Can you have both miraDry and Botox done (i.e.: one after the other) for axillary hyperhidrosis?

Question

I heard Botox requires multiple sessions and that miraDry works about 80% of the time and may also require additional treatments. Thanks!

Aldo Guerra, MD · Answer

Great Question!  Both Botox and MiraDry are effective treatments for underarm sweat and odor.  Botox is a TEMPORARY treatment that will need to be repeated over time, which can be costly in the long run.  Miradry, is a PERMANENT option.  MiraDry uses heat energy to target and destroy the sweat and odor glands in your underarm. Once those glands are destroyed they do not grow back.  The majority of patients see a 75-82% reduction in sweat and odor after one treatment.  Those who have severe hyperhidrosis may need additional treatments.  In the long-term, MiraDry is more cost-effective.  Best regards, Dr. Aldo :-)

Shareef Jandali, MD · Answer

MiraDry is permanent but can be performed without any problem after Botox or even while the effect from Botox is still in place. Botox works for only 6-8 months and then needs to be repeated.

Grant Stevens, MD · Answer

miraDry gives approximately 80% reduction of sweat in the the treated area.  Botox can also be done to reduce the excess perspiration that isn't achieved after miraDry.  The difference is the results from miraDry are permanent and Botox lasts approximately 6months.  There is no contraindications with either treatments or combining the two.  Hope this helps.

Hratch Karamanoukian, MD, FACS · Answer

miraDry is effective in treating excessive underarm sweating. As a matter of fact, in our practice, 90% of our patients require a SINGLE miraDry session at Level 5. We are a Platinum Plus Provider for miraDry. We have been performing miraDry since May 2011.

Ravi Somayazula, DO · Answer

Both these procedures are very effective for the treatment of underarm sweat and odor. Botox can last up to 6 months. It is NOT permanent so twice a year treatments that are required yearly can be costly over time. Miradry, on the other hand is permanent. 80% people require 1 treatment. The results are seen at one week and the new baseline reduction is seen at 6 weeks. From a cost effective standpoint, MIRADRY is far superior.Best wishes,Dr. Ravi Somayazula

Barry N. Silberg, MD, FACS (retired) · Answer

Botox certainly works for underarm sweating however it only lasts for a few months and needs to be repeated.  MiraDry has been very effective and most people only require one treatment.  It not only helps sweating but also helps with odor.  The effects last for years and there is very little down time.

Can you have both miraDry and Botox done (i.e.: one after the other) for axillary hyperhidrosis?

Answers (6)

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