If this sounds familiar, miraDry may be for you.
You avoid gray, silk, or fitted clothing
You change shirts before meetings or events
You worry people can see sweat stains
You keep your arms close to your body
Prescription antiperspirants have not been enough
Sweating affects your confidence, dating, work, or social life
You have adapted long enough. The goal of miraDry is not just less sweat. It is freedom.
An FDA-cleared treatment designed for lasting underarm sweat reduction.
miraDry uses precisely controlled microwave energy to target the underarm sweat and odor glands while cooling protects the skin surface. Because these glands do not grow back once treated, the reduction in sweat and odor is designed to be long-lasting.
Lasting sweat reduction
Designed for long-term reduction rather than daily management.
Reduced underarm odor
Odor-producing glands are treated along with sweat glands.
May reduce underarm hair
Many patients notice a modest reduction as an added benefit.
Non-surgical, no incisions
No cuts and no stitches, just a comfortable, in-office treatment.
Minimal downtime
Most patients return to normal daily life within a day or two.
Most practices perform miraDry. Dr. Gerrish helped improve how it is performed.
Dr. Scott Gerrish designed and published the Gerrish Technique, an anesthesia delivery method now used by miraDry clinicians around the world. His approach replaces the long needles and technique-dependent fanning method with tiny 4 mm micro-needles designed to make numbing faster, more uniform, and dramatically more comfortable.
- Published miraDry anesthesia technique
- Engineering background with advanced training in thermodynamics and tissue heat transfer
- Physician-led treatment planning
- Clinical team personally trained by Dr. Gerrish
Average discomfort rating during anesthesia delivery
Patients preferred the Gerrish Technique over the traditional method
To numb both underarms, instead of 20+
Results from a published two-site study of 20 patients (Gerrish MedEsthetics and Diehl Plastic Surgery). Individual experiences vary.
What Freedom From Underarm Sweat Can Mean
A meaningful reduction in sweating can mean less daily planning and management. What that changes in your day is personal.
Wear What You Want
Colors and fabrics no longer have to be chosen primarily around hiding underarm sweat.
Move Naturally
Raising the arms, exercising, or moving normally can feel less self-conscious.
Stay Present
Presentations, workdays, and social situations do not have to include constant monitoring of the underarms.
Plan Less
Fewer backup shirts, clothing calculations, and daily routines built around managing underarm sweat.
Individual results may vary.
Your visit, from consultation to recovery.
Your visit begins with a consultation to confirm whether miraDry is right for you. Before treatment, the underarm area is evaluated and mapped so the treatment pattern reflects your anatomy and areas of sweating, then numbed using the Gerrish Technique before miraDry energy is delivered. For patients returning for an additional treatment, we reassess where sweating remains and adjust the treatment plan rather than simply repeating the original pattern.
Minutes per Procedure
Most procedures take approximately 60 to 90 minutes.
Treatments Needed
Most patients need 1 treatment; some with more significant hyperhidrosis benefit from a second.
Back to daily life fast
Most patients return to normal daily activity within 1 to 2 days.
What to expect while healing
Temporary swelling, tenderness, numbness, or bruising may occur and gradually resolve.
When you notice results
Sweat-gland reduction begins with the treatment, so many notice a difference early. Swelling and normal healing can affect what you notice in the first days.
Exercise
Strenuous exercise is usually postponed for several days.
See the Treatment. Hear the Experience.
Listen to patient experiences and watch Dr. Gerrish explain the technology and procedure.
Jared's miraDry Experience
Jared describes his experience with miraDry, including the treatment process, recovery, and the difference reduced underarm sweating has made in his daily life.
Individual experiences and results vary. Jared's experience does not guarantee the same outcome for every patient.
miraDry: How It Works and Who It May Help
Dr. Scott Gerrish explains how miraDry works, who may benefit, what the treatment involves, and what patients can realistically expect before, during, and after treatment.
miraDry Step by Step: Treatment, Comfort, and Patient Experience
Dr. Scott Gerrish demonstrates his internationally taught miraDry treatment protocol, including his proprietary anesthesia technique, the complete treatment process, and a post-treatment patient interview discussing comfort and the overall experience.
miraDry is one of the clearest examples of engineering serving a clinical goal. Dr. Gerrish, who developed the miraDry Fresh procedure, explains the principles that make it work.
Microwave energy finds the right layer
The sweat glands responsible for underarm sweating sit at a consistent depth, near the boundary between the skin and the fat beneath it. Microwave energy naturally concentrates near that interface, which is what allows the treatment to focus on the gland layer rather than heating everything above it equally.
Cooling protects the surface
While energy is delivered below, continuous hydro-ceramic cooling protects the skin's surface. The combination, heat where the glands are, cooling where they are not, is the core design idea, and it is why the skin above can be preserved while the gland layer is treated.
Why technique still matters
The device delivers energy; the clinician decides where, how much, and with what overlap. Template placement, energy selection, and attention to individual anatomy shape both comfort and outcome, which is why experience with this specific procedure is worth asking about anywhere you go.
Optional deeper reading, expand only if you would like the engineering detail.
Your questions, answered.
Where This Fits in Your Treatment Strategy
miraDry is usually a focused treatment for underarm sweating and odor rather than part of facial rejuvenation. It may be considered independently for patients whose sweating affects clothing choices, confidence, or daily comfort.
Commonly considered with
You do not need to know whether this is the right treatment before you arrive. That is exactly why the consultation comes first.
You do not have to live another Virginia summer planning around sweat.
If underarm sweating is affecting how you dress, work, or move through daily life, a consultation can help determine whether miraDry is appropriate for you.
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