The Impact of Endoscopic Thoracic Sympathectomy and its Side Effects

Jan 10, 2024


As one of the leading medical centers in the field of plastic surgery, Neumark Surgery provides exceptional care to patients seeking various treatments. Within this realm, one highly innovative procedure is endoscopic thoracic sympathectomy (ETS). In this article, we will explore ETS, its effectiveness, and potential side effects.

Understanding Endoscopic Thoracic Sympathectomy

Endoscopic thoracic sympathectomy is a minimally invasive surgical procedure often employed for the treatment of hyperhidrosis (excessive sweating) and facial blushing. Doctors at Neumark Surgery have extensive experience in performing ETS, ensuring optimal patient outcomes.

How Endoscopic Thoracic Sympathectomy Works

During the ETS procedure, a small incision is made, allowing the surgeon to access the sympathetic nerves located in the chest. Through specialized surgical instruments and an endoscope, the surgeon selectively interrupts or removes these nerves, leading to a reduction in excessive sweating or facial blushing.

The Benefits of Endoscopic Thoracic Sympathectomy

Endoscopic thoracic sympathectomy offers patients many benefits. It is a safe and minimally invasive procedure, resulting in reduced surgical risks and a quick recovery time. The positive impact on patients' quality of life is often profound.

Effectiveness of Endoscopic Thoracic Sympathectomy

Many individuals suffering from severe hyperhidrosis or facial blushing have found long-lasting relief through ETS. Neumark Surgery's plastic surgeons have witnessed significant improvements in our patients' lives after undergoing this procedure.

Potential Side Effects of Endoscopic Thoracic Sympathectomy

While endoscopic thoracic sympathectomy is generally considered a safe procedure, it is important to note that there are potential side effects. It is crucial that patients are well-informed before making a decision to proceed with the surgery. Some of the possible side effects include:

1. Compensatory Sweating

Compensatory sweating is one of the most common side effects of ETS. While the procedure aims to reduce excessive sweating in specific areas, it may cause an increase in sweating in other parts of the body. Neumark Surgery's doctors will thoroughly discuss this potential side effect with patients during consultations.

2. Horner's Syndrome

Horner's syndrome is a rare complication that can occur following ETS. This condition usually manifests as drooping of the eyelid, constriction of the pupil, and decreased sweating on one side of the face. Although this side effect is rare, Neumark Surgery ensures all patients are educated about its potential occurrence.

3. Gustatory Sweating

Gustatory sweating refers to sweating that occurs on the face, neck, or chest while eating or thinking about food. It can occur in some cases after ETS, though the incidence is relatively low. Patients will be provided with comprehensive information regarding gustatory sweating before making an informed decision.

4. Pneumothorax

Pneumothorax is a potentially serious but rare complication associated with ETS. It involves the collapse of the lung due to the accumulation of air in the space between the lung and chest wall. At Neumark Surgery, our skilled medical team takes all necessary precautions to minimize the risk of this complication.

5. Surgical Risks

Like any surgical procedure, endoscopic thoracic sympathectomy has inherent risks such as infection, bleeding, and anesthesia-related complications. However, Neumark Surgery's expert doctors and medical professionals prioritize patient safety and employ meticulous surgical techniques to minimize these risks.


Neumark Surgery, renowned for its expertise in the field of plastic surgery, offers patients a comprehensive approach to their medical needs. The endoscopic thoracic sympathectomy procedure has proven to be highly effective in alleviating hyperhidrosis and facial blushing. While potential side effects exist, Neumark Surgery's experienced team ensures patients are provided with thorough information and personalized care, minimizing risks and maximizing positive outcomes.

endoscopic thoracic sympathectomy side effects