Should I request the physician to increase more higher energy for second treatment?

Level 5 is the highest. At this level, most people see a 75 to 80% reduction in sweat and odor with one treatment. Many patients require a 2nd treatment at the same level to get even more dryness. The procedure is safe and can be done in the office under local anesthesia. Speak with your physician about your concerns and they can set up your second procedure safely. Best, Dr. ALDO

In our office, we always treat at level 5 which is the highest level. We typically see a 70-80% reduction with the first treatment, and it is ok to have a 2nd-even 3rd tx, but realistically you wont see 100% reduction. You may experience some "phantom sweating" which is common. I would return for a starch iodine test to determine the amount of active sweat glands (if any) you have after 90 days. Good luck!#phantomsweat #miradrylevel #bromhidrosis

Most physicians who are using the newest treatment guidelines use a tumescent technique (injecting high volumes of numbing medication) as well as always treat on the highest level (5).  You can check if this is what you were previously treated with.  Some patients just need more than 1 treatment in order to have no sweating, even if they were treated on level 5.

Our standard protocol with miraDry is to treat at energy setting level 5.  It is not uncommon to have a second treatment 3 months post your initial procedure.  The expected reduction in sweat and odor is approximately 80%.  In some rare cases we have even treated a few patients for a third time, but this is very uncommon.  Never expect to achieve 100% reduction of sweat in the treated area.  Hope this helps.

I do almost all of my miraDry procedures on Level V. It is the rare patient who is very thin in whom lower energy settings are appropriate to prevent nerve injury. I would ask him to use the max energy setting, i.e. Level 5 setting.We are a Platinum Plus Provider for miraDry.Hratch L Karamanoukian, MD FACS 

Thank you for your question. I recommend speaking to your physician about the various treatment levels. The Miradry treatment level ranges between one and five. My office routinely treats at level five for all patients. We have been using this setting since obtaining the laser two years ago. The comfort of your physician will be based on his/her experience with the laser. We have been very successful in treating both sweat and armpit odor.