miraDry FAQs

miraDry® vs Botox® For Underarm Sweating

Botox® vs miraDry® for Treatment of Excessive Underarm Sweating

Excessive underarm sweating is an embarrassing and life altering problem for those who suffer with it, but it doesn’t have to be. There is a name for this condition, it’s called Axillary Hyperhidrosis.

Hyperhidrosis Underarm Sweating AtlantaThere are many products and procedures available to help combat this annoying problem. They can be segmented into two categories: temporary and long lasting.

There are countless of over-the-counter and prescription anti-perspirants that help reduce the amount of sweat being produced, which can vary. These get mixed reviews and you have to use them consistently for them to be effective.

Until we began offering miraDry® we recommended Botox® injections for our patients suffering with excessive underarm sweating. It has been our experience that miraDry® and Botox are the two best options to address the issue of sweat.

The differences between the two are great and we’ll outline those here.


Botox® is best known for its cosmetic use to smooth away facial lines and wrinkles. However, Botox® can also be used therapeutically to various medical conditions. One of those conditions is excessive underarm sweating or hyperhidrosis, Botox® works by temporarily blocking the signal sent to the brain that turns on the body’s sweat glands. By blocking, or interrupting, this chemical messenger, Botox® ‘turns off’ sweating at the area where it has been injected.”

Botox® is not a one time fix or cure for excessive sweating, to maintain the results it is necessary to continue getting the injections at regular intervals. Results also vary according to the severity of the condition. In most cases Botox® does not completely stop sweating; rather it greatly reduces sweat production temporarily.  On average 100 units (50 in each underarm) of Botox® will provide up to six months of reduced sweat at a cost of $1,000 (this number can vary based on facility). Worth noting, Botox® only addresses sweat it has no effect on odor.


In sharp contrast, miraDry® is a long lasting solution for underarm sweat and odor.  While results can vary from person to person, typically  sweat and odor production can be reduced by 70%-90% in one simple treatment. Simply put, miraDry® uses microwave energy to heat and disable sweat glands and because sweat glands do not regenerate this is a long term solution. Our cost for miraDry® is $2,650*, this is roughly just over a years’ worth of Botox. miraDry® is the affordable, long lasting treatment.

*Be sure to check out our monthly specials for savings on miraDry®