Filler is one of the most performed non-surgical procedures in dermatology. Multiple beneficial characteristics make filler an effective solution for the treatment of facial contours and volume. Thus, picking the right filler to ensure its foreseeable results could be slightly complicated as many types of fillers could apply to your cases. In addition, other than picking the right kind of fillers, picking the right person to apply them is also important. 

This article will guide you in finding the right solution of aesthetic fillers that could solve your current aesthetic concerns. Also, this article will provide you with information to pick a place to apply those fillers that come with effectiveness and fewer complications.

What are fillers?

Dermal fillers or Injectable fillers are substances made for injections into connective tissue for medical and cosmetic purposes. Dermal fillers are the answer for the loss of fat or collagen in the subcutaneous areas of the skin due to aging or other causes. The loss of fat or collagen in the subcutaneous areas is a main reason for skin laxity (or loose skin) and loss of volume, making a skin become thinner, loses its elasticity and starts to sag. 

Here, dermal fillers are injected into subcutaneous areas of the skin to replace the missing fat and collagen, bringing back the volume and elasticity of the skin. Dermal fillers being used specifically for this purpose as dermal fillers could incorporate itself with the body’s tissues and be effective for some period of time with minimal effects and being easy to apply for treatment purposes.

Cosmetic application of fillers

For cosmetic and aesthetic purposes, dermal fillers are being used for three major purposes

• Adds volume to face: Dermal fillers can add volume to various areas of the face, such as the cheeks, lips, and under the eyes, creating a plump appearance.
• Smooths out wrinkles: In addition to adding volume, dermal fillers can also smooth out wrinkles and fine lines, particularly around the mouth and nose.
• Enhances facial contours: By adding volume and smoothing out wrinkles, dermal fillers can also enhance facial contours, creating a more sculpted appearance.

Dermal fillers are also effective in the removal or improvement of scars, including acne scars. Also, dermal fillers could be used in reconstructions for areas that may have been scarred or altered by trauma, being done in conjunction with minor or major plastic surgery.

Even though dermal fillers could effectively providing volume and enhancement of the skin conditions, dermal fillers are not recommended for the breast augmentation; buttocks augmentation; increasing fullness of the feet; implant into bone, tendon, ligament, or muscle; and direct injection at the glabella (area between eyebrows), nose, periorbital area (around the eyes), forehead, or neck, as its could lead to complication and may lead to a removal of dermal fillers which in most cases required a surgery.

Common types of fillers

Currently, there are several types of medical-approved dermal fillers available. The choice of dermal fillers being used for your case is considered from an area of application, conditions of your treatment area (such as area and depth of your wrinkles), and longevity of the treatment. 

Here, commonly used dermal fillers include

Natural fillers

• Autologous fat – Patient’s fat obtained from another area of the body, commonly through liposuction, being purified and injected into the face to help restore volume to the cheeks, temples, lower eyelids, or other areas.
• Collagen – Collagen obtained from animals, such as bovine (chicken) and porcine (pigs), or collagen obtained from a patient’s surgically excised skin or cadaveric skin, is primarily used for lip enhancement. Lately, Bioengineered collagen products are also being used as dermal fillers.

Synthetic Fillers

• Hyaluronic acid (HA) – Hyaluronic acid is a glycosaminoglycan disaccharide that is naturally occurring and found in many parts of human tissues to help plump and hydrate the skin. Hyaluronic acid-based fillers are one of the commonly used dermal fillers, with effectiveness about 6 to 12 months or longer before the body gradually and naturally absorbs the particles.
• Calcium hydroxylapatite (CaHA) – Calcium hydroxylapatite is a synthetic version of an inorganic constituent of teeth and bone. While providing volumization up to 12 months, Calcium hydroxylapatite-based fillers also stimulate new tissue formation and collagen production, resulting in a longer-term correction. Calcium hydroxylapatite-based fillers are typically used for deeper lines and wrinkles.
• Poly-L-lactic acid (PLLA) – Poly-L-lactic acid is a synthetic polymer commonly used for medical applications. Poly-L-lactic acid-based filler relies on a foreign body response, stimulates fibroblastic ingrowth and production of extracellular matrix and endogenous collagen, and hence increases volume slowly over time. Its characteristics make it effective for deeper facial wrinkles, and results can last more than 2 years.
• Polymethylmethacrylate (PMMA) – Polymethylmethacrylate is a synthetic resin used in dental dentures and bone cements for implant fixation. Polymethylmethacrylate-based fillers are deployed as the “microspheres”, which are encapsulated with the patient’s own collagen fibres and, within 2–4 months, become surrounded by connective tissue. PMMA-based fillers are applied when a more permanent solution to facial wrinkles is desired.

Meanwhile, injectable silicone, including other synthetic silicone-like substances, is not approved for any aesthetic procedure as a filler, including facial and body contouring or enhancement.

What do you need to know before applying fillers?

Dermal fillers are one of the most common and most preferred aesthetic operations as injections of dermal fillers usually take less than an hour, but results can be seen right away and can last months or even years, while requiring less recovery time. 

Here, dermal fillers are considered a practical solution for the treatment of

• Glabellar lines (Frown Lines)
• Perioral lines (Smoker’s lines)
• Oral commissures (Marionette lines)
• Forehead lines (Worry lines)
• Periorbital lines (Crow’s feet)
• Nasolabial furrows (Deep smile lines)
• Nasolabial lines (Smile lines)
• Cheek depressions
• Lip enhancement
• Chin augmentation (Witch’s chin)
• Acne scars
• Facial scars

However, dermal fillers are temporary treatments for facial aging as they help delay the condition until a surgical facelift becomes appropriate. Also, surgery such as a facelift, brow lift, or eye lift may be the best approach for some patients compared to fillers. 

In addition, patients with a history of allergies to filler components, history of bruising or bleeding after similar procedures, neurological problems, and some skin conditions, including infection, could consider other procedures.

At this point, if you have additional questions about dermal fillers, consider contacting us for a brief consultation.

While dermal fillers are considered a safe process, there is a risk of minor complications such as bruising, redness, swelling, pain, tenderness, itching, and rash after the injection, which most of them are manageable under the hands of professional dermatologists. Conditions such as inflammation, raised bumps, migration, and leakage or rupture of the filler are considered rare cases and avoidable through preparation and applying the procedure following the medical guidelines.

Meanwhile, the major complications that are possible if the process is mishandled include allergies, especially with animal-derived fillers or unapproved fillers, and unintentional injection of fillers into a blood vessel, which leads to blockage of blood vessels and poor blood supply to tissues results in necrosis (or the death of tissue), vision abnormalities including blindness, and stroke. Applying dermal fillers in a certified clinic with a certified dermatologist could significantly reduce these risks.

For a cost for application, the average cost in the U.S. of hyaluronic acid dermal fillers is about $715, and the average cost of non-hyaluronic acid dermal fillers is about $901. For a specific treatment, the average cost of lip augmentation with dermal fillers is about $743. The price may vary depending on the expertise of clinics, the brand and amount of fillers being used, the duration of the follow-ups, and other factors.

Applying Fillers in Bangkok

Bangkok is one of the places that could be considered a better alternative option for getting a dermal filler, following its comparable standard of medical practice while retaining a better cost competitiveness. Thus, finding a place that provides you with a safe and effective application of dermal filler at a reasonable price could be able to follow this guideline 

As an application of dermal fillers is considered safe only under the hands of medical professionals, the application of dermal fillers must be done by certified dermatologists with appropriate equipment and procedures. Applying dermal filler by a professional in a proper medical office will ensure that the one who applies it to you has the knowledge, training, and proper equipment and procedure in applying dermal filler, and also could help you deal with complications if occurred. Here, the first criterion for finding a place to receive dermal fillers in Bangkok is to find a clinic or hospital with a certified operational license and available with a full-time board-certified dermatologist. 

Another factor to be concerned with is non-dermatologically approved dermal fillers, which could be counterfeit of branded fillers, or even using a substance not applicable as dermal fillers such as silicone and other injectable resins. Seeking dermal filler applications at licensed medical operators ensures that you have received dermatologically approved dermal fillers in the appropriate way, following the pharmacological guidelines that ensure the safety and effectiveness of the procedure.

Even though picking one among hundreds of licensed clinics providing dermal fillers in Bangkok could be possible by trying to contact them for information, consultancy, and offers for the most suitable dermal fillers program that matches your needs. Remember that the application of dermal fillers requires multiple follow-ups. The possible option then remains for a clinic that clarifies all of your concerns, provides safe and effective operation, and gives you care and comfort as much as possible.

Radiance Skin Clinic: The Best Place for Fillers in Bangkok

Radiance Skin Clinic, a professional aesthetic clinic located in the heart of Bangkok,

is the best place to apply for dermal fillers in Bangkok. Our team of board-certified dermatologists is highly experienced, with 20 years of providing programs in dermal fillers to effectively deal with your aesthetic concerns. Our process starts with a detailed diagnosis for choosing the right filler for your skin type and aesthetic condition. Then, the application is done by board-certified dermatologists with FDA-approved dermal fillers from leading manufacturers, and continued post-operation care is provided to reduce the risk of complications and ensure the visible results of your dermal filler programs.

For expats, our place is the best place available for your application for dermal fillers in Bangkok. Our specialists and staff are fluent in English to consult and clarify your aesthetic concerns, Additionally, a Japanese translator is available full-time for Japanese-speaking customers. Furthermore, our professionals have experience in dealing with foreign patients who have different skin types and conditions in providing effective solutions for their concerns.

If you are currently looking for a place for dermal fillers in Bangkok, especially for the expat, visit our team for a consultation at our clinic located at Maneeya Center between 10 am and 7 pm, or leave a message on our online channel here.

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