Would Miradry Work on the Feet Area?

Would Miradry work for excessive sweating on the feet? If so, how much would it cost and how long would it last?

Doctor Answers 8

Hyperhidrosis of the feet and Botox or Miradry treatment

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Miradry is only FDA approved for hyperhidrosis of the axilla and armpit area.  It is not cleared for pedal hyperhidrosis at this time. Surgery90210

Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews


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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.
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!

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Treating Pedal Hyperhidrosis Is No Small Feet

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There are two issues related to using Miradry to treat perspiration of the feet. The first is that Miradry is only approved by the FDA for the treatment of axillary hyperhidrosis.  The second is that the device itself is specifically engineered for use in the axilla.  For these reasons, we only use the Miradry system for axillary hyperhidrosis.  To treat excessive perspiration of the feet, we would use multiple stages of Botox or Xeomin injections.

Peter Lee, MD, FACS
Los Angeles Plastic Surgeon
4.6 out of 5 stars 49 reviews

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MiraDry is only for armpit sweating

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MiraDry is only FDA-approved for armpit sweating.  For safety reasons, we do not perform miraDry on the hands or feet or other parts of the body.

Miradry and its uses

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To date, miraDry is FDA-approved for treating excessive sweating in the armpit area only.  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 feet, you may not be able to get enough suction to ensure an adequate treatment.  There are also important structures such as tendons, nerves and blood vessels that are closer to the surface of the skin on the palms and soles than in the armpit and could possibly get damaged by performing miraDry there.  Other treatment options available for excessive sweating on the hands and feet include topical medications, oral medications, iontophoresis and Botox injections. 

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

MiraDry is not FDA approved for facial hyperhidrosis

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miraDry is not FDA approved for facial hyperhidrosis or hyperhidrosis of the hands (palmar type) or feet (plantar type) to date ... but it 'would work' based on the physics and results seen on histologic findings in animal studies. The concern would be with injury to the facial nerve branches and sensory and motor effects (face) and on digital arteries, vein and nerves in the hands and feet. 

So. I would not use it on the face, palms or feet until the company gets FDA approval for it. Use Botox in the hands and feet as it is VERY effective.

Botox dysport or xeomin injections are effective for the feet but NOT mirdry

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The Miradry procedure cannot be used on the feet.  Botulinum toxin injections including botox, dysport, or xeomin, are effective for hyperhydrosis in the feet but requires higher doses than is required in hands or armpits

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon

MiraDry is not feasible for hyperhidrosis of the feet

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miraDry is not feasible for hyperhidrosis of the feet because of the design of the technology.

Perhaps in the future some modification of the device will allow this. In the meantime, neuromodulators such as Botox or Xeomin are the best bet.

William P. Coleman III, MD
Metairie 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.