Hyperhidrosis Surgery: How It Helps With Excessive Sweating
hyperhidrosis surgery

Hyperhidrosis Surgery: How It Helps With Excessive Sweating

Do you suffer from excessive sweating? You may want to consider hyperhidrosis surgery to finally get rid of your sweating woes.

Endoscopic thoracic sympathectomy or ETS is a fail-proof treatment for hyperhidrosis. Hyperhidrosis is a condition where you sweat more than normal even in the absence of common sweat triggers. To know more about ETS, here’s some information to help you decide if it is the appropriate remedy for you.

hyperhidrosis armpit

What is endoscopic thoracic sympathectomy?

ETS destroys a part of the sympathetic nerve trunk that controls the sweat glands of the hands and armpits. Your surgeon uses surgical cameras to see and divide these nerves.

It can help treat extreme cases of hyperhidrosis rather than controlling its symptoms. It has a 95% success rate, especially when it comes to hyperhidrosis treatment for hands. As for treating armpit hyperhidrosis, it has a slightly lower success rate at 85%.

It can also treat facial blushing, reflex sympathetic dystrophy, and Raynaud’s disease.

You can expect hyperhidrosis surgery cost to be a lot higher than other treatments. Recovery time is also longer.

Endoscopic thoracic sympathectomy

How is hyperhidrosis surgery done?

After administering general anesthesia, your surgeon creates a small incision beneath your armpit. The lung on the side where you’re being operated on will be collapsed for a while. It prevents air from moving in and out as the surgery is going on.

Your surgeon inserts an endoscope or tiny camera into the incision. It helps your surgeon see the nerves that he needs to work on. He may also create another small incision or use the same cut to insert a cutting instrument that will sever the sympathetic nerves in the area.

After cutting and clipping the nerves, your lung is expanded. Your surgeon may also insert a plastic tube to help push out all the air from the chest cavity.

The whole procedure may last for one to three hours on an outpatient basis. If you decide to do both sides at once, you may need to stay in the hospital overnight.

Are there any risks involved?

Like all other surgeries, hyperhidrosis surgery comes with its own set of risks.

One of the most common side effects is compensatory sweating. This is when the sweating stops in one area but may start sweating in another part of the body, like your chest or back. Research shows that 1% of patients experience this side effect. Yet, the sweating is not as extensive as the original sweating of the hands and armpits.

ETS is also irreversible, and since it is one form of surgery, the procedure can leave a scar on your skin.

There are rare cases when the surgery can become fatal. Thus, ETS is only an option if you have already tried all other possible solutions. It’s a last resort if all other treatments have failed.

Are there any alternatives to ETS?

As stated above, you should tread cautiously if you choose to undergo hyperhidrosis surgery. With that in mind, there are other non-invasive ways of controlling hyperhidrosis.

Create a lemon and baking powder mixture.

Opting for a natural treatment for hyperhidrosis is a safe and budget-friendly way to help control your condition.

Mix lemon with baking powder to eliminate the bacteria and tame excessive sweating. Apply it directly to the affected area with a cotton ball.

lemon baking powder

Use antiperspirants and deodorants.

Hyperhidrosis treatment for underarms often involves using antiperspirant to help block sweat. You may also use a deodorant to mask underarm odor.

These two are readily available in the market and are one of the easiest ways to control excessive sweating. They are also small and compact, so they’re easy to bring around in case you need to reapply them.

antiperspirant for hyperhidrosis

Use a foot powder.

ETS is not an option as a hyperhidrosis treatment for feet. As a solution, you may opt for foot powders to help absorb the moisture and keep your feet fresh the whole day.

foot powder

Practice good hygiene.

Showering every day and washing your clothes after every use are simple hygienic solutions that you can build upon in the long run. They can also help you eliminate body odor, which often follows if you’re prone to excessive sweating.


Try miraDry treatments.

If you’re looking for a long-lasting hyperhidrosis treatment for underarms, then miraDry might be a safe, effective, and non-invasive solution for you.

miraDry delivers microwave technology through a handheld device to target the sweat glands beneath the armpits. As the sweat glands are destroyed, the surface of the skin is also cooled and protected. It results in permanent sweat reduction.

miraDry treatment

Remember to consult your doctor if you suspect that hyperhidrosis may be a symptom of another condition. ETS should be your last resort, so make sure that you consult your doctor first before proceeding.

If you’re interested in getting miraDry treatments for your sweaty armpits, schedule a Free Consultation with our double board-certified plastic surgeon here in Face+Body Cosmetic Surgery.

Dr Nick N Masri MD FACS

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