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David N. Sayah Plastic Surgery

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As of 05/19/2014

miraDRY® Hyperhidrosis Treatment


Hyperhidrosis or excess sweating is more common than you might suspect. This condition is characterized by excessive sweating in the palms, feet, underarms, and even the face. Underarm hyperhidrosis, or excessive underarm sweating, is the most common form of this condition. Along with active sweating, it is also common to experience excessive blushing as part of this condition. Hyperhidrosis is often hereditary, and is not unique to any one ethnic group.

Don't waste money on ineffective or temporary treatments for your excess sweating. Dr. David Sayah's office is one of the first practices in the Los Angeles area to offer the revolutionary miraDry® treatment. MiraDry® uses electromagnetic therapy to provide a lasting solution for those suffering from excessive underarm sweating.

Request a consultation to find out how Dr. David Sayah can help you end your excessive sweating with proven medical therapies.

If you suffer from hyperhidrosis, you may develop anxiety, depression or social phobias as a result of self-consciousness and frustration over your condition. Physical issues such as dehydration, coldness and clamminess, or skin infections may also manifest as secondary conditions. The effects can be very long-term, even lasting a lifetime. Electromagnetic energy and BOTOX are modern treatment modalities for excess perspiration. If embarrassing underarm sweating, stained clothing, sweaty palms and constant antiperspirant application are affecting your life, then you may be a good candidate for these treatments.


There are several treatments available for hyperhidrosis. Oral medications, special antiperspirants or other topical applications, and regular BOTOX® injections may all have some effect on hyperhidrosis although they are not permanent solutions. Permanent treatments for hyperhidrosis include Endoscopic Thoracic Sympathectomy (ETS) and the miraDry® system. Of the two, Dr. Sayah feels the miraDry® system offers more direct benefits for his patients with much greater safety.

Unlike ETS, which involves surgical nerve removal, miraDry® is a noninvasive, nonsurgical treatment for hyperhidrosis. There are no cuts, incisions or sutures necessary. As a result, there will also be a total absence of scarring. However, since miraDry® can only be used to treat the underarm area, ETS remains the treatment of choice for excessive sweating on the palms of the hands.

Prior to the procedure, a local anesthetic is injected into the target area. During treatment, microwave energy is delivered to the sweat glands which lie under the skin. The microwave energy generates heat, resulting in thermal deactivation of the sweat glands, called thermolysis. At the same time these energy waves are being emitted, a hydro-ceramic cooling system is used to protect the surface of the skin, and focus the microwaves instead on the sweat glands lying below. You are awake for the entire procedure which usually lasts about an hour, listening to your favorite music on your iPod.

View real patient photos

After the Procedure

Since the miraDry® system is noninvasive, recovery is very rapid. Most patients are able to go right back to work the same day as their appointment, and normal exercise can be resumed within one week. Patients may notice some discomfort in their underarms for the next few days including swelling and a dull ache, although this can be minimized with ice packs or over-the-counter medications if necessary.

Results are almost immediate, and patients report a very high satisfaction rate following the procedure. A second procedure scheduled for a few months after the initial appointment is typically recommended to maximize results. Since sweat glands do not regenerate following the treatment, the miraDry® system is a permanent solution for ending hyperhidrosis. Sweating, on average, is reduced by over 80 percent.

There is nearly a 100 percent success rate when using miraDry® to treat excessive underarm hyperhidrosis for our Beverly Hills patients. Once the symptoms have lessened or been resolved, most patients find that they feel less self-conscious and socializing becomes much easier.

What is miraDry®?

The miraDry® treatment is a non-invasive electromagnetic energy treatment which deactivates sweat glands in the underarms. There are no incisions of any kind. A local anesthetic is injections to numb the underarms so you do not feel the procedure. Dr. Sayah typically performs two treatments for best results. The treatments are spaced three months apart for patients to experience the full effect. In rare cases, a third treatment can add to the results.

What happens after the procedure?

Downtime after the procedure is minimal. Dr. Sayah recommends Tylenol or Ibuprofen and use of ice packs for a few days to increase your comfort. You should be able to return to normal activities or work right after the procedure, and you can typically resume exercise within several days. Some localized soreness or swelling is normal, and typically clears within a few weeks.

What results can I expect?

Neatly all patients experience a dramatic reduction of their perspiration. In fact, in a recent clinical study, the average sweat reduction was 86%. You should see a reduction in sweat immediately after the first treatment. The second treatment only improves your results as some perspiration may return within 3 months after your fist session. As with any medical procedure, results will vary by person.

How long will the results last?

Sweat glands do not come back or regenerate after they have been eliminated. Results are therefore typically permanent.

How is the miraDry® procedure different?

Other treatment options such as BOTOX® are designed to temporarily disable the sweat glands, or involve surgery which contains inherent risks. Only miraDry® provides a lasting solution with a non-invasive procedure.

Is the miraDry® procedure right for me?

If you experience excessive perspiration, embarrassing underarm sweat outbreaks, stained clothing or apply antiperspirant frequently, then you may be a good candidate for the miraDry® procedure. Dr. Sayah is available for consultations and able to answer all your questions.