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Which Method Works Better for Excessive Underarm Sweat... Mira Dry or Botox? And Cost Wise?

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MiraDry is more cost effective in the long run

miraDry is more cost effective - after 3 treatments with Botox, the cost becomes identical to the miraDry procedure. So, you may choose to get the more permanent procedure - read the ebook about miraDry procedure.

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While miraDry may cost more initially, (approximately $3000 total for the two recommended treatments), in the long run it is more cost effective. Each botox treatment costs between $1000 -2000, and this needs to be repeated every 4-6 months for life. MiraDry treatments have thus far proven to be permanent after 5 years of studies.

MiraDry is the Best Method for Treating Excessive Underarm Sweating

Dear Belindabebe,

When it comes to treating excessive underarm sweating:

1. miraDry is equally effective as Botox (both reduce excessive underarm sweating by 70-80%). Both miraDry and Botox are safe and non-to-minimally invasive procedures. miraDry does cause some bruising, swelling, and temporary numbness of the underarms that Botox does not.

2. The results from miraDry are much longer lasting and possibly permanent

3. miraDry is a much less costly long term solution for treating excessive underarm sweat.

Based on these factors, miraDry is generally considered a superior treatment to Botox for the treatment of excessive underarm sweating.

miraDry has been a godsend for many of my hyperhidrotic patients.

Warmest wishes,

Larry Fan, MD 


Larry Fan, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 10 reviews

MiraDry is a better value in the long run

Both methods work well, the problem with botox is that its not a long-term solution.  You will experience a reduction in sweat but only for a few months at a time.  Cost is usually around $1,000 for both underarms.  Both procedures are typically out-of-pocket expenses but occasionally insurance will cover botox.  MiraDry is usually between $2,500-3,000 for two treatments and the procedure actually destroys sweat glands.  Most patients experience a significant reduction (~86% average) after the second treatment and the sweat glands do not return.  There is also no compensatory sweating with miraDry. 

Miradry vs. Botox

Miradry is an excellent, safe, and cost-effective strategy for underarm hyperhidrosis. Miradry continues to be our gold-standard for underarm hyperhidrosis. 

Dr. Karamanoukian 
Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 57 reviews

Depends on how long BOTOX lasts for you......

In Australia, BOTOX for excessive underarm sweating is subsidised by the government / Medicare and PBS. This means most patients pay 400 USD for a treatment. Botox for underarm sweating is extremely variable- some patients have reduced sweating for 2 months, some for over 12 months. The average sweat free period is just over 6 months. 
Miradry is priced at about 3300 USD hence if you are an average sweat free responder to BOTOX, miraDry is worth while in the long run. 

Some of my BOTOX patients seem to have sweat free/ reduction periods of up to 14 months. In this case, I encourage them to stick to BOTOX as the price of miraDry will decrease in the next few years. 

Botom line- it depends on you and how you respond. 


Dr Davin Lim 
Cosmetic and Laser Dermatologist

Davin Lim, MBBS, FACD
Brisbane Dermatologist
5.0 out of 5 stars 3 reviews

Which Method Works Better for Excessive Underarm Sweat... MiraDry or Botox? And Cost Wise?

Both MiraDry and Botox are effective treatments for excessive underarm sweating (axillary hyperhidrosis). The only down side to Botox is it costs around $1000 per treatment and only lasts for 4-6 months. MiraDry is the only FDA approved procedure that provides lasting results. With only 2 treatments spaced 90 days apart, patients on average see an 86% sweat reduction. I think in the long run you will be much happier and save a lot of money choosing MiraDry.

Phillip Chang, MD
Leesburg Plastic Surgeon
5.0 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.