a hereditary condition caused by an overactive sympathetic nervous
system affecting an estimated 7.8 million Americans. The incidence has been reported to be from 0.6 to 1.0% of the population. Hyperhidrosis can be seen in all races, yet in some the incidence is much higher. Symptoms
include excessive sweating of the hands, armpits,
face, head, neck or feet. It may be associated with Raynaud's Disease (cold
hands/fingers that often change colors because of hypersensitivity to temperature
change, anxiety, concentration), and blushing with facial burning (Hyperpyrexia). What many people do not know
is that there is effective treatment for
sweaty palms, sweaty face/head/neck, blushing/burning 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
Surgery Helps Teen
One of a Kind
of San Antonio
Larrisa's Seventeen Year Follow Up
contemplating whether or not Micro ETS (Micro-endoscopic thoracic
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
'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. David H. Nielson has performed over 7000 procedures with his much less invasive Micro ETS procedure (single 1/12th Inch incision per side (Micro ETS™). He is one of the most experienced
endoscopic thoracic surgeons performing ETS surgery with people from around the world traveling to San Antonio, Texas to have their symptoms treated by his less invasive and more effective procedure. Experience
performing ETS is essential to achieve a high success rate with fewer complications and fastser recovery time. Dr. Nielson revolutionized
endoscopic surgery by creating the Micro Endoscopic Thoracic
Sympathectomy (Micro ETS™), since little tissue is disturbed in order to find the nerve, affording patients faster recovery with less pain, less risk since not much tissue is disturbed (single 1/12th inch incision per side, not collapsing the lungs, not digging the nerve out from the chest wall to find it), Success is high for improving Blushing/burning of the face, face/head/neck sweating, hand sweating, and underarm sweating, with my Micro ETS procedure.
His Micro ETS procedure is the least invasive,
most advanced surgery for those suffering
from Hyperhidrosis (profusely sweating hands, face/head/neck,
underarms), blushing/facial Hyperpyrexia or Raynaud's Disease of the fingers. During
the procedure, Dr. Nielson makes a tiny, single incision,
1/12 of an inch in the axilla under the arm. Using microscopic instruments, Dr.
Nielson is able to navigate behind the lung (which
is not collasped) to identify the sympathetic nerve WITHOUT having to touch or disturb the tissue of the inner chest wall, so less pain, no Horner's Syndrome (drooping upper eyelid). Micro
ETS™ instantly stops excessive sweating of the face, head, hands, underarms, warms the fingers and improves Blushing/burnbing of the face/neck too.. Patients
are able to leave the ambulatory surgery center one to two hours later. Follow up exam in Dr Nielson's office the next morning then the patient may return home by air or car.
Please contact us for more information on Hyperhidrosis, Blushing/Hyperpyrexia, and Raynaud's of the fingers by calling 1-877-837-9379 toll free or submit
1997, Dr. Nielson has worked to alleviate Hyperhidrosis and
Bromhidrosis (sweat odor), as well as Blushing/Hyperpyrexia and Raynaud’s of the hands, by performing a more precise and less invasive procedure he invented Micro
Endoscopic Thoracic Sympathectomy (Micro ETS).
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 (2mm or 1/12th of an inch) but also no dissection (digging in the chest wall tissue) to find the sympathetic nerve and any branches (Kuntz accessory nerves).
How important is choosing an experienced thoracic surgeon for
ETS surgery? A surgeon'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 significant which may lead to missed branches of nerve
causing persistent symptoms. Experience, least invasive and more precise technique, and micro 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, 2 mm) in each armpit,
no dissection of chest wall tissue (digging in and around the ribs) just to find the nerve is required, lungs are not collapsed, patient is on his/her back (not on your side which is less
traumatic to the arms (brachial plexus). Accessory nerve branches (Kuntz
nerves) are precisely located without digging in the tissue, and micro division of the sympathetic nerve and any branches that are present is done to minimize persistent
nerve signal transmission to the hands, face/head/neck, underarms, thereby improving these symptoms immediately.