Hello.
I am Director Kim Dong-young of Cleor Clinic Hongdae Branch.
Have you ever experienced daily discomfort from sweaty palms, such as sweat dripping during tense situations like exams or presentations, or even in everyday life to the point where paper gets damp when you hold it or your smartphone fingerprint recognition fails?
"My hands are always damp when I shake hands, so I have to wipe them beforehand.
When I write, the paper sticks to my hand and the ink smudges.
I've been looking for a way to manage this fundamentally because this condition has persisted for a long time."
Palmar hyperhidrosis is a type of focal hyperhidrosis that occurs when the autonomic nervous system excessively stimulates the sweat glands.
The sweat glands, which should be activated for body temperature regulation or stress responses, remain in a continuously active state even in normal situations, leading to recurring sweaty palms.
The Hongdae Palmar Botox procedure is a method that alleviates the signal transmission of these overactive sweat glands.
Today, I will explain why palmar hyperhidrosis occurs, how Botox acts on sweat glands, and how the 5 toxin options differ.
What is Hongdae Palmar Botox?
👉 Hongdae Palmar Botox is a focal hyperhidrosis treatment that involves injecting small amounts of Botulinum Toxin Type A into the palm sweat gland areas in a grid pattern to block nerve-to-sweat gland signal transmission and alleviate sweat secretion from overactive eccrine glands.
While general facial Botox works on muscles to soften expression lines, hyperhidrosis Botox works on sweat glands (eccrine glands) to regulate sweat secretion.
The mechanism of action itself is the same.
When the injected toxin inhibits the release of acetylcholine at the nerve endings, muscle relaxation occurs in muscle procedures, and sweat secretion signal blocking occurs in sweat gland procedures.
Since the palms have a much higher density of eccrine glands than other areas, palmar hyperhidrosis treatment is performed with precise injections in a grid pattern, typically using a dosage of about 100 units.
Causes of Recurring Palmar Hyperhidrosis
👉 Palmar hyperhidrosis is caused by a combination of four factors: autonomic nervous system overactivity, genetic factors, stress responses, and high local sweat gland density.
Autonomic Nervous System Overactivity
Sweat glands are organs of the autonomic nervous system controlled by the sympathetic nervous system. Hyperhidrosis occurs when nerves that should only be activated for body temperature regulation or crisis situations remain continuously active in local areas like the palms, soles, and underarms.
Genetic Factors
It is frequently observed that family members also have palmar or plantar hyperhidrosis. A significant number of primary hyperhidrosis cases are related to genetic tendencies, often starting in adolescence and continuing into adulthood.
Stress Response
When the sympathetic nervous system is activated during mental stress situations such as tension, anxiety, exams, or presentations, palm sweat increases rapidly. While this is a normal physiological phenomenon, the intensity of the reaction is much greater in those with hyperhidrosis.
High Local Sweat Gland Density
The palms are one of the areas with the highest density of sweat glands in the body. Because of this structure, which can release large amounts of sweat even with minor stimulation or stress, focal hyperhidrosis is particularly prominent.
How Botox Acts on Palm Sweat Glands
👉 Palmar Botox approaches palmar hyperhidrosis in four steps: toxin injection, inhibition of acetylcholine release, blocking of eccrine gland signals, and alleviation of local sweat secretion.
Toxin Injection
Small amounts of toxin are injected into the entire palm in a grid pattern using a fine needle. Generally, a dosage of about 100 units is used, distributed evenly across 30 to 40 points.
Inhibition of Acetylcholine Release
The injected toxin inhibits the release of acetylcholine, which transmits signals from nerve endings to sweat glands. Once the signal is blocked, the sweat glands do not receive activation commands and remain in a resting state.
Blocking of Eccrine Gland Signals
When the signal transmission of the eccrine glands, the main cause of palmar hyperhidrosis, is blocked, sweat secretion itself stops. Minimal sweat for body temperature regulation is handled by sweat glands in other areas.
Alleviation of Local Sweat Secretion
Palm sweat decreases noticeably 3 to 7 days after the procedure, and stable results are established at the 2-week mark. The effect lasts for 6 to 9 months, which is longer than facial Botox due to the nature of hyperhidrosis treatment.
Points to Consider for Palmar Procedures
👉 Because the palms are sensitive and require precise movement, pain management and post-procedure muscle strength assessment are important.
Pain Management
Although the palms have thick skin, they are densely packed with nerves, so there may be some discomfort during the procedure. The procedure is performed by applying a topical anesthetic cream and using ice packs to alleviate pain before the injection.
Possibility of Temporary Muscle Weakness
Rarely, slight weakness in hand strength may occur after the procedure. This is a reaction that occurs when the toxin diffuses into adjacent muscle layers; it is mostly temporary and recovers naturally over time.
Consultation Required for Occupations Requiring Precision
Those whose jobs require precise hand movements, such as pianists, surgeons, artists, or precision assembly workers, should consult with medical staff before the procedure to adjust the timing and dosage.
Possibility of Sensory Changes
Rarely, slight sensory changes may occur after the procedure. Most are temporary and recover naturally over time, but it is necessary to understand this possibility before deciding on the procedure.
Differences Between Korean, Premium, and Pure Toxin Options
👉 At the Hongdae branch, we offer palmar hyperhidrosis Botox in five lines: Korean, Korean Premium (FDA-approved), Korean Pure Toxin, German Xeomin, and American Allergan, which can be selected based on your budget and repeat treatment plan.
Korean Toxin
A 900kDa complex protein preparation developed and produced in Korea. It is characterized by its affordability and is frequently chosen by those exploring hyperhidrosis Botox for the first time.
Korean Premium (US FDA Approved)
A line among Korean toxins that has received US FDA approval and possesses global clinical data. You can benefit from both affordability and verified stability.
Korean Pure Toxin
A 150kDa pure toxin preparation developed in Korea. As it is a purified form with complex proteins removed, the possibility of antibody formation during repeat procedures is low, making it frequently considered for areas that require regular treatment like hyperhidrosis.
German Xeomin (Imported Pure Toxin)
A 150kDa pure toxin preparation from Merz in Germany. It is a premium pure toxin with accumulated global clinical data, chosen by those concerned about resistance.
American Allergan (Imported Original)
The original brand of botulinum toxin preparations, a 900kDa preparation with the longest history of global clinical data. It is an option considered when predictability and stability are required.
Hongdae Palmar Botox Lineup
👉 At the Hongdae branch, we operate palmar hyperhidrosis Botox with 5 toxin options × 100 units standard dosage, which can be selected according to your budget and repeat treatment plan.
Palm sweat begins to decrease 3 to 7 days after the procedure, and stable results are established at the 2-week mark. The effect lasts for 6 to 9 months, and the duration tends to increase gradually with repeat procedures. We will review the option that fits your budget and repeat treatment plan during the preliminary consultation.
Who is Palmar Botox Suitable For?
Those who experience recurring palm sweat to the point where paper sticks to their hands or smartphone fingerprint recognition fails.
Those who are conscious of palm sweat in social situations such as handshakes, meetings, or presentations.
Those who have experienced sweat dripping from their palms in tense situations.
Those who want to maintain a comfortable state for 6 to 9 months through fundamental management.
Those who have a plan for repeat procedures and need to select a toxin option.
Side Effects and Precautions for Hongdae Palmar Botox
👉 While Hongdae Palmar Botox is a procedure based on long-term clinical data, due to the nature of the hand area, pain management and muscle strength assessment are necessary.
Immediately after the procedure, mild redness, slight swelling, thin bruising, or brief pain may occur in the palm area. These generally resolve naturally within a day or a few days.
Since the palms are densely packed with nerves, the procedure is performed by applying a topical anesthetic cream and using ice packs to alleviate pain.
Rarely, slight muscle weakness or sensory changes may occur after the procedure. This is a reaction that occurs when the toxin diffuses into the hand muscle layers; it is mostly temporary and recovers naturally over time. Experienced medical staff ensure stability by injecting small amounts into the correct layers and points.
Those in professions requiring precise hand movements must consult with medical staff beforehand to adjust the timing and dosage.
If you continue to use 900kDa toxin for repeat procedures, the possibility of antibody formation remains. If you feel the effect is shorter or weaker than before, switching to a 150kDa pure toxin (Korean Pure Toxin or German Xeomin) can be helpful.
Please inform us during the consultation if any of the following apply, as the procedure may be restricted or require prior confirmation:
If you are pregnant or breastfeeding.
If you have a history of allergies to botulinum toxin ingredients.
If you have been diagnosed with neuromuscular diseases such as myasthenia gravis or Lambert-Eaton syndrome.
If there is an active infection or wound at the treatment site.
If precise hand movement is essential for your profession (prior consultation required).
If you are taking aminoglycoside antibiotics.
⚠️ Precautions Before and After Palmar Botox
👉 Palmar Botox is a procedure where pain relief and result stability depend on pre-procedure anesthesia management and post-procedure hand care.
❓ Frequently Asked Questions (FAQ)
Q. When can I see the results of Hongdae Palmar Botox?
Palm sweat begins to decrease noticeably 3 to 7 days after the procedure. Since stable results are established at the 2-week mark, it is most accurate to check the results after 2 weeks.
Q. How long does the effect of Palmar Botox last?
It generally lasts for 6 to 9 months. It is an area where the duration is longer than facial Botox, and the duration tends to increase gradually with repeat procedures.
Q. Which of the 5 toxin options should I choose?
The choice depends on your budget and repeat treatment plan. If you want to start without burden, Korean is suitable; if you need verified stability, Korean Premium or American Allergan is suitable; if you have a plan for repeat procedures, Korean Pure Toxin or German Xeomin is suitable.
Q. Will I be unable to use my hands after the procedure?
When small amounts are injected into the correct depth and points by experienced medical staff, it is controlled to act only on the sweat glands without weakening muscle strength. Rarely, slight muscle weakness may occur, but it is mostly temporary and recovers.
Q. How much pain is involved in Palmar Botox?
Since the palms are densely packed with nerves, there may be some discomfort during the procedure. The procedure is performed by applying a topical anesthetic cream and using ice packs to alleviate pain.
Q. When can I use my hands after Palmar Botox?
You can use your hands for daily activities from the day of the procedure. However, it is better to refrain from lifting heavy objects, intense hand use, or strong massages on the day of and the day after the procedure for stable recovery.
Q. Does hyperhidrosis Botox accumulate in the body with repeat procedures?
Botulinum toxin is naturally broken down in the body over time and does not accumulate. However, the possibility of antibody formation remains if the same toxin is used for a long time, so switching to a pure toxin may be considered if necessary.
Palmar hyperhidrosis is a focal hyperhidrosis that recurs due to the overactivity of the autonomic nervous system. It is a condition that requires fundamental management because it leads to practical problems in daily life, such as paper sticking to hands, failure of fingerprint recognition, and discomfort during handshakes.
Hongdae Palmar Botox is a hyperhidrosis treatment that alleviates sweat gland activity by precisely placing small amounts of botulinum toxin in the palm sweat gland areas in a grid pattern. We offer five lines—Korean, Korean Premium, Korean Pure Toxin, German Xeomin, and American Allergan—which can be selected according to your budget and repeat treatment plan.
At the Hongdae branch, in addition to palmar hyperhidrosis, you can also manage hyperhidrosis in other areas such as the underarms, soles, and forehead within our hyperhidrosis Botox category.
We also have various toxin procedure lines available, such as wrinkle Botox to smooth out expression lines, jaw Botox and body Botox to refine developed muscles, and skin Botox to manage skin texture and pores, which can be combined for overall face and body care.
We will personally check the direction that fits your palmar hyperhidrosis condition and management plan during the consultation.
If you are concerned about palm sweat that causes discomfort in your daily life, please feel free to visit Cleor Clinic Hongdae Branch.
Even before deciding on the procedure, you can examine the direction that suits your palm condition through a preliminary consultation.
※ This content is for general information purposes only, and results may vary by individual. Please decide on the exact diagnosis and procedure through a consultation with a specialist.
시술 직후 손바닥 부위에 가벼운 붉은기, 미세 부기, 얇은 멍,
잠깐의 통증이 나타날 수 있습니다.
일반적으로 하루에서 며칠 이내에 자연스럽게 정리됩니다.
손바닥은 신경이 밀집된 부위이므로 시술 전 국소마취 크림 도포와
얼음찜질로 통증을 완화하는 방식으로 진행됩니다.
드물게 시술 후 미세한 근력 저하나 감각 이상이 나타날 수 있습니다.
이는 톡신이 손 근육 층으로 확산될 때 나타나는 반응으로,
대부분 일시적이고 시간이 지나며 자연스럽게 회복됩니다.
숙련된 의료진이 정확한 층과 지점에 소량 주입하는 방식으로 안정성을 확보합니다.
손의 정교한 움직임이 필요한 직업군은 시술 전
반드시 사전 상담을 통해 시술 시점과 용량을 조율해야 합니다.
반복 시술 시 900kDa 톡신으로 계속 진행하면 항체 형성 가능성이 남아 있어,
효과가 예전보다 짧아지거나 약해지는 것 같다고 느끼시면
150kDa 순수 톡신(국산 순수 톡신·독일산 제오민)으로 변경하는 방식이 도움이 됩니다.
아래에 해당되는 경우에는 시술이 제한되거나
사전 확인이 필요할 수 있어 진료 시 알려주세요.
임신 중이거나 수유 중인 경우
보툴리눔 톡신 성분에 알레르기 이력이 있는 경우
근무력증, 램버트 이튼 증후군 같은 신경근 질환을 진단받은 경우
시술 부위에 활동성 감염이나 상처가 있는 경우
손의 정교한 움직임이 직업적으로 필수인 경우 (사전 상담 필수)
아미노글리코사이드 계열 항생제 복용 중인 경우
⚠️ 손바닥 보톡스 시술 전후 주의사항
👉 손바닥 보톡스는 시술 전 마취 관리와 시술 후 손 사용 관리에 따라 통증 완화와 결과 안정성이 달라지는 시술입니다.
❓ 자주 묻는 질문 (FAQ)
Q. 홍대 손바닥 보톡스 결과는 언제부터 확인할 수 있나요?
시술 후 3~7일부터 손바닥 땀이 눈에 띄게 감소하기 시작합니다.
2주 시점에 안정적인 결과가 자리 잡으므로 결과 확인은 2주 뒤에 하시는 편이 정확합니다.
Q. 손바닥 보톡스 유지 기간은 얼마나 되나요?
일반적으로 6~9개월 유지됩니다.
표정 보톡스보다 유지 기간이 긴 부위로,
반복 시술 시 유지 기간이 점차 늘어나는 경향이 있습니다.
Q. 5가지 톡신 옵션 중 어떤 걸 골라야 하나요?
예산과 반복 시술 계획에 따라 선택이 달라집니다.
부담 없이 시작하고 싶으시면 국산,
검증된 안정성이 필요하시면 국산 프리미엄이나 미국산 앨러간,
반복 시술 계획이 있으시면 국산 순수 톡신이나 독일산 제오민이 어울립니다.
Q. 시술 후 손을 못 쓰게 되지 않나요?
숙련된 의료진이 정확한 깊이와 지점에 소량 주입하면
근력 저하 없이 땀샘에만 작용하도록 조절됩니다.
드물게 미세한 근력 저하가 나타날 수 있지만 대부분 일시적으로 회복됩니다.
Q. 손바닥 보톡스 통증은 어느 정도인가요?
손바닥은 신경이 밀집된 부위라 시술 시 통증에 대한 부담이 있을 수 있습니다.
시술 전 국소마취 크림 도포와 얼음찜질을 통해 통증을 완화하는 방식으로 진행됩니다.
Q. 손바닥 보톡스 후 언제부터 손 사용이 가능한가요?
시술 당일부터 일상적인 손 사용은 가능합니다.
다만 시술 당일과 다음 날까지는 무거운 물건 들기,
격한 손 사용, 강한 마사지는 자제하는 것이 회복 안정에 좋습니다.
Q. 다한증 보톡스가 반복 시술로 몸에 축적되나요?
보툴리눔 톡신은 시간이 지나며 체내에서 자연 분해되어 축적되지 않습니다.
다만 같은 톡신으로 오래 반복 시술 시 항체 형성 가능성이 남아 있어
필요시 순수 톡신으로 변경하는 방식이 검토됩니다.
손바닥 다한증은 자율신경계의 과활성으로 인해 반복적으로 나타나는 국소 다한증입니다.
일상에서 종이 붙음, 지문 인식 실패, 악수 시 불편함 같은
실질적인 문제로 이어지기 때문에 근본적인 관리가 필요한 상태입니다.
홍대 손바닥 보톡스는 보툴리눔 톡신을 손바닥 땀샘 부위에
격자 형태로 정교하게 소량 배치해 땀샘 활동을 완화하는 다한증 치료 시술이며,
국산·국산 프리미엄·국산 순수 톡신·독일산 제오민·미국산 앨러간
다섯 라인 중 예산과 반복 시술 계획에 맞춰 선택할 수 있도록 운영하고 있습니다.
홍대점에서는 손바닥 다한증 외에도 다한증 보톡스 카테고리 안에서
겨드랑이·발바닥·이마 같은 다른 부위 다한증도 함께 관리하실 수 있습니다.
또한 표정 주름을 정돈하는 주름 보톡스,
발달된 근육을 정리하는 턱 보톡스와 바디 보톡스,
피부결과 모공을 관리하는 스킨 보톡스처럼
다양한 톡신 시술 라인이 준비되어 있어 얼굴과 바디 관리 전반에 걸쳐 조합하실 수 있습니다.
본인 손바닥 다한증 상태와 관리 계획에 맞는 방향은
상담 시 직접 확인해 드립니다.
일상에 불편함을 주는 손 땀이 신경 쓰이신다면
클레오르의원 홍대점으로 부담 없이 방문해 주세요.
시술 결정 전이라도 사전 진료를 통해
본인 손바닥 상태와 어울리는 방향을 함께 살펴보실 수 있습니다.
※ 본 내용은 일반적인 정보 제공을 위한 글이며, 개인에 따라 결과는 달라질 수 있습니다.
정확한 진단과 시술 여부는 전문의 상담을 통해 결정하시기 바랍니다.