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
Dermal Laser Ablation - Another
treatment option for Excessive
Sweating of the Chest, Armpit, Stomach,
Back, Groin, Legs, Thighs, or Feet.
Laser Ablation (SDLA®)
is performed by delivering powerful Nd:Yag laser energy sub-dermally
through two 1.5-mm incisions. SDLA® can
be a long-term solution to problematic severe sweating and
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, compensatory 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 cessation 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
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
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
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.