Does miraDry Hurt?

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

Doctor Answers 18

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

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 33 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 11 reviews

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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 70 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 14 reviews

Miradry treatment is well tolerated.

The entire area is numbed first with lidocaine injections, and the treatment is virtually painless. The recovery is also tolerable, with most patients Icing at home, resting, and taking Ibuprofen as needed.

Kaleroy Papantoniou, MD, FAAD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 16 reviews

Minimal Pain with miraDry

Here at the BioSpa in Pacific Center for Plastic Surgery, we use a blunt-end cannula to safely anesthetize the  underarms  to produce sufficient anesthesia.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 76 reviews

Numbing before miraDry treatments

The key to creating a pain-free treatment is proper numbing . A blunt-end cannula can safely infiltrate  large volumes of fluid containing lidocaine with epinephrine  along with normal saline to produce sufficient anesthesia, reduce discomfort for the targeted areas.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 38 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 92 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.