Is There a Risk of Secondary Sweating from Miradry?

Doctor Answers 7

That should not occur

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Compensatory hyperhidrosis (sweating more in non-treated areas as a result of treatment) has not been reported to have occurred following miraDry treatments, and has not been reported to us from any of the patients that we have treated in our office in Houston, TX.  We perform this procedure fairly often, and it is very effective in doing what it is supposed to do: stop underarm sweating.  You will be pleased with the results.  I hope that is of assistance to you in your decision.  

Sugar Land Dermatologist

No secondary sweating

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There is no risk of secondary sweating with miraDry.  There is that risk with a sympathatectomy.  Good question!

Extremely unlikely- though reported.

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The straight answer is YES, as there has been one reported case. The REAL risk however is much much less than one percent. To date thousands of procedures have been performed, but the risk is minimal. It has been postulated, but not proven that patients are aware of sweating elsewhere, once the primary area goes (as compared with REAL COMPENSATORY HH following ETS surgery for sweaty hands or underarms)

Hope that helps you.Dr Davin Lim Brisbane, AUSTRALIA

Compensatory hyperhidrosis and Miradry in Los Angeles

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Compensatory hyperhidrosis is generally not noticed in patients with Miradry treatment.  Although, hyperhidrosis is a difficult condition and almost anything can occur with or without Miradry treatment. Raffy Karamanoukian, Los Angeles

MiraDry and secondary sweating

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Only one case of secondary sweating, also known as compensatory hyperhidrosis, has been reported out of the thousands of miraDry procedures performed to date.  Given the nature of the miraDry procedure, which uses microwave technology to non-invasively eliminate sweat glands, as opposed to invasive surgical procedures that sever nerve connections, compensatory hyperhidrosis is highly unlikely and is a very rare event with miraDry.

MiraDry and compensatory sweating

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Although compensatory sweating is a risk, it has not been reported with the MiraDry procedure. Our bodies contain over 4 million sweat glands, with only about 2% glands located in the underarms. Eliminating this 2% will not affect the body’s ability to properly cool itself.
Aesthetic Solutions is one of the first physician offices in the U.S. to offer the miraDry® Procedure, a new lifestyle choice that provides a safe and lasting solution for underarm sweat. The U.S. Food & Drug Administration cleared the miraDry System following a robust, randomized, blinded clinical study that involved 120 patients at seven clinics across the U.S. and followed them for 12 months post treatment. The procedure is supported by compelling safety and efficacy data from multiple clinical studies with recent clinical data showing 90 percent efficacy and 90 percent patient satisfaction.

The miraDry procedure takes approximately one hour. The miraDry procedure delivers precisely-controlled electromagnetic energy to the area under the arm where the sweat glands reside, and heats and eliminates the sweat glands. Since sweat glands do not regenerate, results are lasting.  The procedure is non-invasive with little to no downtime, so patients can go about their normal routines after treatment. The full treatment plan requires two procedures to maximize results.

Sue Ellen Cox, MD
Raleigh-Durham Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

MiraDry and ''secondary sweating" has been described in 1 patient so far

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We are aware of at least 1 case reported to the company (Miramar) about compensatory sweating in a patient who had the miraDry procedure by a physician in NY City.

I have taken care of hyperhidrosis patients since 1999 in a comprehensive Center for Exessive Sweating and provide every type of treatment for hyperhidrosis. I have seen patients develop compensatory sweating with the use of Hypercare (rare, but it does happen). I have seen patients develop compensatory sweating with Botox injection in the underarms (rare, but it can happen). I have seen groin sweating in someone who was being treated with oral Robinul (rare, bt it happens).

So, compensatory sweating is most well described with ETS but it can rarely happen with other procedures.

Having said that, miraDry is an excellent procedure if you are looking for definitive treatment for an annoying problem and compensatory sweating can occur but is very very unlikely after the miraDry procedure.

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.