How Long Does Miradry Work For?

Are multiple treatments for Miradry required? Does it treat sweating and BO?

Doctor Answers 11


Miradry is very effective in treating excessive sweating. The results can be longlasting and it usually takes two separate treatments. Another effective treatment for hyperhidrosis (excessive sweating) is Botox.

Miradry Lifelong Results

Miradry is the best way to correct your problem for your underarms. Generally one but sometimes two treatments are required for lifelong results.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 77 reviews


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.
Botox can be a good alternative while miradry is being approved for use in those areas. Botox prevents the nerves from telling the sweat glands to produce sweat and odor. Hope that helps!
And we are the busiest miraDry practice in California with great results. Let us know if you can help in any way.

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 42 reviews

How Long Does Miradry Work ?

Miradry is the best way to correct your problem for your armpits. Generally one but sometimes two treatments are required for lifelong results. Excess sweat (hyperhydrosis), and smelly armpits (bromhydrosis) are caused by eccrine (sweat) and apocrine glands whose secretion is modified by bacteria causing a bad odor. Even though you may wash frequently, the cleaning action does not get down into the pore depth where the bacteria live. In Asian countries, this is the major use of this technology. Miradry eliminates these glands permanently and solves both problems. You will never need to use deodorant again.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 110 reviews

How long does Miradry work?

the mirAdry system for hyperhidrosis is very effective but the longevity of the results there is from 1 patient to the next.  In general, patient's find the results last up to 2 years or more when treated with moderate to more aggressive settings as far as the energy level of the treatment and is concerned and with 2 separate treatments.  There is no evidence yet to support maximal energy level use in patients even if they have more severe hyperhidrosis.  In patients who have severe hyperhidrosis it is probably safest and most effective to plan for 3 treatments at the same moderate to moderate to high settings.  The treatment is performed under local anesthesia and approximately 45 minutes.  It does have some downtime associated with it such as underarm swelling, redness, stiffness of the tissues, and even temporary tingling of the hands or fingers.  Most patients simply experience approximately 1 week of swelling and redness.  Another side effect is loss of hair in the axillary or armpit area.

Chase Lay, MD
Double board-certified facial plastic surgeon

Chase Lay, MD
Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 63 reviews

Treatment efficacy with the Miradry system in Los Angeles

Miradry has received very high efficacy ratings among patient reviews.  The Miradry system provides longlasting results and most patients will benefit from one to two treatments spaced apart. Raffy Karamanoukian, Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 85 reviews

Long lasting results of miraDry

MiraDry is the only FDA-approved procedure that offers long-lasting results for excessive sweating.  For optimal results, we recommend two miraDry treatments spaced 3 months apart.  Studies demonstrate that miraDry results last up to 2 years and are likely permanent as sweat glands do not regenerate.  The miraDry procedure helps eliminate body odor related to sweat, which is also known as bromhidrosis.  The miraDry procedure utilizes microwave technology to selectively target and eliminate sweatglands in the armpits by focusing electromagnetic waves at a specific level in the body where sweat glands are located.  MiraDry is the only device on the market that is able to eliminate both eccrine (normal swat) apocrine ("smelly" sweat) glands. 

Joshua L. Fox, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 17 reviews

MiraDry is for hyperhidrosis and bromhidrosis

miraDry treats excessive sweating (hyerhidrosis) and exceessive oder (bromhidrosis). One or two treatments and better than 88% efficacy in eliminating or reducing sweat and excessive odor from the underarms.

The results may be permanent

Although the permanency of results has not been scientifically validated, I suspect that the results will be permanent after two sessions since the sweat glands appear to be gone base on tissue histology studies

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon
4.5 out of 5 stars 34 reviews

MiraDry results are long-lasting

MiraDry consists of 2 treatments, spaced at approximately 3 months apart.  In some occasions, a third treatment may be necessary.  Preliminary studies show results lasting 2 years, but results should be permanent as the procedure destroys both sweat and odor glands which do not regenerate.  It treats both underarm sweat as well as odor.

Karyn Grossman, MD
Santa Monica Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

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.