Why Do I Have Bad Sweat Breakouts After 2nd MiraDry Treatment?

We’ve had great success with Mirdary procedure in our office. Pretty much all of our patients are very happy with the sweat reduction even after one treatment, but we always recommend for everyone to do two treatments for the best results. If you are experiencing still a lot of sweating after your second treatment you can have a third treatment done but before you decide to proceed with that there are a couple things that you should ask the office that performed you procedure. First, the treatment level that was used for you should be at least level 3 for the first treatment and level 4 for the second. Lower levels are not as effective to permanently destroy the sweat glands. Second, you can ask them to do a Starch Iodine Test for your underarms and see if you are sweating outside of the treated area. If you do, in that is the case, you are out of luck because Miradry is approved for only treating the underarms. Botox might be your only option. Good luck!

I am sorry that you are still bothered by severe sweating episodes.

Under the newest protocol, miraDry patients tend to have an average of 80% reduction in sweating with one treatment.  For the heaviest sweaters (people that have to change through soaked shirts several times a day), an 80% reduction means that they are still going to have noticable sweat.  However, the amount of sweat is vastly reduced, allowing them to be much more functional. Under older protocols, including treatments performed in 2012, not everyone was able to have the most optimal treatment.  With optimizations of how the area is numbed, virtually every person receives the most aggressive treatment.  This means that treatments today are more effective than treatments five years ago.

The first miradry treatment eliminates 82% of the sweat glands in the first treatment, not all of them.  Consider a second treatment. at level 5 with the tumescent protocol. We are the busiest miradry practice in California and have great results. Let us know if we can help you!

Miradry continues to be a powerful tool for hyperhidrosis of the axilla. There are cases in which breakthrough sweat can occur and if this is the case, you may need an evaluation for a third Miradry treatment or Botox. Best, Dr. Karamanoukian Los Angeles

Thank you for your message! Unfortunately there is a rare percentage of people that do not respond to the procedure. Most patients only require one treatment, though some benefit from 2 or 3 treatments. It is possible your sweat glands are either too deep or too superficial to be reached by the miraDry pulses! I would recommend a consultation with a provider in your area for further information or to consider supplemental modalities such as Botox under the arms!