Dr Suzanne Wylie from IQdoctor:

Excessive sweating, especially in areas like the scalp and upper lip, can understandably be a source of embarrassment and discomfort. Many people sweat more than average due to a variety of reasons, ranging from genetic factors to certain medical conditions, so you’re certainly not alone in experiencing this. One possibility here is a condition called hyperhidrosis, which is characterised by excessive sweating that doesn’t necessarily relate to temperature or physical exertion. While it more commonly affects areas like the hands, feet and underarms, it can also affect the face and scalp. In your case, the sweating may be localised, and this is known as craniofacial hyperhidrosis. You’ve taken some positive steps, like staying hydrated and using minimal make-up, but let’s look at a few other aspects that might help.

The solution:

It might be worth trying a few over-the-counter solutions, such as antiperspirant creams designed for the face or scalp. Some people find that specialised sprays or wipes can help as these contain aluminium chloride, which works by blocking the sweat glands. Look for ones marked specifically for sensitive skin, and do a patch test first to check for any irritation. If this doesn’t provide relief or if it’s impacting your day-to-day confidence, it’s certainly worthwhile to see a GP. There are prescription treatments that can reduce sweating, including stronger topical treatments or medications that reduce sweating across the body. For some patients with persistent symptoms, botulinum toxin (Botox) injections are an option; these can temporarily block the nerves responsible for sweat production in targeted areas, including the scalp. While this treatment needs repeating, some people find it very effective.

Additionally, there are lifestyle adjustments that can sometimes help. It’s a good idea to avoid known triggers like caffeine and spicy foods, as these can stimulate sweat production in some people. Wearing lightweight, breathable fabrics and keeping your hair away from your face can also make a difference, as can avoiding heavy conditioners or styling products that can trap heat on the scalp. If your symptoms are indeed related to hyperhidrosis, know that there are effective options out there, and there’s no need to suffer in silence. Your GP can help guide you to treatments that can improve your comfort and confidence.

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