Underarm sweat reduction treatments aim to reduce excessive sweating (known as hyperhidrosis) in the underarm area. Hyperhidrosis can significantly impact a person’s quality of life, causing embarrassment, discomfort, and social anxiety. The two most common treatments for underarm sweat reduction are Botox injections and MiraDry.

MiraDry: MiraDry is a non-invasive procedure that uses microwave energy to target and eliminate sweat glands in the underarms. This treatment offers long-lasting or permanent results because it destroys the sweat glands, preventing future sweating. It is typically performed in one to two sessions, with minimal downtime.

Botox Injections: Botox (botulinum toxin) injections are a widely used treatment for hyperhidrosis. Botox works by blocking the signals from the nerves to the sweat glands, preventing the glands from producing sweat. The effect is temporary, and the treatment typically lasts for 4 to 6 months.

Indications:

Contraindications:

Aftercare:

Aftercare for underarm sweat reduction treatments varies depending on the method used (Botox or MiraDry). Below are the general aftercare instructions for each treatment:

1. Botox Injections

• Avoid strenuous activity: For the first 24 hours after treatment, avoid heavy exercise or activities that cause excessive sweating. This will allow the Botox to settle and take effect.
• Don’t rub the treated area: Avoid touching, rubbing, or massaging the treated area for at least 24 hours to prevent Botox from spreading to unintended areas.
• Stay upright: For the first 4 hours after Botox injections, try to stay upright to prevent the Botox from moving away from the injection site.
• No excessive heat: Avoid hot showers, saunas, or steam rooms for at least 24-48 hours after Botox treatment, as heat can cause the Botox to spread too quickly and lead to temporary weakness or drooping.
• Cold compress: If there is mild swelling or redness after the procedure, you can apply a cool compress to the treated area to reduce discomfort.
• Avoid deodorants or antiperspirants: It is generally advised to avoid using deodorants or antiperspirants on the treated area for 24 hours to prevent irritation.
• Follow-up appointment: Schedule a follow-up visit (usually 2-3 weeks after treatment) to assess the results and determine if additional Botox injections are needed.

2. MiraDry

• Avoid heat and sweating: For the first 48 hours after MiraDry treatment, avoid hot showers, saunas, or strenuous exercise to allow the treated area to heal.
• Cool compress: Post-treatment swelling and discomfort are common. You can use a cold compress or ice pack (wrapped in a cloth) to the underarms to reduce swelling and ease pain.
• Manage swelling and bruising: Some patients may experience swelling, bruising, or tenderness in the treated area, which usually resolves within a few days to a week. Over-the-counter pain relievers like paracetamol or ibuprofen can help manage discomfort.
• Avoid tight clothing: Avoid wearing tight-fitting clothing or anything that could rub against the treated area for at least a few days to prevent irritation.
• Limit physical activity: It’s recommended to refrain from vigorous physical activity or excessive sweating for about 1-2 weeks post-treatment.
• Monitor for side effects: While side effects are rare, if you experience any unusual pain, numbness, or signs of infection, contact your provider.