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Eastern Shore Cosmetic Surgery

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EASTERN SHORE COSMETIC SURGERY EASTERN SHORE COSMETIC SURGERY
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miraDry®

miraDry®

If you are tired of embarrassing sweat stains at social functions, work or public speaking and are tired of using chemicals to control sweat and odor, miraDry® may be for you! miraDry® is a noninvasive treatment for underarm sweating and odor that works immediately and delivers long-term results. For those of you who are concerned about the safety of aluminum-based antiperspirants, you’ll be glad to know that you’ll no longer need to use antiperspirant or deodorant again. miraDry® is FDA approved and is helping men and women feel clean and confident throughout the day.

Are You a Candidate?

miraDry® is an FDA-cleared treatment for armpit sweating and odor glands. The best candidates for miraDry® are men or women who are tired of ruining clothes with sweat stains and embarrassing antiperspirant marks on clothes. If you are concerned or self-conscious of underarm sweat and odor you will finally be able to throw your antiperspirants and deodorants away. Candidates for miraDry® should be in good overall physical and mental health and have realistic expectations for their results. miraDry® is specifically for use on the underarms only.

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Dr James Koehler

Dr. Koehler

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Educated at the University of Alabama and in practice for over 20 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.

Meet Dr. Koehler
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Dr. Gardner

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 A triple-board-certified surgeon specializing in both cosmetic and venous procedures, Dr. Gardner brings a depth of expertise, compassion, and innovation to our practice.

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Dr. Vincent Gardner
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About miraDry® Sweat Reduction

A number of factors can contribute to underarm sweating, including your diet and lifestyle. A diet high in processed foods, sugars and fatty foods may affect your body’s hormone balance and cause an increase in sweat production. Similarly, excessive consumption of caffeine or alcohol can cause overactive sweat glands. However, some people simply produce sweat and odor at a higher rate than most, a condition known as hyperhidrosis. This can result in changing your shirt several times a day to avoid sweat stains, avoiding social situations or feeling self-conscious due to underarm sweat or odor.

A number of factors can contribute to underarm sweating, including your diet and lifestyle. A diet high in processed foods, sugars and fatty foods may affect your body’s hormone balance and cause an increase in sweat production. Similarly, excessive consumption of caffeine or alcohol can cause overactive sweat glands. However, some people simply produce sweat and odor at a higher rate than most, a condition known as hyperhidrosis. This can result in changing your shirt several times a day to avoid sweat stains, avoiding social situations or feeling self-conscious due to underarm sweat or odor.

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We are excited to offer Pro-Nox pain relief that can be added to any of the in-office procedures we perform. Pro-Nox is an inhaled analgesic that gives our patients 100% control through self-administration. Get short-term pain, anxiety, and stress relief without having to “go under.”

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What to Expect

During your consultation, we will listen to your concerns and explain the procedure in greater detail. We will describe the results you can expect to see after treatments and answer any questions you may have about miraDry®. Normal underarm antiperspirants are about 20 percent effective at reducing underarm sweat and odor. More expensive clinical strength antiperspirants are about 30 percent effective at reducing underarm sweat and odor. One miraDry® treatment is 82 percent effective at reducing sweat and odor.

miraDry® treatments are performed at our AAAHC accredited office. Your treatment provider will inject local anesthetic to the underarms so you will not have discomfort with your treatment. During treatment, the handheld miraDry® device will be held against your underarm. As electromagnetic waves are being emitted, cooling technology will simultaneously protect the skin’s surface. Most people feel little to no discomfort during the procedure.

miraDry® sweat reduction treatments are nonsurgical and require virtually no downtime. Following your treatment, you may experience some underarm soreness, swelling or redness for up to 1 week, and some people experience numbness or tingling for up to 5 weeks following treatment. Cold compresses can reduce swelling and aid with any lingering tenderness.

Risks and Complications

miraDry® is a safe treatment for underarm sweat and odor and complications are highly unusual. While perspiring is an essential bodily function, the underarms house less than 2 percent of the body’s sweat glands and disabling these glands should not have a significant effect on thermoregulation or compensatory sweating. In the studies done for FDA approval of the device, no increase in sweating was noted elsewhere on the body after treatments. One other side effect is that there can also be up to a 70 percent reduction in the density of armpit hair.

Your New Look

After getting miraDry® treatments, you should notice a significant reduction in sweating and body odor in the underarms. Some people experience a complete loss of underarm sweat for a couple of weeks after treatment, after which some amount of sweat production should return. On average, people with hyperhidrosis experience an 82 percent reduction of underarm sweat after two miraDry® treatments. Some people may wish to schedule a third treatment for the best results.

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MiraDry FAQs

How do I find a reputable MiraDry provider near me?

MiraDry needs to be performed by a trained and experienced professional, even though it is a nonsurgical procedure. Find a qualified MiraDry provider in your area by asking friends and family members in your city for referrals, reading online reviews for cosmetic surgery practices near you that offer MiraDry and setting up a consultation or two with your top picks. Always thoroughly check the credentials of your provider before moving forward with any cosmetic treatment.

Is MiraDry the best solution for excessive sweating?

MiraDry is an effective, FDA-cleared treatment for excessive underarm sweating, also called hyperhidrosis. MiraDry could be right for you if excessive underarm sweating gets in the way of your normal daily activities, such as exercise or going to social events, and your doctor has ruled out any underlying medical conditions as a cause.

Other treatments for excessive sweating are available, though many require regular touch-up treatments. MiraDry, on the other hand, offers a long-lasting solution to embarrassing underarm sweating.

Does MiraDry hurt?

No, most people who get MiraDry say that they don’t feel it at all or they experience a mild tingling or warming sensation. Topical numbing cream is used prior to your MiraDry treatment, so you should feel comfortable and pain-free during your appointment.

Directly after your MiraDry treatment, you might experience some mild numbness, tenderness or discomfort. These symptoms should gradually wear away on their own over the following hours or days.

What’s MiraDry recovery like?

MiraDry does not require downtime, but many people choose to take a day or so off work and other obligations after their MiraDry treatment. Expect some swelling to be present, which may last for a few days or weeks after getting MiraDry.

Cold compresses can be applied to your underarm area to help reduce swelling, inflammation and mild discomfort. Over-the-counter pain medication can also help with swelling and tenderness.

Can you wear deodorant after MiraDry?

You shouldn’t need to wear deodorant or other topical antiperspirant products after getting MiraDry. However, if you wish to do so, wait 48 to 72 hours before applying products to your underarm area. We will provide you with detailed aftercare instructions, including when you may begin shaving your underarm area after MiraDry as well.

Does MiraDry actually work?

Yes, MiraDry has been clinically proven to reduce underarm sweating by around 80% in most people. In fact, you should notice a nearly instant reduction in underarm sweat and body odor immediately after your MiraDry appointment. A majority of men and women who get MiraDry say they are happy with their results.

How long does MiraDry last?

MiraDry sweat reduction results are generally long-lasting and should not require additional treatments once you have completed your initial round of MiraDry treatments. MiraDry works by disabling the targeted sweat glands in your underarm area to produce long-lasting results. Other sweat reduction methods such as BOTOX® injections need to be repeated on a regular basis in order to maintain the same results.

Contact us online using the “Message us” feature at the bottom of our website or you can call us at 251-929-7850 to learn more about our practice or to schedule your consultation.

Dr. James Koehler

Written By: Dr. James Koehler

A board-certified cosmetic surgeon in Fairhope, AL, Dr. James Koehler earned his MD from the University of Alabama and completed several post-doctoral residencies, internships and fellowships. He returned to Alabama to be closer to family and serve patients in the local community with a full range of cosmetic surgery procedures for the face, breast and body.

More about Dr. James Koehler | Last Reviewed: October 14th, 2025

  

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