The Center For Hyperhidrosis

Finally there is a proven cure for hyperhidrosis! Sweaty palms, feet and armpits or any combination of these excessive sweating conditions is known medically as hyperhidrosis. A permanent solution is available and in practice at The Center for Hyperhidrosis in Beverly Hills, California. Here, the leading expert and most experienced U.S Hyperhidrosis surgeon, Dr. Rafael Reisfield, can eliminate the discomfort and embarrassment of excessive sweating with a simple outpatient surgical procedure. The surgical procedures for hyperhidrosis are finely-tuned and proven procedures that take advantage of the latest endoscopic techniques. Dr. Reisfeld performs the procedures virtually on a daily basis and is considered a leading world authority in this field. Dr. Reisfeld has performed the ETS and ELS procedures more than any other doctor in the U.S.

  Read Patient Success Stories

Popular Questions:

  1. How do I know if my sweating is excessive and considered hyperhidrosis?
  2. Can hyperhidrosis be cured on it’s own?
  3. What is the success rate of ETS?
  4. How much does the surgery cost?
  5. Can hyperhidrosis be corrected?

Hyperhidrosis Facts:

  • Hyperhidrosis affects between 1 and 2% of the world’s population.
  • Family genetic history is believed to play a major role in hyperhidrosis.
  • The most common areas hyperhidrosis, the hands, feet and armpits.
  • No known difference for those affected with regard to race or gender.
  • Higher percentages in certain geographic regions (Taiwan, Philippines, etc).
  • Hyperhidrosis can negatively affect people both socially and functionally.
  • The most effective long term treatments are surgical for each type of sweating (Hands, feet, armpits)
  • Historically doctors have underestimated and or misunderstood hyperhidrosis.
  • Continual advancements are being made in instrumentation and techniques.
  • Conservative treatments have limited success rates.
Doctor Rafael Reisfeld
Dr. Rafael Reisfeld

Doctor Rafael Reisfeld – Hyperhidrosis Authority

Dr. Rafael Reisfeld, M.D., F.A.C.S., A.B.M.S., is a Board-Certified surgeon, diplomat of the American Board of Surgery, and known worldwide as an authority in the unique field of hyperhidrosis. Dr. Reisfeld was one of the first doctors to perform the ETS procedure and continues to perform this surgery, as well as the latest developed techniques on virtually a daily basis. He is the only known doctor in the U.S currently performing the very effective and unique lumbar sympathectomy for excessive foot sweating. He is the only U.S doctor that performs all three separate procedures for hands, feet and armpits. He is continually published in various medical journals and has been interviewed by various media outlets such as Newsweek Magazine, Fox News, CBS, and many others for his expertise and knowledge in this field. Dr. Reisfelds primary focus is helping those who suffer from hyperhidrosis and he is tirelessly working to improve methods used to accomplish that goal. When it comes to hyperhidrosis you are in the very best hands with Dr. Reisfeld. Learn more about hyperhidrosis expert Dr. Reisfeld.

What is Hyperhidrosis?

Hyperhidrosis is defined as a non physiological and excessive amount of sweat produced by the body. It can be a generalized situation where excessive sweating appears all over the body or focused hyperhidrosis where the excessive sweating is specifically in areas such as the hands, palms, armpits, feet or the face.

Hyperhidrosis Treatments

The wish to control excessive sweating with simple means such as pills, lotions, etc is very old. Doctors have tried to treat excessive sweating with pills, lotions, deodorants, electric devices, acupuncture, bio-feedback. The success rate with these treatment for severe cases of excessive sweating is extremely limited. Surgical treatments were available for the last 50 to 60 years. Obviously the initial surgical approaches were quite invasive and had complications. Since the development of optical surgical equipment, endoscopic surgeries became the yardstick for different procedures. Sympathectomy, thoracic (for hand sweating) as well as lumbar (for foot sweating), can now be done on an outpatient basis. There are minimal small incisions and the patient can return to normal activity in a short amount of time. Dr. Reisfeld has been a world leader in the development of endoscopic thoracic sympathectomy and now lumbar sympathectomy.

Current Surgical Hyperhidrosis Treatments

For severe hand sweating, endoscopic thoracic sympathectomy (ETS) is the preferred approach. For excessive armpit sweating as the sole presentation then axillary suction curettage is the recommended method. For those who suffer from excessive foot sweating as the primary presentation or when ETS did not help their sweaty feet then lumbar sympathectomy is offered now as a surgical solution. Learn more about each surgical solution below.

  Hand Sweating Surgical Solution  (Endoscopic Thoracic Sympathectomy)
  Foot Sweating Surgical Solution  (Lumbar Sympathectomy)
  Armpit Sweating Surgical Solution  (Laser & Axillary Suction Currettage Treatment)

Hyperhidrosis Causes

Since about 1990 as more cases were examined it was realized that the most common denominator in hyperhidrosis is genetic predisposition. In papers written by both Dr. Reisfeld and other authors it has consistently been shown that 50% or more patients have some genetic history in their families. It is not always in successive generations as we have seen it skip generations. Other causes such as anxiety situations and dietary reasons have not proven to be a factor. On the other hand some trauma to the head and chest area can be traced to the source of hyperhidrosis in a very small amount of cases. There are other factors that may contribute to generalized total body hyperhidrosis and those are obesity, hyper thyroidism, infections, diabetes, etc.

Learn More About
  Hyperhidrosis Causes and Symptoms

Since the genetic factors are the most important with regards to excessive focal sweating it is the belief of Dr. Reisfeld that one day genetic manipulation will be the ultimate treatment modality. Unfortunately, at present, this is a very distant hope because the knowledge and know how are in their infancy stages.

For any potential patient who suffers from severe excessive sweating it is extremely important to talk with the surgeon who performs the operation. Any staff members (for example nurses, office managers and or personnel who do not perform the procedure) are not equipped to answer your questions appropriately.

Learn More About:
  Rafael Reisfeld – Recognized Hyperhidrosis Authority
  News Coverage of The Center For Hyperhidrosis

Hyperhidrosis History:

Initially the treatment for palmar hyperhidrosis was based on the elimination of the T2 sympathetic ganglia (nerve). This describes the anatomical location of the nerve segment responsible for this excessive sweating. Since about the late 1990’s the accumulated knowledge changed the focal treatment to the level T3-T4 which describes a segment somewhat lower to the one described above. This change and the utilization of titanium clips vs. destroying the nerve segment improved the current treatment.
Another improvement is that now there are different surgical procedures available for different types of focal hyperhidrosis (Hands, Armpits, Feet).

Success Stories – Life will never be the same

“Meet my hero! This picture was taken this morning after a surgery I had for a genetic disorder called hyperhidrosis.”
Jessica    Read More From Jessica

“I admire your impeccable professionalism and your utmost skill in the performance of this highly technical and precise surgical procedure. I have waited many years since I was a young girl to properly get rid of this problem. My knowledge as a dermatologist led me to the best procedure and to the best doctor.”
Ligaya.B, M.D.    Read More From Doctor Ligaya

“I am still in awe every single day at the miracle of my dry hands. I have been able to go back to church without the anxiety of having to shake or hold hands during the service. I happily hold the hands of my third graders and shake hands with their parents with confidence.”
Carolyn.B    Read More From Carolyn

“My feet of course no longer sweat. My shoes dont smell, my socks are dry, and most amazingly my underwear is also dry. My underware has always been wet from sweat. I can not be happier with the results. Thank you Dr. Reisfeld for all you do in helping people that suffer like I do.”
Michael    Read More From Michael

“I want to thank you, Dr. Reisfeld for going into this practice to help us “rare” people with this thing called hyperhidrosis. I am so thankful that you decided to make this your calling. It is truly a blessing. I will continue to tell people with this dreaded condition of what you have done for me.”
Tara    Read More From Tara

For the first time in almost 40 years, my hands and feet were not only dry but also warm to the touch, something I had never felt before! Never will I forget awakening from that procedure, touching my dry hands, my dry feet and to my surprise, a very warm and dry face! It was a feeling of elation that not until now have I felt that feeling once more!

Read More From Stephen

“I had the ETS surgery for palmar hyperhidrosis in 2003 and wanted to thank you and your staff for all of help. Taking a standardized test in the past was nearly impossible without handing in a sopping wet ScanTron sheet. Since my surgery date, I was able to take the paper and pencil medical school entrance exams. I applied to medical school and now I am a second year medical student in Ohio! This surgery changed my life.”
Sarah    Read More From Sarah

“I would also like to thank all of your staff for such a pleasant experience. They were very friendly and helpful from the first time that I made a phone call to your office up to the time in the recovery room. Everyone made me feel very comfortable and well taken care of.”
Peggy.P    Read More From Peggy

  Read from several touching thank you letters Dr. Reisfeld has received over the years since 1996.

Hyperhidrosis News

New Paper Supports Effectiveness of Lumbar Sympathectomy In a recent paper two groups of surgeons from both Austria and Brazil came to the same conclusion with regard to the surgical treatment of severe plantar (foot) hyperhidrosis. In this new paper 130 patients were followed up with after endoscopic lumbar sympathectomy. The success rate is as high as the results Dr. Reisfeld published in his paper (About 97% Success Rate). The surgical techniques used were very similar. Some post operative pain (neuralgia) in the upper thighs was reported in about 10 to 15% of the patients but this pain was of a temporary nature and soon went away. This important paper correlates well with Dr. Reisfeld’s lumbar sympathectomy paper and supports the fact that lumbar sympathectomy is an excellent treatment for patients with severe plantar hyperhidrosis not responding to conservative medical treatment.

Phone: (310) 557-3037
Fax: (310) 557-3554

Additional Information: » Sitemap » Contact Information » Website Disclaimer » Hyperhidrosis Treatment Please consult your doctor before considering any medical treatment. Hyperhidrosis presents many choices and important decisions so please consult your doctor.

The information on this site is not to be used for diagnosis and or treatment, or to be used in place of professional medical advice from your doctor or physician. This web site is intended as an introduction to Endoscopic Thoracic Sympathectomy. When considering this or any surgical procedure, consult with your surgeon for any additional information regarding the surgery, risks, complications, recovery and results. Please view our full disclaimer.


  1. Mohammed Zafar  March 24, 2015

    My name is Mohammed and I’m a 16 year old who has been suffering with hyperhidrosis ever since I’ve been 12. It’s very severe on my hands and feet with my armpits a little less severe. I’ve also contracted blushing and sweating on my face. I also have very severe hand coldness I am not sure if it is caused by hyperhidrosis or not but it’s enough to change the color of my hands and make them freezing so I’ve been wondering about that. I live in Illinois and I’m also wondering if there’s any other way to have this surgery instead of going all the way to California?

    • Center For Hyperhidrosis  March 24, 2015

      Dear Mohammed. What you are describing is a typical case of essential hyperhidrosis(excessive hands and feet sweating) and related issues. It is some what difficult to answer all of your questions in this written format. You are more than welcome to call our office at 310 557 3037 so your problems and questions can be answered. Thanks

  2. Chloe  February 10, 2015

    Is there a natural way of curing hyperhidrosis?

    • Center For Hyperhidrosis  February 10, 2015

      As far as I know or known in the medical community there is no know natural way to cure excessive hand and feet sweating.

  3. Chay  January 27, 2015

    I have had excessive armpit sweat since high school and i cant take it anymore..i tried Drysol and it didnt work…what can i do to stop this?

    • Center For Hyperhidrosis  January 27, 2015

      If all conservative methods failed than Axillary suction currettage is the best solution. It is not 100% but still offers about 80% success rate. You can call to get more information. Thanks

  4. Deniesha  January 24, 2015

    Hello my name is Deniesha I’m 22 and I’ve been dealing with sweating hands and feet since I was born, and now im having problems with my underarms sweating also. I’m always having to change chothes all the time. I’m in need get to help trying to get it under control or even trying to get it to stop.

    • Center For Hyperhidrosis  January 26, 2015

      Hi Deniesha. What you are describing is a typical case of excessive palmar,axillary and plantar hyperhidrosis. It is a genetically ailment that was shown to have a genetic basis in over than 50% of cases. The first step to deal with it is to try some conservative methods such as pills or lotions. The success rate is minimal or none at all,but attempts should be tried. If those do not help than you are more than well come to discuss the problem with Dr. Reisfeld. Thanks

      • Rhea  January 27, 2015

        What kinds of pills or lotions? What are the names? Do you need a Rx?
        Thank you

        • Center For Hyperhidrosis  January 27, 2015

          On the web site sweaty-palms.com there is a section that deals with alternative or conservative methods to deal with sweaty palms and feet.(palmar and plantar hyperhidrosis). You can read about those,get the names and talk with your doctor. Some of those methods will need a prescription. Thanks

    • kimberly  February 9, 2015

      Im kim, philippines, 20 years old same with deneisha im experienced that kind of situation i have had excessive both hands and feet sweaty since i was born when i got college my armpit also sweaty and this is my problem now . i need help i wanted to undergo surgery based on my research this is the best treatment but i have problem financial. What can i do?

      • Center For Hyperhidrosis  February 9, 2015

        You will have to look into help in your home country where you can get it via the medical care in the Philippines. Thanks

  5. saba  December 4, 2014

    My name is Saba and I am 22 years old. I just want to say that I can’t live like this anymore. I have been suffering since high school and my problem has always conflicted with my school work and social life. Now in college I’m struggling to finish because it’s to the point where I’m unable to hold a pen and focus while I fan my hands trying hard not to look like a maniac. Just typing this message is soo hard. I feel rotten and disgusted of myself. It comes and goes and for 2 weeks straight its been so bad that its affecting my working abilities as a pharmacy tech….I can’t twist bottles and find myself constantly washing my hands to the point where my hamds are cracking because of the winter season. I can’t move ahead in my life with this disease. I have become very isolated and depressed and I need help. My hands and feet are severely sweating as I conclude my message. Please email me kindly …any information might just change my life. Thank you for the informative website.

    • Center For Hyperhidrosis  December 6, 2014

      Dear Saba. Your case is a typical one of excessive hand and feet sweating. It is a very typical clinical presentation where someone with hyperhidrosis that presents with functional as well as social issues. As a rule, you should try alternative treatments which are very well outlined in our website. If you have already tried these alternative methods without any success (the alternative methods have a very low success rate – but should be tried), the next step is to contact us and speak to Dr. Reisfeld, an expert in this field.

  6. annie curtis  November 12, 2014

    I have no life out side my home. I have sweaty hair face neck chest, runs in my eye on my glasses even in my mouth my lipstick runs down my chin. PLEASE CAN YOU PLEASE HELP ME? or tell me something I can do! Thanks Annie.

    • sweatypalms  November 16, 2014

      Hello Annie, thank you for the comment. What you are describing is a case of cranial facial hyperhidrosis / blushing. From all the cases of focal / local hyperhidrosis this is the most difficult type of case to treat with a surgical solution. In the past we tried to help those patients with the ETS procedure but the results were not promising. After accumulating a certain amount of experience with this problem the only recommendation I can make for you is to try conservative treatment with medications. The information with regard to these medications is available here on this website. I cannot prescribe any medications to any patient without first meeting with you. You can read about the different kind of medications and meet with your primary physician wherever you live and they can prescribe those medications. Please feel free to call our office at (310) 557-3037.


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