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Hands (palmar)
You avoid greetings, you soak papers, your phone won't recognize your fingers. The most common form and the one that responds best to surgery: 100% effectiveness.
Hyperhidrosis · Definitive surgical solution
Stop hiding your hands.
Get your life back.
Do you avoid shaking hands? Are you embarrassed by sweat marks on your clothes? Does facial blushing give you away in every meeting? If you live with hyperhidrosis, you know it's not "just sweat": it's anxiety, social limitation, a daily burden that deodorants and creams never solve.
Thoracoscopic sympathectomy is the definitive solution: a minimally invasive procedure of about 45 minutes, outpatient, with 100% effectiveness for sweaty hands. You leave the operating room with completely dry hands. Literally.
💧 Palmar hyperhidrosis: hands that drip, with no heat or exercise. Photo: Wikimedia Commons · CC BY-SA 4.0
👕 Axillary hyperhidrosis: the sweat patch no shirt can hide, whatever the weather.
Effectiveness on hands
0
You'll leave surgery with completely dry hands
Procedure duration
0
Outpatient: you go home the same day
Incisions
2 of 5 mm
Practically invisible, hidden under each armpit
Does this sound familiar?
Hyperhidrosis has many faces
It affects 3% of the population, and most suffer in silence for years, believing "this is just how life is." It isn't.
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Armpits (axillary)
Stains on your clothes regardless of the weather or deodorant. You choose your clothes by how much they'll show sweat, not by your style. This also has a surgical solution.
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Face and facial blushing
Excessive facial sweating or uncontrollable blushing that gives you away in presentations, dates and meetings. Sympathectomy treats this too.
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The invisible cost
Social anxiety, lost job opportunities, limited relationships. The greatest harm of hyperhidrosis isn't on the skin: it's in the life you stop living.
The definitive solution
Thoracoscopic sympathectomy:
45 minutes that change everything
Excessive sweating originates in an "over-activation" of the sympathetic chain, a nerve that runs inside the chest. Through two 5-millimeter incisions hidden under the armpits, with a high-definition camera, I selectively interrupt the signal that orders excess sweating.
The result is immediate: you wake up from anesthesia with dry hands. It is an outpatient procedure — you come in the morning and sleep in your own home — with a return to normal activities within a few days.
- ✓ Immediate and permanent result
- ✓ Minimal scars, hidden under the armpits
- ✓ Outpatient: home the same day
- ✓ Return to work/study in 3–5 days
🩺 An honest assessment first
Not every case needs surgery. In consultation we assess severity, what you've tried before, and whether you're an ideal candidate. If medical management could work for you, I'll tell you with the same frankness.
⚖️ Let's be clear: compensatory sweating
Some patients experience increased sweating on the back or legs after surgery. In most it is mild and very tolerable, but it's my duty for you to decide with all the information. We discuss it plainly in consultation.
🏥 Top-tier institutions
I perform your surgery at Pablo Tobón Uribe Hospital and IQ Interquirófanos, with state-of-the-art video-thoracoscopy equipment and anesthesiologists who are experts in thoracic surgery. I see outpatient consultations at the Medical Tower of Clínica Las Américas.
On video
See the surgery from the inside
Real stories and the procedure explained step by step — so you arrive at your consultation knowing exactly what to expect.
🎥 Bilateral thoracic sympathectomy, step by step (full thoracoscopic surgery)
A real-life case: how everything changes
The anatomy of the surgery and its result, explained with images
Frequently asked questions
What everyone asks me
Does the surgery hurt? +
It is performed under general anesthesia, so you feel nothing during the procedure. Afterward there may be mild discomfort in the chest or shoulders for 2–3 days, well controlled with common painkillers.
Is the result truly permanent? +
Yes. By interrupting the nerve signal that produces excessive sweating, the effect on the hands is immediate and definitive in 100% of patients: you leave the operating room with completely dry hands. It's one of the highest-satisfaction procedures in all of thoracic surgery.
When can I go back to work or study? +
Most of my patients resume their daily activities within 3 to 5 days. Intense exercise, around 2 weeks. The 5 mm incisions don't require stitch removal.
I live outside Medellín / outside Colombia — can I have surgery with you? +
Absolutely. We do the initial assessment by telemedicine, coordinate tests and surgery to optimize your trip (usually 4–6 days in Medellín are enough), and follow-up is virtual. I care for patients in English, French and Spanish.
Your new life starts here
A firm, dry handshake is waiting for you
Book your assessment and let's take the first step together. International patients: you can also write to us on WhatsApp.