Looking Better with age? Best Dermal Fillers in Bangkok

The takeaways:

• In recent years, the approach to midface aging has shifted, focusing more on anatomically restoring lost volume rather than relying solely on suspension techniques.
• The midface fat is divided into deep and superficial compartments, which gradually lose volume and shift downward with age.
• Injectable fillers provide a safe, effective, and versatile option for enhancing the aesthetics of the midface and periorbital region.
• Thailand is a renown place for plastic surgery and health care. Getting your skin care done in Bangkok with specialists can prove smart and savvy.

Our faces change overtime, and this is due to a combination of factors. Elastin is a protein that is responsible for giving elasticity to the soft organs, among which is the skin. After puberty, our bodies stop producing elastin and we must live the rest of our lives with whatever capital of it we have, by the age of 70, we have half of it left.

Collagen is the other protein in our bodies, that holds tissues together and provides them with integrity. Both form the fibrous content that holds our tissues together, ensuring firmness and elasticity. Fibroblasts are the cells responsible for the production of our collagen. As we age, the mitochondria in the fibroblasts tend to work less and less collagen is being produced.

Lastly, hyaluronic acid (HA for short), is another key substance in the skin, it binds to these two proteins: collagen and elastin, that are important to connective tissues in the body. HA also works as retaining moisture, being capable to binding to water molecules to retain, weight for weight, up to 1,000 times more water. Hyaluronic acid in its natural form, is a short-link molecule that is found in many organs (skin, eye), as well as in the synovial fluid, a lubricant of the joints.

With time, as our fibroblasts no longer produce elastin and form less collagen, our muscles tend to stretch and elongate, becoming lax. And as the conjunctive tissues get damaged with free radicals, UV radiations, hyaluronic acid produced in less quantity due to the lesser production of our sex hormones (estrogen and testosterone), fat pads tend to grow, and then, under the action of the muscles, they migrate, first in a forward fashion, from the deeper tissue to right below the skin, then down, as the gravity pull and the lack of firmness from the conjunctive tissues let them descent. And this is how the face we once knew is starting to make us look old and tired.

But before we go down this lane, can we just pause for a moment, contemplating at what we should be aiming for?

Hallmarks of a healthy and youthful face:

• Symmetry (signals good genes)
• Smoothness (signals youth)
• Plumpness (signals reproductive health)
• Even complexion (signals good health)

At times, feeling good and being healthy is one thing, looking the part is another, and this is where dermal fillers can help.

Classification of Dermal Fillers

There are basically, two kinds of Dermal Fillers:

1. Immediate lifting effect Dermal fillers are Hyaluronic Acid (HA) dermal fillers. As part of maintenance, injections need to be repeated yearly or so, depending on the brand used.

2. Long term collagen build-up (injectable collagen-stimulator), such as Sculptra, or Radiesse need at least 3 months to show results. Generally, up to 3 injections are needed for a full satisfactory result. Their results are longer lasting, and span o

What to avoid with Dermal Fillers and Biostimulators

Cutting corners

Treatment plans are often influenced by a patient’s budget, as most individuals seeking fillers have financial limitations. Both undertreatment and overtreatment present challenges. In cases of midfacial volume loss, adult patients typically need at least 1mL of filler per side. While younger patients or those seeking minor touch-ups may share a single syringe, full restoration generally requires 2-4mL.

For patients in their 50s who only wish to purchase a single syringe, I recommend waiting until they can afford at least 2mL. The reason is simple: if they spend 17,000 baht on one syringe and see little to no noticeable improvement, they often feel their money was wasted—despite being informed that a single syringe is usually insufficient. In the end, they don’t remember the consultation or consent process; they only recall spending 17,000 baht spent “for nothing.”

Trust your specialist and accept to use enough product to achieve meaningful results.

Influencers

Following influencers for advice on dermal fillers can be misleading and risky. Many influencers get paid to promote specific clinics or products, making their recommendations biased rather than based. Their results are often filtered, edited, or enhanced with lighting and makeup, creating unrealistic expectations. Additionally, influencers may not fully understand the complexities of facial anatomy, proper injection techniques, or the potential risks involved. Going for a qualified, board-certified professional ensures a treatment plan tailored to your unique facial structure and goals, prioritizing safety and natural-looking results over social media trends.

Trust your specialists not the influencers.

Marketing

Marketing gimmicks can be deceptive often prioritize sales, over patient safety and results. Promotions like “limited-time offers,” “celebrity-endorsed treatments,” or “ultra-fast procedures” may pressure individuals into making hasty decisions that would deprive them of time to reflect and better results. Any treatment should be tailored to each patient’s unique facial anatomy. It may combine different procedures, and should be performed by a qualified, experienced injector. The best results come from a thorough consultation, realistic expectations, and a skilled provider, not from gimmicky promises designed to attract more customers.

Your clinic should work for you, not you for the clinic.

Nose

Injecting dermal fillers into the bridge of the nose carries significant risks due to the area’s complex vascular anatomy. One of the most serious complications is vascular occlusion, where filler inadvertently blocks a blood vessel, potentially leading to skin necrosis (tissue death) or, in severe cases, blindness if the filler travels to the ophthalmic artery. Additionally, the nose has limited soft tissue, making it more prone to compression injuries and prolonged swelling. Poor injection technique or excessive filler can also lead to lumps, asymmetry, or migration, creating an unnatural appearance. This is why nose filler treatments should only be performed by highly experienced, medically trained injectors who understand facial vascular structures and use techniques that minimize these risks.

No nose filler, no nose thriller!

The orbital area (orbital rim and upper lid sulcus)

Injecting dermal filler into the orbital rim or tear trough (sulcus) area carries several risks due to the delicate and thin skin in this region, making it prone to Tyndall effect, where the filler appears as a bluish tint under the skin, giving an unnatural, puffy look. Poor filler placement can also lead to lumps, prolonged swelling, and irregularities, as the tear trough area retains fluid and is more susceptible to filler migration. For these reasons, only highly skilled injectors should perform under-eye filler treatments using the right product and technique—or alternative treatments like PRP or laser therapy may be recommended instead.

Poly-l-Lactic Acid are biostimulators for collagen, and are contraindicated for under eyes, as muscular activity will lead to migration of the product and the possibility of complications with the apparition of nodules.

Under-Eye Filler? Delicate and Complex—Choose an Expert Injector!

Patients subject to keloid (hypertrophic) scarring (for Sculptra), and some people with a history of severe allergies or some medical conditions (for Radiesse).

Patients with a tendency to develop keloid or hypertrophic scars should be cautious when considering Sculptra, as their skin may react unpredictably to collagen stimulation. Similarly, individuals with a history of severe allergies or certain medical conditions should consult a qualified provider before opting for Radiesse, as the formulation may not be suitable for everyone.

The right product for the right patient makes all the difference!

What to look for:

• Injector’s confidence
• Cross-selling leverage (Allergan for Botox and Fillers)
• Appropriate filler for the job

Operative steps at BeautUp Clinic:

Patient aesthetic evaluation

It is a dialogue between the doctor or the medical team and the patients and their expectations from the procedure. Objectives are set and means to achieve them are discussed by all parties.

Medical history

The medical team might ask you about your medical history, allergies, previous treatments or else to better prepare your intervention.

Treatment options

The medical team might have more than one way to help you with your concerns. In such an eventuality, you will be given this information.

Pre-operative photographs

Preoperative photographs are a great way to keep records and benchmarks of the facial features before the intervention. They help to evaluate the

Filler choice

The choice of filler is usually based on the patient’s priorities. Some fillers last longer than others, and some are better indicated for particular results. All HADF can be dissolved with hyaluronidase, which is a security for both the patient and the doctor alike.

Injection of one or more fillers

Some fillers are better suited for certain areas of the face, and the professional may make use of different kinds of HADF for a face. A blunt-tipped cannula can be used in lieu of a needle, in particular in highly vascularized areas to avoid occlusion incidents.

Post-procedure treatment

For optimal results, the patient should refrain from exerting excessive musculofascial activity, exposure to heat (sauna, sun), or massage, within the 48 hours following the procedure.

Post-operative photograph

Patients may notice a significant difference right after the intervention, but keep in mind that the face may swell from the injections, and that the final results may only be observed the day after or so.

Eventual antibiotic medication

In some cases, an antibiotic medication maybe given to the patient. It is in the interest of the patient to follow the doctor’s instructions.