I Have a Problem with Under Arm Sweating Went to Doctor Who Prescribed a Powder That is No Longer Available. Botox Only Option?


Doctor Answers 6

Miradry and underarm sweating - excellent results in Los Angeles

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Miradry is an excellent modality that is FDA approved for underarm sweating. I have encouraged many of my patients to switch over from Botox to Miradry with excellent longterm results. 

Dr. Karamanoukian 
Los Angeles

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.

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

Many options for underarm sweating, including antiperspirant, botox, miradry, axillary shaving

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The treatment ladder for excessive underarm sweating includes:

1) prescription strength antiperspirant - works in some people, but can be irritating

2) botox - works extremely well, but requires repeat treatments every 6-9 months

3) miraDry - works extremely well; most people require two treatments spaced a few months apart

4) axillary shaving - works extremely well; most people require only one treatment, but this is a surgical option so it is more invasive than botox or miraDry


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MiraDry for underarm sweating

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Besides Botox, other treatment options available for excessive armpit sweating include topical solutions, oral medications, laser, iontophoresis, curettage and surgery.  Botox injections for excessive underarm sweating has to be repeated after 4-6 months as the results are not permanent.  MiraDry is the only FDA-approved procedure that offers long-lasting results.  Studies demonstrate that miraDry results last up to 2 years and are likely permanent as sweat glands do not regenerate.

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

MiraDry is the Gold Standard Treatment for Excessive Underarm Sweating

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Dear fitzyhill1,

Excessive underarm sweating (ie. axillary hyperhidrosis) can be a very troublesome condition.

Treatment options include topical antiperspirants, oral medicines, miraDry, Botox injection, and surgery.

For a small percentage of patients, topical antiperspirants or oral medicines may suffice. However, most patients require stronger and more effective treatments.

MiraDry is a very effective, non-invasive treatment for excessive underarm sweating that uses electromagnetic wave energy to ablate the underarm sweat glands. Scientific studies show that miraDry reduces underarm sweating on average by 80%, with the treatment effect lasting at least a few years if not permanently.

Botox is another treatment option that is also effective, with a similar reduction in sweating, but is costly and requires maintainence treatments every 3-6 months.

Surgery is another treatment option. Surgical treatments include suction curettage, liposuction, and sympathectomy. Suction curettage and liposuction are older treatments for underarm sweating and have much lower rates of effectiveness. Sympathectomy is considered a last resort option. Sympathectomy is also effective for reducing sweating, but it is highly invasive, has significant risks, and associated with undesirable side effects such as compensatory facial sweating.

I have treated hundreds of patients with excessive underarm sweating using miraDry. The results have been excellent, and patient satisfaction has been greater than 96%. But don't take my word for it - check out the Treatment Ratings for miraDry here on RealSelf.

I hope this helps.

Warmest wishes,

Larry Fan, MD




Larry Fan, MD
San Francisco Plastic Surgeon

Underarm sweating options - Hypercare, Botox, Suction Curettage, miraDry

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For underarm sweating, if topical products (Certain Dri, Drysol, Hypercare) don't work or irritate the skin - or if antichoinergic medications don't work or have side effects (Robinul) and if Botox is not affordable (1500 dollars per session every 3 months), options are suction curettage (which I do not recommend any more since miraDry came on the market), then the best option to date is miraDry microwave technoogy - this is the best treatment (may need 2 sessions) today and is minimally invasive, no cuts no sutures and no downtime ...

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.