Relief for Facial Hyperhidrosis

Lasting Relief For Facial Sweating & Blushing

Excessive facial sweating and/or blushing can occur suddenly, often during routine social situations, causing stress and embarrassment. These symptoms can affect confidence and daily life, but treatment options are available to provide lasting comfort and relief.

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Treatment Controversy

Why ETS for Facial Sweating Remains Controversial

The uncontrolled and embarrassing situation of facial sweating and blushing was thought to be easily treated with ETS. This came about when ETS was done for patients with sweaty hands. Among those patients who also suffered from facial blushing and/or facial sweating the results were also successful at reducing facial blushing and/or sweating. However over the years two observations were made when this operation was applied only for patients with facial blushing and or facial sweating. Percentage wise these patients developed a higher rate of severe compensatory sweating.

Also these patients experienced a higher degree of dissatisfaction due to the side effects. Side effects such as facial flushed feelings, loss of stamina, facial skin sensitivity, increased amount of fatigue and others led Dr. Basseri to the decision not to perform ETS when only facial blushing or facial sweating were involved. The clinical experience that was accumulated over the last several years is what has allowed Dr. Basseri to reach this assessment. More time is needed to reach a definite conclusion with regard to the most appropriate procedure for patients who suffer from only facial blushing and/or facial sweating.

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ETS for Facial Sweating or Blushing

A notable portion of our patients — approximately 10–15% — also experience facial sweating, facial blushing, or both alongside their primary concern of sweaty hands (palmar hyperhidrosis). In these cases, we are able to modify our ETS procedure to simultaneously address facial symptoms, offering a comprehensive solution in a single treatment.

When facial sweating or blushing is treated as part of the modified ETS procedure, patients can expect an excellent outcome, with a success rate of over 90%. This modification is seamlessly integrated into the procedure, providing relief for both the hands and face at the same time.

It is important to note that we do not perform the ETS procedure for patients whose sole concern is facial sweating or blushing.

Sweaty palms (palmar hyperhidrosis) must be the primary indication for the procedure. For patients who are candidates, however, addressing facial symptoms concurrently can greatly enhance their overall results and quality of life.

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What We’ve Learned

Why ETS Isn’t Recommended for Isolated Facial Sweating Or Blushing

Experience has shown that patients who underwent ETS solely for facial blushing or facial sweating tend to report a higher degree of dissatisfaction. While many patients achieved successful results, a significant percentage developed severe compensatory sweating leading to dissatisfaction. This insight emerged over time through careful patient follow-up. Due to the increased rate of dissatisfied patients, Dr. Basseri does not perform this procedure when facial blushing or facial sweating is the patient’s only concern.

Patient Stories

More Stories of Hope and Healing

Follow Dr. Basseri on Instagram and TikTok for educational content and real-life stories of hope and healing from palmar and plantar hyperhidrosis.

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94.5K Followers on TikTok

  • Christy’s Story: 22 years after ETS, she returns for ELS to treat sweaty feet.

  • Before Surgery: Even thinking about her hands triggered sweating — until they were truly dry.

  • Life After Surgery: No longer planning life around sweating.

  • Hallie’s Story: The moment she found out about her excessive sweating.

  • Living with hyperhidrosis [excessive sweating] can be overwhelming…

  • We’re so excited for Nelly to step into this new chapter after surgery!

  • Aiden After Surgery: Lotion test, gym time, and holding hands — finally worry-free.

  • Before vs After ELS: Life with sweaty feet — and the freedom after treatment.

  • Meet Lora: Flying from Nebraska at 47 to finally find relief from hyperhidrosis.

  • ELS Surgery: A quick, minimally invasive solution for permanently dry feet.

  • “That’s cool!” — A patient’s reaction to lotion finally absorbing after ETS surgery.

  • Everyday moments feel new after surgery — even applying lotion normally.

  • Faith’s Story: From lifelong hyperhidrosis to dry, warm hands and a new chapter.

  • “I never talked about it.” — Sharing hyperhidrosis stories reminds others they’re not alone.

  • Chiara’s Reaction: Warm, dry hands for the first time — pure relief.

  • Dry Hands for the Wedding 💍 — MaKenzie’s ETS surgery changed her big day forever.

  • Ivy’s Story: From stressful moments with her son to calm, confident connection.

  • Dianne’s Update: Three years later, holding her boy’s hands is still effortless.

  • McCoy Reflects: Everyday tasks feel completely different after surgery.

  • Aubree’s Experience: 3 years post-ETS — sharing her journey with compensatory sweating.

  • Kayla’s Transformation: From dripping hands to dry confidence — now back for ELS.

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Break Free from Excessive Sweating.

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(401) 294-3533

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9033 Wilshire Blvd., #200, Beverly Hills, CA 90211

We welcome patients from around the world—start with a virtual consultation.

“May 11, 2021, changed my life—truly more than I could’ve ever imagined. The best way to describe life since ETS surgery is intentional and joyful. I feel like I can finally be present in every single moment because my mind isn’t constantly focused on my hands sweating.”

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Bri F.