miraDry is a microwave-based medical device developed by Miramar Labs which is used in the treatment of axillary hyperhidrosis. [1] It was approved by the US Food and Drug Administration (FDA) in 2011 and was also approved in Europe. [1] miraDry selectively destroys axillary sweat glands without affecting the superficial layers of the skin. [1] In addition to sweat glands, miraDry destroys hair follicles in the axillary region regardless of hair color. [1] It is about 72.5 to 90% effective [2] and sweat is reduced by about 82% on average. [3] It also reduces axillary hair by about 75%. [4] The effects of miraDry are noticeable almost immediately and are long-lasting or permanent. [1] A case of death due to miraDry caused by necrotizing fasciitis that was complicated by streptococcal toxic shock syndrome has been reported. [5] [6]