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Is Bilateral Breast Tenderness Normal 6 Weeks After Miradry?

I had the 2nd part of my Miradry procedure the second week of October and the setting was on level 4 because I did not have much improvement after the 1st treatment. My breasts swelled up 2 cup sizes and have been very tender. The swelling has diminished but is still present. The tenderness has increased especially at the base of my breasts extending to the axilla area. I've been taking Ibuprofen and Vicodin with little improvement. I'm a small woman- around 100 pounds, 5'3. Is this normal?

Doctor Answers (3)

Miradry and breast tenderness


The miraDry procedure utilizes microwave technology to selectively target and eliminate sweat glands in the armpits by focusing electromagnetic waves at a specific level in the body where sweat glands are located.  Energy at this specific level of treatment does not significantly reach the fat or breast tissue.  While swelling is more likely at higher treatment levels, I have not seen or heard of a case where miraDry resulted in persistent breast swelling.  I recommend you follow-up with the physician who performed the treatment for an in-person evaluation. 

Long Island Dermatologic Surgeon
5.0 out of 5 stars 8 reviews

Breast Tenderness after Miradry


I would say that breast tenderness/swelling after Miradry is not a typical reaction.  Certainly at high levels there is more swelling, and more tenderness.  However, since you have such extensive swelling/tenderness (requiring Vicodin) I would suggest that you see your physician as soon as possible.

Karyn Grossman, MD
Santa Monica Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

MiraDry and breast swelling


The way you phrase your question suggests that you are somehow involved in the medical field and as such, I would urge you to seek a breast specialist and not treat yourself if the problem does not go away in 4 more weeks. miraDry treatments are literally 'skin deep' and limited to the axilla and should rarely cause soft tissue swelling outside of the axilla or swelling of breast tissue. The microwave energy does not target breast tissue or lymph nodes according to Miramar Labs.

I have done miraDry for 3 years now and find it to be very safe and since I have a large experience in women, I have not seen this type of response. You should report the reaction to Miamar Labs or the FDA as it would help both patients and physicians.

Hratch Karamanoukian, MD, FACS
Buffalo General Surgeon
4.5 out of 5 stars 5 reviews

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