Hyperhidrosis is a medical condition that causes excessive sweating beyond what the body needs to regulate temperature. For many people, it affects the hands (Palmar Hyperhidrosis), making everyday activities like handshakes, writing, driving, or holding objects uncomfortable and embarrassing.
Unlike normal sweating triggered by heat or exercise, primary hyperhidrosis often begins in childhood or adolescence and can persist for years. It is not caused by poor hygiene, anxiety alone, or lifestyle habits — it is a neurological overactivity of the sympathetic nerves that stimulate sweat glands.
WHY CHOOSE US?
Choosing the right specialist is one of the most important decisions when considering treatment for hyperhidrosis. At Vitalie Medical, patients receive care from a highly experienced surgical specialist dedicated to providing safe, effective, and compassionate treatment for excessive sweating.
Experience matters when it comes to surgical precision and patient outcomes. Dr. Malekmehr has spent decades refining his approach to ETS, helping patients who have struggled to finally regain confidence in their daily lives.
PATIENT REVIEWS
Hyperhidrosis Treatment
14936 Ventura Blvd
Sherman Oaks, CA 91403
“My Hyperhidrosis has never returned after being treated by Dr. Malekmehr. I tried everything before coming to this clinic, and nothing worked before doing ETS. Finally a solution to the embaraassment I felt for years of my life. I only wish I did this sooner. Thank you to Dr. Malekmehr and the team at Vitalie Medical ”
– Robert
“The staff and Dr. Farshad Malekmher attended to my questions and concerns from appointments to procedure. They are thorough and very helpful in the experience. I recommend others who have issues to work with Vitalie Medical”
– Gordon H.
“Dr. Malekmher is kind and the most important thing is he truly cares about his patients. He explains everything in detail”
– Pam S.
“Clean and welcoming office, very helpful and professional, not to mention I felt safe and well informed before the procedure. Very happy with outcome i would highly recommend Doctor Malekmehr”
– Arbi
“My Name is Liz, I’ve been a patient with Dr Malekmher for 5 months now and the Dr and his amazing nurses and staff are top notch. I highly recommend everyone who needs this type of care to come to the office . They are compassionate and caring and don’t push things you don’t need . Amazing amazing amazing”
–Liz
Permanent Solution for Sweaty Hands
Board-Certified Thoracic Surgeon. 25+ Years Experience. Proven Long-Term Solution.
Dr. Malekmehr
What Is Hyperhidrosis and How Do You Treat It Safely with ETS?
Many patients first try:
Prescription-strength antiperspirants, Oral medications, Iontophoresis or Botox injections.
While these may provide temporary relief, they often require ongoing maintenance and may not provide consistent results. For individuals seeking a long-term solution, surgical treatment may be considered.
Botox VS ETS: What’s the Difference?
Sherman Oaks, CA
Frequently Asked Questions About ETS
Submit your information today to request a free consultation with our clinic.
We use an advanced, minimally invasive technique. ETS is performed using small incisions and advanced surgical visualization, allowing for a precise and controlled procedure designed to minimize disruption to surrounding tissue.
Every patient’s experience with hyperhidrosis is unique, that's why we offer a consultation to ensure the treatment is right for you. Dr. Malekmehr takes time to review your medical history, discuss treatment options in detail, and ensure you feel fully informed before making a decision about surgery during your free consultation. Simply request a consultation from our wesbite to get started
Yes. Many of our patients choose to use insurance or select a flexible monthly payment options that make treatment affordable over time. Our team can walk you through financing partners and coverage options during your consultation.
Dr. Malekmehr has a 99% success rate in permanently relieving symptoms of hyperhidrosis with ETS
It’s just one surgery (typically done in 2 hours outpatient. Surgery center located within our facility. No hospital stay required. Minimal downtime)
ETS is a Long term solution, no need to take medication daily or repeat botox every couple of months (both of which the body can become resistant to over time). ETS provides instant, long lasting results. Patients wake up from surgery feeling dry hands for the first time in their life which will last permanently.
When performed by an experienced, board-certified thoracic surgeon, ETS is considered a safe and well-established procedure.
Simply request a free consultation online or call us directly. You’ll meet with Dr. Malekmehr face-to-face and receive a personalized treatment plan outlining timelines, costs and options available. Our goal is to provide a comfortable, safe space, and help you restore your confidence.
For over 25 years, Dr. Malekmehr has helped patients overcome the daily challenges of excessive sweating through advanced surgical care.
For over 25 years, Dr. Malekmehr has helped patients overcome the daily challenges of excessive sweating through advanced surgical care.
As a board-certified thoracic surgeon and specialist in ETS, Dr. Malekmehr offers a permanent solution for sweaty hands in a comfortable outpatient setting, with no overnight hospital stay. Combining surgical precision with genuine compassion, he works closely with each patient to ensure clarity, confidence, and lasting relief.
✔ Board-Certified Surgeon
✔ 25+ Years Experience
TAKE ACTION TODAY
Call us today to request a free consultation with Dr. Malekmehr
✔ Permanent Solution
✔ Same-Day Treatment
Sometimes Conservative Treatments Aren’t Enough
Endoscopic Thoracic Sympathectomy (ETS) is a minimally invasive surgical procedure designed to offer a permanent solution to hyperhidrosis. By blocking the overactive nerve pathway, ETS addresses the root cause of palmar hydrosis rather than temporarily managing symptoms.
How ETS Treats Hyperhidrosis
When performed by an experienced, board-certified thoracic surgeons, ETS is considered a safe and well-established procedure.
Botox Injections
ETS Surgery
Duration
Every 3–6 months
Permanent
Frequency
Repeat treatments
One procedure
Long-Term Cost
Ongoing
One-time
Downtime
Minimal
Short recovery
✔ Board-Certified Surgeon
✔ 25+ Years Experience
✔ Permanent Solution
✔ Same-Day Treatment
Is ETS Safe?
Call Now
Welcome to Vitalie Medical. We provide compassionate care for individuals suffering from palmar hyperhidrosis. Our mission is cure excessive palm sweat for good using ETS. The only permanent solution today.
Learn How To End Palmar Hydrosis Today
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