Reading Time: <1 minuteIn recent years, non-invasive treatments that do not use a scalpel have been developed to treat armpit bloat and hyperhidrosis, and treatments that require less downtime have become popular. Currently, there are the following methods for treating armpit bugs: 1. Surgery 2. MiraDry 3. Viewhot 4. EL method 5. Botox injection 6. Disadvantages of each topical drug. There are advantages. At our hospital, 4.5.6. Our patients are satisfied with our treatment. In either case, there is no downtime, and you can take a bath and play light sports on the same day, and there is no post-operative swelling. Unfortunately, more than half of the patients who visit our hospital for the first time come for MiraDry or Beauhot recurrence or scar correction treatment. There are many medical institutions that use MiraDry, but the reality is that most of them are performed by nurses. In other words, nurses are performing treatment actions that should normally be performed by doctors. Nurses may perform injections, assist with procedures, and remove hair under the supervision of a doctor, but they are not permitted to perform medical treatments. In particular, treatment procedures that destroy sweat glands by applying large amounts of heat energy to the body are also accompanied by risks. Most of the supervising doctors have never treated armpit bugs themselves or even performed surgery. As a cosmetic surgeon, I have performed more than 1,500 cases of underarm surgery, and I am confident that I have the highest number of cases in Japan. We have been providing armpit pain treatment for over 30 years and have been able to respond to all kinds of patient concerns. Nowadays, doctors who prioritize business and have no knowledge of armpit problems are doing the wrong thing in cosmetic medicine, leaving the treatment to nurses and making corrections. Local anesthesia also has risks. There have also been cases of xylocaine poisoning caused by injecting large amounts of 2% xylocaine. I would like people to refrain from believing in advertisements and receiving treatment easily. The doctor who gave the initial explanation should guarantee the safety and effectiveness of the treatment until the end. I see advertisements saying that miraDry is safe and has little downtime because it is painless and does not use a scalpel, but this is absolutely not the case. Since this is a treatment that applies heat to the skin, there will be considerable burns and the pain and swelling will be worse than surgery. It is never pain-free or without downtime. In fact, it is much more painful and causes more swelling than surgery. Although it is not ineffective, I believe that the MiraDry treatment administered by the nurse should be performed with caution. If there are any doctors who truly believe that miraDry treatment should be performed by a nurse, I would appreciate it if you could contact me. I would like to discuss in detail its illegality, risks, problems, and effects.