What is the most effective treatment for underarm sweating hyperhidrosis? Infini or Miradry

Miradry is associated with over an 82% reduction in sweating after 1 treatment. Satisfaction is very high. MIcroneedle radiofrequency treatments may also be beneficial but Miradry seems to be the gold standard as far as permanent sweat reduction.Botulinum toxin is, of course, effective, but a bit cost prohibitive in the long term. We use Miradry in my office as our current go-to treatment for excessive sweating for these reasons.

Although Dysport, Botox, Jeuveau, and Xeomin can be injected to treat sweating effectively, the long term costs exceed that of the Miradry, which is permanent for about two thirds of patients in one treatment and one third of patients in two treatments. In our experience, less than 5% of patients feel that two treatments is insufficient. Miradry uses microwaves to target water molecules in the sweat glands. Local numbing medicine is required, but the procedure is non-invasive. Infini uses radiowaves to heat up the sweat glands. This is a newer device and early results suggest it is less effective than Mirady. As always, discuss the available treatment options with a plastic surgeon who has experience treating this problem and using the different treatment options available. Doctors will tend to suggest using the tools or devices that they have available or own, but they should be able to discuss specifics about the relative advantages and disadvantages of various treatment modalities. Good luck.