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Sweating can be a source of embarrassment and discomfort, especially when it happens at inconvenient times. While antiperspirants can provide temporary relief, they may not be effective for everyone, and their chemical composition raises concerns for some individuals. Thankfully, there are two innovative non-invasive solutions available: Botox and MiraDry. In this article, we will explore the benefits of each treatment to help you decide which one is right for you. 


Botox: An Approach to Combat Excessive Sweating 

Botox injections for hyperhidrosis work similarly to cosmetic Botox treatments. A few painless injections are administered directly into the armpits. This purified neurotoxin temporarily blocks the nerve signals that activate sweat glands, preventing perspiration even in high-stress or elevated body temperature situations. The entire procedure takes just 30 minutes, and a topical numbing cream is applied beforehand to ensure your comfort. 


MiraDry: A Different Approach 

While both Botox and MiraDry are non-surgical, MiraDry is an energy-based procedure that aims to permanently eliminate sweat glands. During the approximately one-hour treatment, a handheld device emits microwave energy just above the targeted area, super-heating the sweat glands until they are destroyed. Most patients experience minimal discomfort due to a refined numbing technique. The best part? There is minimal downtime, and once the treatment is completed, excessive underarm sweating is improved. 


Duration of Results 

Botox provides temporary relief, lasting approximately four to six months before the body naturally metabolizes the neurotoxin. However, repeat treatments can be safely administered every six months for those who find Botox effective. 


On the other hand, MiraDry offers long-lasting results, as the destroyed sweat glands do not regenerate. After a single treatment, most patients experience an 80 to 85 percent reduction in underarm sweat. For the best outcomes we recommend two MiraDry sessions. 


Both Botox and MiraDry are FDA-approved and trusted by countless individuals.  To determine which option suits you best, we recommend scheduling a consultation with a medical professional experienced in these procedures. 



In conclusion, if you prefer a temporary solution with repeatable treatments, Botox may be the ideal choice for you. However, if you seek a more permanent solution that eliminates the need for ongoing treatments, MiraDry offers lasting results. Don't let excessive underarm sweating hold you back — take the first step towards a drier future by consulting with one of our dermatologist today. Schedule your consultation online here.

Helyn Alvarez, MD

Helyn Alvarez, MD

board-certified dermatologist

With a keen sense of aesthetics and a passion for cosmetic dermatology, Dr. Alvarez goes above and beyond to help her patients look and feel their best. Through the use of neuromodulators such as Botox® and Dysport®, fillers like Restylane®, Juvéderm®, RHA®, and Radiesse®, and laser treatments, she carefully crafts personalized treatment plans for each individual that aim to restore symmetry and balance to their features. 

She stays up to date with the newest treatments in medical and cosmetic dermatology as an investigator in clinical trials. She is also fluent in Spanish. 

Follow her on Instagram here.