What are the affects of miraDry and sweating in other places after the procedure?

Hello I was just wondering if miradry was similar to Botox in affect towards other sweat glands? Like if I destroy the sweat glands under my arms will there be more sweat coming from my feet and hands as Botox procedures make you sweat from other areas because the sweat needs to come out somewhere else?

Doctor Answers 12


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The sweat glands in the axilla account for approximately 2 % of the total body. Therefore, you will NOT compensatorily increase sweat production in other areas of the body nor will it affect your ability to cool yourself.  

Best wishes,

Dr. Ravi Somayazula

Houston Plastic Surgeon
4.8 out of 5 stars 71 reviews

Sweating Elsewhere after Miradry

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The sweat glands in your axillae (underarm) are only a very small portion of your total body sweat glands--- 1-3%.  This amount of sweating is simply redistributed throughout the body, and you should not notice any appreciable increase in sweating elsewhere.

Jeffrey C. Poole, MD
Metairie Dermatologic Surgeon
4.3 out of 5 stars 6 reviews

Compensatory sweating

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Fortunately, compensatory sweating in other areas such as the hands, feet and back were not reported to happen in miraDry during their preliminary studies to obtain FDA approval for the treatment.  Since it has been FDA approved in 2011, there have been very few reports of compensatory sweating post-procedure.  In my clinic, we have performed close to 300 procedures and have had only one case where a patient started sweating a little around the areas treated with miraDry in the armpit area.

Victoria Negrete, MD
Milwaukee Dermatologic Surgeon

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Compensatory sweating after miraDry is very rare

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Compensatory sweating is most likely after thoracic sympathectomy.

It has rarely been observed after miraDry or Botox for underarm sweating.

I am aware of only 3 cases posted on this site from patients who have had miraDry.

In our practice, 90% of our patients require only a SINGLE miraDry session.

1st session is $1500.

if you need  second or third, it is only $1000 per session for our patients. 

No one said it lasts only 2 years. I don't know where you got this information.

One session of miraDry costs as much as one session of Botox, which only lasts 3 months. 

H Karamanoukian MD FACS

Platinum Plus Provider for miraDry since May 2011

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Compensatory Sweating and MiraDry

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The sweat glands in the underarm area account for approximately 2% of your body's total sweat glands. By destroying such a small percentage of sweat glands should not result in compensatory sweating.

Be Well

Dr G

Compensatory Sweating and MiraDry

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Compensatory sweating (sweating more elsewhere) is uncommon post MiraDry procedure.  You do not need sweat glands in your armpits. You are born with approximately 2 million sweat glands throughout your body.  Your underarms only contain 2% of those sweat glands.  Since your underarms contain only about 2% of the sweat glands within the entire body, you will continue to sweat naturally elsewhere.  MiraDry is a great option for permanent elimination of sweat glands and odor glands.  Good Luck!

Laurie A. Casas, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 110 reviews


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Sweating is the body's way of cooling off.  When sweat evaporates the body gets cooler.  It's the same reason you get cold after you get out of a shower.  It just doesn't work that way.  The body produces enough sweat to cool down.  Under your arms the sweat doesn't evaporate.  

Barry N. Silberg, MD, FACS
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 5 reviews

Sweating elsewhere?

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Thanks for your inquiry. MiraDry will affect only the underarm area and will lead to normal sweating in other parts of the body. Overall, only 2 % of the sweat glans live in the underarm and so there's little compensatory sweating. 

Best, Dr. ALDO

Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 215 reviews

MiraDry and sweating elsewhere

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miraDry works quite differently from Botox - so it would be quite unusual to see what is called compensatory sweating (having more production from the sweat-prone areas of the body that were not treated) after the procedure.  Since miraDry eliminates only the sweat glands in the armpits (about 2% of your body's total), your body (and you) won't really miss them.

Hope this is helpful,

Dr. Lim

Angeline Lim, MD
Palo Alto Plastic Surgeon
4.9 out of 5 stars 17 reviews

Compensatory Sweating Extremely Rare-Not Likely to Happen.

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What you describe, where increased sweating occurs in other parts of the body after sweat glands are destroyed in one area, is called compensatory sweating. With MiraDry there have been only extremely rare reports of this happening. In our practice we have done over 100 MiraDry treatments and have not had this occur with any of our patients. 

Allison Readinger, MD
Fort Worth 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.