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Most people’s palms dry once stress eases or the room cools down. If yours don’t, you may be dealing with palmar hyperhidrosis (excessive sweating of the palms).

Here’s the good news: You don’t have to live with cold, clammy hands for the rest of your life. The Center for Hyperhidrosis offers hope for individuals like you who are seeking lasting relief.

Meet Dr. Eraj Basseri, our lead surgeon and one of the world’s foremost specialists in hyperhidrosis treatment:

  • 20+ years of experience helping people achieve permanent relief from sweaty hands
  • 9,400+ hyperhidrosis surgeries performed, with a 99.2% success rate

If you struggle with cold, clammy hands, chances are you’ve been told to “just ignore it.” That’s easier said than done.

Every handshake sparks anxiety, and every object you touch leaves a damp trace. Simple tasks, like using a phone or holding a pen, can feel frustrating and beyond your control.

At The Center, we understand how discouraging and embarrassing excessive hand sweating can be. Dr. Basseri and our team have helped thousands of people just like you achieve permanent sweat relief.

With our refined, minimally invasive Endoscopic Thoracic Sympathectomy (ETS), you can experience the same transformation.

In just about an hour, the procedure delivers immediate results. Your hands stay comfortably dry, and your confidence begins to return.

Ready to stop cold, clammy hands from controlling your life? Help is within reach—let us turn things around for you.

Call The Center for Hyperhidrosis at (310) 557-3037 to schedule your consultation today. Your journey to dry, confident hands starts with us.

Key Takeaways

  • Cold, clammy hands are most often linked to hyperhidrosis, a condition caused by overactivity in the sympathetic nervous system—the network of nerves that controls sweating and blood flow.
    However, cold, clammy hands can also stem from medical conditions, such as diabetes and menopause.
  • The difference between temporary and chronic hyperhidrosis determines both treatment strategies and urgency. Temporary sweating happens as a normal response to heat or stress.
    Chronic hyperhidrosis, on the other hand, continues regardless of temperature or stress level. It often requires specialized medical evaluation and, in many cases, surgical treatment.
  • The Center for Hyperhidrosis, under the leadership of Dr. Basseri, a world-renowned surgeon and co-founder of The Center, has helped nearly 10,000 patients achieve lasting dryness.
    Dr. Basseri specializes in minimally invasive procedures for excessive sweating and has perfected both Endoscopic Thoracic Sympathectomy (ETS) for hand sweating and Endoscopic Lumbar Sympathectomy (ELS) for foot sweating, both with a 99.2% success rate.
  • When left untreated, hyperhidrosis can cause significant social, emotional, and professional setbacks, affecting up to 75% of patients.

What Does It Mean to Have Cold Hands That Are Also Clammy?

Cold, clammy hands are a defining symptom of palmar hyperhidrosis.

In medical terms, hyperhidrosis refers to excessive activation of the sympathetic nerves.

Unlike normal sweating, which helps regulate body temperature, this condition reflects an overactive sympathetic nerve. The system stays “on” when it shouldn’t.

The familiar cold and clammy sensation stems from two linked processes:

First, the overactive sympathetic chain causes vasoconstriction, reducing blood flow to the hands and causing a sensation of coldness.

Second, hyperactive eccrine glands produce sweat that evaporates quickly, resulting in a constant surface moisture.

Together, these reactions create the persistent wet chill characteristic of palmar hyperhidrosis.

The difference between hyperhidrosis and normal perspiration lies in triggers, sites of appearance, and behavior.

  • Trigger Independence: Normal sweating occurs in response to heat, exercise, or stress. In contrast, hyperhidrosis happens spontaneously, even in cool environments or while at rest.
  • Severity and Persistence: Patients with hyperhidrosis often experience dripping moisture that exceeds the body’s natural need to regulate temperature.
  • Anatomical Specificity: Primary hyperhidrosis primarily targets specific areas typically the palms and feet. Sweating linked to conditions such as diabetes or infections, however, tends to affect the entire body.

The International Hyperhidrosis Society, a nonprofit organization advocating for people with hyperhidrosis, reported that around 385 million people worldwide (approximately 5% of the world’s population) struggle with hyperhidrosis.

Here are the prevalence estimates of primary hyperhidrosis in the United States and other countries:

  • United States: 2.8 %
  • Germany: 4.6%
  • Shanghai, China: 14.5%
  • Vancouver, Canada: 12.3%
  • Sweden: 5.5%
  • Japan: 12.8%

Cold, clammy hands disrupt everyday life in countless ways:

  • Work and Study: 95% of patients with palmar hyperhidrosis report problems performing tasks.
    Wet palms can make it challenging to grip tools, use electronics, or write without smearing ink. Students may struggle with damp exam papers.
  • Social Interactions: Many people avoid handshakes, intimacy, or physical touch due to feelings of embarrassment.
    Nearly 90% report emotional distress and low confidence tied directly to their symptoms.
  • Daily Function: Everyday activities like driving, cooking, or typing become frustrating.
    Some even drop objects frequently, including rare but severe cases of caregivers losing grip on infants.

These challenges combine into a constant cycle of anxiety, avoidance, and reduced quality of life.

Dr. Basseri has spent years refining the treatment of hyperhidrosis:

  • Endoscopic Thoracic Sympathectomy for hand sweating
  • Endoscopic Lumbar Sympathectomy for foot sweating

Both achieve an extraordinary 99.2% success rate.

A fellowship-trained surgeon from Cedars-Sinai Medical Center, Dr. Basseri earned the Society of Laparoendoscopic Surgeons Resident Achievement Award and served as Administrative Chief Resident before founding his Beverly Hills practice.

The Center houses one of the world’s largest databases on hyperhidrosis, providing unmatched insight into symptom patterns, treatment outcomes, and long-term quality-of-life improvements.

His results-driven, patient-centered approach has helped 9,400+ patients regain confidence, comfort, and control over their daily lives.

Why Are My Hands Cold but Clammy at the Same Time?

Cold, clammy hands occur because of a two-part response from the sympathetic nervous system:

  1. Vasoconstriction: In palmar hyperhidrosis, the sympathetic nervous system—your body’s built-in fight-or-flight network—goes into overdrive.
    This triggers the tiny arteries in your fingers to narrow (a process called vasoconstriction), which limits the flow of warm blood to the skin’s surface.
    Think of it like partially closing a faucet. Less warm “flow” reaches the tap, so your fingertips feel cold.
  2. Sweat Evaporation: At the same time, those same nerve pathways overstimulate the eccrine sweat glands, leaving a constant layer of moisture on the skin.
    As this sweat evaporates, it pulls heat off the surface, amplifying the cold, clammy feeling. In other words, your body’s cooling system is running when you don’t need it.

Research also shows that hyperhidrosis often runs in families, with about 62% to 65% of patients reporting a family history of the condition.

In some families, hyperhidrosis appears to skip a generation, which suggests an autosomal dominant inheritance pattern with reduced penetrance. In this case, the gene responsible is present but doesn’t always lead to visible symptoms.

Another possible explanation for palmar hyperhidrosis is an autosomal recessive pattern, in which both parents carry the gene but remain unaffected.

The condition only becomes apparent if a child inherits the mutated gene from both parents, resulting in palmar hyperhidrosis despite neither parent showing signs of it.

If you want to look deeper into our hyperhidrosis treatment philosophy, here are some peer-reviewed papers:

  • Reisfeld, R. (2006). Sympathectomy for hyperhidrosis: should we place the clamps at T2–T3 or T3–T4? Clinical Autonomic Research, 16(6), 384–389. https://doi.org/10.1007/s10286-006-0374-z
  • Reisfeld, R., Pasternack, G. A., Daniels, P. D., Basseri, E., Nishi, G. K., & Berliner, K. I. (2013). Severe plantar hyperhidrosis: An effective surgical solution. The American Surgeon, 79(8), 845-853.
  • Reisfeld, R., & Berliner, K. I. (2008). Evidence-based review of the nonsurgical management of hyperhidrosis. Thoracic Surgery Clinics, 18(2), 157-166. https://doi.org/10.1016/j.thorsurg.2008.01.004

What Are the Main Symptoms to Watch for?

Patients with persistent cold, clammy hands often report:

  • Constantly wet palms, even in cool environments
  • Cold skin temperature that feels uncomfortable to others
  • Difficulty gripping objects like pens, steering wheels, or gym equipment
  • Skin maceration (soft, fragile skin) caused by constant dampness
  • Color changes in the fingers (red or bluish) from restricted circulation
  • Psychosocial issues like extreme introversion due to embarrassment
  • Professional limitations that interfere with typing, presentations, or manual work

“My son suffered [from] sweaty hands. In school, he couldn’t hold a pencil, and his paper would get wet. For friends or parents of teenagers going through this, I can tell you it’s life-altering.

The depression and hopelessness that it will never get better is real. You are worried every waking moment about hiding [and] drying your hands.

My son was ready when he turned 18. After the surgery, his hands were warm and DRY! No compensatory sweating, no scarring, just a very happy and RELIEVED son. He now saw a future free of this anxiety. And he is thriving.

Dr. [Basseri] is a wonderful surgeon and [a] kind person. He followed up with me and my son the day of [the surgery] and every day after. He made himself available if we had questions or concerns.

The surgery center is top-notch, clean, and [has a] professional and caring staff. I cannot tell you strongly enough how LIFE-CHANGING this surgery was for my son.

Don’t let your loved one suffer when there is a solution.”

Brooke M., Long Beach, California

“I had ETS (Endoscopic Thoracic Sympathectomy) surgery with Dr. Basseri in September, and it went really well with no side effects. My hands, underarms, and feet are completely dry. Best decision I ever made.”

Phase_Illustrious (Reddit User)

What Is Cold, Clammy Skin a Symptom of?

Cold, clammy skin can point to very different conditions, from a localized, benign hyperhidrosis in the hands to a whole-body medical problem that may need urgent care.

When the chill and moisture are limited to the hands, the most likely cause is primary palmar hyperhidrosis.

The sympathetic chain constricts small blood vessels, reducing warm-blooded flow and cooling the skin.

At the same time, it overstimulates the eccrine sweat glands, causing the sweat to evaporate and making the hands feel even colder.

If sweating and clamminess involve larger areas of the body or appear with new symptoms, doctors look for secondary causes such as:

  • Endocrine disorders, like hyperthyroidism and menopause
  • Infections
  • Medication side effects
  • Alcohol or drug reactions
  • Systemic illnesses, such as cancer

Cold or clammy skin, accompanied by chest, throat, jaw, or shoulder pain, lightheadedness, nausea, a rapid pulse, or shortness of breath, can signal a heart attack or another serious medical emergency.

These symptoms should be evaluated immediately by a healthcare provider.

At The Center, Dr. Basseri performs a complete differential diagnosis. He reviews your medical history, family health history, among other factors to confirm whether the problem is localized or systemic.

Once confirmed, Dr. Basseri offers targeted treatments, including Endoscopic Thoracic Sympathectomy (ETS) to stop overactive sweat signals at the source and restore comfort, warmth, and control.

What Causes Cold Clammy Hands?

Effective treatment starts with a precise diagnosis. At The Center for Hyperhidrosis, we use advanced diagnostic tools to identify the root cause of your “cold, clammy hands.”

Here are several possible causes for persistent cold, clammy hands:

  1. Primary Palmar Hyperhidrosis: Most common form of excessive sweating, limited to the hands rather than the whole body
  2. Secondary Hyperhidrosis: Triggered by medical conditions like thyroid disease, diabetes, or infections
  3. Anxiety and Stress: Short-term episodes linked to experiencing panic attacks
  4. Cardiovascular Conditions: Circulatory problems, heart disease, or acute cardiac events
  5. Autoimmune Conditions: Such as Raynaud’s phenomenon (reduced blood flow to fingers and toes), lupus (autoimmune inflammation affecting the skin and organs), or scleroderma (hardening and tightening of the skin and connective tissues).

Is Hyperhidrosis the Main Cause of Cold Clammy Hands?

Hyperhidrosis is one of the leading causes of cold, clammy hands, although it is not the only one.

When sweat evaporates from the skin’s surface, it naturally cools the hands, creating a damp, chilled sensation.

This mechanism explains why people with palmar hyperhidrosis often describe their hands as cold and clammy at all times, regardless of the environment.

For many patients, this symptom becomes their most noticeable and distressing feature, affecting daily interactions and confidence.

Unlike temporary sweating, hyperhidrosis is a chronic condition that often begins in childhood or adolescence and persists for years without treatment.

What Is Primary Palmar Hyperhidrosis?

Palmar hyperhidrosis is the medical term for excessive, uncontrollable sweating of the hands or palms, affecting about 0.6% to 1.0% of people in Western countries.

For most individuals, symptoms typically begin in childhood or adolescence, often affecting the upper extremities but sometimes extending to the feet (plantar hyperhidrosis).

The severity can range from mild dampness to heavy sweating that interferes with activities such as writing, typing, or even shaking hands.

Episodes often worsen with stress, anxiety, or emotional tension, but they can also strike without warning, making the condition difficult to predict or control.

Hyperhidrosis is widely recognized as a genetic condition. That said, the exact mechanisms remain uncertain.

Research suggests a familial pattern, with approximately 62% to 65% of patients reporting a family history of excessive sweating.

The condition may follow an autosomal dominant inheritance pattern, where it appears in some generations but not others due to reduced penetrance.

In other cases, it may follow an autosomal recessive pattern, where both parents carry the gene without showing symptoms, and the condition only emerges if a child inherits the gene from both parents.

While the precise cause is still being studied, The Center for Hyperhidrosis offers clarity and relief. Our world-leading specialists accurately diagnose palmar hyperhidrosis and tailor treatments to each patient.

Our surgeons perform Endoscopic Thoracic Sympathectomy (ETS) daily.

Currently, ETS is the only surgical technique proven to effectively treat excessive hand sweating (palmar hyperhidrosis).

How Does Secondary Hyperhidrosis Cause Cold Clammy Hands?

Secondary hyperhidrosis refers to excessive sweating caused by another medical condition or, in some cases, by certain medications.

Unlike primary hyperhidrosis, which is typically genetic and affects localized areas such as the hands, feet, or underarms, secondary hyperhidrosis often involves larger body regions and can occur even during sleep (night sweats).

Several health issues are known to trigger this condition, including:

  • Hyperthyroidism: An overactive thyroid increases metabolism, leading to persistent sweating.
  • Menopause: Hormonal fluctuations can trigger hot flashes and sweating episodes.
    These symptoms can begin during perimenopause (7 to 10 years before the final menstruation) and last for 7 to 11 years.
    Some may notice a gradual decrease in frequency and intensity over time as hormone levels stabilize after menopause.
  • Diabetes: Either low blood sugar (hypoglycemia) or nerve damage (diabetic neuropathy) can activate sweat glands abnormally.
  • Infections: Chronic infections such as tuberculosis or HIV (human immunodeficiency virus) may cause widespread sweating as part of the body’s immune response.
  • Cancers: Conditions like lymphoma or leukemia can produce unexplained night sweats.
  • Neurological disorders: Diseases such as Parkinson’s or stroke can interfere with the nervous system’s control of sweating.

Certain medications may also induce excessive sweating, including:

  • Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs)
  • Opioid pain relievers
  • Hormonal therapies such as insulin or tamoxifen
  • Fever reducers like aspirin or acetaminophen

Because secondary hyperhidrosis has many possible triggers, identifying the root cause is essential before deciding on treatment.

At The Center for Hyperhidrosis, Dr. Basseri performs a detailed evaluation to determine whether the sweating is primary or secondary.

His individualized approach ensures that each patient receives a treatment plan tailored to their condition. We only provide treatment to those that experience primary hyperhidrosis.

Do Anxiety and Stress Cause Cold, Clammy Hands?

Anxiety and stress can trigger cold, clammy hands, but they’re not the root cause of primary palmar hyperhidrosis.

Situational anxiety sweating happens during specific stressors: presentations, interviews, and first meetings.

Sweating spikes with the event and settles afterwards. This is sympathetic activation that anyone can experience, with or without hyperhidrosis.

Chronic anxiety conditions may include persistent worry, avoidance, and physical tension.

Here’s how the loop forms, and why it can spiral:

  1. Stress or anxiety causes sweating. Emotional tension flips the “on” switch in the nervous system, activating sweat glands in the palms.
  2. Sweaty hands lead to embarrassment and more stress. The discomfort of shaking hands or speaking in public feeds more anxiety, intensifying symptoms.

Anxiety and stress can worsen sweating, but do not cause primary palmar hyperhidrosis.

The result is a self-reinforcing feedback loop: Stress leads to sweating, which triggers more stress, repeating until the physiological driver is addressed.

A common mistake is mislabeling hyperhidrosis as a mental health disorder. This often leads to ineffective prescriptions that don’t resolve the real problem.

That said, managing emotional triggers can still help ease flare-ups. Some patients find relief through counseling or behavioral therapy, which can reduce the impact of anxiety on their symptoms.

For lasting results, however, treatment must target the overactive sympathetic signaling itself. Endoscopic Thoracic Sympathectomy (ETS) directly addresses this root cause and has helped many patients regain control of their lives.

What Medical Conditions Can Cause Cold Clammy Hands?

Cold, clammy hands can stem from several underlying medical causes, ranging from circulatory issues to the body’s automatic stress or “fight-or-flight” responses.

In many cases, the symptom is harmless and temporary, often linked to cold temperatures or emotional stress.

That said, when clammy hands persist or occur without clear triggers, they may point to a deeper circulatory, hormonal, or neurological condition that warrants medical evaluation:

  • Circulatory and vascular conditions
  • Cardiovascular events, such as a heart attack
  • Anxiety attacks
  • Neurological disorder, such as Parkinson’s disease or stroke

With 50+ years of combined surgical expertise, Dr. Basseri and Dr. Reisfeld emphasize ruling out life-threatening causes before proceeding with hyperhidrosis treatment.

Could Cold Hands Indicate a Heart Problem or Health Issue?

Yes. Cold, clammy hands can be an early warning sign of heart disease or cardiac emergencies.

When clamminess occurs suddenly, accompanied by chest pain, dizziness, or shortness of breath, it is a medical emergency and requires calling 911.

Can Hormonal Changes Cause Cold Clammy Hands?

Yes. Hormonal changes from thyroid disorders, diabetes, or menopause can trigger sweating and circulatory changes.

Menopausal symptoms, including clamminess, typically last up to 11 years, but frequency decreases over time.

Our evaluation process identifies whether hormonal imbalance is the root cause before recommending surgery.

What About Autoimmune Conditions Like Raynaud’s Syndrome?

Hyperhidrosis may occur through several mechanisms, including autonomic dysfunction.

Autoimmune diseases are a group of complex disorders in which the immune system mistakenly targets the body’s own healthy tissues, leading to chronic inflammation and tissue damage that can affect multiple organ systems:

  • Raynaud’s phenomenon is a vascular disorder in which small blood vessels in the fingers and toes suddenly narrow in response to cold or stress.
    This leads to a distinctive three-color sequence:

    • White (restricted blood flow)
    • Blue (oxygen deprivation)
    • Red (blood returning).
      Hyperhidrosis (excessive sweating) and Raynaud’s phenomenon appear opposite, but they can coexist because both stem from autonomic nervous system dysfunction.
      This overlap may result from shared nerve and vascular signaling pathways, with emotional stress acting as a common trigger.
  • Lupus (Systemic Lupus Erythematosus) is an autoimmune disease where your immune system attacks healthy tissues, causing widespread inflammation.
    Common signs include a butterfly-shaped facial rash, joint pain, and fatigue. If you have lupus, your toes and fingers may also turn blue or white when exposed to cold.
  • Scleroderma (Systemic Sclerosis) involves excessive collagen buildup that hardens the skin and internal organs.

Our doctors are the only surgeons in the United States performing both types of sympathectomy procedures: Endoscopic Thoracic Sympathectomy (for sweaty hands) and Endoscopic Lumbar Sympathectomy (for sweaty feet).

They can treat the full spectrum of nerve-related and vascular presentations with precision.

When Should I See a Doctor About Cold Clammy Hands?

You should seek medical care for your cold, clammy hands if:

  • Your symptoms interfere with daily life.
  • Excessive sweating can occur even when you’re not physically active or exposed to heat.
  • Symptoms began in childhood or adolescence and persist daily.
  • You begin avoiding social situations, feel anxious or embarrassed about your symptoms, or notice that the condition is affecting your confidence and daily interactions.
    Persistent emotional distress or withdrawal can indicate that the problem is more than just physical and deserves professional evaluation and support.

If your hands are consistently cold, clammy, or excessively sweaty without other symptoms, the cause is usually nerve overactivity (hyperhidrosis) or temporary blood vessel tightening from stress or temperature changes.

These conditions are not fatal, but they can be frustrating and disruptive.

The good news is that both causes are highly treatable. Dr. Basseri offers precise, minimally invasive treatments that target the nerves responsible for excessive hand sweating.

If your symptoms are interfering with work, relationships, or daily routines, you don’t have to wait. Call (310) 557-3037 to speak with our team and find out what’s causing your symptoms.

What Are the Warning Signs That Need Immediate Medical Attention?

Cold, clammy hands are usually harmless, but in some cases, they may signal a more serious medical problem.

Knowing when to seek urgent help versus when to book a routine consultation can make all the difference.

Cardiovascular Emergency Signs

  • Chest pain, discomfort, or pressure that lasts more than a few minutes or comes and goes
  • Shortness of breath, with or without chest discomfort
  • Rapid or irregular heartbeat (palpitations)
  • Lightheadedness or sudden dizziness that makes you feel faint

Neurological Warning Signs

  • Frequent, severe headache
  • Sudden numbness or weakness in the face, arm, or leg, especially on one side
  • Seizure, slurred speech, or difficulty thinking clearly
  • Loss of consciousness or fainting

Shock and Critical Signs

  • Severe pallor (extreme paleness) with a weak pulse
  • Rapid, shallow breathing
  • Nausea and vomiting

Cold, clammy skin, especially when combined with the warning signs above, may indicate diaphoresis, or excessive sweating due to an underlying medical condition.

If your cold, clammy hands occur alongside chest pain, shortness of breath, sudden dizziness, confusion, or loss of consciousness, call 911 immediately. These may be signs of a medical emergency.

If your cold, clammy hands aren’t an emergency but continue to bother you, it’s still important to seek evaluation. Persistent, unexplained sweating, especially when it affects your comfort or confidence, deserves attention.

With 50+ years of combined experience in hyperhidrosis treatment, Dr. Basseri and Dr. Reisfeld understand how critical it is to distinguish primary hyperhidrosis from secondary causes that may signal a more serious health issue.

How Do I Know if My Cold Clammy Hands Need Specialized Treatment?

Recognizing when to seek advanced care can mean the difference between ongoing frustration and meaningful, lasting relief.

  1. Daily Life Interference
    Consider a hyperhidrosis consultation if cold, clammy hands cause significant disruption to your daily routines or relationships:

    1. Difficulty performing tasks requiring hand contact or fine motor skills
    2. Avoiding social or professional interactions, such as handshakes
    3. Needing to change clothes multiple times per day due to sweating
  2. Social and Professional Impact
    Referral is also advised if hyperhidrosis begins to affect your daily life significantly. This may include:

    1. Withdrawing socially or feeling anxious about close contact
    2. Struggling with work performance or missing opportunities because of hand sweating
    3. Experiencing ongoing emotional distress, embarrassment, or depression
    4. Developing recurrent skin infections or irritation from constant moisture
  3. Failed Conservative Treatments
    Specialist evaluation is appropriate when symptoms persist after consistent trials of:

    1. Over-the-counter or prescription aluminum chloride antiperspirants
    2. Lifestyle modifications (hygiene, clothing, diet adjustments)
    3. Nonsurgical options such as BOTOX® injections or iontophoresis under dermatologic care

How Are Cold Clammy Hands Diagnosed by Leading Experts?

At The Center, Dr. Basseri uses a comprehensive, evidence-based diagnostic process to determine whether cold, clammy hands are caused by primary hyperhidrosis or another underlying condition.

His approach combines clinical expertise with validated diagnostic tools and state-of-the-art measurement technology to ensure every patient receives an accurate diagnosis and individualized care plan.

Diagnosis begins with a detailed medical history and physical exam, guided by established international criteria. Dr. Basseri looks for hallmark signs, such as:

  • Bilateral, symmetrical patterns (both hands affected equally)
  • Severity of the sweating
  • Early onset (often before age 25), consistent with genetic primary hyperhidrosis

These clinical indicators establish the foundation for targeted diagnostic testing and treatment planning.

Dr. Basseri will review your responses carefully to determine your score on the Hyperhidrosis Disease Severity Scale (HDSS), a tool that measures how much excessive sweating affects your daily life.

Scores of 1 or 2 reflect mild to moderate symptoms, while 3 or 4 indicate severe, function-limiting hyperhidrosis.

  • Score 1: “My sweating is never noticeable and never interferes with my daily activities.”
  • Score 2: “My sweating is tolerable but sometimes interferes with my daily activities.”
  • Score 3: “My sweating is barely tolerable and frequently interferes with daily activities.”
  • Score 4: “My sweating is intolerable and always interferes with daily activities.”

Many of our patients fall into level 4, where sweating becomes intolerable and consistently interferes with work, social, and everyday activities.

Because excessive sweating can sometimes be caused by other conditions, Dr. Basseri performs a differential diagnosis. This process helps rule out endocrine, infectious, or medication-related causes before confirming a treatment plan.

As a recognized authority in hyperhidrosis treatment, Dr. Basseri has contributed to shaping global standards for both diagnosis and care.

His research-driven approach ensures each patient receives an accurate diagnosis, a clear understanding of their condition, and a tailored plan for lasting relief.

What Tests Will My Doctor Perform?

Your doctor may employ other diagnostic tests to accurately assess hyperhidrosis severity, identify underlying causes, and guide optimal treatment planning.

Each test serves a specific purpose in building a complete clinical picture.

For patients requiring further assessment, quantitative testing may be performed to map and measure sweat production precisely:

  • Lab Tests
    Your provider may recommend blood or urine tests to check whether your excessive sweating is linked to another condition, such as hypoglycemia (low blood sugar) or hyperthyroidism (overactive thyroid).
    These tests help rule out systemic or hormonal causes before confirming a diagnosis of primary hyperhidrosis.
  • Sweat Tests
    You may undergo a sweat test, such as the starch-iodine test, to pinpoint the areas and severity of sweating.
    During this procedure, a specialist applies an iodine solution to the affected skin and allows it to dry.
    Then, starch powder is dusted over the area. When the two substances mix with sweat, they turn dark blue, clearly marking the zones of highest perspiration.
    This visual map helps guide treatment planning and assess the condition’s extent.

How Is Hyperhidrosis Specifically Diagnosed?

Diagnosis focuses on confirming primary palmar hyperhidrosis, ruling out secondary causes, and determining if surgery is appropriate.

Dr. Basseri uses the Hyperhidrosis Disease Severity Scale (HDSS). Scores of three to four indicate severe, life-impacting sweating that may qualify for surgery.

He then confirms the classic pattern: bilateral hand sweating often starting before age 25, and severity of the sweating.

Next, he excludes secondary causes such as thyroid disease, infections, menopause, or medication effects, and reviews prior nonsurgical treatments, such as antiperspirants or oral medications.

If symptoms remain severe, Endoscopic Thoracic Sympathectomy (ETS) is recommended, the definitive, minimally invasive procedure that stops overactive sympathetic nerve signals and restores lasting dryness.

Drawing on 50 years of combined clinical experience, Dr. Basseri and Dr. Reisfeld have led The Center for Hyperhidrosis as the worldwide authority in diagnosing and treating primary hyperhidrosis.

Their expertise, developed through treating over 9,400 patients with surgical success rates of 99.2%, has refined the diagnostic criteria and surgical intervention protocols that define modern hyperhidrosis care.

What Are the Treatment Options for Cold Clammy Hands?

Living with palmar hyperhidrosis can be discouraging, especially since there’s no permanent nonsurgical cure.

If you’re wondering, “How can I get rid of sweaty hands for good?”, the answer lies in Dr. Basseri’s surgical expertise.

Our minimally invasive sympathectomy procedures achieve a 99.2% success rate, with more than 9,400 patients treated.

These proven techniques offer immediate, often permanent dryness, allowing you to finally live free from the limitations of cold, clammy hands.

Still, many patients first explore different approaches to manage or reduce symptoms.

Some turn to alternative or topical treatments, such as antiperspirants or aluminum chloride lotions, available in both over-the-counter and prescription strengths.

While results vary from person to person, several other methods have also been tried with varying degrees of success.

Here are some of the most common treatment options patients attempt before considering surgery:

  • Anticholinergic medications
  • Beta-blockers
  • Anti-anxiety medications
  • Acupuncture
  • Herbal substances, such as chamomile, valerian root, and St. John’s Wort
  • BOTOX®️ Cosmetic
  • Topical medications
  • Electronic devices, such as Drionic, a machine that can slow sweat production

What Are Some Home Remedies for Cold, Clammy Hands?

Some people with cold, clammy hands may integrate simple strategies to help manage symptoms:

  • Antiperspirants: Over-the-counter or prescription-strength aluminum chloride solution may help reduce sweating.
  • Body powders: Cornstarch-based powders can absorb excess moisture and keep hands drier for short periods.
  • Moisture-wicking gloves: These specialized gloves can help manage sweat during social or professional interactions.
  • Stress management: Practicing meditation, deep breathing, or regular exercise may reduce stress-related sweating episodes.
  • Dietary adjustments: Limiting caffeine, spicy foods, and hot drinks may decrease sweating triggers.

While these approaches don’t provide permanent relief, they can make day-to-day life easier. For lasting results, medical treatments are often needed.

Dr. Basseri’s minimally invasive surgical treatments are considered the gold standard. His approach offers immediate and lasting dryness so you no longer have to rely on daily self-management routines.

What Nonsurgical Medical Treatments Are Available?

For decades, people have tried nonsurgical methods to manage hyperhidrosis, but the results are often inconsistent and short-lived.

Still, many patients prefer to start with conservative treatments before considering surgery. Some of the most common nonsurgical approaches include:

  • Prescription antiperspirants, such as aluminum chloride: Often used as a first-line treatment, they block the sweat ducts. While they can help, they may cause skin irritation and are usually less effective in severe cases.
  • Alpha blockers and other vascular medications: These drugs may ease clamminess associated with blood vessel constriction controlled by the sympathetic nervous system.
  • Iontophoresis: A device-based therapy that uses a mild electrical current to turn off sweat glands temporarily. It requires multiple sessions each week for ongoing results.
  • Botulinum toxin injections: This solution may temporarily block nerve signals to your sweat glands, providing relief for four to six months before repeat treatments are needed.
  • Anticholinergic medications, such as glycopyrrolate: These reduce sweating systemically but often cause side effects like dry mouth, blurry vision, or urinary retention.

While these treatments provide short-term relief, many patients find the effects temporary or limited, especially in more severe cases.

At The Center for Hyperhidrosis, Dr. Basseri’s minimally invasive sympathectomy delivers a 99.2% success rate, providing immediate and lasting relief from cold, clammy hands.

How Effective Are Prescription Antiperspirants Like Drysol?

Prescription antiperspirants containing aluminum chloride hexahydrate, such as Drysol, are among the most commonly recommended topical treatments for hyperhidrosis.

They work by forming temporary plugs in the sweat ducts, reducing the amount of sweat that reaches the skin’s surface.

However, their effectiveness is often limited, especially for people with severe hyperhidrosis.

A study in Thoracic Surgery Clinics found that aluminum chloride reduced hand sweating for only about 48 hours after application, after which the effect quickly faded.

Patients should also exercise caution with topical antiperspirants, as high-concentration formulas often cause skin irritation or burning.

Another topical option sometimes prescribed is a 0.5% glycopyrrolate solution, an anticholinergic medication reported to reduce facial sweating.

That said, its effectiveness for hyperhidrosis, particularly in the hands and feet, remains uncertain, and more research is needed to confirm its benefits.

Can BOTOX® Injections Help Cold Clammy Hands?

BOTOX® may provide temporary relief from palmar hyperhidrosis by blocking the nerve signals that trigger sweat gland activity.

  • Procedure: Treatment involves multiple small injections across the palms. Because the palms are highly sensitive, regional anesthesia is often used to reduce discomfort during the procedure.
  • Effectiveness: Results usually last four to six months, meaning most patients need two to three treatment sessions per year to maintain dryness.
  • Duration and cost: Since the results are temporary, the ongoing cost and repeat visits make BOTOX® an expensive long-term option.
  • Limitations: BOTOX® is not FDA (Food and Drug Administration)-approved for use on the palmar hyperhidrosis.

Common drawbacks include injection pain, temporary hand weakness, and the need for repeated treatments, which many patients find inconvenient or impractical.

Many individuals who start with BOTOX® eventually choose Dr. Basseri’s minimally invasive surgical treatment, which provides immediate, permanent dryness in a single outpatient procedure, without the pain, expense, or repetition of temporary therapies.

What Is Iontophoresis and Does It Work?

Iontophoresis is a nonsurgical treatment in which the hands are placed in shallow trays of water while a mild electrical current goes through the skin to inactivate the sweat glands temporarily.

The treatment requires ongoing sessions, and sweating may return if therapy is discontinued.

For many patients, this intensive maintenance schedule makes it challenging to sustain iontophoresis over the long term.

Some people experience skin irritation, peeling, dryness, or mild discomfort during or after treatment.

Unlike iontophoresis, which demands continuous upkeep, Dr. Basseri’s minimally invasive surgical approach offers permanent dryness after a single outpatient procedure.

With a 99.2% success rate, this solution eliminates the need for frequent, time-consuming treatments.

Are There Oral Medications for Cold Clammy Hands?

Several oral medications are prescribed off-label to manage hyperhidrosis, though none are FDA-approved specifically for this condition.

Anticholinergic drugs such as glycopyrrolate and oxybutynin work by blocking acetylcholine, the chemical messenger that activates sweat glands.

However, side effects are common and often limit long-term use. These may include dry mouth (reported in up to 73% of patients), constipation, urinary retention, blurred vision, and, in some cases, cognitive impairment.

Some use alpha blockers to address the vascular component of cold, clammy hands by reducing excessive blood vessel constriction.

However, side effects often limit their use. Many patients discontinue oral therapy, most often due to severe dry mouth and overall discomfort.

In contrast, Dr. Basseri’s minimally invasive surgical approach targets the nerves responsible for hand sweating, providing precise, long-term relief without systemic side effects that come with oral medications.

When Is Surgery the Best Option to Stop Cold Clammy Hands Now?

Surgery becomes the best option for patients whose cold, clammy hands are severe, persistent, and disruptive to daily life.

At The Center for Hyperhidrosis, Dr. Basseri conducts a thorough assessment to determine whether surgery is the right path for each individual.

Ideal candidates include those who have yet to respond to conservative therapies, experience significant social or occupational limitations, and are seeking a permanent solution rather than ongoing symptom management.

With over 9,400 patients treated and a 99.2% success rate, Dr. Basseri’s minimally invasive approach uses advanced endoscopic techniques to deliver safe, immediate, and lasting results.

Every case is reviewed with honesty and precision to ensure the highest likelihood of success.

Dr. Basseri’s extensive experience allows for personalized treatment plans tailored to each patient’s condition and goals.

Unlike conservative methods that provide only temporary relief, surgery offers instant improvement.

Patients leave the procedure with warm, dry hands and a renewed sense of confidence.

What Is ETS Surgery and How Does It Achieve Our 99.2% Success Rate?

Endoscopic Thoracic Sympathectomy (ETS), performed by Dr. Eraj Basseri, is widely recognized as the gold standard treatment for palmar hyperhidrosis.

  • Minimally invasive approach: Using advanced endoscopic technology, Dr. Basseri makes tiny incisions to precisely identify and interrupt the sympathetic nerve chain responsible for excessive hand sweating.
  • Immediate results: Patients wake from surgery with dry, warm hands.
  • Proven success: With a 99.2% success rate and over 9,400 patients treated, Dr. Basseri’s results reflect his refined technique, extensive experience, and careful patient selection.
  • Outpatient recovery: The surgery is performed under general anesthesia and typically takes about an hour to complete. Most patients return to normal activities within 10 days.

For the majority of patients, results are permanent, providing lasting dryness, renewed confidence, and a significantly improved quality of life.

What Is ELS Surgery for Hand Sweating?

Endoscopic Lumbar Sympathectomy (ELS) is recommended for patients who experience excessive foot sweating or for those whose foot symptoms persist after ETS.

ELS targets the lumbar segment of the sympathetic nerve chain, which controls sweating in the feet.

Dr. Basseri is among the few surgeons in the U.S. with expertise in performing all types of sympathectomy procedures, including ETS and ELS.

When performed on appropriately selected patients, ELS achieves a 99.2% success rate in eliminating plantar hyperhidrosis.

With advanced skill in both ETS and ELS, Dr. Basseri provides a complete, individualized treatment plan, ensuring balanced, long-term results for patients with excessive sweating in multiple areas.

What Are the Risks and Benefits of Surgery?

The most common side effect for the ETS procedure is compensatory hyperhidrosis. Compensatory hyperhidrosis (another term for compensatory sweating) happens when treatment for excessive sweating reduces or stops perspiration in the original area but causes the body to sweat elsewhere. It occurs in varying degrees among patients. Most patients experience compensatory sweating when in hot climates or working out. This sweating is mild and predictable.

Under Dr. Basseri’s leadership and with the support of Dr. Reisfeld, The Center maintains a 99.2% success rate and exceptional patient satisfaction scores.

Together, they bring over 50 years of combined experience to every procedure, refining techniques that minimize complications and deliver consistent, life-changing results.

With us, you can feel confident knowing your care is in the hands of a trusted specialist dedicated to achieving the safest, smoothest outcome possible.

How Can I Prevent Cold Clammy Hands From Getting Worse?

Many people have explored the following prevention strategies that may help manage chronic cold, clammy hands.

It’s important to remember, however, that there is no proven permanent nonsurgical solution for hyperhidrosis, and we do not recommend unverified treatments.

That said, there are practical, everyday steps to reduce triggers and improve day-to-day comfort:

  • Trigger avoidance: Limit exposure to heat, stress, caffeine, and spicy foods, all of which can stimulate the sympathetic nerves and intensify sweating episodes.
  • Stress management: Incorporate relaxation techniques and regular physical activity to help minimize flare-ups.
  • Environmental control: Keep your surroundings cool and well-ventilated, and maintain comfortable humidity levels when possible.

Still, because hyperhidrosis often runs in families, complete prevention isn’t possible.

Studies show that hereditary factors play a major role in nerve overactivity, meaning symptoms can persist or even worsen without treatment.

For lasting relief, Dr. Eraj Basseri offers a minimally invasive surgical solution that directly targets the overactive sympathetic nerves.

His proven approach not only stops progression but also restores confidence and achieves permanent dryness, addressing what genetics alone can’t prevent.

What Lifestyle Changes Can Help?

Several lifestyle adjustments are said to help manage the symptoms of cold, clammy hands and mild hyperhidrosis, though the effects are usually temporary:

  • Stress reduction: Engage in regular exercise, meditation, deep breathing, and consistent sleep routines to calm the sympathetic nervous system and reduce stress-related sweating.
  • Dietary modifications: Limit caffeine, alcohol, spicy foods, and hot beverages, as they can trigger or exacerbate sweating episodes.
  • Clothing choices: Opt for lightweight, breathable fabrics and avoid tight-fitting clothes that trap heat and restrict air circulation.
  • Environmental control: Utilise fans, air conditioning, or temperature regulation to maintain a calm and comfortable environment.

While these strategies may offer some relief for mild symptoms, they rarely provide lasting control for moderate to severe hyperhidrosis.

For long-term freedom from constant management, Dr. Basseri’s minimally invasive surgical treatment offers a permanent solution, helping patients live comfortably without daily adjustments or ongoing worry.

How Do I Manage Cold Clammy Hands at Work or School?

Professional and academic environments can be especially challenging for individuals with cold, clammy hands. Still, several practical strategies can help manage symptoms:

  • Workplace accommodations: Keep absorbent tissues or towels on hand, use hand sanitizer for a quick-drying effect, and consider using keyboard protectors to make computer work easier.
  • Professional interactions: When possible, use handshake alternatives, carry moisture-absorbing wipes or powders, and ensure your hands are clean and dry before important meetings.
  • Academic settings: Choose pens that write well on slightly damp paper, explore digital note-taking options, and discuss potential testing accommodations if hand sweating interferes with written exams.

Persistent hand sweating can undermine professional confidence and performance, with studies showing that cold hands can lead to up to a 44% increase in typing errors.

For those seeking a definitive solution, Dr. Basseri’s minimally invasive surgical treatment provides immediate, permanent dryness, helping you perform at your best without daily worry or embarrassment.

Many of our patients report dramatic improvements in confidence, productivity, and overall career satisfaction following surgery.

“I’m so grateful this place exists. I’m in my late 40’s and suffered from Hyperhidrosis of the hands and feet my entire life. This has caused several issues over the years ranging from social anxiety to physical limitations. After copious amounts of research, I decided to set up a consolation with Dr. Basseri and decided to take the leap. So glad I did! Dr. Basseri preformed the thoracic sympathectomy (for the palms) 6 months later. I was so happy with the outcome, I scheduled the lumbar sympathectomy the following year. It was a game changer for me. Wish I discovered them years ago. Grateful for Dr. Basseri!”
Rick H

What Is the Long-Term Outlook for Cold Clammy Hands?

The outlook for cold, clammy hands depends mainly on the chosen treatment approach:

Without treatment: Symptoms often persist or gradually worsen over time, interfering with work, relationships, and daily comfort.

  • Conservative management: Nonsurgical methods are said to offer temporary relief but often require ongoing maintenance and rarely provide complete control.
  • Surgical treatment: For the right candidates, Dr. Basseri’s minimally invasive procedure delivers permanent relief with a 99.2% success rate. Long-term follow-up confirms lasting results and high patient satisfaction.

Successful surgical treatment can be truly life-changing, eliminating the daily burden of sweating, restoring confidence, and allowing patients to reengage fully in social and professional settings without worry.

How Successful Is Treatment at The Center for Hyperhidrosis?

Our results speak for themselves:

  • Exceptional success: A 99.2% success rate in surgical treatment for palmar hyperhidrosis, delivering consistent, proven results.
    Extensive experience: Over 9,400 patients successfully treated by Dr. Basseri, making The Center for Hyperhidrosis one of the largest and most experienced practices in the world.
  • Immediate, long-term relief: Follow-up studies show lasting dryness and high patient satisfaction years after surgery.
  • Comprehensive expertise: As the only surgeons worldwide offering Endoscopic Thoracic Sympathectomy (ETS) and Endoscopic Lumbar Sympathectomy (ELS), Dr. Basseri and Dr. Reisfeld provide a complete, personalized approach to treating all forms of hyperhidrosis.
  • National and international recognition: Under the leadership of Dr. Basseri, The Center for Hyperhidrosis stands as a global benchmark for hyperhidrosis care.
    Working alongside his esteemed colleague, Dr. Reisfeld, whose pioneering work has been featured on CBS, Fox News, and Newsweek, Dr. Basseri continues to advance the field of hyperhidrosis treatment and research.
    Together, they have brought the conversation about excessive sweating from the exam room to the world stage, sharing their expertise at international symposiums, such as the World Congress of the International Society of Sympathetic Surgery (ISSS).
    But beyond the headlines and conferences are the real stories: The patients who write back.
    Doctors, educators, and professionals alike describe their outcomes as life-changing.
    “You are a godsend. My hands are now 100% dry, which is a must in the medical profession. Because of your skillful work, I have more self-confidence now. Words cannot express the ‘burden’ that has been lifted from me.”
    L.M., M.D. | Nashville, Tennessee

What Happens if I Don’t Treat My Cold, Clammy Hands?

An untreated cold or clammy hands can lead to a range of progressive complications that affect nearly every aspect of life:

  • Social withdrawal: Many people begin to avoid handshakes, touch, and social interactions due to embarrassment or a fear of judgment.
  • Professional limitations: Excessive hand sweating can undermine confidence during meetings, presentations, and networking, which can limit career growth and performance.
  • Relationship strain: Self-consciousness and avoidance behaviors may interfere with intimacy and emotional connection.
  • Emotional impact: Over time, ongoing frustration and extreme introversion contribute to anxiety, low self-esteem, or even depression.
  • Physical issues: Constant moisture can cause skin maceration, increase the risk of infection, and lead to irritation or rashes.

Frequently Asked Questions About Cold Clammy Hands

1. Can cold hands be a sign of heart disease or anemia?

Cold hands can sometimes signal more than just poor circulation.

In some cases, they may point to heart disease or anemia, both of which affect how blood flows to your vital organs and the extremities.

When the heart can’t pump efficiently, blood flow to parts of the body, such as the fingers and toes, decreases, causing a persistent cold sensation.

In anemia, the blood lacks sufficient healthy red blood cells to carry oxygen, resulting in pale skin and unusually cool hands.

If cold hands are accompanied by warning signs of a heart attack, such as fatigue, chest discomfort, or shortness of breath, seek immediate medical help.

Our surgeons conduct a thorough differential diagnosis. They carefully review your medical history, family background, and physical examination to determine whether the condition is localized or part of a systemic issue.

2. Are you dissatisfied with your current antiperspirant products?

If you’ve tried every antiperspirant and still struggle with clammy or sweaty skin, the issue might go deeper than surface moisture.

Many products only mask symptoms but can’t stop the fight-or-flight response that triggers overactive sweat glands.

This nervous-system reflex is often associated with primary hyperhidrosis.

When standard products fail, a primary care consultation or specialist evaluation can reveal more effective, long-term options.

3. How long do I have to wait for results from different treatments?

Results vary depending on the type of treatment (surgical or nonsurgical) and the underlying cause of sweating.

Surgical solutions, such as Endoscopic Thoracic Sympathectomy (ETS), provide immediate and permanent results by addressing the overactive nerve signals that affect sweat regulation in targeted parts of the body.

Topical antiperspirants may take several days to reduce moisture.

In contrast, prescription treatments or medical procedures, such as iontophoresis or BOTOX®, are said to show improvement within one to two weeks.

Your healthcare provider can help identify which approach aligns with your goals and timeline.

4. What causes clammy skin throughout the body?

Hormone level fluctuations, illness, or activation of the fight-or-flight response can cause clammy skin that covers multiple areas of the body.

Stress, fever, and a sudden drop in blood pressure can prompt the sympathetic nervous system to release sweat as a protective reflex.

If clammy skin is accompanied by dizziness, weakness, or chest tightness, contact a healthcare provider immediately to rule out severe conditions.

5. How long do symptoms of menopause last?

Menopausal sweating symptoms, such as hot flashes and night sweats, can last between seven and 11 years.

Symptoms related to hormonal changes most often begin in their 40s, during the early stages of perimenopause.

One of the most recognizable manifestations of these changes is the hot flash. A hot flash is a sudden sensation of intense heat, often accompanied by flushed and clammy skin.

Most women experience hot flashes most intensely during the first one to two years after menopause, with symptoms typically improving and becoming less frequent as hormonal fluctuations stabilize.

As the only proven, permanent solution for palmar hyperhidrosis, ETS (Endoscopic Thoracic Sympathectomy) is Dr. Basseri’s preferred treatment for excessive hand sweating (palmar hyperhidrosis).

That said, “cold hands” alone don’t necessarily require a surgical approach. During your consultation, Dr. Basseri will carefully rule out all possible secondary causes, such as menopause and medications, before diagnosing primary hyperhidrosis.

6. Why are My Hands Cold and Clammy?

Patients who are suffering from Palmar hyperhidrosis will often complain of cold and wet or clammy hands. The reason for this clammy feeling is twofold. First, the overacting sympathetic chain causes vaso-constriction (narrowing of the blood vessels), which slows down the blood flow to the fingers. This, combined with the evaporation of sweat can cause clamminess.

Another symptom that is associated with both cold/clammy hands, is a discoloration of the fingers to a somewhat red or blueish color. The reason this sometimes happens is typically due to vaso constriction of the blood vessels. This slows the flow of blood in those areas of the body (hands and feet). With this restricted flow, there is also more oxygen extracted from the blood, resulting in a darker color.

The sympathectomy procedure will create a temporary warming of the fingers right after the surgery which is not permanent. For some it lasts for a few months, or years on very rare occasions. The reason for this is that the sympathectomy is much more effective on the sweat glands when compared to the blood vessels.

The blood vessels are autonomous in their ability to constrict or dilate, and that explains why the cold aspects of the clamminess symptoms may come back. Cold hands can also be caused by certain vascular disorders. These cause a pathological narrowing of the blood vessels. An appropriate discussion between the doctor and patient in regards to medical treatment of this condition would be an appropriate step.

There are some explanations as to why the cold and clammy feeling becomes more intense, but the reasons are vast and complex. There are some medications that can be used (alpha blockers), and the usage of those medications to help with the clamminess should be discussed with the treating physician.

7. Should I have Surgery if I Only Have Cold Hands?

This is a very common question. Cold hands alone is not an appropriate reason to do the surgery. In the above paragraphs, the physiological mechanisms of cold and clamminess symptoms are explained. It is a difficult subject to understand, but hopefully our explanation helps. Please post any questions you have in the comments below!

Take the Next Step: Contact The Center for Hyperhidrosis: Call (310) 557-3037

With over 9,400 hyperhidrosis patients treated and a 99.2% success rate, The Center for Hyperhidrosis continues to set the global standard for safe, immediate, and life-changing results.

Leading this legacy of excellence are Dr. Eraj Basseri and Dr. Rafael Reisfeld, whose 50+ years of combined experience reassure patients of unmatched expertise.

While hyperhidrosis isn’t classified as a disability, most insurance providers recognize it as a medical condition and often provide coverage for the procedure.

At The Center, our staff are experienced in working with different insurance companies and can guide you through your options.

Because policies differ, each case is reviewed individually.

Once you’ve completed a clinical evaluation and are confirmed eligible for surgery, our team will review all cost and coverage details with you.

Pricing varies depending on the type of surgery (hands or feet) and your insurance benefits. The good news is that treatment is often more affordable than expected.

Our support team will walk you through every step, handle insurance coordination, explain financial options, and ensure transparency from start to finish.

Are you tired of dealing with cold, clammy hands? Let’s help turn things around for you.

Book a consultation with Dr. Basseri at The Center for Hyperhidrosis in Beverly Hills, California.

Call us today at (310) 557-3037 or complete our online consultation form to take your first step toward comfort and confidence.

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