below market level usually mean less product, unknown preparations or treatment without a physician. Discount campaigns and vouchers for medical treatments are impermissible under German advertising law. A reputable price names product and amount – and includes the check-up.

**Insurance and tax:** aesthetic treatments are self-pay services; neither statutory nor private insurers cover them. You receive a GOÄ invoice, payment by card or bank transfer. We deliberately do not offer instalments – a treatment should be affordable without debt.

## Guide prices under the GOÄ.

| Service | Guide price | Note |
|---|---|---|
| Hyperhidrosis armpits (both sides) | from €500 | effect 6–9 months |
| Hands or feet | by effort | more units, more painful |
| Forehead / scalp | by effort |  |
| Per year (armpits) | about €500–1,000 | 1–2 treatments |
| Check-up | included |  |
| Consultation without treatment | €50 | credited |

All figures are guide prices ('from'). Invoicing follows the German medical fee schedule (GOÄ) individually; the actual amount depends on findings, amount and effort and is stated in writing before treatment. Consultation without treatment: €50, credited against a treatment.

## The essentials.

- **Armpits:** from €500
- **Durability:** 6–9 months
- **Per year:** about €500–1,000
- **Insurance:** only at statutory practices with indication

## Important note.

This text is general information. It replaces neither a medical examination nor the consultation required before any treatment under German law (§ 630e BGB). Whether and which treatment is suitable for you can only be said after examination and consultation. No treatment results are promised.

## Frequently asked questions.

**Does health insurance cover the treatment?**

With severe hyperhidrosis and unsuccessful prior treatment, botulinum toxin can be an insured service at statutory dermatology practices. VIVA DERM is a private practice and bills under the GOÄ.

**What does treating the hands cost?**

More than the armpits, because more units are needed and a nerve block is added. The amount is stated after examination.

## Related.

- [Hyperhidrosis](https://www.vivaderm.de/hyperhidrosis-en.html) – Treatment
- [Sweating at work](https://www.vivaderm.de/guide-hyperhidrosis-at-work-en.html) – Guide
- [Price list](https://www.vivaderm.de/preise-en.html) – All guide prices
- [What does it really cost?](https://www.vivaderm.de/guide-costs-en.html) – Guide
- [GOÄ](https://www.vivaderm.de/lexicon-goae-en.html) – Lexicon

## Sources

- [NHS: Botox injections – patient information](https://www.nhs.uk/conditions/cosmetic-procedures/non-surgical-cosmetic-procedures/botox-injections/)
- [DGBT – German Society for Aesthetic Botulinum Toxin Therapy](https://www.dgbt.de/)
- [BfArM – Federal Institute for Drugs and Medical Devices](https://www.bfarm.de/)
- [European Medicines Agency (EMA)](https://www.ema.europa.eu/)
- [NHS: excessive sweating (hyperhidrosis)](https://www.nhs.uk/conditions/excessive-sweating-hyperhidrosis/)
- [§ 630e BGB – duty to inform before treatment (German Civil Code)](https://www.gesetze-im-internet.de/bgb/__630e.html)
- [GOÄ – German scale of medical fees (official text)](https://www.gesetze-im-internet.de/go__1982/)

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This page is general information and does not replace medical consultation and informed consent (§ 630e BGB). No guarantee of results. Prices are guide prices per GOÄ. Quoting with attribution (VIVA DERM, Essen) is expressly permitted.