One of my armpits was not well executed, what to do when the procedure is not properly done? (photos)

I submitted to a Miradry treatment on 19th Sep. in Clinica Liberty in Lisbon with Dr. João Lima Gabriel. Unfortunately my left armpit was not well done, I noticed that as soon as I got home and after 1 week I felt that I sweat more exactly from the area where the marks seem so inconsistent and my bromhidrosis which was very slight completely disappeared from my right armpit and continues in this one, less but still noticeable.  Thanks.

Doctor Answers 7

MiraDry - experience counts !

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Unfortunately, you may have had a poor outcome but time will tell if it worked for you.

Give it 3 months. 

In our practice, 90% of our patients require only a SINGLE miraDry session.

1st session is $1500.

if you need  second or third, it is only $1000 per session for our patients. 

No one said it lasts only 2 years. I don't know where you got this information.

I have been doing this procedure since 2011 and I am not seeing those patients from 2011, 2012, 2013, 2014 coming back for another session!

One session of miraDry costs as much as one session of Botox, which only lasts 3 months. 

H Karamanoukian MD FACS

Platinum Plus Provider for miraDry since May 2011

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Miradry Treatment

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The sweat glands can be in a different distribution from one side to the other. Due to this variation it is sometimes necessary for each underarm to have different treatment pattern. If you feel that an area was missed, you can return to the treating physician's office and have an iodine-starch test. This test will identify the exact areas that still have functioning sweat glands. It is not unusual for some patients to need a second treatment.

Be Well.

Dr G


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Thank you for your question and the photos.

Unfortunately the sweat glands are not always the same on each side, it is common to sweat more from one side than the other. It is important that you go back to see your doctor to discuss your concerns.

Good luck

Chien C. Kat, FRCS
Birmingham Plastic Surgeon
4.8 out of 5 stars 96 reviews


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Hello and thanks for your question. You should return to your treating physician and discuss your concerns. In my experience, patients with true hyperhidrosis need two treatment sessions and not just a single session. Some may even need a third for additional dryness. Best, Dr. ALDO :)

Still sweats

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Your best course would be to go back to the doctor and explain your problem.  One test is an iodine test that shows where the sweat is coming from.  You should be able to tell the difference on your different arms.  If there is a big difference perhaps the procedure needs to be repeated.


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After 3 mos, you can have a second session- at this time, often we make sure to treat the surrounding area (perimeter) of the initial treatment area. miraDry does not cause compensatory hyperhidrosis. Be well! 

Untreated areas

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It's important to follow up with the office that treated you with Miradry.  Generally, we do not re-treat until 3 months have passed.  After 3 months, we can get an accurate assessment of what areas are still active.  The entire armpit does not have to be re-treated.  The Miradry system is capable of custom patterns and treatments for patients only requiring treatment to specific areas.  After 3 months, the provider will likely do a starch iodine test to determine which areas are still active.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.