Sole Hyperhidrosis Treatment Myeongdong Seoul | Kind Global Clinic
Co-director-performed sole hyperhidrosis Botox at Myeongdong 6F with NSAID, EMLA and ice 60-minute pre-protocol · Book consultation
Sole hyperhidrosis Botox plantar grid injection at Kind Global Clinic Myeongdong
Hyperhidrosis · Botox Sweat Control · Myeongdong 6F

Sole Hyperhidrosis Treatment in Myeongdong, Seoul

Plantar hyperhidrosis botulinum toxin protocol with NSAID, EMLA topical anesthetic and ice 60-minute pre-anesthesia plus 100 to 150 unit intradermal grid injection per sole — delivered personally by Dr. Lee Wonjin or Dr. Lee Kangin.

100-150U
Per sole (Botox dose)
4-6mo
Result duration
0d
Social downtime
Quick Answer

What is Sole Hyperhidrosis Treatment at Kind Global Clinic?

Sole Hyperhidrosis Treatment at Kind Global Clinic Myeongdong is a plantar botulinum toxin protocol with NSAID, EMLA topical and ice 60-minute pre-anesthesia plus 100 to 150 unit intradermal grid per sole, delivered personally by two licensed Korean co-directors.

Primary plantar hyperhidrosis is idiopathic excessive sole sweating that exceeds physiological need and persists despite breathable footwear, antifungal hygiene and topical aluminum chloride. The condition affects roughly 1 to 3 percent of adults and produces soaked socks, recurrent tinea pedis and onychomycosis, slipping inside open footwear, foot odor and chronic dermatitis. Botulinum toxin for plantar hyperhidrosis is an off-label but evidence-supported use of KFDA-cleared botulinum toxin type A. Published cohort series document 70 to 85 percent reduction in plantar sweat at week 4 with duration averaging 4 to 6 months per cycle. The toxin blocks acetylcholine release at the eccrine sweat gland neuromuscular junction across the plantar grid.

At Kind Global Clinic Myeongdong, sole injection is comparable to palmar injection in discomfort because the sole has dense sensory innervation and a tough stratum corneum that resists shallow needle entry. The co-directors use a layered 60-minute pre-anesthesia protocol: oral NSAID (ibuprofen 400 mg or equivalent) 60 minutes before; EMLA topical lidocaine-prilocaine 5 percent cream under occlusion 45 to 60 minutes; ice packs 10 to 15 minutes immediately before injection. Posterior tibial nerve block at the medial ankle is offered as an optional add-on for very sensitive patients. The injection grid covers the entire plantar surface in a 1.5 to 2 centimeter spacing pattern — typically 40 to 60 grid points per sole at approximately 2.5 to 3 units per point with a 32G insulin syringe at intradermal depth. Standard total dose is 100 units per sole for moderate cases and up to 150 units per sole for severe or large-foot cases. Brief gait awkwardness for 1 to 2 weeks is reported in a minority of patients due to mild diffusion of toxin into intrinsic foot muscles; it resolves without intervention. Both co-directors personally inject — there is no nurse delegation, no junior-doctor rotation.

Who is this for?

Who is Sole Hyperhidrosis Treatment for?

For

  • Adults with primary plantar hyperhidrosis — idiopathic bilateral excessive sole sweating not improved by breathable footwear, antifungal hygiene and topical aluminum chloride
  • Patients whose sole sweat soaks socks daily, drives recurrent tinea pedis or onychomycosis, slips inside open footwear or limits professional formal-shoe wear
  • Patients with documented Hyperhidrosis Disease Severity Scale (HDSS) score of 3 or 4 limited to the plantar region
  • Returning patients at month 4 to 6 for maintenance injection to sustain dry conditions and break the moisture-fungal cycle
  • International visitors seeking plantar hyperhidrosis protocol at Korean medical-aesthetic pricing during a Seoul visit, often combined with underarm or palm indications

Not for

  • Pregnancy or breastfeeding — botulinum toxin is category C; treatment is deferred
  • Active plantar dermatitis, fissures, open wound, active tinea pedis or bacterial cellulitis in the treatment field
  • Neuromuscular disorders (myasthenia gravis, Lambert-Eaton syndrome, amyotrophic lateral sclerosis) or known sensitivity to lidocaine, prilocaine or NSAIDs
  • Competitive athletes or long-distance runners with key training peaks or race events in the 2 weeks post-injection — schedule around plantar-critical events
  • Secondary hyperhidrosis from thyroid hyperfunction, menopausal vasomotor instability, drug side effect or systemic cause — workup with primary physician required before toxin
How it works

How Sole Hyperhidrosis Treatment works at Kind Global Clinic — your visit, step by step

  1. 1

    Co-Director Consultation 15-20 min

    Dr. Lee Wonjin or Dr. Lee Kangin personally reviews plantar sweating history, age of onset, family history, HDSS score, prior topical and footwear trial, occupation and walking demand, tinea pedis history, and systemic workup to rule out secondary hyperhidrosis. The co-director maps target dose: 100 units per sole for moderate HDSS 3 or up to 150 units per sole for severe HDSS 4 cases with large plantar surface. NSAID and EMLA pre-protocol confirmed; optional posterior tibial nerve block discussed.

  2. 2

    Plantar Minor's Iodine-Starch Mapping + 60-Minute Pre-Anesthesia 60-75 min

    The treating co-director personally performs Minor's iodine-starch test on the plantar surface: foot is dried, iodine solution painted across the sole, dusted with starch powder. Within 5 to 10 minutes active sweat zones turn dark purple-black. The active region is outlined with a surgical marker; the grid plan is 1.5 to 2 centimeter spacing covering the full plantar surface, typically 40 to 60 grid points per sole. Patient takes oral NSAID 60 minutes before; EMLA topical lidocaine-prilocaine 5 percent cream applied under occlusion 45 to 60 minutes; ice packs 10 to 15 minutes immediately before. If patient elects posterior tibial nerve block, the co-director performs it at the medial ankle.

  3. 3

    Intradermal Toxin Grid Injection (32G, Plantar Surface) 25-40 min

    The co-director injects approximately 2.5 to 3 units per grid point with a 32G insulin syringe at intradermal depth (3 to 4 millimeters — slightly deeper than palmar because of thicker plantar stratum corneum). Sealed toxin vial with brand, lot number and expiry is shown to the patient before reconstitution in preservative-free saline. Total contact time runs 10 to 15 minutes per sole; bilateral 20 to 30 minutes total. Cooling pack 10 minutes per sole post-injection.

  4. 4

    Aftercare Brief + Gait Guidance + Week-2 Minor's Re-Test Schedule 10-15 min

    The treating co-director walks you through aftercare: wear soft-soled cushioned footwear and avoid barefoot walking on hard floors for 48 hours, no hot bath or sauna 24 hours, no prolonged foot immersion 48 hours, no alcohol 24 hours, avoid plantar-critical sport for 7 to 14 days as brief gait awkwardness in a minority of patients resolves within 2 weeks. LINE Official, WhatsApp Business and WeChat contacts provided. Week-2 follow-up scheduled — repeat Minor's test confirms gland inactivation, touch-up at no additional charge for any residual active spot.

What to expect

Sole Hyperhidrosis Treatment — week-by-week expectations

Day 0Tiny intradermal plantar injection bumps resolve in 30 to 60 minutes; faint redness for 4 to 12 hours; some patients note brief plantar tenderness in the first 24 hours
Day 3-7Initial plantar sweat reduction begins; patients notice drier socks at end of day and less foot odor; any transient gait awkwardness if present is most noticeable in this window
Week 2Near-complete plantar dryness; repeat Minor's iodine-starch test confirms 70 to 85 percent gland inactivation; transient gait awkwardness fading where present
Week 4Full peak result; co-director assesses completeness; transient gait effect fully resolved; touch-up at no charge for any residual mapped active spot
Month 3-4Effect plateau remains stable; recurrent tinea pedis cycle typically broken by sustained plantar dryness; some patients note faint return at the heel or forefoot periphery
Month 4-6Maintenance injection scheduled to sustain dryness before full return-to-baseline; HDSS reassessment recorded; combined plantar plus palmar timing reviewed for next cycle
Comparison

Sole Hyperhidrosis Treatment vs other plantar protocols at Kind Global

CriteriaSole BotoxIontophoresisTopical Aluminum ChlorideAntifungal-Only Hygiene
MechanismToxin blocks sweat-gland acetylcholine across plantar gridElectric current sweat-gland disruptionAluminum chloride duct plugTreats fungal sequel only
Approval statusKFDA-cleared toxin, off-label plantar use, evidence-supportedFDA-cleared medical deviceOTC and prescription approvedPharmacy / topical class
OnsetDay 3-7 · peak Week 2-42-4 weeks daily use1-2 weeks daily useReactive (after fungal flare)
Duration4-6 months per sessionMaintenance 1-3x weeklyDaily reapplicationOngoing
Downtime0 days social · 7-14 day gait caution0 days0 days0 days
ReversibilityFully reversible (toxin metabolizes)Stop device anytimeStop product anytimen/a
IndicationModerate to severe plantar HDSS 3-4Mild to moderate plantarMild plantarTinea pedis maintenance only

Selection depends on severity, athletic demand, downtime tolerance and prior treatment response. Sole Botox is well suited as a second-line in-clinic intervention after failed topical and footwear trial, especially when recurrent tinea pedis is driven by chronic plantar moisture. Iontophoresis is well suited for mild plantar cases when patients accept thrice-weekly home maintenance. Antifungal hygiene alone is not a primary protocol for HDSS 3 or 4. Co-director consultation with Minor's iodine-starch test and HDSS scoring determines the right path.

Pricing

Sole Hyperhidrosis Treatment — transparent published pricing

Sole Hyperhidrosis Consultation + Minor's Iodine-Starch Mapping

₩100,000
    Book Consultation

    Sole Botox — Domestic 100U per Sole

    ₩350,000 ₩390,000
      Book Consultation

      Sole Botox — Xeomin (Merz) 100U per Sole

      ₩420,000 ₩450,000
        Book Consultation

        Sole Botox — Allergan Botox 100U per Sole

        ₩450,000 ₩490,000
          Book Consultation

          Sole Botox — Allergan Botox 150U per Sole (Severe / Large Foot)

          ₩600,000 ₩650,000
            Book Consultation

            Sole Botox — Posterior Tibial Nerve Block Pre-Anesthesia Add-On

            ₩100,000 ₩120,000
              Book Consultation

              Sole Hyperhidrosis Treatment pricing reflects brand selection (KFDA-cleared domestic, Xeomin by Merz, or Allergan Botox) and unit count (100U for moderate HDSS 3, 150U for severe HDSS 4 or large foot). Optional posterior tibial nerve block pre-anesthesia is available as an add-on. Same KRW price for international and Korean patients with no surcharge. Final unit count is confirmed after plantar Minor's iodine-starch mapping at the consultation. Plantar hyperhidrosis is treated as an off-label evidence-supported use of KFDA-cleared botulinum toxin.

              Your doctors

              Performed personally by our co-directors

              Dr. Lee Wonjin, Co-Director of Kind Global Clinic Myeongdong

              Dr. Lee Wonjin

              Co-Director · Aesthetic Medicine
              License: 143124
              Daegu Catholic University College of Medicine (graduated 2022)
              "Same physician from consultation through follow-up — there is no nurse delegation, no junior-doctor rotation. Cartridge serial and line counts are recorded on every patient's chart."
              Dr. Lee Kangin, Co-Director of Kind Global Clinic Myeongdong

              Dr. Lee Kangin

              Co-Director · Aesthetic Medicine
              License: 141247
              Medical School (verified, school name pending clinic confirmation)
              "Patient-tailored treatment over volume. Each treatment plan is matched to facial structure, fat-pad position, and prior treatment history — not to a standard protocol."

              Medically reviewed by Dr. Lee Wonjin, Kind Global Clinic.

              Evidence

              Evidence base for plantar hyperhidrosis Botox

              1. Botulinum toxin A for plantar hyperhidrosis: a prospective cohort with quantitative gravimetric sweat measurement
                Journal of the American Academy of Dermatology (2010) — DOI: 10.1016/j.jaad.2009.10.024

                Prospective cohort (n=24) of primary plantar hyperhidrosis patients treated with 100 to 150 units of botulinum toxin A per sole. Gravimetric sweat measurement documented 75 to 85 percent reduction at week 4 with duration averaging 4 to 6 months. No permanent gait or sensation impairment recorded — evidence base for the 100-unit per sole moderate dose standard.

              2. Tibial nerve block versus topical anesthesia for plantar botulinum toxin injection: a randomized comparison
                Dermatologic Surgery (2014) — DOI: 10.1097/DSS.0000000000000064

                Randomized comparison (n=30) of posterior tibial nerve block versus EMLA topical anesthesia in plantar botulinum toxin injection. Nerve block group reported mean pain score of 2.1 versus 6.8 in topical-only group on a 0 to 10 visual analog scale, with no nerve block complications — supports the optional posterior tibial nerve block at Kind Global Myeongdong.

              3. Quality-of-life impact of botulinum toxin A in primary plantar hyperhidrosis: 12-month follow-up
                British Journal of Dermatology (2015) — DOI: 10.1111/bjd.13551

                Twelve-month follow-up cohort (n=42) of plantar hyperhidrosis patients receiving repeat botulinum toxin sessions. Dermatology Life Quality Index improvement sustained across maintenance cycles; recurrent tinea pedis incidence dropped 60 percent at month 6 in the treated group. HDSS score reduction was sustained at 4 to 6 month maintenance intervals.

              Recovery

              Recovery and aftercare — what to plan for

              WhenWhatDoDon't
              Day 0 (injection day)Tiny intradermal plantar injection bumps resolve in 30 to 60 minutes · Faint plantar redness 4 to 12 hours · Brief plantar tenderness in some patients the first 24 hours · Mild gait alteration in the immediate post-injection hourWear soft-soled cushioned footwear at discharge · Plan a quiet rest evening at hotel · Eat and drink normally · Elevate feet during evening sittingNo barefoot walking on hard floors 48 hours · No hot bath, foot soak or sauna 24 hours · No alcohol 24 hours · No long walking tours or hiking 48 hours · No plantar-critical sport
              Day 1-7Initial plantar sweat reduction begins day 3 to 7 · Brief gait awkwardness in a minority of patients is most noticeable in this window · Patients with gait change report mild altered balance or fatigue on long walksResume light walking day 2 · Schedule peak athletic training for week 3 onwards · Continue cushioned footwear · Hydrate well · Track plantar dryness progressAvoid long-distance running or competitive plantar sport 7 to 14 days · No new manual labor task that requires sustained plantar pressure 1 week · No prolonged foot immersion in pools or hot tubs 48 hours
              Week 2-4Near-complete plantar dryness · Repeat Minor's test confirms 70 to 85 percent gland inactivation · Transient gait awkwardness fades fully by week 2 to 3 · Symmetry assessment between left and right soleCo-director follow-up at week 2 (included) · Confirm sweat reduction · Note any residual active spots for touch-up at no charge · Resume full plantar-loaded activity by week 3-4Do not assume failure if a small heel or forefoot zone remains active — co-director can touch-up missed grid points at the included follow-up · Do not start a second toxin cycle before week 4 endpoint
              Month 3-6Effect plateau · Recurrent tinea pedis cycle typically broken by sustained plantar dryness per BJD 2015 evidence · Faint sweat return may appear at heel or forefoot periphery by month 3 to 4 · HDSS scoring done at maintenance visitSchedule plantar maintenance at month 4 to 6 · Re-evaluate severity · Consider 150U dose escalation if HDSS rebound is rapid · Maintain breathable footwear and antifungal hygieneDo not delay maintenance if quality-of-life impact returns — early maintenance prevents tinea recurrence · Do not start a new toxin brand mid-cycle without co-director clearance
              Frequently asked

              Sole Hyperhidrosis Treatment at Kind Global Clinic Myeongdong — frequently asked

              Who performs Sole Hyperhidrosis Treatment at Kind Global Clinic Myeongdong?
              Sole 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 plantar Minor's iodine-starch sweat mapping, personally administers the posterior tibial nerve block when elected, personally injects the 40 to 60 point plantar toxin grid, and personally reviews you at the included week-2 follow-up. The nerve block at the medial ankle 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 plantar 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.
              How long do Sole Hyperhidrosis Treatment results last at Kind Global Clinic Myeongdong?
              Sole Hyperhidrosis Treatment results last 4 to 6 months on average at Kind Global Clinic Myeongdong, similar to palmar duration and slightly shorter than axillary. Peak dryness arrives at week 2 to 4 and remains stable until gradual return begins at month 3 to 4. Published 12-month cohort evidence (British Journal of Dermatology 2015, DOI: 10.1111/bjd.13551) of 42 plantar hyperhidrosis patients receiving repeat sessions documented sustained Dermatology Life Quality Index improvement across maintenance cycles. Recurrent tinea pedis incidence dropped 60 percent at month 6 in the treated cohort — sustained plantar dryness breaks the moisture-fungal cycle. Mean duration extends slightly with each repeat cycle; many returning patients at Kind Global Myeongdong settle into a 5 to 6 month maintenance interval. Dose escalation from 100 to 150 units per sole is considered when HDSS rebound is rapid. Many patients combine plantar with palmar or axillary in the same Seoul visit — see <a href="/palm-hyperhidrosis-myeongdong-seoul-korea/">Palm Hyperhidrosis Treatment</a> and <a href="/underarm-hyperhidrosis-myeongdong-seoul-korea/">Underarm Hyperhidrosis Treatment</a>.
              How much does Sole Hyperhidrosis Treatment cost in Myeongdong Seoul 2026?
              Sole Hyperhidrosis Treatment at Kind Global Clinic Myeongdong runs KRW 350,000 to 600,000 per sole 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 foot KRW 600,000 (USD 429); optional posterior tibial nerve block add-on KRW 100,000 (USD 71) bilateral. Korea pricing for plantar hyperhidrosis Botox runs 55 to 70 percent less than United States pricing (USD 1,000 to 2,000 per sole 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 plantar Minor's iodine-starch mapping. Korean medical-aesthetic pricing transparency for plantar indications is one driver of the 600,000+ medical tourists Korea attracted in 2023 per KHIDI data.
              Sole Hyperhidrosis Treatment vs Underarm Hyperhidrosis Treatment — same toxin different region?
              Both indications use the same toxin and the same gland-blocking mechanism but the dose, pain protocol and aftercare differ significantly. <table><thead><tr><th>Criteria</th><th>Sole (plantar)</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 sole</td><td>15-25 per axilla</td></tr><tr><td>Pre-anesthesia</td><td>NSAID + EMLA + ice 60 min</td><td>Topical lidocaine only</td></tr><tr><td>Pain rating (1-10)</td><td>5-7 (3-4 with nerve block)</td><td>3-5</td></tr><tr><td>FDA approval</td><td>Off-label, evidence-supported</td><td>Direct FDA approval 2004</td></tr><tr><td>Gait impact</td><td>Brief awkwardness 1-2 weeks</td><td>Not applicable</td></tr><tr><td>Tinea pedis benefit</td><td>60 percent recurrence drop</td><td>Not applicable</td></tr></tbody></table> Sole Botox is well suited when plantar sweat soaks socks, drives recurrent tinea pedis, or limits formal footwear. <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.
              Sole Hyperhidrosis Treatment vs Palm Hyperhidrosis Treatment — paired or sequential?
              Plantar and palmar hyperhidrosis frequently coexist as primary focal hyperhidrosis subtypes; many patients have both. <table><thead><tr><th>Criteria</th><th>Sole (plantar)</th><th>Palm (palmar)</th></tr></thead><tbody><tr><td>Dose per side</td><td>100-150 units</td><td>100-150 units</td></tr><tr><td>Pre-anesthesia</td><td>NSAID + EMLA + ice 60 min + optional tibial block</td><td>Ice + topical + optional median-ulnar block</td></tr><tr><td>Functional concern</td><td>Brief gait awkwardness 1-2 weeks</td><td>Transient grip weakness 7-14 days</td></tr><tr><td>Lifestyle aftercare</td><td>Cushioned footwear 7-14 days</td><td>Avoid grip-critical work 7-14 days</td></tr><tr><td>Single-visit dose</td><td>200-300 units bilateral</td><td>200-300 units bilateral</td></tr></tbody></table> Combined palm-plus-sole single-visit plans are routine, with combined dose around 400 to 600 units — above the single-session 400-unit recommendation in some cases, which is why the co-director may split the indications across two visits or two days in the same Seoul trip for very large-frame patients. <a href="/palm-hyperhidrosis-myeongdong-seoul-korea/">Palm Hyperhidrosis Treatment</a> is well suited when grip-dependent occupation is affected. Sole Botox is well suited when tinea pedis cycle and formal-footwear comfort drive the visit.
              Sole Botox vs Iontophoresis vs ETS sympathectomy — plantar protocol comparison?
              Sole Botox is reversible and twice-yearly; iontophoresis is daily home maintenance; ETS sympathectomy is permanent surgery with documented compensatory sweating risk. <table><thead><tr><th>Criteria</th><th>Sole Botox</th><th>Iontophoresis</th><th>ETS Sympathectomy</th></tr></thead><tbody><tr><td>Mechanism</td><td>Reversible toxin block at plantar grid</td><td>Electric current sweat-gland disruption</td><td>Permanent T2-T4 nerve cut</td></tr><tr><td>Downtime</td><td>0 days social, 7-14 day gait caution</td><td>0 days</td><td>1-2 weeks surgical recovery</td></tr><tr><td>Result duration</td><td>4-6 months per session</td><td>Ongoing maintenance</td><td>Permanent</td></tr><tr><td>Compensatory sweating</td><td>Not documented</td><td>Not documented</td><td>Documented 30-90 percent</td></tr><tr><td>Plantar-specific consideration</td><td>Targets tinea pedis cycle</td><td>Foot bath device required</td><td>Less effective for plantar than palmar</td></tr></tbody></table> Sole Botox is well suited as the in-clinic protocol after failed topical and footwear trial, especially when tinea pedis recurrence is driven by chronic plantar moisture. ETS sympathectomy is reserved for refractory severe cases and is less reliably effective for plantar than for palmar sweating per published literature. <a href="/botox-myeongdong-seoul-korea/">Botox hub</a> covers all toxin indications at the clinic.
              How painful is Sole Hyperhidrosis Treatment at Kind Global?
              Sole Hyperhidrosis Treatment is comparable to palmar in discomfort because the sole has dense sensory innervation and a tough stratum corneum. With NSAID plus EMLA plus ice 60-minute pre-protocol only, most patients rate pain at 5 to 7 out of 10. With the optional posterior tibial nerve block at the medial ankle (1.5 to 2 milliliters of 1 percent lidocaine, physician-administered), published evidence (Dermatologic Surgery 2014, DOI: 10.1097/DSS.0000000000000064) documents mean pain rating of 2.1 versus 6.8 in topical-only group on a 0 to 10 scale. We recommend nerve block coverage for sensitive patients and for the first treatment visit. The injection uses a 32G insulin syringe at intradermal depth (3 to 4 millimeters — slightly deeper than palmar because of thicker plantar stratum corneum) across 40 to 60 grid points per sole. Total contact time per sole is 10 to 15 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 plantar as notably more uncomfortable; the palmar protocol is comparably painful. Nitrous oxide sedation (Aeronox) is offered at additional cost for very sensitive patients.
              What are the side effects and risks of Sole Hyperhidrosis Treatment?
              Sole 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 plantar injection bumps 30 to 60 minutes, faint plantar redness 4 to 12 hours, brief plantar tenderness or mild gait alteration in the first 24 hours. The defining plantar-specific effect is brief gait awkwardness reported in a minority of patients, resolving within 1 to 2 weeks. The mechanism is mild diffusion of toxin from the intradermal plane into intrinsic foot muscles (lumbricals, interossei); no permanent gait or sensation impairment is documented across published plantar Botox evidence (JAAD 2010, DOI: 10.1016/j.jaad.2009.10.024). Compensatory sweating in untreated body zones — a documented 30 to 90 percent complication of ETS thoracic sympathectomy — is not documented with localized plantar Botox. Posterior tibial nerve block pre-anesthesia carries a low rate of brief local hematoma at the medial ankle and rare transient digit paresthesia that resolves as the lidocaine wears off. Contraindications include pregnancy, breastfeeding, active plantar dermatitis or fissures, active tinea pedis or cellulitis, neuromuscular disorders, known hypersensitivity to botulinum toxin or lidocaine or NSAIDs, 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 Sole Hyperhidrosis Treatment: Allergan Botox (USA, carries US FDA-approved axillary hyperhidrosis indication 2004 and is widely used off-label for plantar 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. Plantar use of any botulinum toxin brand is off-label in the United States and Korea but is evidence-supported per published cohorts. 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 Sole Botox sessions are needed and when do results appear?
              Sole Hyperhidrosis Treatment is a single-session protocol per cycle with maintenance every 4 to 6 months. Initial plantar 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 70 to 85 percent plantar sweat gland inactivation per published evidence (JAAD 2010, DOI: 10.1016/j.jaad.2009.10.024). If residual active spots remain visible on the Minor's test — commonly at the heel or forefoot periphery — 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 (summer wedding, long-distance flight in formal footwear, photoshoot, peak hiking trip). Maintenance injection at month 4 to 6 is recommended to sustain dryness and break the tinea pedis cycle; sustained efficacy across repeated sessions is documented in BJD 2015 12-month follow-up evidence.
              Can I get Sole Hyperhidrosis Treatment as a same-day procedure when visiting Seoul?
              Yes — same-day Sole Hyperhidrosis Treatment is routine for international visitors at Kind Global Clinic Myeongdong. Plan 120 to 160 minutes in clinic for bilateral plantar treatment: 15 to 20 minutes co-director consultation with HDSS scoring and prior treatment review, 60 to 75 minutes plantar Minor's iodine-starch mapping plus NSAID (oral 60 min before) plus EMLA topical plus ice (plus optional posterior tibial nerve block), 25 to 40 minutes intradermal grid injection (10 to 15 minutes per sole), 10 to 15 minutes aftercare brief. Flying home the next day is fine — plantar Botox has zero pressure-related contraindication and does not affect ear pressure or cabin altitude tolerance. We recommend cushioned soft-soled footwear for the return flight and avoiding long walking tours of Seoul on the day of treatment. Avoid hot baths, foot soaks, jjimjilbang and prolonged hand-feet immersion for 24 to 48 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. Peak dryness arrives at week 2, well after you return home; transient gait effect if present is most noticeable in days 3 to 10.
              Do you have English-speaking staff and translators for Sole Hyperhidrosis consultation?
              Yes — both Kind Global Clinic co-directors conduct Sole 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, tinea pedis history, footwear and athletic demand assessment, plantar Minor's iodine-starch interpretation, brand selection, unit count rationale (100U moderate versus 150U severe), NSAID and EMLA pre-protocol safety, and posterior tibial nerve block election. Post-treatment interpretation covers aftercare, gait 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. KHIDI 2025 Medical Tourism Survey notes language accessibility is a top-3 factor for international patients selecting Korean clinics.
              Can I combine Sole Botox with Underarm Botox, Palm Botox or facial Botox in the same visit?
              Yes — same-visit Sole 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>Sole Botox</th><th>Combined toxin plan</th></tr></thead><tbody><tr><td>Per-cycle dose</td><td>100-150 per sole</td><td>200-400 underarm + palm + sole + face</td></tr><tr><td>Single-visit ceiling</td><td>200-300 units bilateral sole</td><td>400 total recommended ceiling</td></tr><tr><td>Pain protocol</td><td>NSAID + EMLA + ice + optional tibial block</td><td>Combine topical + ice + nerve blocks per area</td></tr><tr><td>In-clinic time</td><td>120-160 min bilateral sole</td><td>180-240 min for 3 areas</td></tr><tr><td>Peak timing</td><td>Week 2-4</td><td>Plantar week 2, axillary week 2, face 1-2</td></tr></tbody></table> Combined plans typically include sole with <a href="/underarm-hyperhidrosis-myeongdong-seoul-korea/">underarm</a> or <a href="/palm-hyperhidrosis-myeongdong-seoul-korea/">palm</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>. The co-director may split very large combined plans across two visits two days apart to stay within the 400-unit single-session ceiling.
              Will Sole Botox affect my walking, balance or running performance?
              Sole Botox does not cause permanent gait or balance impairment. Brief gait awkwardness is reported in a minority of patients in the first 1 to 2 weeks post-injection; no permanent gait, balance or running impairment is documented across published plantar Botox evidence (JAAD 2010, DOI: 10.1016/j.jaad.2009.10.024 and BJD 2015, DOI: 10.1111/bjd.13551). The mechanism is mild diffusion of toxin from the intradermal injection plane into intrinsic foot muscles (lumbricals, interossei, abductor hallucis) — a transient effect that resolves as the toxin is metabolized at the same kinetics as the sweat-gland effect. Patients describe the transient effect as mild altered balance during long walks, fatigue at the arch, or brief unfamiliar pressure distribution under the forefoot. Competitive long-distance runners, soccer players, climbers, ballet dancers and other plantar-critical athletes should schedule injection for 3 weeks before key training peaks or race events. Patients whose work requires continuous standing for full shifts (nurses, retail, hospitality) should plan injection for a day before a 2-day rest window. The 32G intradermal injection technique used at Kind Global Myeongdong minimizes deep diffusion; the 1.5 to 2 centimeter grid spacing avoids high-density toxin loading in any single muscle compartment.
              How do I prepare for my Sole Hyperhidrosis Treatment appointment at Kind Global?
              Before Sole Hyperhidrosis Treatment: avoid aspirin and ginkgo for 48 hours pre-treatment to reduce minor bruising risk; ibuprofen for the NSAID pre-protocol will be given in-clinic 60 minutes before injection. Do not apply foot cream, callus product or nail polish on the morning of treatment — we need the plantar surface dry and product-free for Minor's iodine-starch mapping. Bring a list of prior topical aluminum chloride, iontophoresis trial history, tinea pedis episodes, and HDSS self-score (1 to 4). Disclose pregnancy, breastfeeding, neuromuscular disorder, lidocaine sensitivity (relevant if nerve block elected), NSAID allergy or peptic ulcer history, and any current athletic peaks or race events in the next 2 weeks. Eat a normal meal — the procedure is not performed under sedation but the NSAID is taken with food. Wear comfortable cushioned footwear; bring soft socks. 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. After Sole Botox: cushioned footwear, no barefoot walking on hard floors 48 hours, no hot bath or foot soak 24 hours, no alcohol 24 hours, avoid plantar-critical sport 7 to 14 days. Book your week-2 follow-up at the time of injection; the co-director will repeat plantar Minor's mapping and offer a touch-up at no charge for any residual active spot.

              Ready for your Sole Hyperhidrosis Treatment consultation?

              Co-director consultation with plantar Minor's iodine-starch mapping and optional posterior tibial nerve block. Same physician handles consultation, injection and week-2 follow-up. Same KRW price for foreigners and Korean residents.

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              Euljiro-ipgu Stn. Exit 6 — one minute.

              Address
              Myeongdong 6F #133-135 · #215-21845 Yanghwa-ro, Jung-gu, Seoul · 04047
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