Could Miradry Work for Hydradenitis?

I have had this condition for over 20 years and am at the point where antibiotics don't work that well. I am allergic to cycline antibiotics and am currently taking Augmentin. I was curious if Miradry could work because from what I understand it can destroy sweat glands. My condition affects my groin area and it sounds like Miradry is typically done in the armpit area, is there a reason it couldn't be used in the groin area?

Doctor Answers 8


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I have found miraDry to be helpful when patients tell me that their hydradenitis is flared  when they sweat a lot.  

Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

In theory it could work for hidradenitis supparativa

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You have a point worth studying. We are currently looking at this treatment for HS or hidradenitis supparativa, as this is a disorder of apocrine glands. As we know miraDry destroys both apocrine and eccrine glands, so this may be a possible option of for HS. 

I have one reported case of HS resolving with botox injections.... can't be explained as it targets eccrine glands. 

As for this space. 


Dr Davin Lim
Cosmetic and Laser Dermatologist
Brisbane, Australia. 

Miradry expert in Los Angeles

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Miradry can work alongside hidradenitis, but it is not FDA approved to treat the condition.  I have found the Miradry to be useful in patients with hyperhidrosis and associated other axillary problems.  A consultation would be useful. Raffy Karamanoukian, Los Angeles

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

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MiraDry is for excessive armpit sweating

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To date, miraDry is FDA-approved for treating excessive sweating in the armpit area only.  MiraDry is not FDA-approved to treat hidradenitis supparativa.  The miraDry handpiece is specifically designed to fit against and apply slight suction to the shape of an armpit.  Even if you were to attempt it on the groin, you may not be able to get enough suction to ensure an adequate treatment or too much suction could be applied, which could risk damage underlying structures. 

Joshua L. Fox, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 22 reviews

MiraDry for Hidradenitis?

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Dear loriew,

miraDry is a safe, effective, and lasting treatment for excessive underarm sweating.

As you surmised, there is reason to think that miraDry *might* be effective against hidradenitis. However, there has not been tested, and thus miraDry is currently not indicated for treating hidradenitis.

There are additional treatments for hidradenitis. Please see an experienced Board Certified Plastic Surgeon for an evaluation. 

Warmest wishes,

Larry Fan, MD

Larry Fan, MD
San Francisco Plastic Surgeon

MiraDry not FDA approved for hidradenitis

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The miraDry is not FDA approved for hidradenitis. I don't recommend it for hidradenitis. I do recommend it for hyperhidrosis of the underams.

Hydradenitis is a Complicated Problem, MiraDry Can Treat Armpits but not Groin.

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Hydradenitis is a complicated problem. There is no reason why MiraDry cannot be used for this problem in the armpits – perhaps combined with Nd:YAG laser treatment which will lessen the hidradenitis associated ingrown hairs. The MiraDry hand piece is not optimized to treat in the groin.

David Goldberg, MD
New York Dermatologic Surgeon
3.3 out of 5 stars 4 reviews

Miradry can be used for hidradenitis in armpits but not goin

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laser hair removal should be tried in the area as it may be beneficial.  I have treated one patient with hidraenitis in the armpits with improvement in the symptoms.

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon

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.