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Does miraDry Hurt?

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

Doctor Answers (12)

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.

New York Dermatologic Surgeon
4.5 out of 5 stars 30 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.

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Bay Area Dermatologic Surgeon
5.0 out of 5 stars 7 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.  

Los Angeles Plastic Surgeon
5.0 out of 5 stars 43 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

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Chicago Plastic Surgeon
4.5 out of 5 stars 22 reviews

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

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San Francisco Plastic Surgeon
5.0 out of 5 stars 9 reviews

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.

Danville Plastic Surgeon
4.5 out of 5 stars 3 reviews

MiraDry is virtually painless


Using a strategically painless, anesthesia delivery system and pre-medication, our guests find the MiraDry procedure to be relaxing and virtually painless.

Good luck!

Bellevue Dermatologic Surgeon
5.0 out of 5 stars 39 reviews



There is a little discomfort initially when numbing the area that is going to be treated. Once area is numbed the patient is usually comfortable for the entire procedure. Post treatment there will be some swelling and soreness for approximately 1 week. Icing the area for the first 24 to 48 hours is highly recommended to decrease the inflammation.

Dr. Grant Stevens Marina Plastic Surgery Associates Marina del Rey, CA The Institute

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Los Angeles Plastic Surgeon
4.5 out of 5 stars 57 reviews

MiraDry treatments


MiraDry requires only local anesthesia, which consists of a series of lidocaine injections.  While some patients perceive no pain while receiving lidocaine injections, some patients may experience a slight burning sensation.  To enhance patient comfort, we numb the armpits with a topical cream to minimize the sensation of any needle sticks from the lidocaine injections.  After appropriate numbing, the miraDry procedure itself is quite tolerable. 

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Long Island Dermatologic Surgeon
5.0 out of 5 stars 8 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.

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