Botulinum Toxin Not a New Treatment for Hyperhidrosis - It’s a temporary fix, says San Antonio surgeon.

San Antonio, Texas - San Antonio surgeon, Dr. David Nielson has been treating hyperhidrosis for years, not with Botulinum Toxin injections, but with a minimally invasive surgery he created called the Micro ETS procedure.

Botulinum Toxin Hand Injections for Sweating

“ The new research on Botulinum Toxin is interesting,” said Dr. Nielson, “but what (Allergan) is not informing the public is that it takes many injections directly into the hands or underarm area and it is only a temporary fix. Patients using Botulinum Toxin for hyperhidrosis will have to go through another round of injections every six months to curb the sweating.”

Hyperhidrosis is caused by an overactive sympathetic nerve. Symptoms include excessive sweating of the hands, face, feet and underarm area and can occur in any environment and can cause physical and emotional pain.

Dr. Nielson created this highly precise procedure to sever the sympathetic nerve to instantly stop the excessive sweating in the hands, face, feet and underarm area. His Micro ETS procedure has a highly successful improvement rate for those with palmar hyperhidrosis and almost equally as high for those with facial blushing and Raynaud’s. During this 30 minute procedure, tiny 1/12 of an inch incisions are made under each arm. Using microscopic tools, he navigates the lung cavity to the sympathetic nerve chain. Once he has located the overactive sympathetic nerve, he severs it to instantly treat the hyperhidrosis. Patients are able to leave the hospital two to four hours after the surgery.

Dr, Nielson says that of his 3,000 patients he has seen for hyperhidrosis, many of those patients have tried the Botulinum Toxin injections.

“ It’s not a new treatment,” said Dr. Nielson. “We have a database dating back to 1999 of patients who tried Botulinum Toxin and said it didn’t work. Many said it was painful and not worth the money and again, it is a temporary fix.”

As for the attention hyperhidrosis is getting, Dr. Nielson is pleased. He has worked with many insurance companies for years, stating the physical and emotional pain hyperhidrosis cases.

“ I can recount many stories from teens wanting to go the prom to adults choosing a career,” said Dr. Nielson. “It is amazing hearing how hyperhidrosis affects self-esteem and social interaction.”

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