Advanced Hyperhidrosis Treatment Center

Palmar Hyperhidrosis Surgical Treatment

Expert surgical solutions for excessive palm sweating with
minimally invasive techniques and comprehensive patient care.

Schedule Consultation Learn More

95%

Success Rate

500+

Procedures

20+

Years Exp.

Comprehensive Care

Understanding Palmar Hyperhidrosis

Palmar hyperhidrosis is a condition characterized by excessive sweating of the palms due to overactive sweat glands, often triggered by an overstimulated sympathetic nervous system. It can impact daily activities, causing social discomfort and practical challenges. Surgical intervention, such as endoscopic thoracic sympathectomy (ETS), offers a highly effective solution for severe cases.

Expert Care

Board-certified thoracic surgeons specializing in hyperhidrosis treatment

Advanced Techniques

Minimally invasive ETS with cutting-edge technology for optimal outcomes

Proven Outcomes

High success rates with tailored pre- and post-operative care

Patient-Centered

Personalized treatment plans and dedicated support for your recovery

Common Indications

Excessive, persistent palm sweating affecting daily life
Failure of non-surgical treatments (e.g., antiperspirants, iontophoresis)
Social or professional challenges due to sweaty hands
Skin irritation or infections from chronic moisture

Treatment Goals

Permanent reduction of palm sweating
Improved quality of life and confidence
Minimized risk of skin complications
Enhanced ability to perform daily tasks

Surgical Excellence

Surgical Procedure Types

Our team specializes in endoscopic thoracic sympathectomy (ETS), a minimally invasive procedure tailored to each patient’s needs based on the severity of hyperhidrosis and overall health.

Endoscopic Thoracic Sympathectomy (ETS)

Minimally Invasive

A procedure that interrupts sympathetic nerve signals to the sweat glands through small incisions in the chest, using a camera-guided approach.

Key Benefits

High success rate (up to 95% for palmar hyperhidrosis)
Minimal scarring with small incisions
Short recovery time (typically 1–2 weeks)
Immediate reduction in palm sweating

Non-Surgical Alternatives

Conservative Options

Non-invasive treatments like Botox injections or iontophoresis may be considered for patients unsuitable for surgery or preferring less invasive options.

Key Benefits

No surgical risks or recovery time
Temporary relief for mild to moderate cases
Repeatable treatments as needed
Customizable based on patient preference

Personalized Treatment Planning

The choice between surgical and non-surgical treatments depends on the severity of symptoms, patient health, and lifestyle needs. Our team conducts a thorough evaluation to recommend the most effective approach.

Your Journey to Recovery

Recovery Timeline

Recovery after ETS is typically quick, but timelines vary based on individual factors and procedure specifics.

Day 1–2 Hospital Stay

Immediate Post-Op

Monitoring in recovery unit
Pain management with medications
Chest tube monitoring (if used)
Early mobility encouraged

Focus: Pain control and initial recovery

Day 3–7 Early Recovery

Home Recovery

Discharge from hospital (typically day 1–2)
Light activities and walking
Pain medication as needed
Monitor for compensatory sweating

Focus: Regaining independence

Week 2–4 Progressive Recovery

Resuming Activities

Follow-up with surgeon
Gradual return to daily activities
Avoid heavy lifting or strenuous exercise
Monitor incision sites for healing

Focus: Healing and light activity

Week 5–8 Full Recovery

Return to Normal

Resume normal activities (if approved)
Monitor for long-term side effects
Follow-up imaging if needed
Full return to work or school

Focus: Restoring normal lifestyle

Essential Guidelines

Recovery Guidelines

Follow these guidelines to ensure a smooth recovery after ETS surgery.

Do's

Keep incisions clean and dry
Walk daily to improve circulation
Follow pain medication schedule
Attend all follow-up appointments
Stay hydrated with 8–10 glasses of water daily
Report any unusual symptoms promptly
Wear loose, breathable clothing
Eat a balanced diet to support healing

Don'ts

Don't lift heavy objects for 4–6 weeks
Avoid strenuous exercise until cleared
Don't smoke or expose yourself to secondhand smoke
Avoid submerging incisions in water
Don't ignore signs of infection
Avoid extreme temperatures

Pain Management

Take prescribed pain medications as directed
Use ice packs (wrapped) for 15–20 minutes on incisions
Practice deep breathing for relaxation

Physical Activity

Start with short walks, increasing gradually
Avoid heavy lifting or intense exercise
Rest when fatigued

Warning Signs

Contact Your Doctor Immediately If You Experience:

Fever over 101°F (38.3°C)
Redness, swelling, or drainage from incisions
Severe chest or shoulder pain

Shortness of breath or difficulty breathing
Excessive compensatory sweating
Signs of infection or blood clots

Comfort & Care

Recover in a state-of-the-art medical environment with dedicated support

Common Questions

Frequently Asked Questions

Answers to common questions about palmar hyperhidrosis surgery and recovery

Palmar hyperhidrosis is caused by overactive sympathetic nerves stimulating sweat glands in the palms. It may be genetic or triggered by stress, heat, or unknown factors.

ETS is highly effective, with up to 95% of patients experiencing significant or complete reduction in palm sweating. Results are typically immediate.

Risks include compensatory sweating (sweating in other areas), infection, bleeding, or nerve injury. Our team uses advanced techniques to minimize these risks.

Compensatory sweating is increased sweating in other body areas (e.g., back, torso) after ETS. It occurs in some patients but is often manageable and less severe than palmar sweating.

Most patients return to work within 1–2 weeks, depending on the job’s physical demands and individual recovery progress.