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MiraDry Fresh

DescriptionMiraDry is a non-invasive treatment for underarm hyperhidrosis and odor that requires no incisions and offers minimal downtime. It uses microwave energy to target and eliminate sweat and odor glands.
RisksSwelling, bruising, etc.
PriceSingle Pass: ¥190,000

Recommended for People Who:

  • Are concerned about underarm odor.
  • Want to treat axillary osmidrosis (commonly known as body odor or bromhidrosis).
  • Are bothered by hyperhidrosis (excessive underarm sweating).

Causes of Odor from Hyperhidrosis & Axillary Osmidrosis

Underarm sweat is produced by two types of sweat glands:

Apocrine Glands
These are located in limited areas of the body such as the armpits, ear canals, genital region, and around the nipples—with the armpits having the highest concentration.
Sweat from the apocrine glands is the primary cause of body odor (osmidrosis). This type of sweat contains proteins, lipids, and fatty acids, making it thicker and more prone to odor. When this sweat mixes with sebum (oil secreted from sebaceous glands) and is broken down by the natural bacteria on the skin’s surface, it produces the strong, distinctive odor associated with axillary osmidrosis.

Eccrine Glands
These are distributed throughout the entire body and play a key role in regulating body temperature.
Eccrine sweat mainly consists of water, salts, amino acids, and urea, and is usually odorless. However, in a warm and humid environment like the underarms, this sweat can also be broken down by skin bacteria, potentially contributing to unpleasant odor.

What Is MiraDry Fresh?



MiraDry is a non-surgical treatment for underarm odor and excessive sweating that offers the advantage of minimal downtime and no incisions.

MiraDry targets and destroys sweat glands—both eccrine and apocrine glands—located in the underarm area using focused electromagnetic (microwave) energy. By eliminating these glands, MiraDry significantly reduces underarm sweating and odor. It is noted that MiraDry is approved for use on the underarms only and is not recommended for other areas of the body.

MiraDry delivers microwave energy specifically to the area of the underarm where the sweat glands are located (similar to the energy used in microwave ovens). This energy raises the temperature in the targeted tissue to thermally destroy the sweat glands. At the same time, the outer layer of the skin is protected by a special cooling system, which helps minimize damage and discomfort—making this a highly tolerable treatment with very little downtime.

Most patients notice a significant reduction in sweating immediately after the first session. However, depending on individual response, a second session may be recommended for optimal results. Recent clinical data reports an average sweat reduction of 82% after two sessions, although results may vary from person to person and are not guaranteed for everyone.

At CLASSY Sendai Beauty Clinic, we use the latest version of mMraDry known as MiraDry Fresh, which offers 20% shorter treatment times compared to the conventional MiraDry system. Shorter treatment times mean less strain on the skin and an overall more comfortable experience for our patients.

How MiraDry Fresh Works

Using gentle suction, the device lifts and stabilizes the underarm skin while precisely delivering microwave energy to the layer where eccrine and apocrine glands—the primary sources of sweat and odor—are concentrated.


The energy is absorbed directly by the sweat glands, effectively disabling them.
MiraDry automatically optimizes the depth and width of energy delivery, ensuring consistent and targeted treatment.


Meanwhile, the advanced cooling system protects the outer layer of the skin by continuously cooling it during the procedure. This allows for effective treatment of the sweat glands while minimizing discomfort and protecting the skin surface.

Features of MiraDry Fresh

  • Effectively reduces strong underarm odor!
  • Significantly reduces underarm sweating!
  • Non-surgical procedure with minimal downtime!
  • 20% shorter treatment time compared to the conventional MiraDry system!

MiraDry Survey Results

Changes in HDSS (Hyperhidrosis Disease Severity Scale) – United States & Canada
HDSS

  • Level 1 (Mild/None)
    My sweating is never noticeable and never interferes with my daily activities.
  • Level 2 (Mild to Moderate)
    My sweating is tolerable but sometimes interferes with my daily activities.
  • Level 3 (Moderate)
    My sweating is barely tolerable and frequently interferes with my daily activities.
  • Level 4 (Severe)
    My sweating is intolerable and always interferes with my daily activities.

This survey evaluated the percentage of patients who improved from Severity Level 3 or 4 to Level 1 or 2 after undergoing MiraDry treatment.


Changes in Underarm Sweat & Odor – Japan
A survey conducted in Japan evaluated the degree of reduction in underarm sweat and odor experienced by patients after treatment.

Treatment Details

Procedure TimeSingle pass: Approximately 1 hour & 45 minutes.
Double pass: Approximately 2.5 hours.
*+30 minutes with topical anesthesia.
PainDuring treatment: Minimal, as local anesthesia is administered.
After treatment: Some discomfort may persist for 1–2 weeks, and usually subsides within that period.
SwellingSwelling may occur and generally subsides within 1–2 weeks.
RednessRedness may be present and generally fades within 1–2 weeks.
BruisingBruising may occur and generally disappears within 1–2 weeks.
Follow-up VisitsNot necessary.
HospitalizationNot necessary.
Hair WashingPermitted from the same day.
ShoweringPermitted from the same day.
BathingAvoid for 2–3 days. You may resume bathing once swelling and pain have subsided.
Alcohol ConsumptionRefrain for 2–3 days.
Underarm Hair RemovalAvoid for 2 months.

Precautions

  • Cooling: No follow-up visits are necessary, but please apply an ice pack to your underarms to prevent increased pain and swelling.
  • Numbness: In very rare cases, nerve symptoms such as numbness in the underarm, arm, or fingers, or pain and muscle weakness may persist for several months.
  • Skin Texture Irregularities: A feeling of firmness or unevenness in the underarm skin may develop a few days after the procedure. For the first few days, please avoid massaging the underarm or overstretching the arm. After about 1 week, you can begin gentle stretching exercises for the arm and shoulder area. The skin texture irregularities should generally resolve within 2–3 months, though in rare cases, some firmness may persist.
  • Insufficient Improvement in Sweating or Odor: In some cases, the procedure may not lead to significant improvements in underarm sweating or odor. If this occurs, a second MiraDry treatment may be considered after waiting at least 3 months, or Botox injections may be recommended (additional fees apply). Please note that this procedure cannot improve body odors related to aging or other constitutional factors.
  • Underarm Hair Reduction: There may be a decrease in underarm hair, and cannot be reverted to its original state.
  • Physical Activity and Pressure Changes: Please avoid heavy physical activity (such as exercise or lifting heavy objects) and pressure changes (such as flying or mountain climbing) for approximately 1 week. Once the pain subsides (usually after 7–10 days), gentle stretching is recommended.

Price List (Tax Included)

Treatment NameDetails / AmountPriceNotes
MiraDry FreshSingle Pass ¥190,000

Double Pass ¥275,000

For Treatment of One Underarm Only

If only one underarm is treated, a discount of ¥11,000 will be applied to the treatment fee.

Anesthesia Fee

Anesthesia may be added if necessary (optional).
If you are concerned about pain, please feel free to consult with us.

  • Lidocaine Cream (Both Underarms): ¥3,000
  • Nitrous Oxide Gas (Laughing Gas): ¥3,000

Treatment May Be Declined in Certain Cases

  • Please note that we may not be able to perform the procedure in the following cases:
    ・Individuals with a history of underarm surgery involving skin incisions, such as axillary osmidrosis treatment or lymph node dissection due to breast cancer
    ・Individuals with implanted electronic devices such as pacemakers
    ・Individuals receiving oxygen therapy
    ・Individuals with an allergy to local anesthesia
  • Patients who have undergone breast augmentation with silicone implants inserted through the underarm may be at risk of capsular contracture (deformation or hardening). If revision surgery is required due to such complications, additional costs may apply.

FAQ

What is the difference between MiraDry treatment and the excision method?
Both provide long-term effectiveness. MiraDry is a non-invasive treatment that does not require cutting the skin, so it has a shorter downtime. In contrast, the excision method involves surgically cutting the skin and scraping the underside of the peeled skin, resulting in a much longer downtime and visible scars.

Is MiraDry effective for hyperhidrosis (excessive sweating)?
Axillary odor is caused by apocrine sweat glands, while hyperhidrosis is caused by eccrine sweat glands. MiraDry targets both types of sweat glands, so it can improve both axillary odor and hyperhidrosis simultaneously.

I am currently undergoing hair removal treatment. Can I receive MiraDry treatment?
You do not need to complete hair removal before MiraDry treatment, but you should wait at least 2 weeks after your last hair removal session before undergoing MiraDry treatment. Also, it is advisable to avoid hair removal for about 2 months after MiraDry treatment.

I had botulinum toxin (Botox) treatment for axillary hyperhidrosis last month. Can I receive MiraDry treatment now?
MiraDry treatment can be performed even if you have had Botox injections. However, since Botox suppresses sweating, you may not feel the full effect of MiraDry immediately. Consider waiting until the Botox effect wears off before having MiraDry treatment.

Can minors receive MiraDry treatment?
Yes, with the consent and accompaniment of a parent or legal guardian. However, because sweat gland function can increase again during growth, there is a possibility that symptoms may recur.

Is it safe to destroy sweat glands in the underarm?
Is it possible that MiraDry treatment may not be effective?
Most patients notice effects after just one treatment. However, satisfaction levels can vary as it depends on individual perception. If results are not satisfactory, retreatment can improve outcomes according to clinical studies.

How long do the effects of MiraDry treatment last?
Since sweat glands are destroyed by MiraDry and do not regenerate, the effects are expected to last semi-permanently, barring major changes in body constitution or growth.

How soon can I expect to see results from MiraDry treatment?
Effects can be felt immediately after treatment.

What is the difference between MiraDry treatment and botulinum toxin (Botox) injection for hyperhidrosis?
MiraDry offers long-lasting reduction in both sweat volume and odor. Botox reduces sweat volume temporarily (about 4 months) and requires regular injections. Generally, Botox provides a more immediate and noticeable reduction in sweat volume and freshness sensation.


Note: Our clinic provides only private (self-paid) medical services. Some treatments include unapproved pharmaceuticals and medical devices. Pharmaceuticals and medical devices used in treatments may be procured through personal importation under the discretion of our clinic’s physicians.





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