miraDry® vs Botox® for Axillary Hyperhidrosis

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.

There 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 axillary hyperhidrosis. It has been our experience that miraDry® and Botox are the two best options to address the issue of sweat, however the differences between the two treatments are significant, which we’ll outline below.

Effectiveness for Hyperhidrosis: Botox® vs miraDry®

How does Botox® Work for Hyperhidrosis?

Botox® is best known for its cosmetic use to smooth away facial lines and wrinkles. However, Botox® can also be used therapeutically for various medical conditions. One of those conditions is excessive underarm sweating (axillary hyperhidrosis).

When treating axillary 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.”

How long is Botox® Effective for Hyperhydrosis?

While Botox® is effective, it is not a one time fix or cure for hyperhidrosis. To maintain the desired 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 6 months of reduced sweat. Worth noting, Botox® only addresses sweat it has no effect on odor.

How does miraDry® Work for Hyperhidrosis?

The miraDry® procedure uses a hand piece that delivers microwave energy to the underarm treatment area. This microwave energy permanently destroys sweat and odor glands in the underarms.

At WIFH, we utilize a tumescent technique for miraDry®. Our Ultra Comfort technology allows us to treat at the highest power the miraDry® device will allow, with zero discomfort for the patient. Most patients only require one treatment and we can achieve a 70-95% permanent reduction in sweat and odor.

How long is miraDry® Effective for Hyperhydrosis?

In sharp contrast to Botox®, miraDry® is a long lasting solution for underarm sweating and odor. Once the microwave energy has disabled the sweat and odor glands, they do not regenerate/grow back, resulting in long lasting 70-95% reduction of your axillary hyperhidrosis after just one treatment.

Cost of Botox® vs miraDry® for Hyperhydrosis

One of the primary considerations when comparing Botox® and miraDry® in the fight against underarm sweating is cost. The truth is, while Botox is definitely less expensive upfront, however miraDry® is the more affordable choice over time.

Cost of Botox® for Hyperhidrosis

Primary factors for determining what the cost of Botox® for axillary hyperhidrosis is, includes the severity of the sweating, the dosage required to treat, and the frequency in which the patient receives the treatments.

This will vary from patient-to-patient but, typically, 100 units are needed per treatment (divided between the armpits). Depending on the treatment facility, you can expect to pay between $1,000 to $1,200 for 100 units. If treated every 6 months, this equates to roughly $2,000 to $2,400 spent in a year’s time. But, because the results are not permanent, you begin gradually sweating more as the Botox® wears off and will need to be treated yet again.

Cost of miraDry® for Hyperhydrosis

While it is generally not covered by insurance, a one-time procedure of miraDry® costs $2,300 to $2,650, but the reduction is long lasting and there are financing options available.

At WIFH, roughly 10% of patients come back for a second treatment, most of these patients are reporting 70-80% reduction in sweat and odor after the first procedure. For patients who opt to have a second treatment to achieve further reduction, WIFH discounts the cost to $995.

From a cost-benefit perspective, miraDry® is a preferred solution for most patients, as they will spend the same amount of money as they would on about a year’s worth of Botox®.

If you’re experiencing excessive underarm sweating and are considering miraDry® vs Botox®, we welcome you to schedule a free consultation for more information.