Excessive Sweating
Hyperhidrosis is a medical condition, not a hygiene problem or a symptom of anxiety, it’s caused by overactive nerves triggering sweat glands, most commonly in the underarms, though it can also affect the palms and soles (palmoplantar hyperhidrosis). More than 37 million people in the U.S. live with it, and many never seek treatment.
After treating patients with every available modality, miraDry, Botox, Dysport, Daxxify, ThermiDry, topical solutions, and PrecisionTx, Dr. Falcone has narrowed her recommendations to the two options that work best: miraDry for a long-term or permanent solution, and Botox-family toxins for a faster, temporary one.
Comparing Your Options
| miraDry | Botox / Dysport / Daxxify | PrecisionTx | |
|---|---|---|---|
| How it works | Electromagnetic energy permanently destroys sweat glands | Temporarily blocks the nerve signal to sweat glands | Laser fiber surgically removes sweat glands via small incision |
| Results last | Permanent, treated glands do not regenerate | 4–6 months | Permanent |
| Sessions needed | 1–2 total | Repeated every 4–6 months | 1 (one-time procedure) |
| Downtime | None | None | 1–2 days |
| Dr. Falcone’s take | Her top recommendation for long-term relief | Good for a quick fix before an event or while deciding on a permanent option | No longer a first-line recommendation after comparing outcomes across all modalities |
miraDry: Dr. Falcone’s Top Recommendation
miraDry is an FDA-cleared, non-surgical treatment that uses controlled electromagnetic energy to permanently eliminate the sweat glands responsible for underarm sweat and odor. Because your body has millions of other sweat glands throughout the skin, eliminating the ones in the underarm doesn’t affect your ability to regulate temperature, and studies show no compensatory sweating develops elsewhere. As a side benefit, many patients also see permanent underarm hair reduction, since miraDry affects hair follicles in the treatment area as well.
Dr. Falcone’s team has over 10 years of miraDry experience. Treatment takes about 60 minutes: the area is marked using a starch-iodine test, numbed with a local anesthetic, and treated with the miraDry device. There’s no downtime.
For the approximate cost of a single Botox session, miraDry offers a long-lasting alternative, many patients start with Botox for quick relief, then transition to miraDry once ready for a permanent solution.
Botox for Hyperhidrosis
Botox is FDA-approved specifically for excessive underarm sweating, with results lasting 4–6 months, a good option for fast relief before a specific event, or for trialing the feeling of reduced sweating before committing to a permanent option like miraDry. See how Botox, Dysport & Daxxify work →
Good to Know
Frequently Asked Questions
What is the best treatment for excessive underarm sweating?
Based on treating patients with every major modality, Dr. Falcone considers miraDry the best long-term solution, it’s permanent, requires only 1–2 sessions, and has no downtime. Botox is a strong option for temporary or faster relief.
Is hyperhidrosis caused by anxiety?
No. Anxiety can increase sweating, but hyperhidrosis is a medical condition involving overactive sweat glands and nerves, it is not a personal or psychological failing.
Will treating my underarms cause me to sweat more elsewhere?
No. Studies on both miraDry and Botox show no compensatory sweating develops in other areas after underarm treatment.
How long does miraDry last?
Permanently. miraDry destroys the treated sweat glands, and unlike hair follicles or other tissue, they do not regenerate.
Is miraDry safe?
Yes. The body has millions of sweat glands elsewhere and doesn’t rely on the underarm glands for temperature regulation.
Schedule a Consultation
Every plan at The Falcone Center starts with Dr. Falcone herself, not a consultant. Book a consultation online or call the office to talk through your goals.