Does Miradry work on stress sweating?

Miradry is very effective and in some patients a second or third treatment may be necessary. I have co-authored a book on the subject and feel that Miradry offers patients a very viable solution. Best, Dr. Karamanoukian Los Angeles

You may want to get a second treatment.  With Miradry, your sweat and odor glands are destroyed. Amazing treatment. And very safe. Not having to use deodorant is a very attractive idea to many especially with all of the concerns surrounding aluminum.Shouldn't be so painful either.  Make sure they are using the new protocol which involves tumescent solution

It is recommended that you proceed with a second treatment to get optimal results. Make sure you address these issues with your doctor before your second treatment. Your level pain may not be typical of this treatment so you should discuss the type of anesthesia that would work specifically for you with your doctor. Currently recommendations for anesthesia is a mixture of anesthetic and saline.  This helps the anesthetic spread and creates space between the sub-q skin and deeper tissues.  miraDry works by eliminating the sweat gland with microwave energy so it should permanently reduce armpit sweat, stress sweat included. Some pain, but not too much, is normal so if you feel high levels of discomfort during treatment inform your doctor. 

I would
do the second treatment. Miradry should work well for stress sweating. And I
would say that the level of pain that you felt is not common. It would be worth
continuing therapy for most patients in your situation.

MiraDry should help stress sweating because it destroys the glands that produce the sweat no matter the cause. However if you continue to experience stress sweating a medication called propranolol may be used in low doses to block that "fight or flight" response your body feels in a stressful situation. Talk to your doctor to see if you might be a good candidate for propranolol.  I think with regard to the MiraDry you may need a higher setting and you may need a different numbing technique. Maybe you should go back for a consult before your second procedure to discuss your options.  One way to numb up is just serial puncture instead of fanning or threading. Maybe this would get you more even coverage of the area to be treated. 

We have been doing the miraDry procedure since 2011. We have done several hundred procedures at our Center for Excessive Sweating which was established in 1999.In our practice, a SINGLE miraDry procedure is successful in eliminating sweating in 86% of patients. We ALWAYS use level 5 settings and use a double pass technique. We charge a total of $1500. I have always used lidocaine locally and tumescent anesthsia with cannula technique. It should be uncomfortable because of the pressure but it will reduce the number of needle sticks you feel.You should get the second procedure, especially if you paid the doctor the entire fee. This is the best procedure at the moment if you don't want to get Botox injections every 3 months. miraDry works on stress sweating, as most sweating is related to the stress response on the body mediated through the 'fight or flight' system through the sympathetic component of the autonomic nervous system. Read my miraDry ebook provided on the link below. 

At Sweat Free in Australia, we address BOTH the stress factors and the sweat glands itself. As a rule we perform 2 treatments, depending on your armpit fat and area, we choose a level 4. In your case, I would re-do the treatments at level 4, use tumescent local, and get help with my psychologist who performs Congnitive Behaviour Therapy or CBT to decrease stress levels. A holistic approach is best in your case, along with another treatment as recommended by miraDry- with better local anaesthetic treatments .All the bestDr Davin Lim Laser dermatologist Brisbane, Australia.