miraDry: Q&AAsk a Question
7 Doctor Answers | Asked by anon
MiraDry can be used even if there is still some residual effect from Botox. There is no need to start sweating severely again before embarking on this new approach.
Yes, you can have the miraDry procedure performed even when the effects of Botox for excessive underarm sweating have not worn off yet. This is because miraDry and Botox have different mechanisms of action. Botox injections temporarily diminish the firing of the nerves that control sweat gland function while miraDry eliminates sweat glands altogether through a novel microwave technology. Specifically, miraDry utilizes microwave technology to selectively target and eliminate...
It doesn't matter if you have had Botox while getting treated with miraDry. However, it is ideal if the physician can map the areas where there is sweating in order to give you the maximal benefit of the procedure. The area that needs treatment may be wider if the sweat glands are sweating, as opposed to having dry skin and not knowing if a larger area needs to be treated with miraDry.
There is no need to wait for Botox to wear off. Botox and Miradry work in completely different ways. Botox decreases the muscle pump action whereas Miradry destroys the sweat glands through selective heating.
There is no medical reason to have to wait until sweating is resumed after Botox to have MiraDry performed. Botox is a neurological treatment to temporarily suppress sweat gland activity. MiraDry is an anatomical elimination of the gland itself, and does not depend on how active the gland is at the time of treatment.
I would wait until the Botox has almost completely worn off before initiating treatment for axillary hyperhidrosis. My management of this problem is comprehensive and any patient with axillary sweating that is possibly hyperhidrosis should be evaluated thoroughly before initiating treatment with Retrograde Suction Curettage or Miradry. These techniques should be used with prudence and I would begin with a consultation to discuss your options, particularly with initiation of sweating....
No, you do not need to wait. You may do miraDry while the Botox is still there.