I think I need more than 3 treatment of miraDry treatments.

Question

Hi, I passed 3 miradry treatments ,my last treatment was six months ago the result was amazing.now i sweat like before my 3 treatment and i fell i need to do one more treatment . is there a cases of 4 treatments? is it dangerous to do 4 treatments?Thanks for reply.

Larry S. Nichter, MD, MS, FACS · Answer

Thank you for your question. The reason we have patients wait at least 12 weeks from treatment is to allow the area to fully heal and all swelling to subside. We do a starch iodine test and take photos prior to the 1st treatment to establish a baseline, and then we repeat this procedure in 12 weeks to see the difference. It is not common to need a 2nd treatment in our practice, but it is certainly not unheard of. I would discuss with your practitioner to make sure you were treated at the highest level (5) and that an appropriately sized template was used to treat the entire area. 
If patients do require a 2nd treatment, we offer this at 50% off. That being said, after 3 treatments it is not beneficial to have a 4th treatment in my opinion unless you were not treated at the highest level at your first 3 treatments which would be uncommon. 
Best of luck!

Young R. Cho, MD, PhD · Answer

Thank you for your question and for sharing your story.  I would not undergo a 4th treatment until your are thoroughly evaluated to determine which parts of the armpits continue to produce sweat (and odor).  We have performed many miraDry procedures, and I have only had to operate on two patients.  One had a very resistant spot on both armpits that produced a high volume of sweat.  The other was for persistent (albeit reduced) odor production.  Surgically, I shave the undersurface of the armpit skin and hence physically remove the majority of the sweat and odor glands.  I would recommend you visit with someone who can provide you with an alternative option for your persistent sweat/odor production.

Aldo Guerra, MD · Answer

It would be very unusual to need 3 treatments, but then again, you're in the middle east. I suggest instead that you reach out to your doctor and have an iodine-starch test. If your sweat glands in the underarm area are all gone, then another treatment won't help you. You may be sweating from other parts of the body which are not treated with MiraDry.Best wishes, Dr. ALDO

Shareef Jandali, MD · Answer

If is unusual to need 4 miraDry treatment.  You should probably have your provider perform a starch iodine test to determine where your sweat glands are still active and how much sweating is still present.  Make sure your treatment is on level 5.

Chien C. Kat, MD · Answer

Thank you for your question.It is not dangerous to do more than three treatments as long as you allow enough recovery time to allow things to settle between treatments.Good luck

Grant Stevens, MD · Answer

I do not know of any contraindications to having a 4th treatment of miraDry.  However, you should know that your sweating will not completely go away with however many treatments of miraDry you have.  A typical result is 80% reduction in perspiration.  Hope this helps.  Good luck

John C. Browning, MD · Answer

In rare cases a 4th treatment will take care of any remaining sweating.  It is not dangerous to undergo an additional treatment as this will take care of any remaining sweat glands.  Be sure to wait at least 90 days after your last treatment though, as time sometimes is all that is needed.

Hratch Karamanoukian, MD, FACS · Answer

not dangerous.It is hoped that they are using Level 5 on all of these cases.In our center, 90% of our patients require only a SINGLE miraDry procedure.Experience is essential. We do 2 passes with each session. Hratch L Karamanoukian MD FACSPlatinum Plus Provider for miraDry

Scott Gerrish, DO · Answer

Under the current protocol recommendations for miraDry it is highly unusual for a patient to have the need for 3 treatments. Most patients are seeing a substantial reduction after just one treatment. I would recommend consulting with the treating physician and ask for an iodine-starch test to see the extent of your underarm sweating. A plan to address your sweating can be made pending the results of that test.

Be Well

Dr G

Be Well

Dr G

Jay Martin Kulkin, MD (retired) · Answer

I think there are a few things to find out before I would consider doing more. Find out what the power setting (1-5) was used at your treatments. Did you have tumescent anesthesia or the local technique of multiple injections in each underarm. Was it painful? Once I know these answers I can provide better suggestions.

Jay Kulkin, MD

Jay Kulkin, MD

I think I need more than 3 treatment of miraDry treatments.

Answers (10)

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