At the Center for hyperhidrosis at Columbia University, we were one of the first to advocate a T3 sympathectomy for patients with palmar hyperhidrosis or hyperhidrosis for hands. Many centers continued to perform a multilevel sympathectomy in patient’s with palmar hyperhidrosis which often results in significant compensatory sweating by limiting the sympathectomy to T3, there is complete elimination of palmar hyperhidrosis with very little compensatory sweating in most patients. Since changing to performing T3 sympathectomy in the 1990s, we have performed well over 2 thousand sympathectomies for patients with palmar hyperhidrosis with excellent results. Patient’s satisfaction at 6 months and 1 year, is consistently above 98%.


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