Question 1

Is hyperhidrosis surgery permanent?

Accepted Answer

VATS-ETS generally gives permanent results. Theoretical reversal is possible with clipping, but in practice very difficult.

Question 2

Botox or surgery?

Accepted Answer

Botox is temporary (80%, 3–6 months) and repeatedly costly. Surgery is permanent but carries compensatory sweating risk. The decision depends on personal preference and life expectations.

Question 3

How serious is compensatory sweating after VATS-ETS?

Accepted Answer

Compensatory sweating occurs in 50–70% of patients. It is usually mild-to-moderate and diminishes over time. However in 5–10% of patients severe compensatory sweating can negatively impact surgical satisfaction.

Hyperhidrosis (Excessive Sweating) — Primary Focal Hyperhidrosis Guide

Your Treatment Options

VATS-ETS (Endoscopic Thoracic Sympathectomy)

Frequently Asked Questions

Hyperhidrosis (Excessive Sweating) — Primary Focal Hyperhidrosis Guide

What is Hyperhidrosis?

Types of Hyperhidrosis

Conservative Treatments

Surgical Option: VATS-ETS