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Excess Sweating for Men

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Sweating is a natural phenomenon. It is the body’s way of balancing its thermostat. We all get that.

Athletic bodies dripping in sweat at the gym look undeniably sexy. Underarm sweating through your shirt is undeniably not sexy. And expensive to boot.

So, what are you to do?

You have 3 options:


MiraDry uses soundwaves to permanently destroy sweat glands. The treatment is performed under local anesthesia. Post treatment, you can return to work immediately. Both armpits will be swollen and a little tender for about 1-2 weeks. This is usually not a problem at work for men unless they wear a sleeveless shirt. Results are virtually immediate.

The rest of your body will keep sweating as usual. Men tend to require 2 to 3 sessions for best control.

Added bonus: dramatically decreased underarm odor.

Read more: MiraDry


This genius molecule has more than one trick up its sleeve. Micro-injections of Botox throughout your underarm skin will be effective within 24 hours. No down time. Sessions are repeated once or twice a year.

Read more: Botox


This is a minimally invasive surgery done under local anesthesia. A microcannula in introduced under your skin, turned upside down to scrape the underside of your skin in order to dislodge and aspirate the sweat glands. A ball-shaped compression dressing is kept in place for 12 to 24 hours. Patients go back to work the next day. This is generally a one-time treatment.


If used daily on dry clean unbroken skin, can keep mild hyperhidrosis under control. I prefer we avoid using oral glycopyrrolate, except in extreme cases, because of potential serious systemic side effects. Even when applied to the surface of the skin, absorption can also cause some side effects.

Frequently Asked Questions

MiraDry is the most popular procedure that uses soundwaves to cut down on how much sweat someone produces. Just as laser hair removal offers permanent results by destroying the hair follicles in a certain area, MiraDry similarly breaks down the sweat glands in the underarms. Someone usually needs two to three sessions of MiraDry to reap the full benefits, but results are effective immediately.

Men can also get mini Botox injections in the underarms, which is fully effective in 24 hours. Sweat gland scraping is another minimally-invasive option that involves emptying and removing the sweat glands by extracting the fluid from them. You may need to get Botox two to three times per year, as results wear off in several months. But sweat gland scraping is a permanent, one-time procedure.

Prescription wipes can be a good option for people with minor cases of excessive sweating. But these are usually considered a last resort, because they may come along with some uncomfortable and potentially dangerous side effects.

When there is less sweat, it makes sense that there is also less odor from that sweat. So most of these procedures will indirectly lessen underarm odor. MiraDry is the only procedure that will significantly cut down on odor that results from sweating.