I underwent the MiraDry procedure 2 months ago, & now I'm seeing some of my ability to sweat return to the treated area. The company (Miramar Labs) claims that at least 2 treatments are necessary to achieve "lasting" results. I want to know the following: if I just stop now and do not get treated a second time, do I retain permanent reduction in sweat, or does my sewat return to normal if not treated a second time ? Is it absolutely necessary to receive a second treatment for permanent results ?
Is a Single MiraDry Treatment Enough to Provide Permanent Sweat Reduction?
Doctor Answers 13
New Miradry Protocol
Single miraDry treatment enough for most patients
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.
Newer protocol results in vastly decreased sweating with one treatment
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.
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How Many miraDry treatments are Recommended
2 treatments recommended
1. Patients vary in sweat gland numbers
2. Patients vary with the thickness of the axillae or underarms
3. The treatment levels will vary with patient to patient.
Undergoing two treatments will give you the probability of 80-90% sweat reduction for life.
Dr Davin Lim
Consultant Laser and Cosmetic Dermatologist
MiraDry - 1 or 2 treatments ?
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.
2 Treatments of miraDry for better results
For optimal results, we recommend two miraDry treatments spaced 3 months apart. Although you will likely achieve a 40-50% reduction in sweating after one treatment, two treatments are necessary to obtain a sweat reduction as high as 86% in most patients. The miraDry procedure utilizes microwave technology to selectively target and eliminate sweat glands in the armpits by focusing electromagnetic waves at a specific level in the body where swat glands are located. Studies demonstrate that results last up to 2 years and are likely permanent as sweat glands do not regenerate. Patients may initially note an increased reduction in sweating after the first treatment that gradually wears off because while approximately 40-50% of the sweat glands are gone, some may be temporarily stunted. That is why it is advisable to have the second treatment for optimal results and full eradication of sweat glands.
MiraDry - One treatment is usually not enough.
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.
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.