How Does MiraDry Compare to Botox Cost Wise?

MiraDry is suppose to last longer than Botox injections for sweating, but  how much it should cost, roughly, for the two necessary treatments?

Doctor Answers 17


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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 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.

Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Cost comparison to Botox

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Since excessive underarm sweating treated with Botox lasts an average of 7-12 months ( and often as short as 5 months), the cost savings is significant  for the suggested 1-2 treatments needed overall with miraDry treatments!  By far, miraDry is worth the investment for a great outcome and long-lasting results.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

MiraDry vs BOTOX in Australia

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Here is my take. Botox for underarm sweating is subsidised by Medicare, with the provision that its done by
a Specialist. Typically patients are only out of pocket 400 plus dollars. 

If Botox last 6-9 months (some patients it lasts upto 12 months), stick with BOTOX as miraDry typically cost over 3500 dollar. Hence it will take you 8 years to recover the treatment cost for miraDry. miraDry treatment, hopefully, over time will come down in price. 

Flipside- if Botox only last 1-3 months, and you end up spending 1200 dollars per year- go the miraDry, because after year 3, you've broken even- PLUS the fact you don't have to anticipate sweating, nor have needles every few months. 

This is my personal view point. Certainly if patients who have relief on Botox want miraDry, get it done. I think both treatments work equally well, its a matter of cost, and the psychology of when will sweating start. 

Dr Davin Lim 

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MiraDry cost versus Botox

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Botox costs are variable around the country but miraDry is surely more cost effective but unfortunately, insurance companies don't cover the miraDry procedure but they may cover Botox injections for hyperhidrosis.

MiraDry, a New Treatment for Underarm Sweating, is Probably More Cost Effective Than Botox

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For hyperhidrosis (excessive underarm sweating), Botox costs about $1,000-$1,500 and typically lasts about six months.

MiraDry is a newer treatment for hyperhidrosis. MiraDry costs about $3,000 and typically lasts one to two years, possibly longer.

It is important to note that the costs of treatment may vary from geographic region to geographic region, and that treatment results may vary from person to person.

Warmest wishes,

Larry Fan, MD

Larry Fan, MD
San Francisco Plastic Surgeon

Miradry lasts a lifetime

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What is great about miradry is that once the glands are destroyed by the treatment, then it will never grow back. Depending on the severity of your sweating, patients would need to get botox about 1 to 2 times a year every year to reduce sweating. At our office, we provide 2 treatments of miradry for $2900 and 1 treatment for $1600. 

Best of luck,

Chase Lay MD

Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 80 reviews

You save money over time

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Botox was the best option ot treat underarm sweating (hyperhydrosis ) before Miradry. However this is not cost effecting and you have to repeat it every 8-10 months. Costs add up quickly  with Botox and although it is a few hundreds dollars cheaper per treatment you will very soon catch up. Miradry is a pernament solution

Miradry is More Cost Effective than Botox Injections for Sweating

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Botox injections for underarm sweating can cost about $1000 if paid for out of pocket.  Botox injections typically last 6-7 months.  miraDry costs $1800-2000 for one treatment which lasts forever.  Therefore, for the cost of one year of Botox injections for sweating, a miraDry treatment would be about the same.

Miradry for underarm hyperhidrosis

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As a longterm strategy for underarm hyperhidrosis, Miradry continues to be an effective strategy for underarm hyperhidrosis and likely more cost-effective. 

Dr. Karamanoukian 
Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews


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In our practice, the cost for one session of Miradry is 30-50 percent higher than the cost of one session of botox injections for the underarms.

However, as you may know, Miradry is essentially permanent after 1-2 sessions, whereas botox requires repeat visits for as long as underarm sweat reduction is desired (every 6-9 months, or more frequently).

Therefore, over the long term, Miradry provides for a far superior result and economic value.

Best of luck!

Jeffrey B. Wise, MD, FACS
Wayne Facial Plastic Surgeon
4.9 out of 5 stars 170 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.