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Botox vs. miraDry: Which Is Better for Underarm Sweating?

Quick Summary

  • Botox and miraDry both reduce excessive underarm sweat
  • Botox offers fast results that last 3 to 6 months
  • miraDry permanently destroys sweat and odor glands
  • Botox requires repeat treatments, while miraDry usually needs 1 to 2 sessions
  • Be You Medical offers both options and tailors recommendations based on your goals

Excessive underarm sweat affects far more people than you might think. In fact, the International Hyperhidrosis Society estimates that millions of people struggle with excessive sweating that impacts their comfort, wardrobe choices, and confidence. When sweat feels constant or uncontrollable, even strong antiperspirants or oral medication may not make a noticeable difference.

Fortunately, modern cosmetic dermatology offers two effective treatment options: Botox injections and miraDry treatment. Both help reduce sweat, but they work very differently and offer unique advantages. At Be You Medical, we guide every patient through these options so they can find the treatment that truly supports their lifestyle and long-term goals.

Why Underarm Sweat Treatment Is in High Demand

Excessive underarm sweat, known as axillary hyperhidrosis, isn’t just inconvenient. It can affect daily life in surprising ways:

  • Clothing stains and discoloration
  • Social or professional embarrassment
  • Constant dampness and discomfort
  • Increased odor due to active sweat and odor glands
  • Limited clothing choices
  • Anxiety about visible sweat marks

Both Botox and miraDry offer real, clinically proven sweat reduction without plastic surgery, invasive procedures, or significant downtime. They also help patients regain a sense of confidence and control.

How Botox Treats Underarm Sweating

Botox is widely known for smoothing wrinkles, but it’s also FDA-approved for hyperhidrosis treatment. For many patients, Botox offers fast and reliable improvement with minimal disruption to their routine.

How It Works

Botox uses purified botulinum toxin to temporarily block the nerve signals that activate the sweat glands. It doesn’t affect nearby glands, or your body’s natural ability to regulate temperature. It simply prevents the overactive sweat glands in the treated area from producing excessive sweat.

This makes Botox a safe, targeted, and non-invasive treatment for excessive sweating under the arms.

What to Expect

Botox treatment for underarm sweat is straightforward:

  • Quick in-office procedure, often completed in 10 to 15 minutes
  • Minimal discomfort from the injections
  • You can return to daily activities right away
  • Results begin within a few days and continue improving
  • Sweat reduction typically lasts 3 to 6 months
  • Repeat treatments help you maintain consistent results

Patients who want fast improvement, a lower upfront cost, or flexible scheduling often choose Botox cosmetic for sweat control.

How miraDry Treats Underarm Sweating

miraDry is a popular choice for patients seeking long-lasting results without relying on repeat treatments. It is one of the only treatments that can permanently reduce excessive sweat and odor glands in the underarms.

How It Works

miraDry uses controlled thermal energy to target and destroy the sweat glands and odor glands under the arms. Once eliminated, these glands do not regenerate. The result is a dramatic and lasting reduction in sweat, odor, and moisture.

This treatment is FDA-cleared, clinically studied, and widely used in medical dermatology practices for patients seeking permanent sweat reduction.

What to Expect

A typical miraDry session includes:

  • Local numbing for comfort
  • A 60-minute procedure
  • Noticeable reduction in sweating within days
  • Some swelling, tenderness, or numbness for a few days
  • Long-term or permanent results for most patients

Most patients need only one treatment. Some choose a second session for additional reduction.

Botox vs. miraDry: Side-by-Side Comparison Chart

FeatureBotoxmiraDry
Duration of Results3 to 6 monthsLong-lasting or permanent
Number of TreatmentsOngoing treatments every few monthsUsually 1 to 2 treatments
DowntimeMinimal to none1 to 3 days of swelling/tenderness
MechanismTemporarily blocks sweat-gland signalsPermanently destroys sweat and odor glands
Cost at Be You Medical$13/unit or $12 for 60+ units (15 unit minimum). The total cost of your Botox treatment will be determined at your consultation.$2,000 first treatment, $1,700 subsequent treatments
Ideal ForFast results and lower upfront costPermanent sweat reduction

Which Treatment Is Right for You?

Both Botox and miraDry are effective treatment options for excessive sweating, but the best choice depends on your goals, lifestyle, and budget.

Choose Botox If:

  • You want a fast solution with little to no downtime
  • You prefer a lower upfront cost
  • You don’t mind repeat treatments throughout the year
  • You want a reversible treatment option

Botox injections are also a great choice for patients already receiving aesthetic treatment like lip fillers, spider veins treatment, or chemical peels who want a quick add-on service for sweat reduction.

Choose miraDry If:

  • You want a permanent or long-term reduction in sweat
  • You’re comfortable investing more upfront
  • You want to avoid the need for frequent maintenance
  • You want to treat both excessive sweat and odor

Many patients with primary axillary hyperhidrosis choose miraDry because it significantly improves quality of life, helps prevent compensatory sweating in treated areas, and offers lasting results without ongoing treatment.

Both treatments are safe and clinically supported, and neither requires plastic surgery, breast reduction, varicose veins procedures, or other invasive options sometimes mentioned when patients seek help for moisture or odor issues.

Why Patients Choose Be You Medical for Sweat Reduction Treatments

Be You Medical is known for thoughtful, precise, and safe care in both cosmetic and medical dermatology. Sweat reduction treatments are performed under the direction of board-certified physician Dr. Selene, who ensures every treatment follows evidence-based protocols.

Patients trust Be You Medical because:

  • Providers are trained in both Botox and miraDry
  • Consultations are personalized and honest
  • Treatment plans reflect your goals and lifestyle
  • Pricing is transparent
  • Care is warm, supportive, and never rushed

Whether you’re dealing with excessive underarm sweat for the first time or looking for a long-term solution, we’ll guide you toward the treatment that aligns with your comfort level and desired outcome.

Ready to Stop Sweating the Small Stuff? Let’s Talk.

If excessive sweating is interfering with your confidence, comfort, or daily routine, you don’t have to navigate it on your own. Both Botox and miraDry offer powerful results that can help you feel dryer, fresher, and more comfortable every day. We offer both services at select Be You Medical spas. You can book miraDry in Rocklin and Botox treatments in Sacramento, Rocklin, Alamo, and Grass Valley.

Book an appointment at Be You Medical to explore your options and receive a customized treatment plan.

Contact us today to take the first step toward sweat-free confidence.

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