What are fillers and how are they important to the skin?
- Helps fill in deep lines and wrinkles. HA fillers are a type of dermal filler with excellent water-retention properties. When injected into the skin, they help fill in deep lines and wrinkles, making the skin appear smoother and firmer.
- Helps to moisturize the skin. HA fillers have the property of attracting water to skin cells, making the skin look hydrated, radiant, and firm.
- Helps stimulate collagen production. HA fillers stimulate collagen synthesis, a protein that helps keep skin strong and elastic. Having sufficient collagen is therefore crucial in reducing wrinkles and slowing down the aging process.
- In addition, HA fillers can be used in combination with other treatments such as lasers and thread lifts to further enhance the effectiveness of anti-aging treatments.
Filler summary for beginners.
Achieving a natural-looking filler injection depends on the technique and expertise of the practitioner.
For medical professionals, selecting the appropriate filler for each patient requires a licensed physician. Their name can be verified on the Medical Council of Thailand website.
Fillers are a non-surgical solution for facial problems and can help reverse the aging process, filling in and restoring a youthful appearance. They are a popular choice for those seeking to reduce their facial age.
Fillers provide quick results with no downtime, making them ideal for those seeking immediate results and rapid facial rejuvenation. They require less pre- and post-operative preparation compared to surgery.
Fillers are classified as medical devices. They are safe for the skin, certified for safe facial contouring, and naturally dissolve over time within 1-2 years, depending on the type and brand. Always consult your doctor to confirm how long the effects will last before undergoing any procedure.
Authentic fillers have standard prices. Fillers that are too cheap may not be genuine or may be administered by non-medical professionals. This can lead to serious side effects such as lumps, non-dissolving substances, sagging, displacement, inflammation, or, in the worst cases, facial disfigurement.
Dr. Apinya Saokaew (Dr. Tar)
The treating physician should be the same person whose license is displayed at the clinic.
Fillers help to reshape the face.
- Disproportionate features such as a wide face, square face, or long face.
- Asymmetry, such as a short chin, sunken temples, or hollow cheeks.
- Lack of softness, such as a flat forehead or a flat, undimensional face.
Fillers help reduce wrinkles.
- Decreased features such as deep under-eye circles, deep nasolabial folds, and marionette lines.
- Sagging skin, such as drooping cheeks and sagging eyelids, occurs with age.
- Wrinkles such as those on the lips, dryness, furrows, neck wrinkles, and wrinkles on the back of the hands.
Filler reviews
Fillers and Botox are not the same!
| Minimum Requitrement | Botox | Filler |
|---|---|---|
| Types of substances | Actinin neurotransmitter inhibitors | Fillers |
| Mechanism of action | It inhibits the release of the neurotransmitter actinin, causing the muscles at the injection site to relax. | Fill in deep wrinkles or reshape the face. |
| Injection site | Areas with muscle spasms include the forehead, corners of the eyes, wrinkles between the eyebrows, and nasolabial folds. | Areas with deep furrows, such as nasolabial folds, under-eye furrows, marionette lines, temples, and chin. |
| result | Reduce wrinkles caused by muscle movement. | Fills in deep wrinkles or reshapes the face for a fuller, more youthful appearance. |
| Duration of the results. | 4-6 months | 6-24 months |
| Complications | Swelling, redness, and bruising at the injection site. | Allergic reactions, infections, and lumps at the injection site. |
| Price (Authentic product, FDA approved) And the service is provided by doctors only. | It should not be less than 5,000 baht per 50 units. | It should not be less than 5,000 baht/1CC. |
- You must receive treatment from a licensed physician.
- Doctors are experts in facial anatomy.
- The doctor must have experience in injecting fillers.
- Doctors can assess the risks and complications.
- A doctor can provide appropriate advice after filler injection.
Filler injections must be administered by an experienced physician for the following reasons:
- Doctors are experts in facial anatomy.
Doctors are experts in facial structure and muscles, allowing them to inject fillers precisely where needed, without causing facial disfigurement.
- The doctor is experienced in injecting fillers.
Experienced filler injectors are skilled in selecting the appropriate location and amount of filler for each individual, resulting in desired and natural-looking results.
- Doctors can assess the risks and complications.
Doctors can assess the risks and potential complications of filler injections and can address any complications that may occur.
- A doctor can provide appropriate advice after filler injection.
A doctor can provide appropriate post-filler injection advice, such as how to care for the injection site, potential side effects, and the estimated time to see results.
What are the benefits of fillers?
| Salient features | Facial contouring | Reduce facial skin aging |
|---|---|---|
| It is a natural filler. | It helps the face look fuller, firmer, and more youthful, resulting in better facial proportions and balance. | Helps fill in deep lines, wrinkles, nasolabial folds, temples, and chin, giving the face a smoother and brighter appearance. |
| It can last a long time. | The results can last 6-24 months. | Helps to slow down the formation of new wrinkles and strengthens the skin. |
| Safe | Approved by the Food and Drug Administration (FDA). | Helps reduce the risk of allergic reactions and side effects. |
Where can fillers be injected?
- under eyes Fills in under-eye hollows, making eyes look brighter, firmer, and less dull. Use approximately 0.5-1 cc per eye.
- Cheek folds Fills in nasolabial folds, making the face look fuller and preventing sunken cheeks. Use approximately 0.5-1 cc per side.
- ปาก To make lips look fuller and sexier: Use approximately 1-2 cc.
- ขมับ Fills in the temples, making the face look younger. The line extends to the forehead. Use approximately 1-2 cc per side.
- *Each person's problem is different, and the dosage depends on the doctor's diagnosis.
Are fillers safe?
- Reduce the risk of injecting into a blood vessel. Because the needle tip is rounded and not sharp, it reduces the chance of the needle piercing a blood vessel.
- Reduce swelling and bruising after injection. Because the rounded tip of the needle distributes the injection force better than a sharp needle, the surrounding tissue is not torn as much.
- Reduce open scars. Because the needle tip is rounded, it reduces the chance of tearing the skin at the injection site.
- Suitable for areas requiring high precision. For example, areas under the eyes, nasolabial folds, and temples can be treated with precision because the rounded needle tip allows the doctor to accurately control the direction of the injection.
- *Only experienced physicians can effectively use the blunt needle technique.
Which brand of filler is best?
| Brand | Country of origin |
|---|---|
| Juvéderm | U.S. |
| restylane | Sweden |
| Belotero, Teoxane | Switzerland |
| Variofill, Hyabell | Germany |
| Revanesse | Canada |
| Perfectha, Art Filler | France |
| MesoFiller | สเปน |
| Saypha | Austria |
| Neuramis, Yvoire, eptq , Flore, HYAFILIA, Ultra V HYAL FILLER, Neobelle | South Korea |
| Definisse, Neauvia | อิตาลี |
| Biohyalux | China |
Fillers approved by the Thai FDA.
Want to see how much filler is in 1 CC?
The question of "which filler brand is best" may not have a definitive answer. Each person's specific problems will be suited to different filler types. Therefore, the treating physician must choose a filler that can appropriately address the problem for optimal and natural-looking results.
Why are some people afraid of fillers?
1. Security concerns.
People over 40 tend to have more life experience than younger people, making them more cautious and careful, especially regarding beauty concerns that may have long-term effects on the body. Because of this, there is increased concern about the safety of fillers, particularly due to news about the use of counterfeit or substandard fillers, leading to serious side effects such as facial asymmetry, blindness, and infections.
2. Concerns about the outcome.
People over 40 tend to have more life experience and therefore more specific and complex needs than younger people. They want natural-looking results and don't want results that are too dramatic or unnatural. For this reason, they are concerned that filler injections might produce unnatural or artificial-looking results.
In addition, it may also be caused by other factors, such as:
- Misconceptions about fillers include believing that fillers are dangerous substances with high side effects.
- Lack of knowledge and understanding about fillers, such as not knowing that there are different types and brands of fillers, and what the advantages and disadvantages of each type are.
- I'm afraid of needles.
Regarding the issue of using counterfeit or substandard fillers, this has happened in the past and led to numerous news reports, causing public panic and leading many to fear and hesitate to get filler injections. However, this problem has decreased significantly now due to stricter control and regulatory measures implemented by relevant agencies. For example, there is a requirement for proper registration of filler products and increased oversight of beauty clinics that offer filler injections.
Therefore, if you want to get filler injections, you should choose a reputable clinic with experienced doctors specializing in filler injections and use fillers that meet standards and are approved by the Food and Drug Administration (FDA) to ensure safety and the desired results.
| channel | Description |
|---|---|
| Website of the Food and Drug Administration (FDA). | Verify the filler product registration number. Verify the medical facility's operating license. Verify the list of medical facilities authorized to administer filler injections. |
| FDA Hotline 1556 | Inquire about fillers and clinics that offer filler injections. |
| The website of the Medical Council of Thailand. | Check the list of physicians licensed to practice plastic medicine. |
| Website of the Thai Society of Plastic Surgeons. | Check the list of doctors who are board-certified plastic surgeons. |
| Website of the Dermatological Society of Thailand. | Check the list of doctors who are certified as dermatologists. |
Ways to spot fake fillers, or possibly substandard ones, or in the worst case, those not injected by an experienced doctor, include unreasonably low prices and sales on websites that are not affiliated with clinics or medical facilities.
Which clinic is good for filler injections?
- The clinic should have a valid medical facility license number (look for the green numbered sign in front of the clinic).
- Please provide the name of the treating physician, including their full name. This can be verified on the Medical Council of Thailand website.
- The clinic has evidence confirming that it uses genuine filler products from authorized distributors.
- The clinic is located in a reputable, clean, and standardized location.
- Review treatment results, including still images and videos showing the doctor, the treatment environment, and the patient's impressions.
- Clearly state the prices or promotions before receiving the service.
How much does filler cost?
Price list of fillers that are frequently searched in Thailand.
| ยี่ห้อ | หน่วย | Price (Baht) |
|---|---|---|
| Juvéderm | 1.0 | 18,000-25,000 |
| restylane | 1.0 | 12,000-18,000 |
| belotero | 1.0 | 10,000-15,000 |
| Neuramis | 1.0 | 7,000-10,000 |
| Flora | 1.0 | 7,000-10,000 |
| EPTQ | 1.0 | 7,000-10,000 |
- The prices shown are approximate and may vary depending on the clinic.
- The price of fillers depends on several factors, such as the size, brand, and injection technique.
- You should consult an experienced doctor before deciding to get filler injections.
Preparation before getting filler injections.
- Avoid certain medications before getting filler injections. Certain medications, such as anti-inflammatory drugs, blood thinners, and some vitamins, may increase the risk of bruising after filler injections. These medications should be avoided at least one week before filler injections.
- Avoid alcoholic beverages before receiving filler injections. Alcohol can slow blood circulation, leading to bruising and swelling after filler injections. Alcoholic beverages should be avoided for at least 24 hours before filler injections.
- Avoid activities that increase blood circulation before receiving filler injections. Activities that increase blood circulation, such as heavy lifting, exercising, or playing sports, may slow blood flow and lead to bruising and swelling after filler injection. These activities should be avoided for at least one day before the filler injection.
- Please inform us about any drug allergies or pre-existing medical conditions. If you have a history of drug allergies or underlying medical conditions, you should inform your doctor before receiving filler injections to prevent allergic reactions or potential complications.
Post-filler injection care.
- Avoid pressing, squeezing, or massaging too hard. The injection site may cause the filler to migrate for 7-14 days.
- drink enough water Drinking enough water can help fillers last longer. You should drink at least 8-10 glasses of water a day.
- Take your medication as directed by your doctor. Your doctor may prescribe painkillers or antibiotics to reduce swelling and prevent infection after filler injections. You should take medication exactly as directed by your doctor.
- Follow up on treatment. After receiving filler injections as recommended by the doctor.
- After filler injection, you may experience numbness at the injection site. This is normal because the filler contains a local anesthetic, or the doctor may have injected a local anesthetic. The effects will wear off on their own within 40-60 minutes.
- Paseo Town Ramkhamhaeng Branch Call 064-424-6526
- Crystal Design Center (CDC) branch Call 095-236-4546
The doctor knows what you're thinking. You want to drink, just admit it. But the truth is, it's no different.
To make it easy to understand. Drinking wine after facial injections does not cause any less swelling than liquor or beer. This is because all types of alcohol cause blood vessels to dilate and increase blood flow, which is the main cause of bruising and swelling. Furthermore, red wine contains histamine, which can worsen inflammation and swelling. Therefore, for best and faster results, The doctor recommends strictly abstaining from all alcoholic beverages in the initial period after the procedure. Wait for your face to settle down before celebrating your beauty with a glass of wine! Oh, and don't drink beforehand! Please request permission 3 days before doing it.That's still good.
If the patient wants a shiny forehead, they can choose between two options depending on the initial problem. If the patient already has a beautiful forehead structure, injection... Botox That would be perfect. The reason the forehead appears reflective and shiny is because Botox helps to tighten the skin on the forehead, preventing wrinkles. When the skin is smooth and even, it reflects and reflects light exceptionally well, like a mirror. However, if a patient has a flat, sunken, or hollow forehead, injections... Fillers help add dimension to the forehead, making it appear more rounded and inviting, while also hydrating the skin for a plump and radiant look. In short, Botox focuses on creating firm, wrinkle-free skin to reflect light. part Fillers focus on reshaping the skin to create a curved, contoured appearance that reflects light. Patients can come in for a facial structure assessment by the doctor beforehand to choose the most effective and targeted method.
The doctor said that many people would guess this wrong, especially those who think they want to inject a lot of fillers to reshape their face.
Filler injections will yield the most beautiful and natural results when... The patient has a stable weight or is within their target weight range. Yes, if you get the injection while losing weight, you should...Wait for the weight to stabilize.To accurately assess the level of facial fat loss, injections given while overweight and subsequent weight loss may result in a gaunt face, requiring further filler injections. Conversely, injections given while thin and subsequent weight gain may lead to an unnaturally swollen face. Therefore... Maintaining weight stability both before and after the procedure. This will help the doctor assess your facial structure most accurately, ensuring the filler stays in place beautifully and looks natural in the long term.
I want to be sure about the timing. How many cubic centimeters (cc) are needed, or should we wait for the most opportune moment? You can come to the clinic for a consultation with a doctor anytime.
After the anesthetic in the filler wears off. The patient will not feel severe pain. Yes, this includes local anesthesia in some cases, at certain points where the doctor may inject extra. However, there will only be temporary symptoms. It feels slightly tight, heavy, or sore to the touch. At the injection site, which is a normal bodily reaction as the body adjusts, these symptoms will occur: It will gradually get better and go away on its own. The anesthetic in the filler lasts for a very short time, only a few hours before it wears off. If the patient experiences skin discomfort, they may... You can take paracetamol to relieve the symptoms. However, if you experience any other unusual or severe pain, you should immediately inform your doctor.
I used to have that too, but it's healed now. Uneven facial features when smiling are quite worrying. But I want you to rest assured, because this is a common problem, but it can be solved. And naturally, people's faces are usually not 100% symmetrical to begin with. For some, it's noticeable when they smile, while for others, it's visible even when they're not smiling.
Main mechanism This problem usually arises from... Imbalance in facial muscle function. Yes, it's because the muscles used for facial expressions, especially when smiling, may have different levels of tension on each side. For example, one side might have stronger muscles or be used more than the other, causing that side of the face to lift or be pulled more when smiling. In addition, original facial structure or differences in skin sagging can also be contributing factors.
The good news is that this problem is being solved. In most cases, surgery is not necessary. That's right. Most doctors usually restore balance through medical procedures, such as: Botulinum toxin (Botox) injections are used to reduce the activity of muscles that are excessively tense or contracted. To allow the muscles on both sides to work in a more balanced way, or... Filler injections to add volume. To fill in any missing areas, make the face appear fuller and more symmetrical, whether still or smiling. Skin tightening devices can also help. However, the downside is that the results won't be immediate, but it's still an option for patients.
Some people may wonder further, what happens if the procedure isn't performed? Is there a chance of returning to normal? Yes, but not in all cases! In some cases, the cause may be behavioral that can be modified, such as chewing on only one side. Proper facial muscle exercises may help to improve the condition. However, if the difference is due to significant structural or muscle strength issues, surgical intervention is a more targeted and effective way to restore balance. however Consulting a doctorDiagnosing the underlying cause and planning the most appropriate treatment for each individual patient is always of utmost importance.
For those getting filler injections for the first time, whether under the eyes or anywhere else, here's a simple explanation from the doctor:
If this symptom occurs in...The first 1-3 days are considered normal.Because, simply put, it's needle swelling, or the symptom of the filler absorbing water and gathering it in the injected area. The body is confused about what the filler gel is in that area, and there are several other reasons, but it's considered medically possible. Sometimes it can make the area look uneven, even though the same amount of filler was injected. But what would be abnormal... If you had an injection elsewhere and, even after a month, it's still swollen and puffy, this could be considered abnormal.
The clearest indication is if there are severe symptoms such as pain, redness, warmth, or a hard lump. You should consult a doctor immediately. In this case, treatment options such as dissolving the substance or scraping it out will need to be evaluated, depending on the substance injected.
so thatPatients who will be receiving injections from the doctor.There will be clearer instructions before and after the procedure on how to minimize post-procedure swelling, so patients won't be alarmed if this happens. It's an avoidable symptom if you follow the doctor's instructions. Oh... Another thing that contributes to swelling after any type of procedure, and is particularly culprit, is food high in sodium. Some people like their food very spicy, salty, savory, and flavorful. Let me tell you, their preference for strong, bold flavors is definitely stronger than anyone else's!
For patients who are concerned about... My face is flat because I don't have cheekbones. Popular options for replenishment are: Filler Autologous fat injection Fillers provide results that... See results immediately. No long recovery time needed. Not permanent; requires repeat injections. 6-18 months Ideal for those who want speed, adaptability, and most importantly... Fillers are lighter in weight. Therefore, it is suitable for creating prominent cheekbones without adding burden to the facial structure. Imagine a doctor trying to stick modeling clay to a smooth wall; they have to mold it so it doesn't fall to the floor. The amount and type of filler used has a huge impact. On the other hand, while autologous fat injection can also yield results... It's natural. And once applied, it can last longer, but there are limitations. Fat weighs much more than fillers. And the important thing is The rate of fat cell attachment is uncertain. This means that long-term results may not be as consistent as the initial results, which is a concern many patients face. In addition, the liposuction procedure itself involves a longer recovery period. 1-2 weeks Therefore, choosing the most suitable method is important. Consult a doctor. To assess your facial features and consider these factors in detail, please...
I see many patients, both students and working adults, who previously had normally full faces, but after orthodontic treatment, which in some cases lasts for years, their faces become thinner. This could be due to reduced food intake or a receding jawbone, making the face appear narrower. These problems significantly impact their self-confidence because they... Her face looked haggard, tired, and older. The patient did it unintentionally.
The main reasons dentists often encounter is that when we wear braces, we tend to... Avoid chewing hard objects. This causes the masseter muscle in the jaw area to atrophy due to lack of use. Combined with the shifting of the teeth into new positions, this results in the cheek tissue that used to have something to attach to appear sunken.
The approach for patients with this problem is to choose a solution that best suits their needs and skin condition. The first approach is Biostimulator, which helps stimulate the body to naturally produce new collagen, causing the skin to gradually become plumper and firmer naturally, reducing the likelihood of the face looking overly full. But the results will be gradual (more noticeable later). Okay, the second approach is... Fillers directly replenish lost volume, resulting in immediate results. And it can enhance facial features. The main thing for my patients is to communicate their goals in detail, clearly explaining which option is best after assessment. Patients can then make their decision based on the advantages and disadvantages of each program. Coming to see the doctor to assess their overall facial structure is the best approach.
