Treating Hyperhidrosis with miraDry in New York

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 that.

Also, he uses a numbing technique with tumescent fluid that makes the procedure much safer as the fluid cushions the nerves in the targeted areas.

Less-experienced doctors have a high incidence of rare side effects including nerve damage. They may use inappropriate energy settings, and in these cases, a low setting causes the procedure to be ineffective and a higher setting causes unwarranted side effects.

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 workshops and hosted webinars to help fellow physicians perfect their techniques.

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.

Thanks to his unique approach, Dr. Rokhsar’s patients can experience as much as 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.

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.

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.

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.

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.

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.

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 Mirady procedure and has treated thousands of patients since 2008.

While miraDry is just one of 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.

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.

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 to go 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 icepacks 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 a 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.

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.

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.

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.

It’s worth noting that 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 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.