A More Confident You Starts Here

why miradry

If you’re reading this you might be one of the 7.8 million people in the U.S that suffer from axillary hyperhidrosis (underarm sweating). Or maybe it’s body odor you struggle to control.  Perhaps it’s both.  These conditions aren’t just a nuisance; they’re debilitating to those that have to deal with this on a daily basis.  I really feel for my patients that struggle with these problems.  Those of us that don’t suffer from these conditions take simple things like wearing light colored clothing or raising your arms, for granted.  

You don’t have to deal with this constant worry any longer!  There is a procedure that can give you the confidence you deserve and it can bring you relief in a little as one treatment.  miraDry is a revolutionary non-invasive, non-surgical procedure that is changing the lives of those that suffer from underarm sweating and odor.  With just one treatment, you can reduce sweat and odor by 80-90%!

Prior to miraDry, there weren’t many options for those with excessive sweating and odor issues. Patients could have Botox injected into the underarms, but it is painful and temporary.  miraDry is long lasting and boasts a 91% satisfaction rating!

The Process

As with all of our procedures, the process starts with a consultation.  During your consultation, you will meet with one of our clinicians and discuss your expectations and the procedure. More often than not, my patients have already made up their mind about having miraDry.  We can schedule your consultation and procedure for the same day with some advance notice.

Four days before your procedure, you will need to shave your underarms.  A little bit of stubble in the treatment area is preferred.  This is because sweat and odor glands follow the hair pattern. On the day of your procedure you should wear comfortable clothing and a top that allows easy access to your underarms. Most men opt to go shirtless but that is up to the individual.

Our numbing technique is what sets us apart from most other facilities.  We utilize a technique we like to call, Ultra Comfort Technology.  We start with one single lidocaine shot in each underarm.  Dr. Kulkin then makes a very small incision at the site of that injection.  Through that puncture he enters the skin with a thin cannula (the instrument used to deliver the numbing solution of lidocaine and epinephrine ) into your underarm.  He uses a back and forth fanning motion as he delivers the numbing solution to your underarm.  This process takes about 5 minutes per underarm.  I always tell my patients to expect to feel a chilling sensation after he numbs you.  This is completely normal and is a “side effect” from the lidocaine and epinephrine mixture.  Once he’s done, you’re all set to have miraDry!

Charlotte, or dedicated Nurse Practitioner that performs all of our miraDry procedures, will then begin by placing the hand piece on designated points on your underarm.  Suction is then applied to bring your sweat and odor glands closer to the surface.  

Lastly, timed microwave energy, will be delivered to the area to destroy the sweat and odor glands. The hand piece will deliver simultaneous heat energy (to destroy the glands) and cooling energy (to keep you comfortable).  The hand piece is moved until the entire underarm is treated.  You won’t feel anything. The whole process will take about 60 minutes (30 minutes per underarm) and be quite comfortable.  Feel free to bring an iPod to listen to music during your procedure!


Recovery for most is easy, but I recommend that you take it easy the day of your procedure. Rent a movie or two, pop some popcorn and cop a squat on the couch.  Swelling can persist for up to 7 days while tenderness subsides in just a few days.  Most people proceed with regular activities the following day.  

Dr. Kulkin might recommend over-the-counter pain medication to help with the discomfort once the numbing solution wears off and ice packs should be applied regularly for the remainder of the first day.  One big question for most is when will I see results?  You should notice an immediate difference in your sweating and odor but you could see incremental improvement over the next several weeks. Full results are expected at 3 months.

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