Was I Treated at 3 for MiraDry During my First Treatment?

I just done my first treatment of Miradry and started sweating again four days after. Before starting treatment, I requested the nurse to perform procedure at a level 3. She agreed, but I saw her select Number 1 button on the machine. The procedure began at 1 I asked again to make sure it was level 3, she said the system starts at 1a and will increase to 3. Is this correct? I'm not familiar with the machine's operation to know how to tell which level they are treating me. Please advise.

Doctor Answers 5

Level of treatment for miraDry

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The level of treatment is in the upper left corner of the screen before the map is shown - so you can see it for the next treatment. I recommend level 5 on almost every patient and have done so in the last 30% of my cases. 

MiraDry settings

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With the new protocol using tumescent fluid, we can safely treat the entire axilla at Energy setting 5.  This reduces the likelihood that you will need a second treatment.  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. I have had the procedure done myself and it has truly been a gift. 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

MiraDry Settings

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Hi and thank you for your question! The older settings for miraDry did involve 2-3 treatments at level 3. With that setting, it has a preset of level 1 for the first portion of the treatment, this is a safety mechanism to protect the brachial plexus. Now, with the new tumescent numbing techniques, we are increasing it to level 5, and if deemed appropriate, unlocking this safety to deliver level 5 to the entire area. So it may have said 1/3 and then went to 3/3 after about a quarter of the way through the treatment. The new techniques allow for effective treatment in as little as 1 treatment! Please call our office for any further questions, and schedule a complimentary consultation with our Nurse Practitioner, Jennifer Tinelli. Thank you!

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

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Miradry treatments and settings

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If you are having residual sweating, wait a few weeks and then you may consider a second round of Miradry to further reduce your excessive sweating. 


Dr. Karamanoukian 
Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews


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Please ask the nurse again if you were  treated at setting of 3. If she say  yes then you are treated at setting of 3.

The MiraDry is set so that the lateral 3 levels are treated at setting of 1. This is because the nerves and vessels are more superficial here and if treated at 3 there maybe more adverse effects like pain and numbness.
After this MiraDry will automatically  set at 3 for the rest of the treatment. For the 3 lateral treatments to be done at 3, the nurse will have to manually override the 1 setting for the lateral treatment to 3.
Up to 60-80 % of the sweat glands and odor glands are destroyed at the first treatment. Initially there is no sweat because of the swelling of the remaining sweat glands openings When the swelling subside there will be a little sweat but this should be less.
You will need another treatment at 3 months which will destroy the rest of the sweat  glands.
Please be reassured that this is a wonderful treatment for sweaters providing them with confidence and freedom and not having to use antiperspirants which can be toxic and may cause breast cancer, dementia and kidney problems. It will also help with the odor. The dermatology quality of life index (DQLI) has shown a 90% efficacy and satisfaction rate. My patients are thrilled with Miradry : No sweat, No odor ,No antiperspirants : Just confidence and freedom!
Hope this answer your question.

Choon Kia Yeo, MD
Honolulu General Surgeon
4.3 out of 5 stars 6 reviews

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.