Conquer your Hyperhidrosis or Facial Blushing – see the trusted experts for the solution at North Western Vascular - Call 1800 793 289

Leading vascular surgeon for excessive sweating in Melbourne


Here at North Western Vascular Surgery in Melbourne, we understand that you may have questions about our treatment options for excessive sweating or facial blushing. Our friendly and experienced team are always happy to provide the support you need, as well as answer questions regarding ETS, lumbar sympathectomy or MiraDry.

Please feel free to contact us by phone during office hours or by email. However it is always recommended that patients see Mr Bell to discuss symptoms and best mode of treatment.

Why do I sweat so much?

If you are sweating excessively from your hands, you may have a condition called hyperhidrosis. This means that your sympathetic nervous system is excessively stimulating your sweat glands. Everyone sweats sometimes, but people with hyperhidrosis sweat profusely for no reason.

There are no other underlying disorders in virtually all cases, but hyperhidrosis can have a major impact on a person’s confidence and anxiety levels.

What is the success rate? For patients with hand (palmar) sweating, the sympathectomy is virtually 100% effective. The result for facial blushing is also very good at 80% effective.

Are there any patients for whom this is not a suitable option?

Patients must be fit for general anaesthesia. Severe respiratory disease such as emphysema or bronchitis is a contraindication. Because of the risks of rebound sweating, those individual in whom the excessive sweating is generalised are excluded.

Is there much pain associated with the procedure?

As it involves minimally invasive techniques, pain is usually not a major issue. There may be some discomfort immediately following the operation, but this is controlled with pain relief such as morphine. Some pain is felt a few days after surgery due to inflammation of the lining of the lung which is readily controlled with anti-inflammatories if required.

Are there any long-term adverse effects

The risk of rebound sweating has been discussed. A slight reduction in exercise tolerance is seen uncommonly, and even when it occurs is rarely significant. Dry hands will follow this procedure, and while this is the aim for most patients, those undergoing the operation for armpit (axillary) sweating should be aware of this and the likely need for hand moisturiser.

What are the risks associated with having ETS?

The major risk is rebound hyperhidrosis, which occurs in up to 40% of patients. Rebound hyperhidrosis results in increased sweating in the lower part of the torso which is not treated by the sympathectomy. In only 2-5% is it severe and in most cases this is not troublesome and settles with time.

Horner’s syndrome resulting in drooping of the eyelid and constriction of the pupil occurs in 1 in 500 cases due to denervation of the stellate ganglion.

Pneumothorax or air around the lung can also occur. If severe, it can readily be treated by inserting a tube into the chest (intercostal catheter) and may extend the hospital stay by 24 hours.

At what hospital can Mr Roger Bell perform ETS surgery?

Is there an MBS item for ETS?

Yes, the MBS item number for endoscopic thoracic sympathectomy is 35003. The fee charged is partly covered by Medicare and private health insurance.

How long do I stay in the hospital?

One night stay in hospital is required.

Can a medical certificate be issued for ETS?

Yes. North Western Vascular Surgery can supply you with a medical certificate.

When can I return to work?

Although recovery is very rapid, it is usually recommended that patients take a week off work to recover.

To learn more about the MiraDry procedure,

feel free to contact us today on 1800 793 289.