Recurring Hand Sweating After Surgery: What to Do?

Recently, my hands have started sweating again..?

Hello, doctor...
I had surgery for palmar hyperhidrosis four years ago.
Initially, it was very successful; I didn't experience any hand sweating or compensatory sweating issues.
However, over time, I've started to sweat in other areas, including my chest, back, thighs, and legs.
Recently, my hands have also started to sweat again, and it's dripping down.
So, I would like to ask if I can undergo surgery again? What is the success rate? Will there be any side effects? How severe could compensatory sweating be?
Also, I have a silly question: my chest is very small, almost nonexistent.
Is this related to my palmar hyperhidrosis surgery? Is it possible that the sympathetic nerves were not properly treated and accidentally affected the mammary glands? Or am I just overthinking this? I apologize for bothering you with these issues that have troubled me for a long time.
Thank you for your help.

Han, 10~19 year old female. Ask Date: 2004/07/23

Dr. Chen Changmu reply Neurosurgery

Hello, currently there is no effective solution for compensatory hyperhidrosis that occurs after hand sweating surgery.
Additionally, hand sweating surgery is not related to breast development.

Reply Date: 2004/07/23

More Info

It sounds like you are experiencing a challenging situation following your surgery for hyperhidrosis (excessive sweating). First, it's important to understand that hyperhidrosis surgery, often involving the sympathectomy procedure, can lead to compensatory sweating in other areas of the body. This is a common side effect where the body compensates for the loss of sweating in the hands by increasing sweat production in other areas, such as the chest, back, thighs, and feet.

Regarding your current symptoms, it is not unusual for patients to experience a resurgence of sweating in the hands after a period of relief. This could be due to several factors, including the natural progression of hyperhidrosis, changes in your body's response to temperature, or even the possibility of nerve regeneration. The sympathetic nerves that were altered during surgery can sometimes recover, leading to a return of symptoms.

As for your question about undergoing another surgery, it is essential to consult with a qualified surgeon who specializes in hyperhidrosis. They can evaluate your specific case and determine whether a revision surgery is appropriate. The success rate of a second surgery can vary based on individual circumstances, including the extent of the original surgery and the specific areas affected by sweating.
Compensatory sweating can indeed be severe for some individuals, and it is a significant concern for many who undergo hyperhidrosis surgery. While some patients find relief from their symptoms after a second procedure, others may continue to experience compensatory sweating. It is crucial to weigh the potential benefits against the risks and to have a thorough discussion with your healthcare provider about your expectations and concerns.

Regarding your concern about breast size and whether it is related to the surgery, it is unlikely that the surgery itself would directly affect breast tissue or size. The sympathectomy procedure primarily targets the sympathetic nerves responsible for sweating and should not impact the breast tissue or glands. However, if you feel that there may have been an unintended effect, it is worth discussing this with your surgeon. They can provide insights based on your surgical history and anatomy.

In summary, if you are considering further surgical options, it is vital to consult with a specialist who can provide personalized advice based on your medical history and current symptoms. They can help you understand the likelihood of success, potential side effects, and whether your concerns about breast size are valid. Remember, you are not alone in this journey, and many patients have similar experiences. Seeking support from healthcare professionals and possibly connecting with others who have undergone similar procedures can also be beneficial.

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