It is important to see someone with experience for the miraDry because effectiveness is related to technique and technique prevents side effects and complications. With progressive "Ineffective technique", there is tissue fibrosis requiring modification of technique to deliver the energy in order to destroy sweat glands that have been treated twice before. I have treated several patients from abroad (Japan, Singapore and Turkey) who had 2 and 3 procedures in their country with continued sweating that I fixed with miraDry ! The worst outcome would be injury to nerve structures in the axilla but this is a very rare complications and should be recognized by certain anatomic subtypes such as very thin people. Proper tumescent anesthesia practically eliminates this problem. In our practice, 86% of our patients require only a SINGLE miraDry rocedure. This saves patients the discomfort of going through the procedure twice and reduces cost to 50% of MSRP by miraDry !If you want to see the experts, come and visit our practice.Read my ebook about miraDry on the link below.We are a Platinum Plus Provider for miraDry, the only one in Western New York.We are 10 minutes away from beautiful Niagara Falls, NY. BestDr Karamanoukian#RealSelf100 Member