Break Free from Blushing: Innovative Surgery for Social Anxiety

Easily blushing sympathetic nerve surgery?

In Spain, a surgical procedure has been developed to treat excessive blushing associated with shyness.
According to Spanish doctors, blushing due to shyness can be considered a medical condition that, if severe, may lead to psychological disturbances, resulting in overwhelming and unbearable fear, causing patients to frequently feel insecure, and in extreme cases, even suicidal thoughts.
However, doctors in Spain have begun to perform surgeries to alleviate the symptoms of blushing when nervous.
As early as 1995, Spanish physicians initiated research on this issue, and to date, over 500 patients 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 the surgical treatment of blushing due to shyness.
Dr.
Callejas from Bellvitge University 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 excessive blushing.
Although not all individuals who blush due to shyness require surgery, this treatment option can relieve suffering for many.
Dr.
Callejas explained that the procedure 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 nerve ganglia control sweating and the reddening of the face and neck.
The surgery typically lasts about 20 minutes, results in minimal scarring, and patients are usually discharged within 24 hours.
Nevertheless, the procedure must be performed by a thoracic surgeon.
Dr.
Moya from Bellvitge University Hospital shared a case of a patient who experienced severe psychological issues due to blushing and sweating when speaking to strangers, leading to irritability, fear, and even suicidal attempts.
Traditional psychological treatments did not resolve the underlying issue.
After undergoing the surgery, the patient quickly alleviated his "mental burden." A man who recently completed the treatment remarked, "Since the surgery, I have not experienced uncontrollable blushing.
My life has completely changed.
I go out more often without fear, no longer worry about how I should behave or where I should look; I no longer see others as a threat, and I don't always keep my head down."
Currently, this surgical treatment for excessive blushing has been included in Spain's social security coverage.
"Because this is not cosmetic surgery, but rather a common issue that affects people's health."
--- Doctor, I would like to ask if this surgery is available in Taiwan, as it has severely impacted my life.

Frieda, 20~29 year old female. Ask Date: 2012/12/08

Dr. Gao Chunde reply Neurology

This type of sympathetic nerve surgery performed through the armpit is used in Taiwan to treat hyperhidrosis, and its effectiveness for facial blushing still needs to be confirmed by thoracic surgeons who frequently perform this procedure.
For them, this surgery is considered minor, and almost all hospitals' neurosurgery departments can perform it.
However, regarding its application for facial blushing, it would be best to consult thoracic surgeons, as they have more experience in this area.

Reply Date: 2012/12/08

More Info

Social anxiety disorder (SAD) is a prevalent mental health condition that can significantly impair an individual's quality of life. While cognitive-behavioral therapy (CBT) is a well-established treatment for SAD, some individuals may find it challenging to implement the techniques effectively. Your inquiry about innovative surgical options for treating social anxiety, particularly the procedure developed in Spain to address excessive blushing, raises important considerations about the intersection of psychological and physiological responses.

Understanding Social Anxiety and Blushing
Social anxiety often manifests through various physical symptoms, including blushing, sweating, and trembling, particularly in social situations. Blushing, in particular, can become a source of distress for individuals, leading to a cycle of anxiety where the fear of blushing exacerbates the condition. The surgical procedure you mentioned involves severing specific sympathetic nerves that control sweating and facial flushing. This approach has shown promising results, with a reported success rate of 94% in alleviating symptoms for those who undergo the procedure.

The Role of Surgery in Treating Social Anxiety
While surgical interventions may provide relief for some individuals, it is essential to consider the broader implications of such treatments. Surgery should not be viewed as a first-line treatment for social anxiety disorder. Instead, it may be more appropriate for individuals who have not responded to conventional therapies, such as CBT or medication. The decision to pursue surgical options should involve a thorough evaluation by mental health professionals and medical specialists to ensure that all other avenues have been explored.

Exploring Non-Surgical Treatments
1. Cognitive-Behavioral Therapy (CBT): As you mentioned, CBT focuses on identifying and challenging irrational thoughts that contribute to anxiety. It is crucial to engage in structured exercises that help you recognize automatic thoughts and core beliefs. Techniques such as thought records can assist in analyzing these thoughts and reframing them into more positive, realistic perspectives.

2. Exposure Therapy: This is a specific type of CBT that involves gradual exposure to feared social situations. By facing these situations in a controlled manner, individuals can learn to manage their anxiety and reduce the fear associated with social interactions.

3. Medication: Selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines are commonly prescribed to help manage symptoms of social anxiety. Medications can be particularly beneficial when combined with therapy, as they may help stabilize mood and reduce anxiety levels.

4. Mindfulness and Relaxation Techniques: Incorporating mindfulness practices, such as meditation and deep breathing exercises, can help individuals manage anxiety symptoms. These techniques promote relaxation and can reduce the physiological responses associated with anxiety.

5. Support Groups: Engaging with others who experience similar challenges can provide a sense of community and understanding. Support groups can offer valuable insights and coping strategies from peers who have navigated similar experiences.

The Importance of Professional Guidance
If you are considering surgical options, it is crucial to consult with both a mental health professional and a qualified surgeon. They can provide a comprehensive assessment of your condition and discuss the potential risks and benefits of surgery. Additionally, they can help you explore whether other therapeutic options may be more suitable for your situation.

Conclusion
While the surgical treatment for blushing associated with social anxiety presents an innovative approach, it is essential to weigh the benefits against the risks and to consider it as part of a broader treatment plan. Engaging in psychotherapy, exploring medication options, and utilizing coping strategies can often lead to significant improvements in managing social anxiety. Ultimately, the goal is to enhance your quality of life and empower you to engage in social situations without overwhelming fear or embarrassment. If you are in Taiwan and seeking similar surgical options, it would be advisable to consult with local mental health professionals who can guide you to appropriate resources and specialists.

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The facial blushing surgery is a procedure that I have little personal experience with. Based on information from the internet, I believe it is a type of sympathetic nerve block surgery. I recommend that you consult with more specialists in this field.