Miradry has been tested and proven in patients with axillary hyperhidrosis. Although it has not been shown to work in other areas and therefore cannot be recommended for use in patients with hidradenitis suppurativa, it is possible it may work. The appropriate studies need to be performed before it can be recommended.
MiraDry has been shown to be safe and effective for axillary sweating only.It has not been proven for hands and feet, and one should not assume safety in those regions. At this stage, we would not recommend its use for hands and feet.
We warn all our patients about the possibility of swelling following miraDry. The swelling is part of the inflammatory reaction in response to the injury to the sweat glands and other dermal structures. The good news is that will gradually settle with time.
For isolated underarm or axillary sweating, there are other options to surgery. In that setting, I would recommend miraDry, which involves microwave ablation of the sweat glands of the axilla. This can be performed in the office with no downtime, is done under local anaesthesia, has a very high success rate, and importantly does not put you at risk of compensatory sweating.However, if as well as the armpits, you are also concerned about your hands, I would recommend surgery (sympathectomy) as this procedure would treat both the armpits and hands with the same operation. Interestingly, many patients also notice an improvement in feet as well. You must be aware that there is a risk of rebound or compensatory sweating.
We have found that 80 to 90% of patients get an excellent response on level 5 after just one treatment. However, some patients will benefit from a second treatment if their hyperhidrosis is particularly severe, and I would encourage you to proceed after a period of 3 months. It is still early days, so be patient your symptoms may settle. We are in Melbourne, Australia and our fully accredited MiraDry practitioner has treated numerous patients with outstanding results.
