Question · Answered

Can One Surgery Treat Every Type of Hyperhidrosis?

Hyperhidrosis is not a one-size-fits-all condition, and treatment should be tailored to the area affected. While ETS is highly effective for excessive hand sweating and can improve underarm sweating, ELS is designed specifically for excessive foot sweating. Choosing the right procedure is essential for achieving the best possible outcome.
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Answered by

Dr. Eraj Basseri, M.D.

Unfortunately, the answer is no. Based on our experience and careful evaluations (peer-reviewed studies), we do not believe a single surgery can fix all types of hyperhidrosis. Different procedures are more effective for different types of the condition.

For example, an endoscopic thoracic sympathectomy is extremely helpful for hand sweating. It has shown positive results with armpit sweating. The success of ETS is lower with excessive foot sweating (plantar).

An endoscopic lumbar sympathectomy is very effective for excessive foot sweating. Each type of excessive sweating deserves a different approach to ensure the best possible outcome.

Dr. Basseri does not recommend a sympathectomy for facial blushing or facial hyperhidrosis. For more information on this see our facial blushing page.

Surgical solutions for each type of excessive sweating

Hands

ETS remains the most effective surgical treatment for palmar hyperhidrosis.

Feet

ELS is specifically designed to address plantar hyperhidrosis.

Personalized

Treatment recommendations depend on the location and severity of symptoms.

Successful treatment begins with identifying where excessive sweating occurs and choosing the procedure best suited to that area.

Dr. Eraj Basseri

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