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I Have a Problem with Under Arm Sweating Went to Doctor Who Prescribed a Powder That is No Longer Available. Botox Only Option?


Doctor Answers 4

Many options for underarm sweating, including antiperspirant, botox, miradry, axillary shaving

The treatment ladder for excessive underarm sweating includes:

1) prescription strength antiperspirant - works in some people, but can be irritating

2) botox - works extremely well, but requires repeat treatments every 6-9 months

3) miraDry - works extremely well; most people require two treatments spaced a few months apart

4) axillary shaving - works extremely well; most people require only one treatment, but this is a surgical option so it is more invasive than botox or miraDry


Houston Dermatologic Surgeon
5.0 out of 5 stars 7 reviews

5061 FM 2920
Spring, TX 77388

MiraDry for underarm sweating

Besides Botox, other treatment options available for excessive armpit sweating include topical solutions, oral medications, laser, iontophoresis, curettage and surgery.  Botox injections for excessive underarm sweating has to be repeated after 4-6 months as the results are not permanent.  MiraDry is the only FDA-approved procedure that offers long-lasting results.  Studies demonstrate that miraDry results last up to 2 years and are likely permanent as sweat glands do not regenerate.

Joshua L. Fox, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 15 reviews

175 I.U. Willets Road
Roslyn Heights, NY 11507

MiraDry is the Gold Standard Treatment for Excessive Underarm Sweating

Dear fitzyhill1,

Excessive underarm sweating (ie. axillary hyperhidrosis) can be a very troublesome condition.

Treatment options include topical antiperspirants, oral medicines, miraDry, Botox injection, and surgery.

For a small percentage of patients, topical antiperspirants or oral medicines may suffice. However, most patients require stronger and more effective treatments.

MiraDry is a very effective, non-invasive treatment for excessive underarm sweating that uses electromagnetic wave energy to ablate the underarm sweat glands. Scientific studies show that miraDry reduces underarm sweating on average by 80%, with the treatment effect lasting at least a few years if not permanently.

Botox is another treatment option that is also effective, with a similar reduction in sweating, but is costly and requires maintainence treatments every 3-6 months.

Surgery is another treatment option. Surgical treatments include suction curettage, liposuction, and sympathectomy. Suction curettage and liposuction are older treatments for underarm sweating and have much lower rates of effectiveness. Sympathectomy is considered a last resort option. Sympathectomy is also effective for reducing sweating, but it is highly invasive, has significant risks, and associated with undesirable side effects such as compensatory facial sweating.

I have treated hundreds of patients with excessive underarm sweating using miraDry. The results have been excellent, and patient satisfaction has been greater than 96%. But don't take my word for it - check out the Treatment Ratings for miraDry here on RealSelf.

I hope this helps.

Warmest wishes,

Larry Fan, MD




Larry Fan, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 14 reviews

77 Van Ness Avenue
San Francisco, CA 94102

Underarm sweating options - Hypercare, Botox, Suction Curettage, miraDry

For underarm sweating, if topical products (Certain Dri, Drysol, Hypercare) don't work or irritate the skin - or if antichoinergic medications don't work or have side effects (Robinul) and if Botox is not affordable (1500 dollars per session every 3 months), options are suction curettage (which I do not recommend any more since miraDry came on the market), then the best option to date is miraDry microwave technoogy - this is the best treatment (may need 2 sessions) today and is minimally invasive, no cuts no sutures and no downtime ...

Hratch Karamanoukian, MD, FACS
Buffalo General Surgeon
5.0 out of 5 stars 27 reviews

5225 Sheridan Drive
Williamsville, NY 14221

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