MiraDry doesn't work for me. What should I do? (photo)

Question

I had the 1st miraDry treatment done 2 weeks ago and I'm still sweating badly. Seems like I can have only 10-20% improvement. I am a hyperhidrosis patient. I'm really sad with the results as most people who did miraDry can enjoy the dryness and better life. What might be wrong with my case and is the result of 10-20% positive enough for me to do the second treatment. Can you please advise what are the reasons that miraDry doesn't work for me. Thank you so much!

Stewart Wang, MD, FACS · Answer

I am very sorry to hear that you are experiencing limited improvement with your treatment. There are many reasons that can contribute to the limited success of the treatment. Without details of your actual treatment, it’s difficult to comment on what might have gone wrong during your treatment if any. Like any medical treatment, there may be a very small percentage of patients who do not respond well to the treatment. I am not sure if you had a starch-iodine test prior to your treatment, but it’s a good idea to wait about 3 months, and do a starch-iodine test to see how much your sweat activities are still present at your axilla. This may help you decide whether you wish to pursue a second treatment. You may also want to get a 2nd opinion with another physician who has extensive miraDry treatment experiences if feasible.
Sincerely,
Stewart Wang, MD FACSBoard Certified Plastic SurgeonMedical Director, Wang Plastic Surgery & Med Spa

Aldo Guerra, MD · Answer

Hyperhdirosis patients need more than one treatment. Normally, one treatment of MiraDry at level 5 yields about a 75-82% reduction in sweat and smell, but hyperhydrosis does not respond the same. I suggest you get a second treatment in 3 months and have an iodine-starch sweat test to compare the response objectively before and after the treatment. I would not be surprised with hyperhidrosis that a third treatment is necessary too. Best of luck,Dr. ALDO :)

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Laurie A. Casas, MD, FACS · Answer

I'm sorry you have not received the results you were hoping for.  In my practice I have found that patients with hyperhidrosis will need at least 2 treatments.  Most patients have 50% reduction in sweat and odor after the first treatment, and another 30% reduction in a 2nd treatment, which can be performed 1-2 months later. Patients with moderate sweating typically need one treatment.   Patients with severe sweating typically need two treatments to achieve optimal results.   Few patients with severe sweating desire a third treatment.I recommend you have the second treatment in a few months.  Good Luck!

Shareef Jandali, MD · Answer

You may need a second treatment.  It is promising if you had some improvement.  Make sure miraDry is being performed with tumescent technique, which allows the highest setting of 5 on the device.

Grant Stevens, MD · Answer

I would highly recommend you getting a second miraDry treatment 3 months post your initial treatment.  Make sure your provider is treating you at the energy level 5.  Also, do your research, make sure your provider is well trained and has experience with this machine.  Perhaps the treatment area was too small on your initial treatment and they need to measure you again.  You can also request a iodine sweat test prior to your treatment.  Then, the provider can identify the area more accurately.  Hope this helps.

MiraDry doesn't work for me. What should I do? (photo)

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MiraDry doesn't work for me. What should I do? (photo)

Answers (9)

Answer: May need second treatment

Answer: May need second treatment

Answer: MiraDry

Answer: MiraDry

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Recommended reading

Everything you need to know about MiraDry

Our mission is to create a world where every investment in modern beauty is Worth It.