Booking Request

Botox (Xeomin) – Wrinkles · Gangnam Seoyeon Plastic Surgery Clinic — $190 ≈ ₩275,000

Patient Details

Full Name (Passport)

Phone No.

Date of Birth

Gender

Citizenship

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Required Interpretation Language

Medical & Surgical History

Current Medications

Allergies

Additional Notes (Optional)

What's Included?

Consultation

Hospital Booking Details

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Preferred Time (1st choice)

Preferred Date (2nd choice)

Preferred Time (2nd choice)

Dates of Stay in Korea

Arrival Date in Korea

Departure Date from Korea

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