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Watch Video - How Many People Have Hyperhidrosis?
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Hyperhidrosis Treatment - Micro ETS for Excessive Sweating of Hands, Face, Armpits

Hyperhidrosis is 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 Disease. Conservative treatments are recommended before considering surgery.  If alternate treatment options have been ineffective in stopping excessive sweating, then Micro ETS could be your sweating solution.

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Larrisa's Seventeen Year Follow Up
"For anyone contemplating whether or not ETS (Micro-endoscopic thoracic sympathectomy)
Surgery is for you, here is a little of my history.

Many days I just wished my hands were invisible. My middle school and high school years were miserable. It was a struggle that few even knew about because, for the most part, I kept my palmar hyperhidrosis hidden (as best I could). If you're contemplating this surgery, then one or more of these scenarios will probably sound familiar.

The first memory of my super sweaty hands was having to quit piano lessons at an early age because my fingers left the keys soaking wet. Yuck for me, the teacher, and the piano."   READ Larissa's testimonial.

Extreme Facial Sweating.  Patient from England.
Extreme Facial Sweating.
Symptoms Resolved.

'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.

About Micro ETS™ and Dr. Nielson

Micro ETS™ is offered exclusively by Dr. David Nielson to treat hyperhidrosis symptoms. A hyperhidrosis expert, Dr. Nielson specializes in the treatment of sweaty hands, face sweat, sweaty feet, armpit sweating, facial blushing, including burning sensations of the face (hyperpyrexia) , and Raynaud's Disease.

Watch Video - Student's Suicide Shines Light on 'Chronic Blushing'
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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.

Please contact us for more information on hyperhidrosis by calling 1-877-837-9379 toll free or submit a questionnaire.

SDLA® Sub Dermal Laser Ablation - Another treatment option for Excessive Sweating of the Armpits and Feet.

Sweating Sufferers  

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.

SDLA® is 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.

Contact us for more information on SDLA Subdermal Laser Ablation by calling 1-877-837-9379 toll free or submit a questionnaire.

Questions to ask when considering ETS surgery

Micro ETS Incision  
Sweating Sufferers

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 fibers).

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 all matter!

How Much Experience Dr. Nielson Has What Are Some Questions I Should Ask My Doctor About ETS?
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What qualifies 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.

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