miraDry®: Is There Compensatory Sweating?

miraDry® is a popular and extremely effective treatment for excessive underarm sweat and odor that we offer at WIFH. People who suffer from hyperhidrosis, which is the medical term for excessive sweating.

Hyperhidrosis can be experienced in different areas of the body like the underarms, hands and feet (anywhere sweat glands are present). miraDry® is a procedure specially designed to target the sweat glands located in the underarm area and the results are amazing. At WIFH, we love seeing how much confidence people feel after they’ve addressed their sweating issues.

miraDry® is a non-surgical procedure that uses microwave technology to target and disable the sweat and odor glands under the arms. At WIFH, we utilize a tumescent technique to completely numb the area prior to treatment, making the treatment painless and relatively quick (about 45 minutes per underarm). Patients usually see a 70% to 90% reduction in sweat and odor after just one treatment. Because of our numbing technique, 95% of our patients only need one treatment.

One of the common questions we get about miraDry® at WIFH is: Will I experience compensatory sweating after the procedure?


The short answer is no.

miraDry® disables the sweat glands in the underarm which simply means they can no longer produce sweat. These glands do not regenerate, so once they are deadened it is long-term.

Your body contains over four million sweat glands, and only about 2% of them are in your underarms. Eliminating this 2% does not affect your body’s ability to cool itself. So, your body will not start sweating more in other areas to “compensate” for the lack of sweat production in the underarm area.

miraDry® works by targeting the eccrine glands not the nerves that stimulate sweating. So, the body will still receive the signal to initiate sweating, but the gland will not be able to produce the sweat. The nerve signals aren’t being redirected to other areas which would be the case if it caused compensatory sweating.

We have found that patients that believe they are experiencing additional sweating in other areas after having miraDry® aren’t actually experiencing increased sweating. Rather once they are no longer focused on their underarm sweat, they become more aware of other body areas that are also sweating. So, while this can seem like compensatory sweating, it’s usually sweating that they just never noticed because of the excessive sweating they were experiencing under their arms.

At WIFH, when you come for your complimentary consultation, we ask our patients about all of the areas where they currently experience sweating in times of rest, physical activity, and when stressed. It’s also helpful if you can quantify the amount of sweat you experience as well (is it enough to wet your shirt, etc.). Making notes like this can help in the event you feel like you are experiencing increased sweating following your treatment.

If you’re worried about compensatory sweating, don’t. The effects of miraDry® are sometimes so dramatic, because it reduces so much sweating from the underarms that you might notice sweat in areas you hadn’t before. If anything, that’s just the result of a great treatment that really works!

If you have any more questions about miraDry®, we welcome you to schedule a free consultation of your own and find out how you can stop excessive underarm sweating for good!