Is Precision TX or miraDry better for destroying underarm aprocrine glands?

Question

Hi doctors, I have dry armpits but a bad onion odor coming from them . I had one mitadry treatment at a level 5 but that didn't help the smell at all. Is precision tx a better option for me?

Stewart Wang, MD, FACS · Answer

Precision TX is using laser fiber inserted under the skin and deploy laser energy to destroy glands on the deep surface of the skin. It is very operator and energy dependent. The major risk is burning of the skin which can result from minor burn scar to necrosis depending on the severity of the burn. Miradry is a non-invasive microwave technology treatment coming from out side the skin and patented cooling mechanism to protect the skin during treatment. Some patients need more than one session to achieve desired effect. There are several other reasons that may affect your result, not just the energy level. In any case, my recommendation is to seek out physicians who have extensive experiences with both treatment options to give you unbiased advice. We have used both technologies extensively. For the past 2 years, miraDry has been the treatment of choice for axilla sweat/odor reduction in our offices.
Sincerely,
Stewart Wang, MD FACSBoard Certified Plastic SurgeonMedical Director, Wang Plastic Surgery & Med Spa

Larry S. Nichter, MD, MS, FACS · Answer

Thank you for your question and I'm sorry you haven't  had the result you're looking for yet. I would recommend you do a second and possibly 3rd treatment spaced at least 10-12 week apart. Good luck!

Aldo Guerra, MD · Answer

Hi Trav.I think MiraDry has a better track record. Also, I personally did the procedure and it has worked out well. Read the link below and see the vide for more information.Best wishes, Dr. ALDO :)

Hratch Karamanoukian, MD, FACS · Answer

miraDry helps reduce bromhidrosis quite effectively. As it reduces hyperhidrosis, it reduces moisture related bacterial growth whcih promotes malodor. It nonselectively destroys the 3 types of sweat glands: apocrine, eccrine and apoeccrine. 90% of my patients require a SINGLE miraDry procedure to treat hyperhidrosis.68% of my patients with ISOLATED bromhidrosis need 2 or 3 sessions to reduce the severity of the odor. Brmhidrosis is a challenging problem to treat as it is a multifactorial problem as noted above.

Is Precision TX or miraDry better for destroying underarm aprocrine glands?

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