MiraDry vs. BOTOX: Which Should You Use to Stop Underarm Sweat?

BOTOX

MiraDry

A neurotoxin medication, Botox works by temporarily blocking signals from the nerves that activate sweat glands, so they don’t produce sweat. It’s indicated to reduce excessive sweating, but not to eliminate sweating.

A handheld device is placed on the underarm, where it emits controlled microwave energy frequencies through the skin’s surface to permanently disable sweat glands. It’s indicated to treat “primary axillary hyperhidrosis” or any bothersome underarm sweat.

You’ll get 10 to 15 injections per armpit via a very fine needle. Topical anesthetic can minimize discomfort. Treatment time varies, but may take up to 1 hour.

Your pits will be marked with a template and pen, and numbed with topical anesthetic. The handheld device is applied to the skin for treatment, which is mildly uncomfortable. Treatment takes about 1 hour.

• Reduced sweating for up to 6 months
• Full results within 2 to 4 weeks
• Retreatment needed every 3 to 7 months to maintain results

• Non-invasive treatment
• 82% or more sweat reduction
• Immediate results
• Reduces armpit hair
• Odor reduction or elimination
• Only 1 to 2 treatments needed, period

• Numbness, muscle weakness, pain at injection site
• Rarely, problems swallowing, headaches, vision problems
• Allergic reaction to ingredients

• Temporary swelling, soreness, tingling or numbness in the treated area.
• In rare cases, prolonged numbness or changes in sensation in armpits for several weeks after treatment

• In clinical trials, 55% of patients achieved an “effective response,” and 81% of patients achieved 50% or greater sweat reduction
• 82% “Worth It” Rating on RealSelf

• In clinical research, 96% of patients achieved an average 85% sweat reduction at 6 months
• More recent research shows >90% efficacy for sweat reduction after 2 years, with only 16% experiencing odor issues (down from 89%)
• Studies show an average 70% reduction in underarm hair
• 91% “Worth It” Rating on RealSelf