An 18-year-old male patient diagnosed with severe facial blushing, refractory to conservative treatment, was selected for bilateral sequential thoracic sympathectomy following a multidisciplinary discussion. The patient's preference to undergo the procedures separately, to minimize risks and facilitate recovery, was respected. The video highlights the striking postoperative outcome following the left-sided sympathectomy performed via uniportal video-assisted thoracoscopic surgery (uVATS) (Fig. 1). The selective interruption of the sympathetic nerve at the T2 level is demonstrated in the postoperative images provided by the patient, showing a clear contrast between the untreated side of the face, which remains visibly red, and the treated left side, which exhibits complete resolution of the facial blushing. This case, supported by visual evidence of the clinical outcome, underscores the effectiveness of thoracic sympathectomy in the treatment of facial blushing, aligning with findings reported in previous studies on the use of this technique.1,2
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