miraDry vs. Botox: Which Works Best for Reducing Sweating?Aug 15, 2025
Hyperhidrosis, the medical condition characterized by excessive sweating, can quietly disrupt daily life and personal confidence. For those seeking solutions, miraDry and Botox are the most recognized treatments available. When comparing miraDry and Botox, miraDry has proven to work best for reducing sweat because it provides a permanent solution to excessive sweating.
Tired of letting sweaty features ruin your day? Here at Spa26, we offer discreet, non-surgical solutions like miraDry and Botox, to help you feel comfortable, dry, and confident every day. Led
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In this post, we compare miraDry vs Botox based on cost, results, safety, and longevity, helping you choose the option that works best for you.
miraDry is a treatment approved by the FDA that’s designed to reduce excessive underarm sweating and odor. It works by targeting the sweat glands, odor glands, and hair follicles that cause these issues. Unlike temporary topical treatments like deodorants, miraDry offers long-lasting sweat reduction with minimal recovery time. This makes it best for reducing excessive sweating.
So, how does miraDry work? It works with the help of the miraDry device, which delivers precisely controlled electromagnetic energy to the concerned area. The resulting thermal energy targets and eliminates sweat glands and odor glands. Since these glands do not regenerate, the results are long-lasting and often permanent after just one or two treatments.
It is a quick, in-office treatment that does not require an overnight hospital stay. During the procedure, a specialist disinfects the underarms, numbs the area to prevent pain, and then uses the miraDry device. It usually takes about an hour, and you might feel some warmth, but it is mostly painless.
Botox is best known for smoothing wrinkles, but due to FDA approval, it is used to treat primary axillary hyperhidrosis. It is also often used to treat excessive sweating in other areas, such as the hands, feet, forehead, and scalp. As such, Botox is a good option for people who sweat excessively in multiple areas of the body.
When injected under the skin, botulinum toxin, commonly known as Botox, helps calm overactive sweat glands and significantly reduces sweating. This purified neurotoxin temporarily blocks the nerve signals that activate sweat glands. By doing so, it prevents perspiration even in high-stress situations or when the environment becomes a bit too warm. Most people begin to see results within a few days, with full effects typically appearing after about two weeks.
The effects of Botox aren’t permanent, and typically last around 6 to 8 months. Botox treatment remains a viable option for those seeking rapid relief from excessive sweating. It is handy for improving confidence during high-stress events or warmer seasons when sweating becomes more noticeable and expected.
If you deal with constant, excessive sweating, you know it is more than just an inconvenience. Whether it is damp shirts, slippery handshakes, or the general worry of whether you smell sweaty, hyperhidrosis can quietly affect how you live, work, and feel in your skin, as well as how you feel around those you love.
Both miraDry and Botox are safe, trusted, and effective ways to improve your situation, but miraDry works best for permanent hyperhidrosis treatment. Let us walk you through how either treatment option works:
miraDry offers long-lasting, permanent results for underarm sweating by targeting and eliminating sweat glands and odor glands beneath the skin. Since these glands do not regenerate, most patients experience a permanent reduction in sweat after just one or two treatments. This makes miraDry a strong option for individuals seeking a one-time solution and who prefer to avoid repeat appointments.
Botox doesn’t completely remove the glands. Instead, it treats excessive sweating by temporarily reducing the activity of the nerves that stimulate sweat glands. They typically last for 4 to 6 months, requiring repeated treatments. The benefit of Botox injections is that they can be used in multiple areas and not just the underarm region.
miraDry has FDA approval specifically for a significant reduction in underarm sweating. This makes the treatment an excellent choice for individuals whose primary concern is axillary hyperhidrosis, or excessive underarm sweating, and associated underarm odor.
The miraDry hyperhidrosis treatment is not currently approved or recommended for use on other parts of the body outside the armpits, but miraDry offers permanent results in its approved area of use. As such, it is often chosen by those seeking a long-term non-surgical treatment solution for excessive sweating.
Botox treatments offer greater flexibility in terms of treatment areas. In addition to reducing underarm sweat, it is commonly used off-label to treat sweating on the palms, soles of the feet, forehead, and scalp. This makes Botox a valuable option for individuals who experience excessive sweating in multiple areas.
Botox injections typically take approximately 30 minutes, while miraDry treatments last around 1 hour. Additionally, Botox needs to be repeated every 4 to 6 months to maintain its effectiveness, whereas miraDry results are long-lasting after treatment. Both treatments have a proven track record in terms of effectiveness.
When choosing a treatment for excessive sweating, comfort during the procedure is just as important as the results. While both miraDry and Botox are non-surgical and well-tolerated, the experience during and after treatment can vary slightly depending on the option you choose.
miraDry is performed under local anesthesia to keep the underarm area numb and comfortable. During this procedure, patients may experience a gentle warming sensation, followed by mild swelling or tenderness in the treated area afterward. These side effects usually fade within a few days, with immediate to gradual improvement.
Botox, by contrast, involves a series of quick injections just beneath the skin. Most patients describe the feeling as a light pinch or sting, with no anesthesia required. The entire process is fast, with minimal downtime and potential swelling in the affected area. Therefore, miraDry treatment is considered by many to be the more comfortable option.
Every treatment comes with its own set of possible side effects, and knowing what to expect can help you feel more prepared. Both miraDry and Botox are non-surgical and low-risk procedures, but they have different recovery times.
After a miraDry session, you may deal with temporary swelling, numbness, or altered sensation. These effects are typically limited to the underarms and usually resolve within a few days to a week. Cold packs and over-the-counter pain relief can help ease any discomfort.
With Botox, side effects are typically minimal, but some patients may notice mild bruising at the injection site. Patients may also experience temporary muscle weakness or occasional headaches. These symptoms tend to be short-lived, but do not affect long-term quality of life. They usually clear up on their own without requiring special care.
miraDry costs between $2,000 and $3,000 per session, with many patients achieving permanent results after just one or two treatments. Since the sweat glands are eliminated, no maintenance sessions are usually needed, making it a one-time investment for long-lasting relief.
Botox injections, on the other hand, start at around $1,000 per session, depending on the treatment area and dosage required. Because results last about 4 to 6 months, multiple sessions per year are often necessary to maintain dryness, which can add up over time.
With miraDry, many patients notice a reduction in underarm sweat immediately after their first session. However, results can also improve gradually over the next few weeks as the body continues to adjust and respond to the treatment. For some, a second session may enhance the outcome.
With Botox, most patients begin to notice a noticeable effect within 2 to 7 days, with full results becoming visible after approximately two weeks. This quick turnaround makes Botox an excellent option for those seeking temporary relief from facial wrinkles.
miraDry is FDA-approved for the treatment of severe primary axillary hyperhidrosis. It is also supported by multiple clinical studies that confirm both its effectiveness and long-term safety. The treatment works by permanently eliminating sweat and odor glands in the underarms using controlled heat from electromagnetic energy. Since these glands do not grow back, miraDry offers a permanent solution in 1 or 2 treatment sessions.
In long-term studies, patients treated with miraDry reported high satisfaction rates with no harmful effects years after treatment. The miraDry procedure has been performed over 500,000 times globally, according to The National Library of Medicine. Therefore, its safety profile remains consistently positive. Because miraDry targets only about 2 percent of the body’s sweat glands, it does not interfere with the body’s natural ability to regulate temperature.
Botox, on the other hand, has been used for both medical and cosmetic purposes for over 20 years, with a well-established track record of safety and effectiveness. It is FDA-approved for treating excessive underarm sweating and is also commonly used off-label for other areas, including the hands, feet, face, and scalp. Long-term use of Botox for hyperhidrosis has been studied extensively, and research shows that patients can receive repeated treatments safely over many years.
Botox results are not permanent, as it does not alter the structure of your sweat glands or nerves, making it a reversible and flexible option for those who prefer ongoing but non-permanent treatment. However, if you seek a more permanent solution that eliminates the need for ongoing treatments, miraDry offers lasting results.
Category | miraDry | Botox |
|---|---|---|
| Effectiveness | Eliminates sweat glands, leading to a permanent reduction. | Temporary suppresses nerves. Requires ongoing treatments (4–6 months) |
| Treatment Areas | FDA-approved only for the underarms. | Underarms, hands, feet, face. |
| Comfort During Treatment | Local anesthesia, some swelling. | Minor injections, mild discomfort. |
| Side Effects | Swelling, numbness, soreness. | Bruising, muscle weakness, and headaches. |
| Cost | $2000–$3000 (one-time cost). | $1000+ per session (recurring). |
| Results Timeline | Immediate to gradual improvement. | Results in 2–7 days. |
| Long-Term Safety | FDA-approved; low long-term risk. | FDA-approved; safe for long-term use. |
Excessive sweating can significantly impact one’s quality of life. With issues like social anxiety and public embarrassment being at the front of our minds, it is best not to let our appearances become weak points for people to pick at. It’s worth choosing a solution that helps you feel confident again.
miraDry is ideal for individuals seeking a permanent solution to underarm sweating, available with a one-time payment. It is a good choice to avoid needles as it is a non-invasive treatment. It reduces odor and sweat with minimal discomfort and doesn’t require regular treatment. This option is ideal for busy professionals, athletes, or anyone who wants to eliminate sweat stains for good.
Botox is effective for individuals who experience excessive sweating in multiple areas, such as the hands, feet, or face. It is a fast and effective option if you need temporary help reducing underarm sweat and are willing to undergo small injections every few months. Botox results are ideal for those on a tighter budget or individuals who want to try a solution without making a significant commitment.
Yes, you can use Botox and miraDry together if you need to treat sweating in different parts of the body. For example, some people use miraDry to eliminate underarm sweat permanently, then use Botox to help reduce sweating in their hands, feet, or face. This provides more complete relief if sweating affects multiple areas.
Some patients also start with Botox for quick results, then try miraDry for something more long-lasting. It can be an excellent option for individuals with active jobs, individuals who are athletes, or anyone who wants to feel dry and confident throughout the day. A brief conversation with your provider can help you determine if combining both is the right choice for you.
Excessive sweating can significantly impact daily life, from social discomfort to the need for frequent wardrobe changes. Thankfully, treatments like miraDry and Botox offer real relief. miraDry offers a permanent, one-time solution for underarm sweating, while Botox provides precise and effective results for other areas with minimal downtime.
Looking to reclaim your confidence and enjoy life without the worry of sweat? Booking a session with a trusted, board-certified professional is the most innovative way to get started. At Spa26, we make the promise of putting you in expert hands every step of the way when it comes to handling your concerns. Reach out to us to book a free consultation today and discover why so many people choose us as their top medspa in Beverly Hills.
Do you have questions about sweat reduction treatments? Our FAQ covers everything you need to know to help you feel informed and ready for your next step:
Getting ready is easy. Please shave your underarms the day before. Ensure that you do not apply deodorant on the day of your visit. Also, wear loose-fitting clothing to stay comfortable during your appointment.
Usually not, but it’s always a good idea to double-check with your provider just in case your plan has a surprise. Most insurance policies skip it, but it’s better to ask than assume.
If you’re looking for a long-term solution, miraDry is your best option. If you prefer a short-term or flexible option, Botox treatment may be a better choice. This problem affects millions, as indicated by online search responses from others, so feedback is readily available with a single search.
It depends on your needs, as miraDry is a permanent procedure, but only for the “underarms”. Botox is effective in more areas, but it provides temporary relief. A drawback of using sweating Botox is that its effects wear off over time. As with any medical procedure, consulting a qualified practitioner is crucial to determine the most suitable option tailored to individual needs.
Many people stop using it completely. However, it depends on how much sweat and odor you typically experience and what level of comfort you prefer. It usually isn’t a problem, as the idea is to give you the option of control.
Botox works by temporarily blocking the nerve signals that trigger sweat production. When injected into the underarm area, it helps reduce the activity of overactive sweat glands, offering relief from excessive sweating. Results typically begin within a few days and can last up to 6 months or longer.
Botox itself does not directly reduce hair growth. However, when combined with procedures like laser hair removal, patients may enjoy both sweat reduction and long-term hair reduction, resulting in a cleaner, drier underarm area.
Most people feel only a quick pinch. If needed, your provider will apply a topical numbing cream to the treatment area before your procedure.
Sheila Nazarian is the founder and operator of Spa26. Dr. Nazarian’s Spa26 patients benefit from her numerous qualifications. She has years of training and expertise as a board-certified plastic surgeon. She graduated from Columbia University, where she concentrated in pre-med. She studied medicine and earned her doctor of medicine degree at Albert Einstein College of Medicine at Yeshiva University.
Spa26 offers luxury skincare, anti-aging treatments, and wellness services. Consult with our experienced team at (310) 683-7537.
