Sweaty Hands
(Palmar Hyperhidrosis)
Specialist Surgical Treatment by Dr Igor Banzic
Dr Igor Banzic provides specialist assessment and surgical treatment for palmar hyperhidrosis (sweaty hands) in Sydney. Learn about treatment options including ETS surgery.
Specialist Surgical Treatment by Dr Igor Banzic
For many people, it significantly affects confidence, work performance, and daily activities.
At the Excessive Sweating Surgery Centre, Dr Banzic offers a specialist surgical solution for patients with moderate to severe symptoms, or for those who have not achieved lasting improvement with conservative treatments.
Understanding the Condition
Sweaty hands are not caused by hygiene or underlying illness. Overstimulation of the sympathetic nerves leads to:
- Constantly damp or dripping palms
- Difficulty gripping objects
- Avoidance of handshakes
- Interference with work, study, and social interactions
When symptoms significantly affect quality of life, surgery may provide a permanent solution.
Surgical Treatment: ETS (Endoscopic Thoracic Sympathectomy)
Dr Igor Banzic performs Endoscopic Thoracic Sympathectomy (ETS) using advanced, minimally invasive techniques.
This procedure targets the sympathetic nerve pathways responsible for palmar hyperhidrosis. By interrupting the specific nerve levels, the overactivity is stopped, resulting in immediate dryness of the hands.
How the procedure works
- Performed under general anaesthesia
- Two small keyhole incisions under each arm
- The targeted sympathetic nerve segment is carefully interrupted
- Surgery time: approximately 30–45 minutes
- Usually, an overnight hospital stay
Expected outcomes
Most patients experience:
- Instant improvement in hand dryness
- Long-term, often permanent, relief
- High satisfaction rates and restored confidence in daily life
Dr Banzic’s surgical technique prioritises precision, safety, and minimal scarring.
Who Is a Suitable Candidate?
You may benefit from ETS if:
- Your hand sweating is severe and constant
- You have tried conservative treatments without lasting success
- Sweating affects your work, social interactions, or self-confidence
- You are seeking a single definitive solution
During your consultation, Dr Banzic will assess your symptoms, discuss your goals, and explain the expected benefits and risks.
Potential Side Effects
All surgical procedures involve risks, and Dr Banzic ensures every patient is fully informed.
Possible side effects include:
- Compensatory sweating (increased sweating on the trunk or legs)
- Rarely, gustatory sweating (sweating when eating)
- Temporary temperature sensitivity
- Minimal postoperative discomfort
These will be discussed in detail during your pre-operative appointment so you can make a confident decision.
Recovery
Most patients:
- Go home the next day
- Return to office-based work within 2–4 days
- Resume normal activities shortly after
- Notice hand dryness immediately after surgery
Follow-up with Dr Banzic ensures optimal recovery and long-term success.