Will Miradry Successfully Treat Severe Compensatory Sweating Caused by ETS?

Question

I'm a 30 year old female and I've had ETS done in 1999 for palmar hyperhidrosis. Now my hands and face don't sweat, but literally every other part of my body does. I can't use strong, prescription antiperspirants on my armpits (like Klima, Odaban etc), as my skin is extremely sensitive, especially after I've shaved. Medication also has no effect: neither prescription meds (like Oxybutynin) nor natural homeopathic remedies. Also, any idea when Miradry will be available in South Africa? Thank you!

Raffy Karamanoukian, MD, FACS · Answer

Miradry is an excellent longterm treatment for underarm sweating. I have performed the procedure in a subset of patients who have had compensatory sweating from ETS and the results are excellent. Best, Dr. Karamanoukian Los Angeles

Melissa Chiang, MD, FAAD · Answer

One of the unfortunate side effects of ETS is compensatory sweating.  MiraDry will decrease sweating in the armpits, whatever the cause.  However, it only works in the treated area (armpits).  Of note: with MiraDry, there is no side effect of compensatory sweating.

Sheila S. Nazarian, MD · Answer

Although miraDry is getting a lot of attention recently, it has actually been around for a while. It has been extensively studied and there is no cancer association. The FDA has cleared it for safe use as well. The microwave energy only penetrates 4-5mm in depth and heats up and destroys the sweat and odor glands. The energy does not reach lymph nodes or deeper structures and it in non-ionizing radiation (the safe kind, like radiowaves). I have had the procedure done myself and it has truly been a gift. One and done for 80% of people! In the long term, much more cost-effective than Botox which has to be repeated every 3-6 months. Let us know if we can help in any way.

William Ting, MD · Answer

I strongly recommend against ETS (endoscopic thoracic sympathectomy) because the subsequent compensatory hyperhidrosis is exceedingly prevalent and unpredictable. While MiraDry for axillary hyperhidrosis has not linked to compensatory hyperhidrosis, it is not approved by the FDA nor is it sanctioned by the manufacturer to be used outside of the armpit areas. Better option may be utilization of Cynosure PrecisionTx (formerly known as SideLaze) where 1440nm laser energy gets delivered underneath skin for effective and safe ablation of eccrine sweat glands. An experienced dermatologist may also prescribe Robinul for compensatory hyperhidrosis as well.

Anshul Gambhir, MD · Answer

Thank you for your message! miraDry is a great option to help permanently reduce under arm sweating and odor. It is only approved for the underarm area at this point. The procedure is typically abuot $2,000, though can vary depending on the office. I would recommend a consultation with a provider in your area for further evaluation!

Will Miradry Successfully Treat Severe Compensatory Sweating Caused by ETS?

Answers (10)

Answer: Compensatory hyperhidrosis caused by ETS

Answer: Compensatory hyperhidrosis caused by ETS

Answer: MiraDry

Answer: MiraDry

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Will Miradry Successfully Treat Severe Compensatory Sweating Caused by ETS?

Answers (10)

Answer: Compensatory hyperhidrosis caused by ETS

Answer: Compensatory hyperhidrosis caused by ETS

Answer: MiraDry

Answer: MiraDry

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Recommended reading

Everything you need to know about MiraDry

Our mission is to create a world where every investment in modern beauty is Worth It.