Dr. Rokhsar was the first miraDry provider in New York and has done more procedures than any other physician in the New York area.
Hyperhidrosis is the medical term for excessive sweating and affects around 3% of the U.S. population. It is an uncontrollable condition and can cause patients to experience embarrassment in social and professional situations. Traditionally, prescription antiperspirants, Botox, and surgery have been the only treatments available.
miraDry developed in 2010 is backed by over 5 years of research and development and the procedure has been available in the United States since January 2012. This technology uses precise microwave electromagnetic energy to destroy sweat glands while leaving surrounding tissues unharmed, resulting in effective, long-lasting treatment with minimal downtime.
For many New York and Long Island patients, miraDry treatments with Dr. Rokhsar will result in significantly reduced sweating with long-lasting results. Double board-certified dermatologist and laser specialist Dr. Rokhsar is excited to offer his vast expertise on miraDry to New York patients. Dr. Rokhsar has treated thousands of patients over the past decade with miaDry and is the number one physician miDary provider in the New York and Long Island area. Dr. Rokhsar has earned the platinum award from the the manufacturer of miraDry device as the doctor has performed the most number of treatments in the New York and Long Island area.
miraDry is a simple treatment that can be completed in as little as one hour.
Local anesthesia is administered to assure maximum comfort during the treatment.
A temporary tattoo template is used to mark skin in preparation for treatment.
The area is treated with miraDry, eliminating sweat and odor glands in the underarm.
miraDry is an FDA-approved treatment for excessive sweating. This effective treatment provides instant results that last a lifetime.
Current treatments such as Botox and prescription antiperspirants are temporary and work only by disabling the sweat glands. miraDry is longer lasting because it destroys the sweat glands.
Unlike surgery, this is both non-invasive and has little to no downtime. Many patients return to work right after the procedure. miraDry has revolutionized the treatment of axillary hyperhidrosis. miraDry is considered the most effective treatment for underarm sweating giving patients long-lasting permanent results. Dr. Rokhsar recommends two sessions of miraDry for best results.
| Hyperhidrosis Solutions | miraDry® | Botox | Prescription Strength Antiperspirants |
|---|---|---|---|
| FDA-Approved | Yes | Yes | Yes |
| Treatment Method | Microwave electromagnetic energy that destroys sweat glands | Injections block nerve signals to prevent sweating | Daily use |
| Non-Invasive | Yes | Yes, injections using a fine needle | Yes, roll or spray-on |
| Effectiveness | 90% | 70% | 30% |
| Recovery Period | None | None | None |
| Odor Reduction | Yes | No | Sometimes |
| Cost | Medium | High | Ongoing |
| Results | Immediate | After 2 weeks | Immediate |
| Permanence | Permanent after 2 sessions | Requires ongoing treatments | Temporary |
As the most innovative hyperhidrosis treatment up to date, it has an array of features over conventional solutions. Some of these advantages include:
The main symptom of hyperhidrosis is heavy sweating that goes beyond what is expected in normal circumstances. This excessive sweating can occur even when an individual is at rest and not engaged in any physical activity. Other common symptoms of hyperhidrosis include visible sweating on the skin or sweat-soaked clothing, clammy or wet palms and soles of the feet, and frequent sweating that may soak through clothing.
In some cases, hyperhidrosis may cause social anxiety or embarrassment, which can further impact an individual’s daily life. In severe cases, individuals with hyperhidrosis may also experience skin infections, such as athlete’s foot or jock itch, due to the excessive moisture on the skin.
The causes of hyperhidrosis can be broadly categorized into primary and secondary hyperhidrosis. Primary hyperhidrosis has no underlying medical cause and may be genetic. On the other hand, secondary hyperhidrosis is caused by an underlying medical condition or medication.
Underlying medical conditions that may cause secondary hyperhidrosis include diabetes, thyroid problems, neurologic syndromes, respiratory failure, Hodgkin lymphoma, and endocrine tumors such as pheochromocytoma. Medications such as pain relievers, antidepressants, some diabetes and hormonal medications, and those used for treating Parkinson’s disease may also cause hyperhidrosis.
Focal hyperhidrosis, also known as primary hyperhidrosis, is a chronic skin disorder that causes excessive sweating in localized body regions, such as the palms, feet, underarms, face, and head. It is a common condition, affecting between 1% to 3% of the US population, and seems to have a genetic predisposition in about two-thirds of those affected. The condition typically begins early in life and can have serious social, emotional, and professional consequences if left untreated.
The diagnosis of focal hyperhidrosis is based on clinical symptoms and signs, as well as ruling out any underlying medical conditions that may be causing excessive sweating. Treatment options for focal hyperhidrosis include topical antiperspirants, oral medications, iontophoresis, botulinum toxin injections, miraDry, and surgery. Dr. Rokhsar has extensive experience in treating focal hyperhidrosis using a range of advanced techniques, including miraDry or botulinum toxin injections, which can effectively reduce sweating in affected areas.
Gustatory hyperhidrosis is a type of focal hyperhidrosis, which is characterized by excessive sweating in specific areas of the body. Affected individuals experience sweating primarily on the forehead, upper lip, perioral region, or sternum after consuming certain foods or drinks such as spicy foods, tomato sauce, chocolate, coffee, tea, or hot soups. It is also known as gustatory sweating or Frey’s syndrome.
The cause of gustatory hyperhidrosis is damage to the nerve that passes through the parotid gland, which can occur due to surgery of the parotid gland or other causes of nerve damage. It is also associated with conditions such as diabetes, cluster headaches, Parkinson’s disease, and facial herpes zoster or shingles.
Craniofacial hyperhidrosis is a condition characterized by excessive sweating of the face, scalp, and head. It is caused by overactivity of the eccrine sweat glands, which produce more sweat than necessary for temperature regulation. This condition can be debilitating and negatively affect an individual’s quality of life, leading to social embarrassment and emotional distress. The best treatment for facial sweating is Botox injections.
Generalized hyperhidrosis is a medical condition that causes excessive sweating all over the body or in larger areas of the body. Unlike normal sweating that occurs in response to physical activity or warm environments, generalized hyperhidrosis can occur without any obvious trigger or in cooler weather. This condition can be caused by underlying medical conditions such as diabetes or Parkinson’s disease, as well as certain medications like naproxen or zinc supplements.
To properly diagnose generalized hyperhidrosis, it is best to consult with a board-certified dermatologist who can perform a physical examination, review your medical history, and perform any necessary tests. Generalized hyperhidrosis is best treated with oral anticholinergic medications.
Plantar Hyperhidrosis is a medical condition characterized by excessive sweating of the feet. It is a type of focal hyperhidrosis, also known as primary hyperhidrosis, where excessive sweat is produced in a localized part of the body. The condition typically starts during childhood or adolescence and affects up to 3% of the population.
Plantar Hyperhidrosis occurs when the eccrine sweat glands in the soles of the feet produce more sweat than is needed to regulate body temperature. This can lead to discomfort, foot odor, and an increased risk of bacterial and fungal infections. The best treatment for plantar hyperhidrosis is botox injections. miraDry can not be used on the hands or the feet.
Axillary hyperhidrosis, or excessive sweating in the underarms, is a medical condition that affects a significant number of people. It can cause physical discomfort, interfere with daily activities, and lead to embarrassment and social isolation. Fortunately, there are several treatment options available to manage this condition.
If antiperspirants are not effective, other treatment options include oral medications, iontophoresis, Botox injections, and surgical procedures like sympathectomy. Oral medications like glycopyrrolate can reduce sweat production, while iontophoresis involves using a device to deliver a low-level electric current to the affected area to reduce sweat production.
Botox injections are a safe and effective treatment option for axillary hyperhidrosis, which works by blocking the signals from the nerves that stimulate sweat glands. The effects of Botox can last for several months, and it can be repeated as needed. The best treatment for permanent resolution of armpit sweating is the miraDry procedure.
After the miraDry treatment, patients can typically return home immediately, but it’s essential to follow specific aftercare instructions to ensure a smooth recovery. To assist in the recovery, we recommend the following:
Slight discomfort and swelling are common after the miraDry procedure, but it typically diminishes within the first few days. While discomfort will diminish, swelling can linger for several weeks. Some people experience lumpiness and numbness. This is normal and will resolve in a few weeks.
The miraDry procedure uses electromagnetic energy to target and eliminate sweat glands in the underarm area. The treatment is performed in a physician’s office and typically takes about an hour to complete. Local anesthesia is used to ensure that the patient remains comfortable throughout the procedure.
After the miraDry procedure, patients can expect to experience a significant reduction in underarm sweating. Clinical studies have shown that patients experience an average sweat reduction of 82%. Additionally, the procedure also reduces underarm odor and hair.
One of the benefits of miraDry is that it provides a permanent solution to excessive underarm sweating. Patients typically only require one or two treatments to achieve long-lasting results. The procedure is also non-invasive, meaning that there is no surgical incision or downtime required.
While miraDry has been shown to be an effective treatment option for underarm hyperhidrosis, but not currently approved for the treatment of excessive sweating in other areas of the body, such as the hands or feet. Dr. Rokhsar is one of the few physicians in the country that treats sweating in other body areas including the groin off-label, on a case-by-case basis because of his vast experience with the miraDry procedure.
miraDry is currently only approved for treating excessive sweating in the underarms (axilla). There are several reasons why miraDry cannot be used on the hands and feet, including the proximity of nerves, blood vessels, and bones to the skin, which cannot be separated with the vacuum used in the procedure.
Botox injections remain the best treatment option for the treatment of sweating in hands and feet. It is important to consult with Dr. Rokhsar to determine the best course of treatment for your specific condition.
miraDry is the only FDA-cleared treatment for underarm sweating that addresses the root cause of excessive sweat, rather than just treating the symptoms. The procedure involves two sessions, spaced three months apart, with each session lasting between 60-120 minutes. After the treatment, the sweat glands in the underarm area do not regenerate, resulting in a long-lasting reduction in sweat production.
While the procedure is generally safe, some patients may experience temporary side effects such as swelling, lumpiness, redness, and altered skin sensation in the treated area. However, these side effects typically resolve within a few days to a week after treatment.
miraDry uses microwave technology to target and destroy sweat glands in the underarms, but the device is not designed to be used on the face.
For excessive sweating on the face, scalp, or back, there are alternative treatment options available. These may include topical antiperspirants, oral medications, Botox injections, or surgery. The appropriate treatment will depend on the severity of the sweating, the location of the sweating, and the individual’s medical history and preferences. It is best to consult with Dr. Rokhsar to explore your option regarding the specifics of your uncontrolled sweating problem.
There are reports of successful off-label use of miraDry for other body areas, such as the groin and the back as an off-label procedure. However, miraDry should not be used on the feet.
There are several reasons why miraDry cannot be used on the feet. Firstly, the nerves, blood vessels, and bones in the feet are too close to the skin, and it is not possible to separate them with the vacuum used in the miraDry procedure. Secondly, the miraDry system uses thermal energy to destroy sweat glands, and this energy can cause damage to sensitive structures in the feet.
The most common side effects of miraDry include temporary swelling, soreness, and redness in the treated area, which can last for a few days up to a few weeks. Patients may also experience numbness or tingling in the upper arm or armpit for up to five weeks. In some cases, patients may develop small blisters, ulcers, or rashes in the treated area, which typically heal on their own.
Rare but more serious side effects of miraDry include compensatory hyperhidrosis, which is excessive sweating in other areas of the body, and changes in sensation or prolonged numbness in the armpits. While burns, infections, and abscesses/ulcers are very rare, they have been reported as well. Patients may also experience pain in the underarm that requires prescription medication, or weakness or pain in the arm or fingers that gradually goes away. Weakness is extremely rare.
One particularly rare case has been reported in which a patient developed necrotizing fasciitis, a severe bacterial infection, after receiving miraDry treatment. That this is an extremely rare complication and the benefits of miraDry outweigh the risks for most patients.
While there have been some reports of complications associated with this treatment, they are relatively rare. Most patients experience some degree of swelling, soreness, or changes in sensation like tingling or numbness, which typically resolve within a few days or weeks.
In some cases, persistent numbness may take longer to resolve. Rarely, patients may experience more serious complications, such as infection or the formation of an abscess. These issues are typically addressed with appropriate medical treatment, and most patients recover without any lasting effects.
The vast majority of patients who undergo miraDry are highly satisfied with the results. The treatment is FDA-cleared, and it has been used safely and effectively in hundreds of thousands of patients worldwide. Dr. Rokghsar has personally treated thousands of patients successfully with miraDry safely over the past decade as one of the most experienced miraDry physicians in the world. Most patients report a significant reduction in underarm sweat and odor, and some also experience a reduction in hair growth in the treated area.
Dr. Rokhsar is an internationally renowned double board-certified dermatologist and laser surgeon who has exceedingly advanced knowledge and experience working with miraDry. Dr. Rokhsar was the first miraDry doctor in the New York area and has personally performed more miraDry procedures than any other physician in the New York area. Our practice has earned the platinum label with miraDry as having done the most number of treatments in the tri-state area.
Although this procedure is FDA-approved for the treatment of the underarms, Dr. Rokhsar has treated many other areas off-label, including the back, love handles, groin, and inner thigh.
If you’re interested in miraDry in the New York area, Dr. Rokhsar is considered the most experienced physician with the miraDry procedure in the New York and Long Island area.
Dr. Rokhsar has a proprietary technique to numb the underarms with the tumescent solution. With Dr. Rokhsar’s technique, not only is the best numbing achieved (procedure virtually painless), but also the underlying nerves are best protected. Dr. Rokhsar’s unique tumescent numbing technique makes the procedure much safer as the fluid cushions the nerves in the targeted area. In this manner, Dr. Rokhsar can use the highest energy settings giving you the best results possible because of this cushioning of the nerves. It is important to be able to pick the right energy settings for the right person. Due to Dr. Rokhsar’s experience, he can do just that.
Less-experienced doctors have a high incidence of rare side effects including nerve damage. They may be due to the use of inappropriate energy settings or improper tumescent fluid numbing and protection of the nerves. Also if low-energy settings are used due to improper numbing, the procedure will be ineffective.
Dr. Rokhsar acquired the first miraDry device in the tri-state area back in 2012. Additionally, because he is a pioneer in the use of this device, he also treats off-label areas effectively. These include the back, inner thighs, and groin, as well as other areas that most doctors don’t have the expertise to treat.
Moreover, Dr. Rokhsar has conducted many workshops and hosted webinars to help fellow physicians perfect their techniques for the best results.
Botox is a temporary solution that involves injecting a neuromodulator into the sweat glands to reduce sweating. This treatment typically lasts between 3 to 6 months and will need to be repeated. On the other hand, miraDry is a permanent solution that uses thermal energy to destroy sweat glands in the underarm area. This means that patients after 2 miraDry sessions achieve long-lasting results.
In terms of efficacy, studies have shown that both treatments can reduce sweat production by around 80%, but miraDry has been reported to provide more consistent and longer-lasting results. Additionally, miraDry has been shown to have additional benefits beyond sweat reduction, such as hair reduction and odor reduction.
Another factor to consider is the cost of the treatments. While Botox may be cheaper initially, the cost can add up over time since it requires repeated sessions. On the other hand, miraDry is more expensive upfront, but it only requires two sessions, making it more cost-effective in the long run.
While both treatments are safe and effective, miraDry has been cleared by the FDA for use in reducing underarm sweat, odor, and hair. Botox, on the other hand, can be safely used on hands, face, and feet, areas where miraDry can not be used.
It’s important to understand that these two treatments use different technologies to address excessive sweating. miraDry uses a microwave technology called thermolysis to eliminate sweat glands in the underarm area permanently, while Dermadry uses iontophoresis, which involves passing mild electrical currents through water and into the skin to temporarily reduce sweating.
The effectiveness of these treatments may vary from person to person, but miraDry has been shown to be much more effective in reducing underarm sweating and odor with an 80% sweat reduction rate even in severe cases, whereas Dermadry is considered to be effective for mild cases of hyperhidrosis.
miraDry is an in-office procedure that typically requires only one or two treatments, whereas Dermadry is a home-use device that needs to be used continuously to maintain results. Additionally, miraDry is also effective in permanently removing underarm hair, which is not a feature of Dermadry.
The miraDry procedure is a non-surgical, FDA-cleared treatment that targets and eliminates the sweat glands in the underarm, reducing excessive sweating and odor (aka axillary hyperhidrosis). The procedure uses precisely controlled energy, delivered by a handpiece placed on the underarm, to destroy the sweat glands non-invasively. This results in a lasting solution for excessive underarm sweat, as the sweat glands do not regenerate once eliminated. The procedure is performed by a trained medical professional in as little as one hour and is a minimally invasive treatment for hyperhidrosis. The New York Cosmetic, Skin & Laser Surgery Center headed by Dr. Rokhsar was the first miraDry provider in the tri-state New York, New Jersey, and Connecticut area. We have done more miraDry procedures than any other physicians or medical center in the New York area. Dr. Rokhsar is one of the leading experts when it comes to the miraDry procedure and has treated thousands of patients since 2008.
While miraDry is just one of the numerous treatment options for excessive sweating, experts recommend that patients try antiperspirants first (over-the-counter clinical strength and/or prescription formulations) and then, if needed, progress to more invasive treatments like iontophoresis (for hands and feet). The miraDry procedure is FDA-approved and uses microwave energy to destroy the sweat glands, eliminating the excessive sweating problems of people with axillary hyperhidrosis. Dr. Rokhsar also uses the miraDry procedure for the groin area as an off-label area. Dr. Rokhsar Prefers to do Botox injections for swearing for hands, feet, or the face.
Dr. Rokhsar uses the Tumescent technique to numb the underarm area, which not only serves as pain control but also provides a protective layer between the skin and underlying nerves. Then, a trained medical professional applies the miraDry device, which consists of a sequence of suctions along the skin on the underarms. The treatment is quick, non-invasive, and does not involve any surgical cuts or incisions. Results are dramatic and long-lasting since sweat glands do not regenerate. With Our numbing method, the miraDry procedure is completely painless.
Dr. Rokhsar spaces out treatments three months apart for maximum effectiveness and safety. Before your session, a numbing cream is applied to the underarm. Then, during the treatment, a hand-held device transmits precise waves of electromagnetic energy to the target area. The one-hour-long treatments are gentle, and generally well tolerated by our patients.
miraDry is a non-surgical treatment for excessive underarm sweating that uses thermal energy to selectively heat and destroy sweat and odor glands. The procedure is typically performed in a physician’s office under local anesthesia, and patients usually experience little to no discomfort during the procedure with minimal downtime afterward. miraDry can also decrease hair growth in the treated area, and this effect may be permanent. The miraDry system uses controlled electromagnetic energy to heat up and eliminate sweat glands while cooling and protecting the skin. Once the sweat and odor glands are eliminated, they do not grow back, resulting in permanent sweat reduction in the armpits. The results of miraDry are typically noticeable within 1-2 weeks after treatment, with a 60-80% reduction in sweating with one session and an 80-95% reduction with two sessions.
Yes. The procedure has been safely performed on over 55,000 patients. Aside from slight side effects as the body naturally responds to the procedure, FDA-approved miraDry is safe and comfortable.
Even though some patients report discomfort when having the procedure with other physicians, Dr. Rokhsar has developed a unique numbing technique that ensures the treatment is 100% pain-free. Also, he uses Pronox for anxiety and pain relief, which sets him apart from most practitioners in the area.
Men and women who experience excessive sweating and are tired of staining and ruining clothes are suitable to undergo treatments. The innovative technique used in both treatments helps individuals who suffer from underarm hyperhidrosis and eliminates the need to constantly reapply deodorant. It is the only procedure that heats and destroys sweat glands for permanent odor and sweat relief.
First, it is recommended that you shave your underarms 48 hours before the procedure and avoid shaving after that so that short hair is visible to help identify the area to be treated. You should also wear a tank top with loose armholes on the day of the procedure. For males, a tank top is recommended, or even going shirtless during the procedure. For females, a sports bra, camisole, or tank top is recommended to be worn during treatment.
After the procedure, you should ice the treated area using ice packs wrapped in a towel and use over-the-counter anti-inflammatory medication to reduce swelling. Apply ice packs on and off for the first 24-48 hours and take over-the-counter pain medication as recommended by Dr. Rokhsar.
You should also keep the treated area clean with warm water and gentle liquid soap. Use a new razor when shaving is resumed.
There is no downtime for recovery after the procedure. Patients may return to their normal day-to-day activities immediately after.
Many patients worry about the destruction of sweat glands interfering with normal perspiration. However, the body is home to nearly 2 million sweat glands. Dr. Rokhsar’s miraDry treatment targets a mere 2% of those glands while offering the many benefits of dry, odorless underarms.
miraDry has FDA approval and it is regarded as a safe, non-invasive treatment. However, there are potential risks and temporary side effects you should keep in mind before the procedure. These include a tingling sensation, temporary numbness, and other rare side effects like nerve damage.
Before the treatment, Dr. Rokhsar examines every patient to ensure that he or she is a good candidate for miraDry in Long Island. Once you have the green light, the treatment can then be performed.
Since it is a zero-downtime procedure, patients can return to work or regularly scheduled activities upon leaving our NYC office. Any discomfort experienced, such as mild swelling or irritation can be treated with over-the-counter pain medication or ice packs. Since the apocrine glands responsible for sweat production are directly targeted, decreased sweating and reduced odor will be noticed immediately after your treatment session.
The cost of miraDry in NYC depends on your provider and the number of treatment sessions.
When it comes to results, the most important thing is setting the right expectations for your treatment.
Most patients get 80 to 90 % improvement after 2 sessions, rarely patients may require a 3rd session. You need to give your body three months between treatments. While it may sound like a lot of time, patients experience significant improvement in sweating after the first treatment. In some cases, patients only need two or three treatments until they achieve their goals, making the wait worthwhile.
Patients can expect to require a series of two miraDry treatments, spaced about 3 months apart, to achieve optimal results. Studies have shown that two treatments are essential to achieve a sweat reduction as high as 86% in most patients, although a 40-50% reduction in sweating can be attained after just one treatment. It’s also noted that in about 5% of cases, for people with severe hyperhidrosis, a third miraDry treatment may be necessary for optimal sweat and odor reduction. On average, most patients require 1-2 miraDry treatments.
Thanks to his unique approach, Dr. Rokhsar’s patients can experience as much as an 80% reduction in sweating after the first two sessions. These results are long-lasting as well as the sweat glands don’t usually grow back after the procedure.
It is common to experience swelling after a miraDry treatment. The duration of the swelling may vary from a few days up to a few weeks. Swelling can range from mild to severe, and it is possible to experience lumps due to inflamed veins.
To manage swelling, applying ice for 15 minutes every 30 minutes for the first 2-3 days after the treatment is recommended. Afterward, ice should be applied for 15 minutes every 1-2 hours when swelling occurs. Over-the-counter anti-inflammatory medication like ibuprofen or naproxen may also help reduce local irritation and pain.
Most patients are able to resume exercise within several days after miraDry treatment. Specifically, patients should wait about 48 to 72 hours before exercising. While patients may still sweat after treatment, it will be significantly reduced from the underarms. Minor side effects of miraDry include underarm swelling, redness, and tenderness lasting for several days.
miraDry selectively heats and destroys underarm sweat glands, causing an immediate reduction in sweating, and decreases hair growth in the treated area. In the best-case scenario, one treatment reduces sweat by around 80% and the odor by nearly 90%. Two miraDry treatments, three months apart, almost eliminate underarm sweat for most people.
It’s important to consult with your doctor if you are unsure about when to resume exercise after miraDry treatment or if you have any concerns about your health and exercise routine.
Upper East Side Manhattan Office
121 East 60th Street, Suite 8AB New York, NY 10022
(212) 285-1110
Long Island Office
901 Stewart Ave, Suite 240, Garden City, NY 11530
(516) 512-7616
References
Dr. Cameron Rokhsar, MD, FAAD, FAACS, is the founder and medical director of the New York Cosmetic, Skin, & Laser Surgery Center. Dr. Rokhsar is a graduate of Harvard College and NYU School of Medicine. Dr. Rokhsar is double board certified in dermatology and micrographic dermatologic surgery, being one of the few select dermatologists in the country who is also fellowship trained in laser surgery. A researcher and innovator, Dr. Rokhsar is the creator of the non-surgical nose job and has been instrumental in the research and development of laser systems such as the Fraxel, CO2, Mirady, Vbeam, Themitight, and Ulthera devices. An Associate Professor of Dermatology at Mount Sinai Hospital in NYC, Dr. Rokhsar actively teaches the cosmetic dermatology clinic to the resident at Mount Sinai. An expert injector of fillers, and a trainer for many companies, patients fly in from around the world to see Dr. Rokhsar in his Garden City and Manhattan offices in New York.
Dr. Rokhsar was chosen by
magazine as a top dermatologist in its Best Doctors 2017, 2018, 2019, 2020, 2021, 2022 and 2023 issues.
