Underarm Hyperhidrosis Treatment Myeongdong Seoul | Kind Global Clinic
Co-director-performed underarm hyperhidrosis Botox at Myeongdong 6F with Minor's iodine-starch mapping · Book consultation
Underarm hyperhidrosis Botox axillary injection at Kind Global Clinic Myeongdong
Hyperhidrosis · Botox Sweat Control · Myeongdong 6F

Underarm Hyperhidrosis Treatment in Myeongdong, Seoul

FDA-approved axillary hyperhidrosis Botox indication (Allergan, 2004) with Minor's iodine-starch sweat mapping and 50 to 100 unit intradermal grid injection — delivered personally by Dr. Lee Wonjin or Dr. Lee Kangin with no nurse delegation.

50-100U
Per axilla (Botox dose)
4-6mo
Result duration
0d
Social downtime
Quick Answer

What is Underarm Hyperhidrosis Treatment at Kind Global Clinic?

Underarm Hyperhidrosis Treatment at Kind Global Clinic Myeongdong is an FDA-approved axillary botulinum toxin protocol with Minor's iodine-starch sweat mapping and 50 to 100 unit intradermal grid injection per side, delivered personally by two licensed Korean co-directors.

Primary axillary hyperhidrosis is idiopathic excessive underarm sweating that exceeds physiological thermoregulatory need and persists despite clinical-strength antiperspirant. The condition affects roughly 1 to 3 percent of adults and is the original US FDA-approved botulinum toxin hyperhidrosis indication — Botox by Allergan received approval for primary axillary hyperhidrosis in July 2004 based on a randomized double-blind trial published in NEJM. The toxin blocks acetylcholine release at the eccrine sweat gland neuromuscular junction, eliminating sweat output in the injected region for 4 to 6 months on average.

At Kind Global Clinic Myeongdong, both co-directors personally perform Minor's iodine-starch test before every axillary injection. The axilla is dried, iodine solution is painted across the entire vault, the area is dusted with starch powder, and active sweat glands turn dark purple-black within 5 to 10 minutes — producing a per-patient sweat distribution map. Injection points are placed in a 1 to 2 centimeter grid covering the mapped active region, typically 15 to 25 points per axilla at 4 units per point with a 32G insulin syringe at intradermal depth (2 to 3 millimeters), not intramuscular. Standard total dose is 50 units per axilla for moderate cases and up to 100 units per axilla for severe or broad-zone cases. Brand selection (Allergan for FDA-approved indication confidence, Xeomin, or KFDA-cleared domestic), lot number, exact grid-point unit count and Minor's test photograph are recorded on the patient chart. There is no junior-doctor rotation — the co-director who performs the Minor's mapping is the same physician who injects and who reviews you at the week-2 follow-up.

Who is this for?

Who is Underarm Hyperhidrosis Treatment for?

For

  • Adults with primary axillary hyperhidrosis — idiopathic bilateral excessive underarm sweating not improved by clinical-strength antiperspirant after 4 to 6 weeks of nightly use
  • Patients whose underarm sweating impairs daily activities such as professional attire, public speaking, formal events, dating or hand-arm-up activities
  • Patients with documented Hyperhidrosis Disease Severity Scale (HDSS) score of 3 or 4 (sweating that is barely tolerable or intolerable and interferes with activities)
  • Returning patients at month 4 to 6 for maintenance injection to sustain dry conditions
  • International visitors seeking the FDA-approved axillary indication at Korean medical-aesthetic pricing during a Seoul visit

Not for

  • Pregnancy or breastfeeding — botulinum toxin is category C; treatment is deferred
  • Active axillary infection, folliculitis, open wound, or hidradenitis suppurativa flare in the treatment field
  • Neuromuscular disorders (myasthenia gravis, Lambert-Eaton syndrome, amyotrophic lateral sclerosis) where botulinum toxin is contraindicated
  • Known hypersensitivity to botulinum toxin type A or human albumin excipient
  • Secondary hyperhidrosis from thyroid hyperfunction, menopausal vasomotor instability, drug side effect, lymphoma or infection — systemic workup with primary physician required before toxin
How it works

How Underarm 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 sweating history, age of onset, family history, Hyperhidrosis Disease Severity Scale (HDSS) score, prior aluminum chloride antiperspirant trial, and systemic workup (thyroid panel, medication review) to rule out secondary hyperhidrosis. The co-director maps target dose: 50 units per axilla for moderate cases with HDSS 3, up to 100 units per axilla for severe HDSS 4 cases or broad active zones. Brand selection (Allergan FDA-approved indication, Xeomin by Merz, or KFDA-cleared domestic) discussed with patient.

  2. 2

    Minor's Iodine-Starch Sweat Mapping 10-15 min

    The treating co-director performs the Minor's test personally — not delegated. Axilla is wiped dry, iodine solution painted across the entire vault, the area dusted with starch powder. Within 5 to 10 minutes active sweat glands turn dark purple-black, producing a per-patient sweat distribution map photographed for the chart. The co-director outlines the active zone with a surgical skin marker and plans the injection grid: 1 to 2 centimeter spacing, 15 to 25 grid points per axilla.

  3. 3

    Topical Anesthesia + Intradermal Toxin Grid Injection 30-50 min

    Topical lidocaine 4 percent is applied for 20 to 30 minutes; vibration anesthetic device is offered for sensitive patients. The co-director injects 4 units per grid point with a 32G insulin syringe at intradermal depth (2 to 3 millimeters), not intramuscular. Sealed toxin vial with brand, lot number and expiry is shown to the patient before reconstitution in preservative-free saline. Total contact time runs 5 to 10 minutes per axilla; bilateral treatment 10 to 20 minutes total. Cooling pack 5 minutes post-injection.

  4. 4

    Aftercare Brief + Week-2 Minor's Re-Test Schedule 5-10 min

    The treating co-director walks you through aftercare: no antiperspirant for 24 hours, no sauna or hot bath 24 hours, no axillary shaving for 48 hours, no heavy upper-body exercise 24 hours, no alcohol 24 hours. LINE Official, WhatsApp Business and WeChat contacts provided. Week-2 follow-up scheduled — repeat Minor's test confirms 80 to 95 percent sweat gland inactivation, and the co-director performs a touch-up injection at no additional charge if residual active spots are detected.

What to expect

Underarm Hyperhidrosis Treatment — week-by-week expectations

Day 0Tiny intradermal injection bumps resolve in 30 to 60 minutes; mild redness for 12 to 24 hours; sweating continues at baseline
Day 3-7Initial axillary sweat reduction begins; patients notice drier underarms in clothing and during stress
Week 2Near-complete dryness in treated axilla; repeat Minor's iodine-starch test at follow-up confirms 80 to 95 percent gland inactivation
Week 4Full peak result; co-director assesses completeness and offers touch-up at no charge for any residual mapped active spot
Month 3-4Effect plateau remains stable; some patients note faint return at the periphery of the original mapped zone
Month 4-6Maintenance injection scheduled to sustain dryness before full return-to-baseline; HDSS reassessment recorded
Comparison

Underarm Hyperhidrosis Treatment vs other axillary protocols at Kind Global

CriteriaUnderarm BotoxClinical AntiperspirantMiraDry / MicrowaveETS Surgery
MechanismToxin blocks sweat-gland acetylcholineAluminum chloride duct plugMicrowave thermolysis of sweat glandsSympathetic nerve transection
FDA statusApproved axillary 2004 (Allergan)OTC and prescription approvedFDA cleared for axillarySurgical procedure category
OnsetDay 3-7 · peak Week 2-41-2 weeks daily useImmediate post-procedure reductionImmediate post-op
Duration4-6 months per sessionDaily reapplication requiredLong-lasting (often years)Permanent
Downtime0 days0 days1-2 weeks swelling and tenderness1-2 weeks surgical recovery
ReversibilityFully reversible (toxin metabolizes)Stop product anytimeNot reversible (gland destruction)Not reversible
IndicationModerate to severe axillary HDSS 3-4Mild to moderate axillaryModerate to severe axillaryRefractory severe cases only

Selection depends on severity, lifestyle, downtime tolerance and prior treatment response. Underarm Botox is well suited as a first-line in-clinic intervention after failed antiperspirant trial. MiraDry-style microwave is appropriate when patients prefer a long-lasting one-time protocol over twice-yearly toxin. ETS surgery is reserved for refractory severe cases given documented compensatory sweating risk. Co-director consultation with Minor's iodine-starch test and HDSS scoring determines the right path.

Pricing

Underarm Hyperhidrosis Treatment — transparent published pricing

Underarm Hyperhidrosis Consultation + Minor's Iodine-Starch Mapping

₩100,000
    Book Consultation

    Underarm Botox — Domestic 50U per Axilla

    ₩250,000 ₩290,000
      Book Consultation

      Underarm Botox — Xeomin (Merz) 50U per Axilla

      ₩320,000 ₩350,000
        Book Consultation

        Underarm Botox — Allergan Botox 50U per Axilla

        ₩350,000 ₩380,000
          Book Consultation

          Underarm Botox — Allergan Botox 100U per Axilla (Severe)

          ₩450,000 ₩490,000
            Book Consultation

            Underarm Botox — Bilateral Allergan 50U Bundle

            ₩680,000 ₩760,000
              Book Consultation

              Underarm Hyperhidrosis Treatment pricing reflects brand selection (domestic, Xeomin by Merz, or Allergan Botox with US FDA-approved axillary indication) and unit count (50U for moderate HDSS 3, 100U for severe HDSS 4 or broad mapped zones). Same KRW price for international and Korean patients with no surcharge. Final unit count is confirmed after Minor's iodine-starch sweat mapping at the consultation.

              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 axillary hyperhidrosis Botox

              1. Botulinum toxin A for axillary hyperhidrosis (excessive sweating)
                New England Journal of Medicine (2001) — DOI: 10.1056/NEJM200102153440704

                Landmark double-blind placebo-controlled trial (n=158) demonstrated 81 percent reduction in axillary sweat production at week 4 versus 4 percent in placebo with mean effect duration around 7 months. This evidence supported the 2004 US FDA approval of Botox for primary axillary hyperhidrosis.

              2. Long-term efficacy and safety of botulinum toxin A for primary axillary hyperhidrosis: 12-year follow-up
                British Journal of Dermatology (2020) — DOI: 10.1111/bjd.18764

                Twelve-year follow-up of 207 patients receiving repeated axillary botulinum toxin showed sustained efficacy across sessions, no antibody-mediated treatment failure, and no serious adverse events. Mean duration extended slightly with repeat treatments, with most patients settling into 6 to 9 month maintenance intervals.

              3. Quality-of-life and HDSS outcomes after axillary botulinum toxin A in primary focal hyperhidrosis
                Dermatologic Surgery (2007) — DOI: 10.1111/j.1524-4725.2007.33019.x

                Prospective cohort (n=98) of primary axillary hyperhidrosis patients treated with 50 units of botulinum toxin A per axilla. Hyperhidrosis Disease Severity Scale dropped from mean 3.4 pre-treatment to 1.2 at week 4, with Dermatology Life Quality Index improvement sustained through month 6 — supports the moderate-dose 50-unit standard at Kind Global Myeongdong.

              Recovery

              Recovery and aftercare — what to plan for

              WhenWhatDoDon't
              Day 0 (injection day)Tiny intradermal injection bumps resolve in 30 to 60 minutes · Mild axillary redness for 12 to 24 hours · Possible faint pinpoint bruise at one to three grid points in 5 to 10 percent of patients · Sweating continues at baselineResume normal activity · Wear loose breathable cotton clothing · Eat and drink normally · Cool compress 5 minutes if mild discomfortNo antiperspirant or deodorant for 24 hours · No sauna, hot bath, jjimjilbang or hot yoga 24 hours · No alcohol 24 hours · No underarm shaving for 48 hours · No heavy upper-body exercise
              Day 1-7Tiny bruises resolve · Sweating continues at baseline first 2-3 days · Initial axillary sweat reduction begins day 3 to 7 · Mild redness fully fadesResume light exercise day 2 · SPF 50+ if axilla is sun-exposed · Hydrate well · Resume gentle skincare · Track sweat-reduction progressNo deep tissue massage at axilla · No new hair removal or chemical depilation 1 week · No tight underwire or compression sportswear that grinds the grid 48 hours
              Week 2-4Near-complete dryness in the treated axilla · Repeat Minor's test confirms 80 to 95 percent gland inactivation · Symmetry assessment between left and right · Full peak result by week 4Co-director follow-up at week 2 (included) · Confirm sweat reduction · Note any residual active spots for touch-up at no chargeDo not assume failure if a small zone remains active — co-director can touch-up missed grid points at the included follow-up · Do not start a second toxin session before week 4 endpoint
              Month 3-6Effect plateau · Faint sweat return may appear at the periphery of the original mapped zone by month 4 to 5 · HDSS scoring done at maintenance visitSchedule axillary maintenance at month 4 to 6 · Re-evaluate severity · Consider 100U dose escalation if HDSS rebound is rapidDo not delay maintenance if quality-of-life impact returns — early maintenance prevents full return-to-baseline cycle · Do not start a new toxin brand mid-cycle without co-director clearance
              Frequently asked

              Underarm Hyperhidrosis Treatment at Kind Global Clinic Myeongdong — frequently asked

              Who performs Underarm Hyperhidrosis Treatment at Kind Global Clinic Myeongdong?
              Underarm 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, personally injects the toxin grid, and personally reviews you at the included week-2 follow-up. The Minor's test is never delegated to an assistant. Brand selection, lot number, exact unit count per grid point, and the Minor's photograph are recorded on each patient's chart at the time of treatment. 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 at any stage of the axillary protocol.
              How long do Underarm Hyperhidrosis Treatment results last at Kind Global Clinic Myeongdong?
              Underarm Hyperhidrosis Treatment results last 4 to 6 months on average at Kind Global Clinic Myeongdong, with some patients extending to 7 to 9 months after repeat sessions. Peak dryness arrives at week 2 to 4 and remains stable until gradual return begins at month 3 to 4 as new presynaptic terminals form at the sweat-gland neuromuscular junction. Published 12-year follow-up evidence of 207 axillary patients (British Journal of Dermatology 2020, DOI: 10.1111/bjd.18764) showed sustained efficacy across repeated sessions with no antibody-mediated treatment failure. Mean duration extends slightly with each repeat treatment — many returning patients at Kind Global Myeongdong settle into a 6 to 9 month maintenance interval after their second or third session. Dose escalation from 50 to 100 units per axilla is considered when HDSS rebound is rapid. For palmar coverage in the same Seoul trip see <a href="/palm-hyperhidrosis-myeongdong-seoul-korea/">Palm Hyperhidrosis Treatment</a>; for plantar coverage see <a href="/sole-hyperhidrosis-myeongdong-seoul-korea/">Sole Hyperhidrosis Treatment</a>.
              How much does Underarm Hyperhidrosis Treatment cost in Myeongdong Seoul 2026?
              Underarm Hyperhidrosis Treatment at Kind Global Clinic Myeongdong runs KRW 250,000 to 450,000 per axilla depending on brand and unit count. Standard event pricing: domestic 50U KRW 250,000 (approx. USD 179); Xeomin by Merz 50U KRW 320,000 (USD 229); Allergan Botox 50U KRW 350,000 (USD 250); Allergan Botox 100U for severe HDSS 4 KRW 450,000 (USD 321); bilateral Allergan 50U bundle KRW 680,000 (USD 486). Korea pricing for the US FDA-approved Allergan axillary indication runs 60 to 75 percent less than United States pricing (USD 1,500 to 2,500 per axilla equivalent at US dermatology) and 40 to 55 percent less than Japan. Same KRW price applies to international and Korean patients with no surcharge. Final unit count is confirmed after Minor's iodine-starch sweat mapping. Korean medical-aesthetic pricing transparency for axillary indications is one driver of the 600,000+ medical tourists Korea attracted in 2023 per KHIDI data.
              Underarm Hyperhidrosis Treatment vs Palm Hyperhidrosis Treatment — how do the protocols differ?
              Both indications use intradermal botulinum toxin but the dose, pain protocol and duration differ significantly. <table><thead><tr><th>Criteria</th><th>Underarm (axillary)</th><th>Palm (palmar)</th></tr></thead><tbody><tr><td>Dose per side</td><td>50-100 units</td><td>100-150 units</td></tr><tr><td>Grid points</td><td>15-25 per axilla</td><td>40-60 per palm</td></tr><tr><td>FDA status</td><td>Approved indication 2004</td><td>Off-label, evidence-supported</td></tr><tr><td>Pre-injection pain protocol</td><td>Topical lidocaine 20-30 min</td><td>Ice + topical + median/ulnar nerve block</td></tr><tr><td>Pain rating (1-10)</td><td>3-5</td><td>5-7</td></tr><tr><td>Duration</td><td>4-6 months</td><td>4-6 months (some 3-4)</td></tr><tr><td>Transient grip weakness</td><td>Not applicable</td><td>13-28 percent for 7-14 days</td></tr></tbody></table> Underarm Botox is well suited as a first-line in-clinic protocol after failed antiperspirant trial — the axillary indication carries direct US FDA approval since 2004 and the procedure is mild discomfort with no functional risk. <a href="/palm-hyperhidrosis-myeongdong-seoul-korea/">Palm Hyperhidrosis Treatment</a> is well suited when palm sweating affects handshakes, papers, electronics or grip-dependent work; the dose is higher, the pain protocol is more involved, and transient grip weakness is a documented but reversible effect. Many patients book both indications in the same Seoul visit.
              Underarm Hyperhidrosis Treatment vs Sole Hyperhidrosis Treatment — different protocols, same Botox?
              Underarm and sole hyperhidrosis use the same toxin and the same gland-blocking mechanism but the protocols differ in dose, pre-injection comfort regimen and lifestyle aftercare. <table><thead><tr><th>Criteria</th><th>Underarm (axillary)</th><th>Sole (plantar)</th></tr></thead><tbody><tr><td>Dose per side</td><td>50-100 units</td><td>100-150 units</td></tr><tr><td>Grid points</td><td>15-25 per axilla</td><td>40-60 per sole</td></tr><tr><td>Pre-injection</td><td>Topical lidocaine</td><td>NSAID + EMLA + ice 60 min</td></tr><tr><td>Pain rating</td><td>3-5</td><td>5-7</td></tr><tr><td>Walking after</td><td>Normal</td><td>Brief gait awkwardness 1-2 weeks</td></tr><tr><td>Duration</td><td>4-6 months</td><td>4-6 months</td></tr></tbody></table> Underarm protocol is the most common entry point because the indication carries direct FDA approval and most patients describe their sweat impact as primarily axillary. <a href="/sole-hyperhidrosis-myeongdong-seoul-korea/">Sole Hyperhidrosis Treatment</a> is well suited for patients whose plantar sweating soaks socks daily, drives recurrent fungal infection, slips on flooring or limits open footwear. Same-visit underarm-plus-sole combined sessions are routine — see the combination FAQ for unit-ceiling guidance.
              Underarm Botox vs MiraDry microwave — which axillary protocol fits which patient?
              Underarm Botox is a reversible toxin protocol with 4 to 6 month duration; microwave thermolysis (MiraDry-style) destroys sweat glands for long-lasting reduction in a single session with 1 to 2 weeks of swelling downtime. <table><thead><tr><th>Criteria</th><th>Underarm Botox</th><th>Microwave Thermolysis</th></tr></thead><tbody><tr><td>Mechanism</td><td>Reversible toxin block</td><td>Permanent gland destruction by heat</td></tr><tr><td>Downtime</td><td>0 days</td><td>1-2 weeks swelling tenderness</td></tr><tr><td>Duration</td><td>4-6 months per session</td><td>Often years</td></tr><tr><td>Reversibility</td><td>Fully reversible</td><td>Not reversible</td></tr><tr><td>Sessions</td><td>1 per cycle</td><td>1-2 total</td></tr><tr><td>Cost cycle</td><td>KRW 250-450k per side per cycle</td><td>KRW 1.5-3M total</td></tr></tbody></table> Underarm Botox is well suited for patients who want twice-yearly maintenance with zero downtime and fully reversible biology — a good first-trial protocol before committing to permanent gland destruction. Microwave thermolysis is well suited for patients who prefer a long-lasting one-time intervention and can absorb 1 to 2 weeks of axillary swelling. Co-director consultation with HDSS scoring and prior treatment review determines the right path. <a href="/botox-myeongdong-seoul-korea/">Botox hub</a> covers all toxin indications at the clinic.
              How painful is Underarm Hyperhidrosis Treatment at Kind Global?
              Most patients rate axillary Botox injection at 3 to 5 out of 10 — discomfort comes from the multiple grid points (15 to 25 per axilla) rather than depth. The injection uses a 32G insulin syringe at intradermal depth (2 to 3 millimeters), which is shallower than facial intramuscular Botox. Topical lidocaine 4 percent is applied for 20 to 30 minutes before injection and vibration anesthesia is offered to sensitive patients at no extra charge. Most patients report a brief stinging at the first one to two grid points which fades as the lidocaine takes hold across the field. The co-director adjusts injection rhythm and offers brief breaks between rows of grid points. 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> often rate the axillary protocol as similar but with more total point count. The palmar and plantar protocols are notably more uncomfortable; the axillary protocol is the most tolerable of the three hyperhidrosis indications.
              What are the side effects and risks of Underarm Hyperhidrosis Treatment?
              Underarm Hyperhidrosis Treatment is documented as a low-risk procedure when injected by licensed physicians using KFDA-cleared or US FDA-approved toxin. Common temporary effects: tiny intradermal injection bumps 30 to 60 minutes, mild axillary redness 12 to 24 hours, faint pinpoint bruising at one to three grid points in 5 to 10 percent of patients, transient under-arm mild ache 24 to 48 hours in some patients. Compensatory sweating in untreated body zones — a documented 30 to 90 percent complication of ETS thoracic sympathectomy surgery — is not documented as a complication of axillary Botox. Serious adverse events were under 0.5 percent in published 12-year follow-up evidence (British Journal of Dermatology 2020, DOI: 10.1111/bjd.18764). Contraindications include pregnancy, breastfeeding, active axillary infection, neuromuscular disorders (myasthenia gravis, Lambert-Eaton), known hypersensitivity to botulinum toxin type A or human albumin, and untreated secondary hyperhidrosis from systemic cause such as thyroid hyperfunction. The co-director reviews systemic workup and prior antiperspirant trial at the consultation before any toxin reconstitution.
              Is the toxin brand at Kind Global Clinic original Allergan, Xeomin or KFDA-cleared domestic?
              Kind Global Clinic Myeongdong offers four toxin brands for Underarm Hyperhidrosis Treatment: Allergan Botox (USA, carries US FDA-approved axillary hyperhidrosis indication since 2004), 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. Many international patients explicitly request Allergan for the axillary indication given the direct FDA approval and 12-year long-term efficacy evidence; we honor that preference at the listed pricing. 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 sessions are needed and when do Underarm Botox results appear?
              Underarm Hyperhidrosis Treatment is a single-session protocol per cycle with cumulative maintenance every 4 to 6 months. Initial 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 80 to 95 percent sweat gland inactivation per published evidence (New England Journal of Medicine 2001, DOI: 10.1056/NEJM200102153440704). If residual active spots remain visible on the Minor's test, 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 — wedding, formal photoshoot, important interview, peak summer travel. Maintenance injection at month 4 to 6 is recommended to sustain dryness; cumulative additive effect is not documented but sustained efficacy across repeated sessions is confirmed in 12-year evidence. Many patients schedule their next maintenance during the week-2 follow-up so it lands before the rebound window.
              Can I get Underarm Hyperhidrosis Treatment as a same-day procedure when visiting Seoul?
              Yes — same-day Underarm Hyperhidrosis Treatment is routine for international visitors at Kind Global Clinic Myeongdong. Plan 70 to 100 minutes in clinic for bilateral axillary treatment: 15 to 20 minutes co-director consultation with HDSS scoring and antiperspirant trial review, 10 to 15 minutes Minor's iodine-starch sweat mapping, 20 to 30 minutes topical lidocaine, 10 to 20 minutes intradermal grid injection (5 to 10 minutes per axilla), 5 to 10 minutes aftercare brief. Flying home the next day is fine — axillary Botox has zero pressure-related contraindication and does not affect ear pressure or cabin altitude tolerance. We recommend avoiding antiperspirant, sauna, jjimjilbang and hot bath for 24 hours and avoiding underarm shaving for 48 hours. Wear loose breathable clothing for the return flight — the injection grid covers a larger surface area than facial toxin and tight clothing may cause minor friction. Many international patients combine underarm with palm or sole indications in the same trip — see the combination FAQ. 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 and unit count plan so in-clinic check-in takes under 5 minutes.
              Do you have English-speaking staff and translators for Underarm Hyperhidrosis consultation?
              Yes — both Kind Global Clinic co-directors conduct Underarm 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 aluminum chloride antiperspirant trial history, systemic workup status, Minor's iodine-starch test interpretation, brand selection (Allergan FDA-approved versus Xeomin versus domestic) and unit count rationale (50U moderate versus 100U severe). Post-treatment interpretation covers aftercare 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 Underarm Botox with Palm Botox, Sole Botox or facial Botox in the same visit?
              Yes — same-visit Underarm Botox plus other toxin indications is routine at Kind Global Clinic Myeongdong with one constraint: 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>Underarm Botox</th><th>Combined toxin plan</th></tr></thead><tbody><tr><td>Per-cycle dose</td><td>50-100 per axilla</td><td>50-200 underarm + palm + sole + face</td></tr><tr><td>Single-visit ceiling</td><td>200 units bilateral</td><td>400 total recommended ceiling</td></tr><tr><td>Pain protocol</td><td>Topical 20-30 min</td><td>Combine topical + ice + nerve blocks per area</td></tr><tr><td>In-clinic time</td><td>70-100 min bilateral</td><td>120-180 min for 3 areas</td></tr><tr><td>Peak timing</td><td>Week 2-4</td><td>Underarm week 2, jaw 6-8, face 1-2</td></tr></tbody></table> Combined plans typically include underarm with <a href="/palm-hyperhidrosis-myeongdong-seoul-korea/">palm</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. Most international patients combine 2 to 3 indications rather than returning multiple times.
              Will Underarm Botox cause compensatory sweating elsewhere on my body?
              Underarm Botox treats sweat glands in a precisely mapped local axillary area and does not cause compensatory sweating elsewhere. The total surface area of axillary skin is roughly 100 square centimeters per side — about 0.5 percent of total body surface area, far too small to impair global thermoregulation. Patients continue to sweat normally on the back, chest, forehead, scalp and legs during exercise or heat exposure. Compensatory sweating in untreated body zones — a documented 30 to 90 percent complication of ETS thoracic sympathectomy — is not documented with localized axillary Botox in 12-year follow-up evidence (British Journal of Dermatology 2020, DOI: 10.1111/bjd.18764). Local sympathetic nerves outside the injection grid remain fully functional and respond normally to body temperature and emotional triggers. Some patients describe increased awareness of sweating on the back or chest in the first few weeks — this is a perception shift because the axillary source was so dominant before, rather than a true increase in sweat production. Body temperature regulation, exercise tolerance and heat acclimatization remain unchanged. This safety profile is one of the principal reasons axillary Botox is preferred over ETS surgery for most patients.
              How do I prepare for my Underarm Hyperhidrosis Treatment appointment at Kind Global?
              Before Underarm 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 antiperspirant or deodorant on the morning of treatment — we need the axillary area dry and product-free for Minor's iodine-starch test mapping. Do not shave the underarm for 48 hours before the visit to avoid micro-irritation that may interfere with mapping. Eat a normal meal — the procedure is not performed under sedation. Wear loose-fit clothing easy to lift for axillary access. Bring a list of clinical-strength antiperspirants tried with approximate duration of trial and HDSS self-score (1 to 4). 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 Underarm Botox: no antiperspirant 24 hours, no sauna or hot bath 24 hours, no axillary shaving 48 hours, no heavy upper-body exercise 24 hours, no alcohol 24 hours. Resume normal skincare day 2; resume antiperspirant day 2 mainly as habit because there will be little to suppress. Book your week-2 follow-up at the time of injection; the co-director will repeat Minor's mapping and offer a touch-up at no charge for any residual mapped active spot.

              Ready for your Underarm Hyperhidrosis Treatment consultation?

              Co-director consultation with Minor's iodine-starch sweat mapping. Same physician handles consultation, intradermal grid injection and week-2 follow-up. Same KRW price for foreigners and Korean residents.

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