ETS Surgery
Endoscopic Thoracic Sympathectomy
The most effective treatment for severe palmar hyperhidrosis and facial blushing. Minimally invasive, outpatient — most patients go home the same day.
Columbia University Medical Center · New York City
You Don't Have to
Live with Excessive
Sweating.
The Center for Hyperhidrosis at Columbia University has treated thousands of patients using surgical and non-surgical approaches. Real solutions, real results — right here in New York.
Academic medical center
1,000+ ETS procedures
Most insurance accepted
Non-surgical options available
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"I was so relieved to find that treatment was available right here in New York."
Excessive sweating affects millions of people — yet it's one of the most undertreated conditions in medicine. Many patients spend years assuming nothing can be done. There is another path forward.
Treatment Options
A Solution for Every Patient
We believe non-surgical options should be tried before surgery. Our multidisciplinary team works with each patient to find the right approach.
miraDry®
Permanent Underarm Sweat Reduction
FDA-approved non-invasive treatment for underarm hyperhidrosis. Delivers controlled energy to eliminate sweat glands with minimal downtime.
Botox® Injections
Temporary Sweat Reduction
Botox for underarms, hands, and feet blocks the nerve signals that trigger excessive sweating. Results typically last 4–6 months.
Iontophoresis
For Hands & Feet
A non-invasive treatment using mild electrical currents passed through water to reduce sweating of the hands and feet. An excellent first-line option.
Dr. Lyall Gorenstein
MD · Director, Center for Hyperhidrosis
ETS procedures1,000+
Years of experience22+
Patient satisfaction98%+
Top Doctors2002–2020
AffiliationColumbia Univ.
Meet Your Specialist
Led by One of the Most Experienced Hyperhidrosis Surgeons in New York
Dr. Lyall Gorenstein is the Director of the Center for Hyperhidrosis and Director of Minimally Invasive Thoracic Surgery at Columbia University Medical Center. He has dedicated his career to the diagnosis and treatment of hyperhidrosis — and has performed more ETS procedures than any other surgeon in the tristate area.
Dr. Gorenstein developed and pioneered the ETS-T3 technique, which produces excellent results while minimizing the risk of compensatory sweating. He was also one of the first surgeons in the New York metro area to offer miraDry for patients with underarm hyperhidrosis.
Alongside Dr. Gorenstein, Professor of Clinical Dermatology Dr. Marc Grossman directs all non-surgical approaches — ensuring every patient has access to the full spectrum of treatment.
Assistant Professor of Surgery, Columbia UniversityAcademic affiliation brings access to research, latest techniques, and peer review
Castle Connolly Top Doctors, 2002–2020Consistently recognized among the region's top surgeons
Board-Certified Thoracic Surgeon · FACSFellow of the American College of Surgeons
Patient Testimonials
Life-Changing Results
Hyperhidrosis patients often describe treatment as one of the most meaningful decisions of their lives.
"
I almost traveled to California to have ETS. I was so relieved to find it was available in New York at Columbia University Medical Center.
"
I no longer worry about meeting people. This procedure has dramatically changed my life. I have no regrets.
"
I am writing this two months after surgery. I am extremely pleased with the outcome. My recovery was very quick. It has changed my life.
Ready to Stop Letting Sweating
Control Your Life?
Schedule a consultation with our team at Columbia University Medical Center. Most insurance accepted.