I just got the miradry treatment done a week and three days ago but, why am I still sweating in my armpits?

Question

I got it done about 10 days ago and one of my armpits has a little bruise still and is swollen in a certain area and sort of numb. These past two days, I wore a light long sleeve and a jacket over it, and I still found myself having wet armpits just standing there or sitting in class. Is this normal? Will I need a second treatment already? As of right now, I am very disappointed with my result with miradry and need more information on it! Thank you!

Aldo Guerra, MD · Answer

MiraDry uses heat energy to target and destroy the sweat and odor glands in the underarms.  Once they are destroyed, they do not grow back.  Initially, patients may experience bruising and swelling (some describe as lumpiness) in the underarm area.  This typically subsides within the first few weeks after treatment.  Most patients see a 75-82% reduction in sweat after their first treatment.  The amount of improvement varies by individual. You should re-evaluate at 3 months to determine whether additional treatments are needed.  Those patients with severe hyperhidrosis may require additional treatments.   Make sure to follow-up with your provider to discuss your results and any additional treatments to help reduce the sweat even more. Best wishes, Dr. Aldo :-)

Shareef Jandali, MD · Answer

This is unusual because all of our patients are completely dry for at least the first few weeks after miraDry.  It may be from sweating outside of the treatment are.  It could also be that you were not treated on the highest setting.  You should follow up with the physician who performed the treatment.  You may need another treatment in a few months.

Chien C. Kat, MD · Answer

Thank you for your question.It can take up to three months for everything to settle after the MiraDry procedure, occasionally people can have a small mount of sweat in the first few weeks and it can settle back down. Monitor it over the oncoming months and then you can evaluate and decide whether you will require further treatment.

Hratch Karamanoukian, MD, FACS · Answer

Those of us that have done miraDry since 2011 know that there are a certain number of patientts that have 'breakthrough' sweating in the first 7-14 days after miraDry. This is no indication that the procedure failed as some have suggested. The real test will be whether you are sweating at 3 months. In our practice, 90% of our patients require only a SINGLE miraDry session at Level 5 where we treat the entire area TWICE. This technique is safe and saves patients $1500. Ten percent will need a second session and 1% a third session.

Ravi Somayazula, DO · Answer

I suggest waiting a minimum of 6-12 weeks to see your new baseline. At 3 months, I would assess your situation. You may have to discuss a second treatment. I would not be disappointed at this time.Best wishes,Dr. Ravi Somayazula

Pauline Scott, MD, MBA · Answer

Hi tinkii22! I'm sorry you are disappointed with your results. Miradry is an excellent treatment for underarm excessive sweating (also known as hyperhidrosis). With this treatment, you can expect a reduction in your sweating and odor but you still may have a little bit of sweating afterwards. The amount of improvement varies with each individual and some people are happy with the amount their sweat has reduced and some people want more improvement and elect to have a second treatment. I would just wait a few months to see how your treatment settles out and see how much of a sweat reduction you do get. You may, in the end, be ok with the amount of sweat reduction you get after the first treatment. If you aren't, you may need to follow-up with your provider to discuss a 2nd treatment which should help to reduce the sweat even more. Good luck!

Rashid M. Rashid, PhD, MD · Answer

Like all medical treatments, none work 100% of the time in 100% of patients.  Also, the final full response may take weeks to fully realize itself.  But again, some people just do not respond at all and its important to be aware of that.

I just got the miradry treatment done a week and three days ago but, why am I still sweating in my armpits?

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