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

Question

I got a first treatment of Miradry last month. It helped but not 100% completely dry . I still get a little wet or moist under my armpit on these hot days. I still have odor. I would like to do a second treatment; but I would like to know if I can ask the physician to increase more higher energy to eliminate the odor? At what level should I ask him? I prefer not to visit him on a third time. Thanks for your advice.

Aldo Guerra, MD · Answer

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

Jed H. Horowitz, MD, FACS · Answer

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

Shareef Jandali, MD · Answer

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.

Grant Stevens, MD · Answer

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.

Hratch Karamanoukian, MD, FACS · Answer

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

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

Answers (6)