Treating Hyperhidrosis (Excessive Sweating) With Genius RF Mirconeedling

Written by WD Staff, Skin Care Specialists on January 15, 2023 No Comments

sweaty arm pit

Hyperhidrosis, also known as excessive sweating, is a clinical condition which can be frustrating and embarrassing to live with. Traditional treatments such as Botox and MiraDry are expensive and don’t always solve the problem. Genius RF, or radiofrequency microneedling, is FDA approved to treat hyperhidrosis and offers near permanent results. Learn more about Genius RF for hyperhidrosis.

What is Hyperhidrosis? 

Hyperhidrosis is excessive sweating. Those with this clinical condition experience profuse sweating that’s unrelated to their activity level or body temperature. The condition typically occurs on both sides of the body, under the arms, on the face, hands and feet. Hyperhidrosis can be disruptive and embarrassing. Some with the condition are unable to wear certain types of clothing, or must change their clothes multiple times per day.

Traditionally, hyperhidrosis is treated with prescription drugs, including prescription strength antiperspirants. Botox and MiraDry are alternative therapies. Genius RF microneedling is a newer, FDA-approved therapy that offers long-lasting results.

What is Genius RF Microneedling?

Radiofrequency microneedling is a resurfacing treatment, most commonly relied upon for its rejuvenating, anti-aging benefits. The device promotes collagen and elastin production for skin that’s smoother, tighter and more youthful.

RF microneedling can also be used to treat hyperhidrosis. The non-invasive, in-office procedure takes less than 30 minutes and offers incredibly long-lasting results.

Genius RF differs from other brands of RF microneedling by offering greater precision. Treatments are customized for each patient’s skin type with real-time energetic feedback, which controls the depth of the needling.

How Does Genius RF Reduce Excessive Sweating?

Genius RF is approved to treat hyperhidrosis of the underarms, face and scalp. The treatment delivers radiofrequency at a precise depth to target the two types of sweat glands. Apocrine sweat glands are those that produce odor, while eccrine glands produce water. Heat from the RF device targets and destroys both types of sweat glands without damaging nearby tissue. Once destroyed, sweat glands will not regenerate.

What Can I Expect During Treatment?

First, the area to be treated will be numbed with a local anesthetic. After approximately 15 minutes, your Genius RF treatment will begin.

During the 15-to-20-minute treatment a hand-held RF microneedling device is applied to the area. Tiny needles are used to prick the skin, delivering RF to the sweat glands at a precise depth. The device passes over each area 2-3 times to ensure complete coverage.

After treatment, very little downtime is necessary. Patients are sent home with aftercare instructions and may return to their daily activities immediately.

Is Genius RF for Hyperhidrosis Painful?

No. The treatment area will be numbed using a local anesthetic. Because of this, you will feel no pain at all during this non-surgical procedure.

Are Multiple Treatments Necessary?

Some patients experience positive results right away, while others will see benefits a few days or weeks after treatment. Some find that one session offers them the results they seek, while others need 2-3 treatments before their sweat glands are sufficiently denatured. If multiple treatments are needed, each is spaced approximately 4-8 weeks apart.

What Results Can I Expect?

Some experience less sweating after just one treatment, in as little as a few days. Others will not see full results until a series of 2-3 treatments has been completed.

Because sweat glands do not regenerate once they are damaged, the treatment does provide long term result. However, it is possible patients may need occasional maintenance treatments to maintain the result permanently.

Combining Genius RF with Other Hyperhidrosis Treatments

Genius RF is safe to use alongside additional hyperhidrosis treatments, including Botox and MiraDry.


Genius RF is approved only for the underarms, face and scalp. To treat the hands and feet, a neuromodulator such as Botox or Dysport can be an effective option.

Neuromodulators can also treat the underarms and face, but require regular repeated visits, which can be cost-prohibitive for some patients.


MiraDry is a handheld thermal device, specifically designed to treat hyperhidrosis. The FDA-approved device, however, is not effective for every patient. In addition, it is costly for both providers and patients, making it challenging for most providers to offer as alternative treatment.

WD Staff

A united group of skin care specialists from Westlake Dermatology & Cosmetic Surgery, Austin's leader in Dermatology and Plastic Surgery. Articles posted under WD staff are authored through combined contributions from our entire team, including Plastic Surgeons, Dermatologists, Aestheticians, Physician Assistants, Aesthetic Nurses, and Patient Coordinators.

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