Surgical Solutions for Social Anxiety and Blushing

Q: Surgical Solutions for Social Anxiety and Blushing

Hello： 1. <br>In Taiwan, endoscopic sympathectomy for the treatment of hyperhidrosis has become quite common. <br>However, while hand sweating may decrease, there is an increased likelihood of compensatory sweating and foot odor. <br>Therefore, the suitability of the procedure an

The issue of blushing!

Hello, doctor: Below is a report! I would like to ask 1.
Is this type of surgery available in Taiwan? 2.
Which specialty should I consult? Thank you.
Many people are naturally shy, especially in public situations, and they turn red in the face as soon as they speak.
Spanish doctors believe that blushing due to shyness is also a type of disorder, which, if severe, can lead to psychological disturbances, creating an inescapable and unbearable fear that leaves patients in a constant state of insecurity, with some even contemplating suicide.
However, Spanish doctors have begun to treat the symptoms of nervous blushing through surgery.
As early as 1995, Spanish physicians started researching this, and currently, over 500 individuals have undergone this surgical treatment, with an efficacy rate of 94%.
The hospitals leading this surgical approach, Bellvitge University Hospital and Clinico Hospital, recently held a seminar on surgical treatment for blushing due to shyness.
Dr.
Callejas from Bellvitge Hospital stated that while there is currently a lack of statistical data on this patient population, it is estimated that 3 out of every 200 individuals may experience blushing due to shyness.
Although not all individuals who blush from shyness require surgery, this treatment can alleviate suffering for many.
According to Dr.
Callejas, the surgery involves making a small incision of a few millimeters in the patient's armpit to insert an endoscope, allowing for the separation of the nerve ganglia in the sympathetic nervous system located in the armpit.
These ganglia control sweating and the reddening of the face and neck.
The surgery typically lasts about 20 minutes, leaves minimal scarring, and requires less than 24 hours of hospitalization.
Nevertheless, the procedure must be performed by a thoracic surgeon.
Dr.
Moya from Bellvitge Hospital recounted a patient who experienced severe psychological issues due to blushing and sweating when speaking to strangers, leading to irritability, fear, and even suicidal attempts, which could not be fundamentally resolved through psychological treatment.
Through surgery, he quickly alleviated his "mental burden." A man who recently underwent the treatment stated, "After the surgery, I no longer experience uncontrollable blushing.
My life has completely changed.
I go out more, feel no fear, and no longer worry about how I should act or where I should look; I no longer see others as a threat; I no longer keep my head down." Currently, this surgical treatment for blushing due to shyness is covered by Spain's social security system.
"Because this is not cosmetic surgery, but a common issue that affects people's health," Dr.
Callejas said.

Dàdà, 20~29 year old female. Ask Date: 2009/12/24

Dr. Lai Junlong reply Family Medicine

Hello: 1.
In Taiwan, endoscopic sympathectomy for the treatment of hyperhidrosis has become quite common.
However, while hand sweating may decrease, there is an increased likelihood of compensatory sweating and foot odor.
Therefore, the suitability of the procedure and the necessity of surgery in cases of facial blushing should be carefully considered.
Nonetheless, Taiwan has the capability to perform such surgeries.
2.
It is recommended to consult a neurosurgery outpatient clinic.

Reply Date: 2009/12/24

More Info

The surgical treatment for excessive blushing, often linked to social anxiety, has garnered attention as a potential solution for individuals who experience debilitating symptoms. This condition, characterized by an involuntary flushing of the face in social situations, can significantly impact one's quality of life, leading to feelings of embarrassment, anxiety, and even depression. The procedure described in the report involves a minimally invasive surgery that targets the sympathetic nerves responsible for facial flushing and sweating.
1. Availability of the Surgery in Taiwan: As of now, this specific surgical procedure for treating blushing is not widely available in Taiwan. While there are various treatments for social anxiety and related conditions, including cognitive behavioral therapy (CBT) and pharmacological interventions, surgical options like the one described in Spain are still emerging and may not yet be adopted in all regions. If you are considering this type of treatment, it is essential to consult with a qualified medical professional who specializes in this area, such as a plastic surgeon or a thoracic surgeon, to discuss the feasibility and potential risks involved.

2. Which Specialty to Consult: If you are interested in exploring surgical options for excessive blushing or social anxiety, you should start by consulting with a plastic surgeon or a thoracic surgeon. These specialists are trained in performing surgeries that involve the sympathetic nervous system. Additionally, it may be beneficial to consult with a psychiatrist or a psychologist who specializes in anxiety disorders. They can provide a comprehensive evaluation of your condition and discuss both surgical and non-surgical treatment options.

Understanding the Connection Between Social Anxiety and Blushing
Blushing is often a physiological response to anxiety, particularly in social situations. When individuals feel threatened or embarrassed, their body may react with a fight-or-flight response, leading to increased blood flow to the face and neck, resulting in blushing. This reaction can be exacerbated in people with social anxiety disorder (SAD), where the fear of judgment or scrutiny from others can trigger intense feelings of self-consciousness.

Non-Surgical Alternatives
Before considering surgery, it is crucial to explore non-surgical treatment options. Cognitive Behavioral Therapy (CBT) has been shown to be effective in treating social anxiety by helping individuals identify and challenge irrational thoughts and beliefs that contribute to their anxiety. Additionally, medications such as selective serotonin reuptake inhibitors (SSRIs) or beta-blockers like Inderal can help manage symptoms of anxiety and blushing.

The Role of Psychological Support
It is essential to address the psychological aspects of social anxiety. Engaging in therapy can provide individuals with coping strategies to manage their anxiety in social situations. Techniques such as exposure therapy, where individuals gradually face their fears in a controlled environment, can also be beneficial. Furthermore, support groups can offer a sense of community and understanding, helping individuals feel less isolated in their experiences.

Conclusion
While the surgical treatment for excessive blushing presents a potential solution for some, it is vital to approach this option with caution. Consulting with the appropriate medical professionals and considering all available treatment options, including therapy and medication, is essential for a comprehensive approach to managing social anxiety and its symptoms. Remember, every individual's experience with anxiety is unique, and what works for one person may not work for another. Therefore, a tailored treatment plan that addresses both the physical and psychological aspects of the condition is crucial for achieving the best outcomes.

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