Does miraDry Hurt?

I read an article where the guy who had Miradry done said it was quite uncomfortable. Is this normal?

Doctor Answers 15

Pain from miraDry treatment

Initially, you will feel a little stinging from the lidocaine injections. Once the area is numb, however, the treatment is fairly comfortable, although you may occasionally feel a warm area or “hot spot” during treatment.  However, these are quite uncommon.

Santa Monica Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

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Fairly Painless

After local numbing shots, the Miradry procedure is fairly painless. My patients find it easy to tolerate.

Cameron Rokhsar, MD
New York Dermatologic Surgeon
4.5 out of 5 stars 32 reviews

MiraDry comfort level during and after procedure

We typically first apply icepacks prior to injecting local anesthesia (lidocaine). Thus one typically experiences tiny pinches as similar to skin biopsies. Subsequent electromagnetic wave delivery may lead to warm sensation. On seldom occasions, one may experience rare moments of deep achy sensation. Postop expectation includes mild swelling and nonspecific achy-ness in the treated area that can last a week or two.

William Ting, MD
Bay Area Dermatologic Surgeon
5.0 out of 5 stars 8 reviews

Treatment of axillary hyperhidrosis and underarm sweating with Miradry and Retrograde Suction Curettage

There are many options for axillary hyperhidrosis  including MiraDry, Botox injections, Yag laser, and Retrograde Suction Curettage.  Most of these treatments have long term success.  MiraDry is safe and effective, as well, I have found the Retrograde Suction Curretage to be extremely effective in resistant patients who need aggressive treatment of their axillary hyperhidrosis.  

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

Not really done under local

without local anesthesia it stings but with local it is very tolerable. If you are super sensitive we can apply topical cream first then there is virtually no pain.  We also have capability to use sedation for those who are super sensitive about the local - your choice!

We offer MiraDry in Chicago and the North Shore of Chicago at New Horizons Center for Cosmetic Surgery and Dr Turowski

Does MiraDry Hurt?

MiraDry is a noninvasive electromagnetic treatment for treating excessive underarm sweating (axillary hyperhidrosis).

Most patients experience little pain during the procedure because it is performed under local anesthesia, which numbs the underarms. The numbing shots themselves cause small bee stings, which last only for a short period of time. Afterwards the local anesthesia has been given, the underarms will be numb. During the actual treatment, most patients experience some pressure and light pulling on the skin, with some sensations of warmth. There may be an occasional "hot spot" that lasts briefly but is usually well tolerated. After the treatment, there is some swelling and sensitivity of the underarms that may last several days.

Having said this, pain is a very subjective experience and varies from person to person.

I have personally treated almost 50 patients to date using the MiraDry system. Most patients have described the discomfort during the procedure as a score of 1, 2 or 3 (ie. mild discomfort) on a pain scale of 1-10 (with 10 being highest). A very small fraction of patients (<10%) called the procedure very uncomfortable. Although the treatment is very new, most patients have been very satisfied with the results of their treatments so far.

Hope this helps.

Warmest wishes,

Larry Fan, MD

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


In my practice, we apply topical numbing cream to the area first, followed by a few small local anesthetic injections.  At that point, there is essentially no reports of pain or discomfort.  If a patient feels anything, we provide more anesthetic to eliminate discomfort.

After the procedure, patients will experience a soreness that is relieved with icing and over the counter pain medication such as ibuprofen or Tylenol.

Best of luck!

Jeffrey B. Wise, MD, FACS
Wayne Facial Plastic Surgeon
5.0 out of 5 stars 66 reviews

MiraDry should be tolerable, not painless

We aim for the procedure to be tolerable... say 1-3 out of 10 pain scale wise. How do we do it?
We use a special numbing cream one hour before patients come in, then we use lidocaine injections, this, coupled with skin cooling makes it super tolerable. 
Then its ice ice ice to decrease the swelling and redness. 

Post miraDry there will be swelling and some pain- ice, ibuprofen and rest settles this down.

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

MiraDry and discomfort

miraDry can be a little uncomfortable during the procedure, as you will be getting little injections of a numbing medication. This makes the rest of the miraDry treatment very comfortable and tolerable. Once the discomfort wears off, you will have soreness and tenderness, and sensitivity underneath the arms. In addition you may experience some numbness on the inner aspect of your arms and sometimes into your forearm. This is because a nerve underneath the armpit may have been transiently injured during the process as well. This should resolve 

Relatively painless

The miradry procedure does require local anesthesia which is injected with a very small needle in small amounts throughout the axilla.  Most patients have minimal if any discomfort and once numbed, there is little sensation other than the suction.  After the procedure, ice and light compression, snug fitting sleeved shirt, works well to control any discomfort.

The benefit is experienced almost immediately with reduction in sweat and odor and although sweating will return over the next few months it is at approximately a 50% reduction.  80-85% reduction can be achieved for most patients with the second treatment at 3 months.

Michelle J. Place, MD
Danville 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.