Which Method Works Better for Excessive Underarm Sweat... Mira Dry or Botox? And Cost Wise?

Doctor Answers 11

MiraDry is more cost effective in the long run

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miraDry is more cost effective - after 3 treatments with Botox, the cost becomes identical to the miraDry procedure. So, you may choose to get the more permanent procedure - read the ebook about miraDry procedure.


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While miraDry may cost more initially, (approximately $3000 total for the two recommended treatments), in the long run it is more cost effective. Each botox treatment costs between $1000 -2000, and this needs to be repeated every 4-6 months for life. MiraDry treatments have thus far proven to be permanent after 5 years of studies.

MiraDry is the Best Method for Treating Excessive Underarm Sweating

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Dear Belindabebe,

When it comes to treating excessive underarm sweating:

1. miraDry is equally effective as Botox (both reduce excessive underarm sweating by 70-80%). Both miraDry and Botox are safe and non-to-minimally invasive procedures. miraDry does cause some bruising, swelling, and temporary numbness of the underarms that Botox does not.

2. The results from miraDry are much longer lasting and possibly permanent

3. miraDry is a much less costly long term solution for treating excessive underarm sweat.

Based on these factors, miraDry is generally considered a superior treatment to Botox for the treatment of excessive underarm sweating.

miraDry has been a godsend for many of my hyperhidrotic patients.

Warmest wishes,

Larry Fan, MD 


Larry Fan, MD
San Francisco Plastic Surgeon

MiraDry is a better value in the long run

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Both methods work well, the problem with botox is that its not a long-term solution.  You will experience a reduction in sweat but only for a few months at a time.  Cost is usually around $1,000 for both underarms.  Both procedures are typically out-of-pocket expenses but occasionally insurance will cover botox.  MiraDry is usually between $2,500-3,000 for two treatments and the procedure actually destroys sweat glands.  Most patients experience a significant reduction (~86% average) after the second treatment and the sweat glands do not return.  There is also no compensatory sweating with miraDry. 

MiraDry is first line for underarm sweat

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For my patients that desire decreased underarm sweating (who doesn't?), I recommend miraDry first.  It is very effective at dramatically reducing sweating, and, in most patients, it is a one-time treatment.  On the other hand, botox lasts about 6-9 months on average.  After two botox treatments, you've already spent more than you would have for one miraDry treatment.

MiraDry vs. Botox

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Both miraDry and Botox can be used to treat excessive underarm sweating. The difference is in how they act to target the sweat glands and the duration of the effects. MiraDry permanently destroys sweat and odor glands of the underarms, whereas Botox temporarily blocks the chemical signals from the nerves that stimulate the sweat glands. When these nerves don't receive signals, sweating is reduced.

With that being said, miraDry is a long awaited answer for many people who suffer from excessive underarm sweating. The most common statement from patients after having miraDry is that the treatment was "life changing." Avoid painful and repeated injections with Botox and look into having a permanent reduction in just a single treatment with miraDry. 

MiraDry all the way!

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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. 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.

MiraDry vs Botox

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Hello and thank you for your question! MiraDry is a permanent solution to underarm sweat and odor, in as little as one treatment. Botox (or any neuromodulators) work for approximately three months. In our office, the cost of a neuromodulator to the underarms would be $1000. MiraDry is $1995 for one treatment, and $1000 for the second treatment, if needed for a person with severe hyperhydrosis. A person with average sweating should need just the one treatment with the most recent treatment protocol. Therefore, MiraDry would be the most cost effective option, as well as involving less treatments and maintenance. In addition, MiraDry just received an FDA indication for hair removal of all colors! It has a 70% reduction of hair after one treatment! Please call our office to set up a complementary consultation with our Nurse Practitioner, Jennifer Tinelli.

Miradry vs. Botox

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Miradry is an excellent, safe, and cost-effective strategy for underarm hyperhidrosis. Miradry continues to be our gold-standard for underarm hyperhidrosis. 

Dr. Karamanoukian 
Los Angeles

Depends on how long BOTOX lasts for you......

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In Australia, BOTOX for excessive underarm sweating is subsidised by the government / Medicare and PBS. This means most patients pay 400 USD for a treatment. Botox for underarm sweating is extremely variable- some patients have reduced sweating for 2 months, some for over 12 months. The average sweat free period is just over 6 months. 
Miradry is priced at about 3300 USD hence if you are an average sweat free responder to BOTOX, miraDry is worth while in the long run. 

Some of my BOTOX patients seem to have sweat free/ reduction periods of up to 14 months. In this case, I encourage them to stick to BOTOX as the price of miraDry will decrease in the next few years. 

Botom line- it depends on you and how you respond. 


Dr Davin Lim 
Cosmetic and Laser Dermatologist

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.