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Frequently Asked Questions Eng. v9 03302
Frequently Asked Questions Eng. v9 03302
As you can see from the bar graph, most patients will have substantial % of sweat reduction
compared to baseline and the average is 82%.
a. 70% (18/26) of patients had higher sweat reduction than average 82%.
b. 23% (6/26) of patients had lower sweat reduction than average 82% but higher than
50% sweat reduction.
c. 8% (2/26) of patients had lower than 50% sweat reduction.
However, during consultations in a real practice it is not possible to anticipate which patient
will have 99% reduction (as patient # 26) or 30% reduction (as patient # 1) or any reduction
in between (as patient # between 2-25). What we know is 1-2 out of 10 patients will require
2 treatments to reach close to average of 82% sweat reduction. For this reason, miraDry is
consulted as 1-2 treatment for lasting result.
10. How many additional sweat glands can be eliminated after 2nd treatment?
Additional average of 82% sweat glands will be removed from the remaining sweat glands
from the 1st treatment, which is an average of 18%. Most patients are happier and
experience a much more drastic sweat and odour reduction after 2nd treatment.
12. What is the protocol for excessive sweat (hyperhidrosis) and excessive odour
(osmidrosis) suffering patients?
The vast majority of providers are offering 2 treatments for heavy sweat and odour suffering
patients and seeing satisfactory results.
15. Patient complains that sweat had reduced immediately and was restored weeks
after treatment.
Patients will generally experience a significant reduction immediately post treatment. Some
patients may experience 100% dryness for a few days to weeks following treatment due to
edema (swelling) blocking sweat from coming out. As swelling subsides from post treatment,
any glands that were not eliminated (average of 18%) will begin to produce sweat. The
amount of sweat should be dramatically reduced from the patient’s baseline, but some
sweat is expected. To determine whether a patient is sweating from the treated or
untreated area, a starch-iodine test may be performed.
16. How long does the results last?
miraDry procedure eliminates sweat and odour glands. Once destroyed, these glands do not
regenerate so results are permanent. This can be seen in our histology data and 2-year
clinical data with multiple metrics to show stability of results.
22. Considerations
Not contraindicated but would be at the discretion of the physician to proceed with
treatment.
• Immune-compromised or taking medications that might interfere with healing post-
procedure
• Previous axillary surgery (e.g. lymph node dissection) that may have changed the skin &
fat interface in the treatment area
• Pregnancy
36. What information should be provided during consultation and follow ups?
• Pre and Post procedure care
• Common side effects
• Less common side effects
37. What are the most common side effects?
Swelling, soreness and altered sensation in or around treatment area. Typically clears within
few weeks.
43. Burns
miraDry employs a patented cooling system in the handpiece that cools and protects the
skin. However, some superficial burns have been reported. Never use gel (ultrasound or IPL
gel); they tend to be thick and in large amounts can potentially cause thermal injury. KY
Liquid or KY Jelly is the recommended lubricant to use.
50. How to manage patients who believe they have compensatory hyperhidrosis after
miraDry treatment?
Reports of compensatory hyperhidrosis are very subjective and not quantified. The miraDry
procedure does not affect the major branches of the central nervous system (CNS), as it only
aims heat energy to target the location where axillary sweat and odour glands reside; 2-
5mm below the skin. Therefore, we highly recommend that during consultation, patient is
asked about sweating in other parts of the body.
Many times, a patient who is focused on their axillary sweating after miraDry treatment may
become more aware of other areas that are sweating which were already existing but less
self-conscious before miraDry treatment.
51. What if a patient complains of more potent and pungent odour post miraDry?
One reason these patients may think there is more odour could be related to healing from
the procedure. Another explanation is since we reduce the wetness in the underarm, we are
changing the “flushing” glands so odour may be more noticeable or different. We believe
once these patients have been fully healed from the procedure the odour should be
reduced. Note that some patients may be hyper-focused on the underarm after miraDry
treatment and noticing odour which may have been there before.
52. Is it safe to treat patients with extra-glandular breast tissue in the axilla?
miraDry does not have any data on treating patients who have extra glandular or accessory
breast tissue in the axilla. It is not a contraindication but would be at the discretion of the
physician to proceed with treatment.