Treatment - Micro ETS™ for
Excessive Sweating of Hands, Face, Armpits
a hereditary condition caused by an overactive sympathetic nervous
system affecting an estimated 7.8 million Americans. Symptoms
include excessive sweating of the hands, armpits,
face, head or feet. It is associated with Raynaud's Disease (cold
hands that often change colors because of hypersensitivity to temperature
change), and facial blushing. What many people do not know
is that there is effective treatment for
sweaty palms, blushing of the face, and Raynaud's
treatments are recommended before considering surgery. Ifalternate
have been ineffective in stopping excessive
sweating, then Micro ETS could be your sweating
'We posted about
y'alls services online and also told our dermatologist about
Dr. Nielson. She wasn't aware that the procedure was even
available in San Antonio! So I'm sure she will be referring
patients to you as she says she has quite a few that deal
with hyperhidrosis. I have seen Makayla's confidence soar
since having the surgery. She is thriving as she enters
high school. Thank you simply doesn't quite capture how
we feel :)." Amy (Texas) READ more testimonials.
Board certified as a thoracic surgeon, Dr.
Nielson has performed over 6000 procedures with his minimally
invasive Micro Single Incision 1/12th Inch endoscopic
technique (Micro ETS™). He is one of the most experienced
endoscopic thoracic surgeons performing ETS surgery. Experience
performing this surgery is essential to obtaining the desired
outcome of eliminating excessive sweating. Dr. Nielson revolutionized
endoscopic surgery by creating the Micro Endoscopic Thoracic
Sympathectomy (Micro ETS™).
His Micro ETS procedure is the least invasive,
most advanced surgery for those suffering
from hyperhidrosis (profusely sweating hands, face, feet,
underarms), facial blushing or Raynaud's Disease. During
the procedure, Dr. Nielson makes a tiny, single incision,
1/12 of an inch under each arm. Using microscopic instruments, Dr.
Nielson is able to navigate around the lung (which
is not collasped) to the sympathetic nerve. Micro
ETS™ instantly stops the excessive sweating. Patients
are able to leave the hospital two to four hours later.
Dermal Laser Ablation - Another
treatment option for Excessive Sweating
of the Armpits and Feet.
Sub-dermal Laser Ablation (SDLA®)
uses two different lasers to deliver energy to the sweat glands
in the skin to decrease their function. NdYag 1064nm wavelength
is delivered subdermally and 2940nm wavelength is delivered transdermally
to target the sweat glands and decrease their ability to function.
Less energy from each laser targets the sweat glands better
yet causing less thermal damage to other skin structures, which
provides for faster healing and less chance of scarring. SDLA
of the feet uses only transdermal laser energy to target the sweat
glands due to the anatomy of the foot, which provides for fast healing
of the foot. SDLA® can
be a long-term solution to problematic severe sweating and odor.
Since 1997, Dr. Nielson has worked to alleviate Hyperhidrosis and
Bromhidrosis (sweat odor), as well as facial blushing and Raynaud’s
Disease, by performing a more comprehensive surgery called Micro
Endoscopic Thoracic Sympathectomy (Micro ETS). However, not everyone
is a candidate for Micro ETS so Dr. Nielson perfected his SDLA® procedure
to help those not able to have ETS surgery.
less invasive, more affordable, and it works well for those who
suffer from sweating and mal-odor. This
minimally invasive procedure is done in the doctor’s office under
local anesthesia without an IV. Tumescent anesthesia is used
to provide patients comfort during the procedure, and it minimizes
bleeding and bruising. The procedure has minimal side effects,
and the results are an immediate reduction of severe
sweating and malodor. The procedure takes 45 to 55 minutes to
perform and patients are able to resume normal activities, including
exercise, the following day.
Please contact us for more information
on hyperhidrosis by calling 1-877-837-9379 toll free or submit
to ask when considering ETS surgery
Don't all surgeons use the same
instruments and techniques to perform ETS surgery?
No, techniques vary widely. Micro implies not only a single micro
incision but also minimizing dissection (trauma) to tissue surrronding
the sympathetic nerve and all of its branches (kuntz nerve accessory
How important is choosing an experienced thoracic surgeon for
ETS surgery? A physician's experience is critical in achieving
the highest success rates due to the fact that no two patient's
anatomy is exactly the same. Variations in nerve routes and
anatomy can be quite great leading to missed branches of nerve
causing persistent symptoms. Experience, technique, instrumentation
Much Experience Dr. Nielson Has
Are Some Questions I Should Ask My Doctor About ETS?
your technique as "micro" ets?
Only one incision (1/12th inch) in each armpit,
no disturbance of tissue surrounding nerve(s) required, lungs
not collapsed, patient on back (not on your side which is less
traumatic to the arms (brachial plexus). Accessory branches (kuntz
nerves) are precisely located without disturbance of tissue then
micro divisions of all branches is done to minimize persistent
nerve signal transmission.