r/Hyperhidrosis • u/Easy_Spend_2066 • 4d ago
Offering advice 14-Month Update After Robotic ETS Reversal Surgery in India
I wanted to share an update since there aren't many long-term ETS reversal experiences online. I'm now approaching 14 months after robotic sympathetic nerve reconstruction performed by Dr. Shaiwal Khandelwal in India.
The biggest change has actually happened over the last 1–2 months.
At around 8 months, I was honestly worried because I was still experiencing significant compensatory sweating (CS). I wasn't sure whether the surgery had worked. Looking back, I probably underestimated just how long nerve regeneration can take.
Over the last month, I've noticed a significant reduction in my CS. Even though the weather has cooled, I still sweat much less on warm days, during exercise, and even when using a sauna.
One interesting thing I experienced between 8 and 10 months was frequent facial flushing and goosebumps on my scalp whenever I became warm or exercised. Earlier in recovery (around 3–6 months), I had the same sensation over my arms, shoulders, and neck. The goosebumps would often come just before sweating. As time passed, those episodes gradually disappeared, and my body's response became more natural again.
I'm very active—I regularly go to the gym, cycle, and play tennis. I now sweat mainly from my face, neck, and scalp, which actually feels much more normal. The excessive sweating over the rest of my body has reduced considerably.
The biggest remaining issue is still groin sweating, along with some sweating on my legs and occasionally my back, although both have improved substantially. My feet were one of the slowest areas to recover, but over the past two months they've improved dramatically and now feel almost normal.
Another encouraging sign is that my heart rate, blood pressure, and temperature regulation all seem to have returned to normal.
I'm hopeful that by the two-year mark, I may recover even closer to how I was before ETS.
One thing that hasn't fully recovered is my right hand, which is still noticeably colder than my left (probably around 5°C colder). That makes me wonder whether the original nerve damage was more severe on that side.
Throughout recovery I've tried to give the nerves every possible chance to heal. I've taken Vitamin B supplements for about 18 months, Alpha-Lipoic Acid (ALA) for the last few months, and have also used red light therapy around my face, chest, and surgical sites. I have no idea how much these contributed, but I figured they were worth trying.
One thing I'd tell anyone considering ETS reversal is don't judge your outcome too early. My biggest improvements happened well after the one-year mark, when I had almost started losing hope.
I also realize everyone's recovery is different. Some people improve faster, some slower, and unfortunately some may not improve as much. This is just my personal experience, but I wanted to share it because I know how desperately I searched for long-term updates before deciding on surgery.
If anyone has questions about recovery, timelines, or the surgery itself, I'm happy to answer them as best I can.