Dermal fillers Injection at Metro Bangkok Clinic
Dermal Fillers are gels used to add volume under the skin. They are often used in conjunction with other treatments, such as Thermage (skin rejuvenation and tightening) or botulinum toxin injections and surgery (facial enhancement and corrective surgery).
Despite of the fact that many types of dermal fillers are nowadays available, hyaluronic acid, is today considered the gold standard product in the use case of medical volumetric reshaping, for its innocuous effect on the organism when appropriately used (it is naturally present in the human organism).
In Thailand, only HA based dermal fillers are FDA approved for injection, other dermal fillers are not authorized due to the serious complications they might lead to.
Dermal fillers in face and body rejuvenation. Which area that dermal fillers can treat ?
A visible sign of facial aging is volume dystrophy or the shrinkage and displacement of fat deposits in the face. With age, they become particularly evident in the temporal area, the upper lid, the tear through the area below the lower lids, in the cheeks area and the lips.
Subcutaneous injections of a very hydrophilic gel will help with the volume and elasticity and will keep the skin hydrated. In combination with other techniques, these are ideal for the restoration and the authentic aspects of the facial volumes.
Under eye fillers: A non-chirurgical Peri-orbital rejuvenation
As the face ages, fatty deposits found in the eye sockets and on the periosteum of the orbicular bones area, under the combined action of loss of elasticity and muscles contractions, start to migrate underneath the skin. These facial areas become depleted and sunken in. With the thinning of the skin, the loss of its collagen, the leaks of small blood vessels, dark under-circles and pouches appear, to give a fatigued appearance to the gaze.
Fine hyaluronic acid gel can be injected to fill the hollows and to bring fullness in that portion of the face, the dark under-circles becoming less apparent with the filling.
Festoons or jelly roll of lower eyelids can also be easily diminished by filler injection. With the use of small gauge needles, traces of injection are barely perceptible.
Nasolabial fillings
Filler injections can be done in various facial locations. The Laugh line (nasolabial crease) correction being among the most common, in such a procedure, a gel of higher viscosity might just be the most appropriate choice for the intervention.
Treatments of deep-seated or long wrinkles, such as frown or forehead lines with good quality filler injections yield a more favorable outcome than Botox injections alone. The result will last for approximately 10-12 months with an appropriate thin gel.
Lips augmentation
Injections of a very fine hyaluronic acid can fill up the fine lines that progressively striate the vermillion border of the lips. Offering more volume to thin lips can be done by the injection of dermal filler in the philtrum, that will allow the pleasant shapeliness and the curvature of the upper lip, that define a more prominent cupid bow. Very precise and localized injections in the lower lip should render the desired plumpness to restore the balance in an aspect of the mouth. These injections are safe, quick and without undesirable effects.
Patients can select up to any level to reach the greatest satisfaction by consulting with our expert doctors.
Fillers for cheek augmentation
A thick dermal filler is usually injected near the periosteum of the cheekbones ensuring a first mid-face lifting effect restoring some of the original volumes in this area of the face, and depending on the case, and up to the practician's judgment, an additional filler of a different viscosity may be used as an adjunct to the first one.
Chin augmentation with dermal fillers
As an alternative to genioplasty, injections of dermal fillers in the chin area can be made for facial contouring, giving a natural and harmonious balance to the profile of patients.
Temporal filling
This intervention is offered to correct the skeletonization of the face, a marking of old age, also to widen a skull appearing too narrow.
Hand volume restoration
Hands can be a real age-marker giveaway, hence the value of restoring their initial volume with hyaluronic acid gel fillers.
The process is similar to the one used in the other HA injections and the aesthetic rendition is very satisfactory.
Non-surgical rhinoplasty
Filler injection is also available for non-surgical rhinoplasty in patients with flat or uneven nasal bridge, who are unwilling to experience immediate complications of surgery like inflammation and swelling.
Filler injections can be skillfully used to bring augmentation of some parts of the nose that might need some correction or volume adjusting.
Thanks to their transient nature, they can offer a "feel" of what a permanent rhinoplasty might deliver without the downtime, the swelling and the inflammation. It is possible to have an additional procedure performed to augment, adjust or to reduce the volume of filler when necessary.
Also, surgical rhinoplasty needs a reasonably good post-operative care. In such cases, problems can also be alternatively resolved by filler injection.
Nose bridge augmentation with dermal fillers is a complex procedure that is not possible with people who have had previous nose surgery (closed or open rhinoplasty) and such injections must be made prior to nose surgery so as to avoid complications.
Filler can also help in re-contouring the nose for better self- confidence and appearance.
Metro Bangkok Clinic choose HA (Hyaluronic acid) Dermal Fillers and we have 3 options for our patients
Juvederm : Only the newest generation of Juvederm brand which is the best dermal fillers available to this day. Because long lasting effect (up to 2 years for Juvederm voluma) better volume expansion compare to other fillers with the same amount, blend with surrounding tissues better and mixed with lidocaine inside so less painful during injection. Offer the best come with slightly higher prices.
Restylane : Good product, but because of it viciouselasticity and shorter duration we use for some patients.
Perfectha : Good product but don't mix with lidocaine inside so it a little uncomfortable when do the procedure, but Best value for limited budget.
Procedures and techniques at Metro Bangkok Clinic
The type of product(s) and the volume to be injected will depend on the area to be intervened on, and the anticipated result wished to be achieved (filling or lifting and both).
Local topical anesthetics might be applied prior to intervention, but local injections of anesthetics might add temporary swelling to the injection site, and might be contraindicated under certain circumstances.
For patient's comfort purposes, some hyaluronic acid gels have added Lidocaine. In any given case, the physician is expected to inform you on the choice of products and actions.
Dermal Fillers Procedure
The lenght of procedure varies depending on the number of areas to be treated. It does not leave any pain after injection, or very minimal, so that patients can continue their daily activities, with satisfying results.
Frequency of the injections
When possible, our patients are invited to come over once again after a couple of weeks so we can reevaluate the treatment area and determine if any additional corrections are necessary.
Result of cosmetic fillers
The effects of contouring immediately become apparent after the first procedure. Since little or no swelling around the injection area is to be expected considering the very high quality of fillers offered at Metro Bangkok Clinic, the results of the treatment can be observed and evaluated visually rather quickly.
The effects can last up to 2 years depending on the dermal fillers.
Post-injection care
It is advisable for patients to avoid taking blood thinners and exposing the worked on area to bright sun for 2 days following the intervention. Drink a lot of water 2 liters per day for the next 2 weeks.
How much does the dermal fillers cost ?
Allergan Juvederm Voluma, Volbella, Volift and Volite Normal price is 30,000 THB per 1cc.
But now we have promotion at 20,000 THB per 1cc which is a very competitive price in Bangkok.
Perfectha Subskin, Deep, Derm : Normal Price is 22,000 THB per 1cc
But now we have promotion at 15,000 THB per 1cc.
Restylane : Price is 18,000 THB per 1cc.
Simple evaluation each area of fillers injection for correct evaluation need to see pictures or full consultation.
Under eyes and periorbital area need 1-2 cc.
Nasolabial fold need 1-2 cc.
Lips augmentation need 1-2 cc.
Temporal augmentation need 1-2 cc.
Check augmentation need 1-2 cc.
Chin augmentation need 1-2 cc.
Jaw augmentation need 1-2 cc.
Hand volume restoration need 2-3 cc.
Forehead Augmentation need 3-10 cc.
Labia majora augmentation need 2-4 cc.
Episiotomy adjustment need 1 cc.
How to take care after dermal fillers procedures ?
After treatment you have to drink a lot of water 2 lites for the next 2 weeks, and be careful about taking blood thinners, strenuous exercise, alcoholic beverages within first 24 hours.
Becareful about laser, sauna, stream room for the next 2 weeks, basic skin maintenance and sunscreens as part of a regular skincare regimen.