What is Involved in the Treatment Process for Miradry?

Is Miradry to remove armpit odor and sweating similar to getting laser hair removal treatment? Do you need to visit the office several times?

Doctor Answers 9

MiraDry treatment

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Our mirDry specialist will meet with you prior to your treatment to go over the procedure and answer any questions you may have. Afterwards, you will be administered lidocaine injections to numb the area. You should feel little to no pain during treatment. In a study performed by miraDry, patients rated the treatment pain a 2 out of 10 (1 being no pain, 10 being worst pain). Your underarms will then be marked with what looks like a temporary tattoo in the form of a grid. The treatment takes about one hour. Most people will see results in as little as one treatment, however, as with any medical treatment, this will vary from patient to patient
We plan on one treatment with a small number of patients having a second treatment at 4-6 months

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Miradry treatments in Los Angeles

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I have co-authored a book on Miradry and continue to see very positive results with the treatment. Miradry is FDA approved for armpit sweating and works by using microwave technology to destroy abnormal sweat glands. 

Dr. Karamanoukian 
Los Angeles

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


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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.

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

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Treatment Process for miraDry

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Hello and thank you for your question.
Yes, miraDry does eliminate sweating and odor! Our office is performing the newest techniques with this system, at treatment level 5, so one treatment is expected for most patients. If there is severe hyperhidrosis, in a small percentage of people, a 2nd treatment may be needed. Please feel free to call our office to schedule a complementary consultation with our Nurse Practitioner, Jennifer Tinelli.

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

Miradry Treatments for Odor and Sweat

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Yes Miradry destroys apocrine glands which is why it is effective in treating odor.Miradry is the best way to correct your problem for your armpits. Generally one but sometimes two treatments are required with local anesthesia for lifelong results. Excess sweat (hyperhydrosis), and smelly armpits (bromhydrosis) are caused by eccrine (sweat) and apocrine glands whose secretion is modified by bacteria causing a bad odor. Even though you may wash frequently, the cleaning action does not get down into the pore depth where the bacteria live. In Asian countries, this is the major use of this technology. Miradry eliminates these glands permanently and solves both problems. You will never need to use deodorant again. Another wonderful side benefit is that it also permanently reduces hair growth in this area.

How miraDry works

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MiraDry is the only device on the market that is able to eliminate both eccrine (normal sweat) apocrine ("smelly" sweat) glands.  The miraDry procedure thereby helps to eliminate body odor related to sweat, which is also known as bromhidrosis.  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 sweat glands are located.  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.

Joshua L. Fox, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 22 reviews

MiraDry versus Laser Hair Removal

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Laser hair removal can be made very compfortable with an anesthetic lidocaine creme. miraDry requires injecting the area with lidocaine and this involves tiny needle sticks that are the size of needles that are used daily by diabetics (30 Guage) and yet very tolerable.

I have never discontinued a procedure because the patient could not tolerate the discomfort. I wouldn't worry about the needles. As the area is anesthetized with lidocaine, subsequent needles hurt less and less because of local diffusion anesthetic from the previous needlesticks. Technique and experience counts and most cosmetic providers and hyperhidrosis treatment providers have experience with the miraDry procedure. I hope this answers the question.

Miradry takes longer to do than last hair removal but is less painful

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The big difference with  miradry is that we actually give numbing injections in the armpits which we don't do in laser hair removal.  With numbing injections, the miradry procedure is painless.  After the numbing shots which take about 5 minutes to administer, the procedure take about 15 minutes in each armpits.  Laser hair removal on average requires 6 sessions.  The miradry procedure only requires two sessions.

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon

One or two treatments

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First we need to know that you are a candidate, so we will ask questions about how sweating affects your life.  Then we need to know that you do NOT have a pacemaker or any metal implants in the area.  The treatment takes about 90 minutes and consists first of injecting anesthetic into the area, then the machine is applied.  There may be swelling and tenderness for about a week.  The second treatment is done 3 months after the first, to make certain that we have destroyed all the sweat glands.  We usually speak with you first on the phone or in the office before we do the procedure.

Laura E. Skellchock, MD (in memoriam)
Boca Raton Dermatologic Surgeon

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.