Dr. Reisfeld would like emphasize what already has been written on this site. Dr. Reisfeld still believes, based on his experience, that ETS should not be performed on patients with isolated facial blushing and or facial sweating. Contrary to surgeons who still perform and recommend the operation for that indication there are a lot of patients that are unhappy when ETS was done only for those indications. The success rate when ETS is done only for facial sweating/facial blushing is much lower than when ETS is done for excessive hand sweating / palmar hyperhidrosis. This opinion slowly is being accepted by more and more leading ETS surgeons around the world.