Journal Overview

Underarm excessive sweating, also called axillary hyperhidrosis, can be a very annoying and embarassing problem. Nobody likes the discomfort of sweat running down your sides and the embarrassment of obvious sweat stains or odour coming from your underarms. Sometimes it may even result in anxiety and social isolation where it really feels like it is ruining your life.

Treatment Options

  • Conservative treatment – Antiperspirants, Absorbent garments and underarm pads
  • Temporary treatment – Botulinum Toxins injection
  • Permanent treatment – MiraDry system
  • Conservative Treatment


  • Usually first line of treatment
  • Topical
  • Non-invasive
  • Available in different strengths – normally starting with the mildest to the strongest
  • Apply at night before bed and onto totally dry skin to avoid irritation
  • Absorbent Garments and Underarm Pads

Works for anyone with underarm sweating, whether excessive or not
Available as absorbent undershirts, tee shirts, dress shirts and underarm pads

Temporary Treatment

Botulinum Toxin Injections

  • Interrupts nerve endings supplying the sweat glands, hence prohibiting production of sweat
  • No downtime
  • Repeat injections required every 4 to 6 months

Permanent Treatment

MiraDry System

The only non-invasive, FDA approved device to safely and permanently eliminate underarm sweat and odour glands
MiraWaveTM energy, using non-invasive microwave technology, is delivered just below the dermis where the sweat and odour glands reside

  • A concurrent cooling effect which keeps the surrounding tissue and skin safe
  • The procedure is done under local anaesthesia
  • Minimal to no downtime
  • Results are immediate, permanent and can be seen in as little as one treatment