Is a Single MiraDry Treatment Enough to Provide Permanent Sweat Reduction?

The protocol has been optimized and patients now typically need only one treatment.  The rare patient needs a second treatment.  Please note that miraDry reduces sweat by greater than 80% on average, but it does not completely eliminate it.  For heavy sweaters, an 80% reduction means that you will still sweat, but an amount that is socially acceptable.

Great question! With the new treatment pathway for Miradry, the advice is one treatment at level 5. With these increased settings, one session is needed for most patients.

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.

In some patients, one Miradry may be enough to improve underarm sweat permanently. It all depends on your genetics and the severity of your problem. Best, Dr. Karamanoukian Los Angeles

MiraDry typically provides great sweat relief after two treatments and thus many places sell the two treatments as one package.  You will probably experience a sweat reduction after one treatment and if your symptoms were only mild/moderate to begin with, then you may find one treatment adequate, but some of the sweat glands are still functional after one treatment.

miraDry has been clinical shown to reduce sweat by 82%.  This is very significant for most patients.  If you are a very heavy sweater, then you may still have noticeable sweat after treatment.  Most people do see results after one treatment.  If you feel that you need a second treatment, then you should consult the practice where you received your miraDry treatment to get their recommendations.

miraDry is an effective and safe treatment to permanently stop underarm sweat, odor and hair. Greater than 80% of patients see full results after their first treatment, and do not need to return for a follow up. miraDry is an FDA-cleared non-surgical treatment that uses thermal energy to eliminate the bothersome sweat glands in your underarms. For best results, it is important to consult with a board certified dermatologist. Thank you for your question, best of luck!

Everyone gets a permanent sweating reduction with their first miraDry treatment. However, only about 80-85% of the sweat glands are killed. So there can still be slight noticeable sweating after the first treatment, but it is usually not enough to need any antiperspirant. In our experience, only about 1 in 10 patients request a second treatment to be completely dry. 

Hello and thank you for your question! When using the newest
protocols for miraDry, the recommendation is one treatment at level 5. With
these advanced settings, one treatment is expected for most patients, potentially
a second dependent on the patient, amount of hyperhidrosis, etc. In addition,
miraDry has received an FDA indication for approximately 70% hair removal of
all colors. So in addition to resolving sweat and odor, you can also see a
reduction in hair. Please call our office for a complementary consultation with
our Nurse Practitioner, Jennifer Tinelli. Thank you!

The company recommends 2 treatments. After doing this procedure for nearly 3 years as of this writing (Septembe 2013), I have changed my practice to routinely perform miraDry at level 5 and to perform 1 treatment and leave it to the patient to return for a second treatment if they don't achieve the clinical dryness they are seeking. As such, we have changed our practice to charge 1,500 for the first treatment and this seems to be more affordable for patients They don't have to pay the full amount of 3,000 dollars if they do not need a second pass at 90 days. Nobody has shown in a scientific study whether delaying the second treatment to 90 days, 180 dyas or 360 days after the 1st treatment reduces overall treatment efficacy - i.e. less than the 86% reported by the company with 2 treatments spaced 90 days apart.