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Hyperhidrosis & Excessive Sweating Frequently Asked Questions

Author: Rafael Reisfeld MD
Below are answers to various common hyperhidrosis questions by leading expert Dr. Reisfeld. To ask a question click here. Use the search bar above for any question not yet listed here. To learn more about the cure for excessive sweating visit our confidential contact form or feel free to call us at (310) 557-3037.

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Interesting Cases & Questions:
Section to discuss interesting clinical situations.
  1. Why should I travel to Los Angeles to see Dr. Reisfeld?
  2. Can hyperhidrosis be cured?
  3. Can all types of hyperhidrosis (hands, feet, armpits) be cured with one operation?
  4. Can hyperhidrosis be cured on it's own?
  5. How do I know if my sweating is excessive and considered hyperhidrosis?
  6. What is the success rate of ETS?
  7. Who is not eligible for this surgery?
  8. What is the age range for patients to have the ELS (sweaty feet) procedure done?
  9. What is the age range for patients to have the ETS (sweaty palms) procedure done?
  10. What should I do if I have BOTH excessive foot and excessive hand sweating?
  11. Alcohol, Drugs and Hyperhidrosis do they Mix?
  12. Is it normal to have sweaty palms?
  13. Is it normal to have sweaty feet?
  14. Is hyperhidrosis genetic?
  15. What are the chances I will pass hyperhidrosis onto my children?
  16. If I have excessive body sweating does it mean I have hyperhidrosis??
  17. Is there a connection between hormonal problems and hyperhidrosis?
  18. What is the recovery period for the surgery?
  19. Can thoracic sympathectomy and lumbar sympathectomy be done at the same time?
  20. What is sympathectomy vs. sympathotomy?
  21. What is the best procedure for my excessive foot sweating?
  22. What are the consequences of not treating hyperhidrosis?
  23. Does hyperhidrosis get better or worse over time?
  24. What is primary versus secondary hyperhidrosis?
  25. Will I get more hand sweating after doing the lumbar sympathectomy procedure for my sweaty feet?
  26. What about insurance?
  27. What if I do NOT have health insurance, what should I do?
  28. What if my insurance says they do not cover this particular procedure?
  29. Is the ETS (sweaty palms) procedure right for me?
  30. Where are the hyperhidrosis procedure performed?
  31. Who performs the procedure?
  32. What does T level mean for ETS surgical procedure (Hand Sweating)
  33. What does L level mean for ELS surgical procedure (Foot Sweating)
  34. How much does the surgery cost?
  35. Possible Insurance issues related to the sympathectomy procedures
  36. How does Dr.Reisfeld determine if the surgery is right for me?
  37. Do the titanium clips interfere with anything?
  38. Is it difficult to schedule a date for the surgery? How do I schedule an appointment?
  39. Does there need to be a separate ETS procedure for separate areas of excessive sweating?
  40. What is the possibility of recurrence? What is the recurrence rate?
  41. What is the recurrence rate after sympathectomy performed for Palmar or Plantar hyperhidrosis?
  42. Are there cases that can not be done and why?
  43. What about hand sweating and armpit sweating?
  44. What is the difference between cutting the nerve versus clipping the nerve?
  45. Is the ETS procedure an option for facial sweating and facial blushing?
  46. What are the psychological impacts of hyperhidrosis?
  47. What is the reversal operation?
  48. If I only have excessive armpit sweating, what type of procedure is right for me?
  49. How secure are the titanium clips?
  50. What is the difference between rosacea and blushing?
  51. What about the Kuntz nerve?
  52. What is the recurrence rate / failure rate?
  53. Heart Rate Changes?
  54. What could prevent me from having the thoracic sympathectomy surgery?
  55. Can excessive sweating be treated non-surgically?
  56. What is compensatory sweating?
  57. Does hyperhidrosis cause dehydration?
  58. Does the clamping method guarantee reversibility of the procedure?
  59. Do the clamps set off alarms in airport metal detectors?
  60. Discussion on the correlation between social phobias and ETS.
  61. Why does Dr. Reisfeld not recommend ETS for facial blushing, facial sweating and axillary sweating?
  62. What is the relation between Raynaud's phenomenon and hyperhidrosis?
  63. What should I expect immediately after the procedure
  64. Do warts have anything to do with hyperhidrosis?
  65. Is Robotic Surgery applicable to Sympathectomy?
  66. Can deodorant be used after axillary laser ablation - axillary suction currettage?
  67. Does body piercing interfere with the operation?
  68. Does being skinny have anything to do with hyperhidrosis?
  69. Does obesity have anything to do with hyperhidrosis?
  70. When does conversion from an endoscopic lumbar sympathectomy to open lumbar sympathectomy happen?
  71. Does lumbar sympathectomy affect pregnancy?
  72. Why are my hands cold and clammy?
  73. Is the anatomy of the sympathetic chain the same for everyone?
  74. Can I do the operation if I have scoliosis?
  75. Can the sympathectomy clamps move from their original position in the body?
  76. Palmar hyperhidrosis vs. Plantar hyperhidrosis.
  77. What are the heart rate changes after endoscopic thoracic sympathectomy?
  78. Limiting the indications for ETS
  79. My physician is not knowledgeable with hyperhidrosis, what shall I do?
  80. What if I have only plantar hyperhidrosis (foot sweating) without any palmar hyperhidrosis (hand sweating)?
  81. What about the websites against the surgery?
  82. Can poisons or certain foods influence hyperhidrosis?
  83. What is the difference between "truncal sympathectomy" vs. "ramicotomy" for hyperhidrosis?
  84. What about Buttocks Sweating?
  85. What about male hyperhidrosis?
  86. What about female hyperhidrosis?
  87. Is obesity a factor in performing ETS (hands) or ELS (feet) surgery?
  88. Is there a connection between night sweating and hyperhidrosis?
  89. Nervousness, Anxiety, Apprehension and Hyperhidrosis?
  90. Does diabetes have anything to do with hyperhidrosis?
  91. Will I get more hand sweating after doing the lumbar sympathectomy procedure for my sweaty feet?
  92. What is the age range for patients to have the ETS procedure done?
  93. Is the ETS procedure right for me?
  94. Are there any identifying characteristics for a hyperhidrosis patient?
  95. Is the possibility for hyperhidrosis to be only on one side? What is the solution?
  96. How many surgeons around the world have competent knowledge and ability to perform hyperhidrosis surgery?
  97. I have noticed increased in my urine output after sympathectomy. Why?
  98. How long does it take for the hands or feet to get dry after the surgery?
  99. Is there scarring after the hyperhidrosis surgery?

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