Who performs Palm Hyperhidrosis Treatment at Kind Global Clinic Myeongdong?
Palm Hyperhidrosis Treatment at Kind Global Clinic Myeongdong is performed personally by 2 licensed Korean co-directors with 15 to 20 minute consultation and zero nurse delegation across the full visit. Dr. Lee Wonjin (KR Medical License 143124, Daegu Catholic University College of Medicine, 2022) or Dr. Lee Kangin (KR Medical License 141247) personally conducts the consultation, personally performs the Minor's iodine-starch sweat mapping on the palmar surface, personally administers the median-ulnar nerve block when elected, personally injects the 40 to 60 point palmar toxin grid, and personally reviews you at the included week-2 follow-up. The nerve block at the wrist is a physician-only procedure under the Korean Medical Service Act and is never delegated. Brand selection, lot number, exact unit count per grid point, and the palmar Minor's photograph are recorded on each patient's chart. The patient may request either co-director when booking; if the preferred co-director is unavailable, concierge will offer the alternative or reschedule at no charge. There is no junior-doctor rotation and no third-party technician involvement.
How long do Palm Hyperhidrosis Treatment results last at Kind Global Clinic Myeongdong?
Palm Hyperhidrosis Treatment results last 4 to 6 months on average at Kind Global Clinic Myeongdong, with some patients reporting earlier return at month 3 due to the higher gland density of the palm compared to the axilla. Peak dryness arrives at week 2 to 4 and remains stable until gradual return begins as new presynaptic terminals form. Published JAAD systematic review evidence (Journal of the American Academy of Dermatology 2018, DOI: 10.1016/j.jaad.2018.04.062) of 33 studies documented mean 75 percent sweat reduction at week 4 with duration averaging 4 to 6 months. Mean duration extends slightly with each repeat cycle — many returning patients at Kind Global Myeongdong settle into a 5 to 6 month maintenance interval after their second or third session. Dose escalation from 100 to 150 units per palm is considered when HDSS rebound is rapid. Many patients combine palmar with axillary in the same Seoul visit — see <a href="/underarm-hyperhidrosis-myeongdong-seoul-korea/">Underarm Hyperhidrosis Treatment</a> and <a href="/sole-hyperhidrosis-myeongdong-seoul-korea/">Sole Hyperhidrosis Treatment</a> for full multi-site plans.
How much does Palm Hyperhidrosis Treatment cost in Myeongdong Seoul 2026?
Palm Hyperhidrosis Treatment at Kind Global Clinic Myeongdong runs KRW 350,000 to 600,000 per palm depending on brand and unit count. Standard event pricing: domestic 100U KRW 350,000 (approx. USD 250); Xeomin by Merz 100U KRW 420,000 (USD 300); Allergan Botox 100U KRW 450,000 (USD 321); Allergan Botox 150U for severe HDSS 4 or large palm KRW 600,000 (USD 429); optional median-ulnar nerve block add-on KRW 80,000 (USD 57) bilateral. Korea pricing for palmar hyperhidrosis Botox runs 55 to 70 percent less than United States pricing (USD 1,000 to 2,000 per palm equivalent at US dermatology) and 35 to 50 percent less than Japan. Same KRW price applies to international and Korean patients with no surcharge. Final unit count is confirmed after palmar Minor's iodine-starch mapping. Korean medical-aesthetic pricing transparency for palmar indications is one driver of the 600,000+ medical tourists Korea attracted in 2023 per KHIDI data.
Palm Hyperhidrosis Treatment vs Underarm Hyperhidrosis Treatment — same toxin different protocol?
Both indications use the same toxin but the dose, pain protocol, and post-injection care differ. <table><thead><tr><th>Criteria</th><th>Palm (palmar)</th><th>Underarm (axillary)</th></tr></thead><tbody><tr><td>Dose per side</td><td>100-150 units</td><td>50-100 units</td></tr><tr><td>Grid points</td><td>40-60 per palm</td><td>15-25 per axilla</td></tr><tr><td>Pre-anesthesia</td><td>Ice + topical + optional nerve block</td><td>Topical lidocaine only</td></tr><tr><td>Pain rating (1-10)</td><td>5-7 (4-5 with nerve block)</td><td>3-5</td></tr><tr><td>FDA approval</td><td>Off-label, evidence-supported (KFDA-cleared toxin)</td><td>Direct FDA approval 2004</td></tr><tr><td>Grip impact</td><td>Transient weakness 13-28 percent for 7-14 days</td><td>Not applicable</td></tr><tr><td>Duration</td><td>4-6 months</td><td>4-6 months</td></tr></tbody></table> Palm Botox is well suited when palm sweat impairs handshakes, paperwork, electronics or grip-dependent work; the dose is higher and the pain protocol more involved. <a href="/underarm-hyperhidrosis-myeongdong-seoul-korea/">Underarm Hyperhidrosis Treatment</a> is well suited for axillary sweating after failed antiperspirant trial; the axillary indication is the original FDA-approved use. Many patients book both indications in the same Seoul visit, with axillary often added because patients may not realize how much underarm sweat they normalized.
Palm Botox vs Iontophoresis — which palmar protocol fits which patient?
Palm Botox delivers 4 to 6 months of dryness after a single in-clinic session; iontophoresis requires 2 to 3 sessions per week of home device use for maintenance. <table><thead><tr><th>Criteria</th><th>Palm Botox</th><th>Iontophoresis</th></tr></thead><tbody><tr><td>Mechanism</td><td>Toxin sweat-gland acetylcholine block</td><td>Electric current through tap water disrupting sweat glands</td></tr><tr><td>Effort</td><td>1 in-clinic visit per 4-6 months</td><td>20 min, 3 times per week ongoing</td></tr><tr><td>Initial cost</td><td>KRW 350-600k per palm per cycle</td><td>KRW 800k-2M device + saline/tap water consumables</td></tr><tr><td>Onset</td><td>Day 3-7 · peak Week 2-4</td><td>2-4 weeks of consistent daily use</td></tr><tr><td>Side effect</td><td>Transient grip weakness 13-28 percent</td><td>Minor palmar skin reaction in 5-10 percent</td></tr></tbody></table> Palm Botox is well suited for patients who prefer twice-yearly maintenance over thrice-weekly home device adherence. Iontophoresis is well suited for mild to moderate palmar cases when patients accept daily home routine. Many patients run iontophoresis first; if response is inadequate after 6 to 12 weeks of consistent use, palmar Botox is the next-line in-clinic step. <a href="/botox-myeongdong-seoul-korea/">Botox hub</a> covers all toxin indications at the clinic.
Palm Botox vs ETS sympathectomy surgery — when is each considered?
Palm Botox is non-surgical and fully reversible; ETS sympathectomy involves general anesthesia, chest-wall surgery and the documented risk of compensatory sweating in untreated body zones. <table><thead><tr><th>Criteria</th><th>Palm Botox</th><th>ETS Sympathectomy</th></tr></thead><tbody><tr><td>Mechanism</td><td>Reversible toxin block at palmar grid</td><td>Permanent T2-T4 sympathetic nerve cut</td></tr><tr><td>Downtime</td><td>0 days social, 7-14 day grip caution</td><td>1-2 weeks surgical recovery</td></tr><tr><td>Result duration</td><td>4-6 months per session</td><td>Permanent</td></tr><tr><td>Compensatory sweating</td><td>Not documented</td><td>Documented 30-90 percent of patients</td></tr><tr><td>Reversibility</td><td>Full</td><td>Not reversible</td></tr><tr><td>Cost</td><td>KRW 350-600k per palm per cycle</td><td>KRW 5-10M+ at surgical partner</td></tr></tbody></table> Palm Botox is well suited as the in-clinic protocol after failed topical and iontophoresis trial. ETS sympathectomy is reserved for refractory severe palmar cases that failed multiple toxin cycles, given the high rate of compensatory sweating (sweating shifts to chest, back or thighs after the sympathetic chain is interrupted). Your co-director will tell you honestly when toxin is the right path and when surgical referral is warranted.
How painful is Palm Hyperhidrosis Treatment at Kind Global?
Palm Hyperhidrosis Treatment is the most uncomfortable of the three hyperhidrosis indications because the palm has dense sensory innervation. With ice plus topical lidocaine pre-protocol only, most patients rate pain at 5 to 7 out of 10. With the optional median-ulnar nerve block at the wrist (1 to 2 milliliters of 1 percent lidocaine, physician-administered), published evidence (Dermatologic Surgery 2011, DOI: 10.1111/j.1524-4725.2011.02013.x) documents mean pain rating of 1.5 versus 6.4 in topical-only group on a 0 to 10 scale. We recommend nerve block coverage for sensitive patients, those with palmar pompholyx history, and for the first treatment visit. The injection uses a 32G insulin syringe at intradermal depth (2 to 3 millimeters) across 40 to 60 grid points per palm. Total contact time per palm is 7 to 12 minutes; the co-director adjusts injection rhythm and offers brief breaks between rows. Patients who have tried facial toxin such as <a href="/jaw-botox-myeongdong-seoul-korea/">Jaw Botox</a> or <a href="/baby-botox-myeongdong-seoul-korea/">Baby Botox</a> rate palmar as notably more uncomfortable; the sole protocol is comparably painful. Ice plus topical plus optional nerve block is included; nitrous oxide sedation (Aeronox) is offered at additional cost for very sensitive patients.
What are the side effects and risks of Palm Hyperhidrosis Treatment?
Palm Hyperhidrosis Treatment is well-documented as a low-risk procedure when injected by licensed physicians using KFDA-cleared botulinum toxin. Common temporary effects: tiny intradermal injection bumps 30 to 60 minutes, faint palmar redness 4 to 12 hours, brief grip awareness or stiffness the first 24 hours. The defining palmar-specific effect is transient grip weakness, documented in 13 to 28 percent of patients in JAAD 2018 systematic review (DOI: 10.1016/j.jaad.2018.04.062), all resolving within 4 weeks; no permanent functional impairment is recorded across the pooled evidence. Patients with grip-critical occupations (surgeons, instrumentalists, competitive climbers) should plan around this window. Compensatory sweating in untreated body zones — a documented 30 to 90 percent complication of ETS thoracic sympathectomy — is not documented with localized palmar Botox. Nerve block pre-anesthesia carries a low rate of brief local hematoma at the wrist and rare transient digit paresthesia that resolves within hours as the lidocaine wears off. Contraindications include pregnancy, breastfeeding, active palmar dermatitis or fissures, neuromuscular disorders (myasthenia gravis), known hypersensitivity to botulinum toxin or lidocaine, and untreated secondary hyperhidrosis.
Is the toxin brand at Kind Global Clinic original Allergan, Xeomin or KFDA-cleared domestic?
Kind Global Clinic Myeongdong offers four toxin brands for Palm Hyperhidrosis Treatment: Allergan Botox (USA, carries US FDA-approved axillary hyperhidrosis indication 2004 and is widely used off-label for palmar per Korean physician discretion), Xeomin by Merz Aesthetics (Germany, KFDA-cleared), domestic premium (Korean-manufactured premium tier, KFDA-cleared), and domestic plus (Korean-manufactured KFDA-cleared). We use only original, unopened, in-date vials for every injection. Each sealed vial has a unique lot number, manufacturing date and expiry date printed on the package. Kind Global records the brand, lot number, unit count per grid point and expiry on your patient chart at the time of injection. On request before reconstitution, we will show you the unopened sealed vial so you can verify the lot and brand. Palmar use of any botulinum toxin brand is off-label in the United States and Korea but is extensively evidence-supported per the JAAD systematic review of 33 studies. The KFDA has documented counterfeit toxin vials in the Korean aesthetic market via enforcement reports; verifying lot numbers protects you. Reconstitution uses preservative-free saline within 4 hours per manufacturer guidance.
How many Palm Botox sessions are needed and when do results appear?
Palm Hyperhidrosis Treatment is a single-session protocol per cycle with maintenance every 4 to 6 months. Initial palmar sweat reduction begins day 3 to 7; near-complete dryness arrives at week 2; full peak stabilizes at week 4. Repeat Minor's iodine-starch test at the included week-2 follow-up confirms 75 to 90 percent palmar sweat gland inactivation per published evidence (JAAD 2018, DOI: 10.1016/j.jaad.2018.04.062). If residual active spots remain visible on the Minor's test — commonly at the thumb-thenar eminence or at the periphery of the original grid — the co-director performs a touch-up injection at no additional charge at the same week-2 visit. Patients hoping for guaranteed dryness should plan their first session at least 3 to 4 weeks before any high-stakes event (handshake-heavy interview, wedding, audition, peak summer travel). Maintenance injection at month 4 to 6 is recommended to sustain dryness; sustained efficacy across repeated sessions is documented in long-term axillary follow-up evidence which extends by analogy to palmar use.
Can I get Palm Hyperhidrosis Treatment as a same-day procedure when visiting Seoul?
Yes — same-day Palm Hyperhidrosis Treatment is routine for international visitors at Kind Global Clinic Myeongdong. Plan 100 to 140 minutes in clinic for bilateral palmar treatment: 15 to 20 minutes co-director consultation with HDSS scoring and prior treatment review, 45 to 60 minutes Minor's iodine-starch mapping plus ice plus topical lidocaine (plus median-ulnar nerve block where elected), 20 to 40 minutes intradermal grid injection (7 to 12 minutes per palm), 10 to 15 minutes aftercare brief. Flying home the next day is fine — palmar Botox has zero pressure-related contraindication and does not affect ear pressure or cabin altitude tolerance. We recommend avoiding heavy luggage handling for 7 to 14 days; pack a small carry-on and use luggage with smooth wheels if grip weakness occurs. Avoid hot baths, sauna and prolonged hand immersion for 24 hours. If you message us via WhatsApp Business, LINE Official or WeChat before your flight from Tokyo, Bangkok, Madrid, Taipei, Shanghai, Singapore or Manila, we can pre-confirm brand selection, HDSS questionnaire, unit count plan and nerve block election so in-clinic check-in takes under 5 minutes. Peak dryness arrives at week 2, well after you return home; transient grip weakness if present is most noticeable in the first 7 to 14 days.
Do you have English-speaking staff and translators for Palm Hyperhidrosis consultation?
Yes — both Kind Global Clinic co-directors conduct Palm Hyperhidrosis Treatment consultations directly in Korean and English at our Myeongdong 6F location. For Japanese, Spanish, Simplified Chinese and Traditional Chinese, HEIM Global concierge provides professional medical interpretation at no additional fee — message via WhatsApp Business, LINE Official, WeChat Official or Telegram before your visit to schedule. Pre-treatment interpretation covers HDSS severity questionnaire, age of onset, family history, prior topical and iontophoresis trial, occupation and grip demand assessment, palmar Minor's iodine-starch interpretation, brand selection, unit count rationale (100U moderate versus 150U severe), and nerve block election. Post-treatment interpretation covers aftercare, grip guidance and the week-2 follow-up plan. Written treatment summaries with brand, lot number, grid-point unit counts and aftercare instructions are provided in your language. For Arabic, Vietnamese, Thai or Russian, contact us via email at info.kindglobal@gmail.com to request a contracted interpreter for your visit window. KHIDI 2025 Medical Tourism Survey notes language accessibility is a top-3 factor for international patients selecting Korean clinics.
Can I combine Palm Botox with Underarm Botox, Sole Botox or facial Botox in the same visit?
Yes — same-visit Palm Botox plus other toxin indications is routine at Kind Global Clinic Myeongdong, with the constraint that total botulinum toxin dose across all areas should remain below 400 units per session per FDA single-session recommendation. <table><thead><tr><th>Criteria</th><th>Palm Botox</th><th>Combined toxin plan</th></tr></thead><tbody><tr><td>Per-cycle dose</td><td>100-150 per palm</td><td>200-400 underarm + palm + sole + face</td></tr><tr><td>Single-visit ceiling</td><td>200-300 units bilateral palm</td><td>400 total recommended ceiling</td></tr><tr><td>Pain protocol</td><td>Ice + topical + optional nerve block</td><td>Combine topical + ice + nerve blocks per area</td></tr><tr><td>In-clinic time</td><td>100-140 min bilateral palm</td><td>150-220 min for 3 areas</td></tr><tr><td>Peak timing</td><td>Week 2-4</td><td>Palm week 2, axillary week 2, face 1-2</td></tr></tbody></table> Combined plans typically include palm with <a href="/underarm-hyperhidrosis-myeongdong-seoul-korea/">underarm</a> or <a href="/sole-hyperhidrosis-myeongdong-seoul-korea/">sole</a> coverage in the same Seoul visit, optionally with facial toxin such as <a href="/jaw-botox-myeongdong-seoul-korea/">Jaw Botox</a> or <a href="/baby-botox-myeongdong-seoul-korea/">Baby Botox</a>. Your co-director recommends the sequence and unit counts based on HDSS scoring, palpation and overall trip priority.
Will Palm Botox affect my grip strength permanently?
Palm Botox does not cause permanent grip weakness. Transient grip weakness is documented in 13 to 28 percent of palmar Botox patients in the JAAD 2018 systematic review (DOI: 10.1016/j.jaad.2018.04.062) of 33 studies; the weakness resolves within 4 weeks in all reported cases. The mechanism is mild diffusion of toxin from the intradermal injection plane into the thenar and lumbrical muscles beneath the palmar fascia — a transient effect that wanes as the toxin is metabolized at the same kinetics as the sweat-gland effect. Patients describe the weakness as difficulty opening tight jar lids, pinching small objects firmly, or sustaining maximal grip for sport. Heavy strength training, competitive climbing, surgical fine-motor work and instrument auditioning should be scheduled for 3 weeks after injection or later. Patients with grip-critical occupations who cannot accept 1 to 2 weeks of mild grip alteration should consider iontophoresis as a first-line alternative. The 32G intradermal injection technique used at Kind Global Myeongdong minimizes deep diffusion; no permanent functional impairment is documented across published palmar Botox evidence.
How do I prepare for my Palm Hyperhidrosis Treatment appointment at Kind Global?
Before Palm Hyperhidrosis Treatment: avoid aspirin, ibuprofen, fish oil, vitamin E, ginkgo and alcohol for 48 hours pre-treatment to reduce minor bruising risk. Do not apply hand cream or nail polish on the morning of treatment — we need the palmar surface dry and product-free for Minor's iodine-starch mapping. Bring a list of prior topical aluminum chloride and iontophoresis trials with approximate duration and HDSS self-score (1 to 4). Disclose pregnancy, breastfeeding, neuromuscular disorder, lidocaine sensitivity (relevant if nerve block elected) and any current grip-critical commitments in the next 2 weeks. Eat a normal meal — the procedure is not performed under sedation. Wear short sleeves for wrist nerve block access. Arrive at Kind Global Clinic Myeongdong 15 minutes early for paperwork; if you messaged us in advance via WhatsApp, LINE or WeChat, paperwork is pre-completed and the HDSS questionnaire is on file. After Palm Botox: no heavy gripping or prolonged hand immersion 24 hours, no hot bath or sauna 24 hours, no alcohol 24 hours, avoid grip-critical work or sport for 7 to 14 days, no power tools with vibratory feedback 48 hours. Book your week-2 follow-up at the time of injection; the co-director will repeat palmar Minor's mapping and offer a touch-up at no charge for any residual active spot.