ETS Surgery for Facial Blushing in NYC: Minimum Age 18
In New York State, the minimum age for endoscopic thoracic sympathectomy (ETS) for primary hyperhidrosis or facial blushing is 18 years.
ETS involves dividing the sympathetic chain (typically T2–T3) via thoracoscopy. Risks include compensatory hyperhidrosis (50–90%), Horner's syndrome, pneumothorax, neuralgia.
Conservative options (topical aluminum chloride, iontophoresis, oral anticholinergics, botulinum toxin) should be exhausted first. Multidisciplinary evaluation (dermatology, thoracic surgery, psychology) is standard.
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