I Did Two Procedures of Miradry and It Didn't Give Me Effective Results? What Are the Possibilities?

The first procedure is done at a level 2. It didn't change anything, perhaps helped a little bit but I was moist/wet still, probably about the same as before the procedure. The second procedure is done at level 3, seven weeks later and it still didn't change anything. This was a lot more painful and I at least expected it to work completely, if not a huge improvement but still nothing. ?? On the day of, my arms were very dry but the next day, it became moist again. ??

Doctor Answers 7

More optimal results are now standard under the newest protocol

The newest protocol, with tumescent anesthesia, allows almost every patient to have their treatment at level 5.  For most patients, this results in enough reduction in sweating that they are happy.

Houston Dermatologic Surgeon
5.0 out of 5 stars 12 reviews

Miradry treatment for the underarms

Our office specializes in Miradry treatments and we titrate the power level of the Miradry to each patient. You had two conservative treatments that may not have been enough for your sweating problem. You may need to consider Miradry at a higher intensity if appropriate. 

Dr. Karamanoukian 
Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews


miraDry at level 5 is reaaly the new standard.  The new tumescent protocol makes this possible.  Let us know if we can help in any way.

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

Miradry results

Sorry to hear about your less than optimal results from your two miraDry treatments so far.  MiraDry has been shown to reduce armpit sweating by approximately 86% in the majority of patients.  It seems that you may be one of the few outlier patients who unfortunately does not respond to that degree.  Although it may not be possible to determine the exact cause of your non-response, contributing factors may include the treatment template (map) used on your armpit, method of anesthesia, the treatment level selected and skill of the physician performing your procedure.  Options to help you achieve better control of your sweating include a third treatment (at a higher level) or adding Botox injections.

Joshua L. Fox, MD
Long Island Dermatologic Surgeon
4.9 out of 5 stars 19 reviews

MiraDry Outlier - Options

MiraDry is an effective method to reduce axillary sweating.  You may need more energy to see if there is an effect or consider Ultherapy if you are looking for an off-label use of the device.  They also have some good pre-clinical results.  However, if you want something definitive and would consider surgery, than axillary shaving of the sweat glands made through a small hole in the armpit skin is a highly effective way of surgically removing the sweat glands.  I hope this helps.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 35 reviews

Need another round of miraDry .. at level 5 or Ultherapy

You are an outlier - that means that you fall out of the norm from most individuals that have the miraDry procedure. I recommend a third round by the same treating physician at level 5 - if this does not work, then I recommend that you either get repeated Botox injections until something better comes up or 'off label' use of Ultherapy (Ulthera). Or, you can wait until Ulthera get formal FDA approval. Suction curettage is another option but it would also have low success given the fact that you have had the miraDry procedures, which cause fibrosis and scarring. This is not an easy one.

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Results After miraDry


Dear Jea New,

miraDry typically eliminates about 50% of underarm sweating after one treatment and 85% after two treatments. Unfortunately, individual results may vary, and it sounds like you may be an outlier.

I would suggest that you see an experienced hyperhidrosis and miraDry provider. Additional miraDry treatments, perhaps at a higher level, may be worth considering.

Warmest wishes,

Larry Fan, MD

Larry Fan, MD
San Francisco Plastic Surgeon
4.3 out of 5 stars 14 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.