Unlocking the Secrets of 'Non-Surgical Facial Contouring' at a Cosmetic Clinic in Surat Thani - Koh Samui: Botox or Dermal Fillers? Advice from Dr. Taeng for Your Dream Face
- SPARK IDEA
- Aug 20
- 33 min read
Hello, I'm Dr. Taeng, Dr. Apirak Wongsaowasup. As the medical director of Aurora Clinic, with locations in both Surat Thani and on the paradise island of Koh Samui, I've noticed a fascinating trend in the beauty industry: the dramatic rise in popularity of facial contouring without surgery. Whether due to concerns about scars, recovery time, or simply a desire for a less drastic change, injectable Botox and dermal fillers have become the "magic wands" that safely and miraculously create beauty.
Many of you may have heard of these two substances but may still be confused about their differences, what problems they can solve, and most importantly, "what is the best fit for you?" These are questions I hear frequently in my consultation room. Today, I'll take you on a journey to uncover the secrets of Botox and dermal fillers in depth, along with guidance on facial assessment by a doctor who is a specialized plastic surgeon to confidently lead you to your dream results.
My ultimate goal at Aurora Clinic is to provide "safe, natural, and sustainable beauty" to every patient. Choosing the right technique, using standard-approved products, and having a consultation with a specialized doctor are the keys that will make every decision a worthwhile investment. I sincerely hope this article serves as a guide to help you understand your options for non-surgical facial contouring and embark on your beauty journey with confidence.
I. Understanding 'Non-Surgical Facial Contouring': The Art and Science of Holistic Beauty... When Every Detail of Your Face is a Masterpiece
As a specialized plastic surgeon, I see beauty in every detail of the face and understand that a small change in the right place can create a significant result, both in appearance and confidence. Non-surgical facial contouring is an innovation that opens the door to a new dimension of beauty, where patients don't have to face the pain of surgery or a long recovery. But this doesn't mean it's easy or that anyone can do it.
A. The Core Principle: 'Facial Assessment by a Doctor' who is a 'Specialized Plastic Surgeon' - The Foundation of Safety and Beauty
This is the first and most important pillar on the path to non-surgical facial contouring. Whether you visit our cosmetic clinic in Surat Thani or our cosmetic clinic in Koh Samui, a thorough facial assessment by a doctor who is a specialized plastic surgeon is something that cannot be overlooked. This process separates a "true expert" from someone who merely has injection skills without understanding the "overall picture" and "depth" of facial anatomy.
Imagine building a house. If you have a good craftsman but lack a specialized architect who understands the entire structure, the house can be built, but how can it be beautiful, strong, and safe? In the same way, a facial assessment by a doctor who is a specialized plastic surgeon plays the role of a "beauty architect" who will lay the foundation for every procedure to be safe and achieve the most perfect results.
Precise and Deep Anatomical Knowledge, Down to the Nerves and Blood Vessels:
Beyond General Knowledge: As a specialized plastic surgeon (License No. 35777), I have spent years studying and understanding the human facial structure at a much deeper level than general practitioners. This includes the different skin layers in each area, the specific characteristics of each fat compartment, the muscles that control facial expressions, every nerve that senses feeling and controls movement, and the network of small and large blood vessels that nourish the tissues throughout the face.
The Importance of 'Millimeters': Injecting Botox or dermal fillers in the face requires millimeter-level precision. Knowing which spots have muscles that cause wrinkles, where volume has been lost, where important blood vessels are hidden, and which areas to avoid is crucial to prevent injecting into a blood vessel, which can lead to severe complications like tissue death or nerve injury that may cause numbness, a crooked mouth, or a drooping eyebrow. This is what I prioritize most in my training and apply in every case at Aurora Clinic.
Understanding the Interplay of All Structures: This deep knowledge also includes understanding how each part works together and how a change in one area can affect others. This ensures that each injection not only solves a specific problem but also enhances the overall harmony of the face.
Holistic Facial Assessment: "Seeing What Others Can't See"
Not Just Fixing a Single Problem: Most patients come in with a specific concern, like "I want to reduce forehead wrinkles" or "I want to fill in my under-eye area." But a specialized plastic surgeon won't stop there. I perform a holistic facial assessment by a doctor, analyzing your facial proportions, symmetry, balance, and harmony of all facial features.
3D Analysis: We consider vertical dimensions (e.g., length of the forehead, nose, chin), horizontal dimensions (e.g., width of the face), and profile view (e.g., side profile of the nose and chin), as well as skin texture, elasticity, facial expressions, and even your personality.
Identifying the 'Root Cause' of the Problem: Sometimes the problem you see isn't the real cause. For example, deep nasolabial folds may not just be from the folds themselves but from volume loss in the mid-face or cheekbones. Fixing the root cause will provide a more natural and lasting result than just fixing the surface problem.
The 'Eye of an Artist': In addition to medical knowledge, I also use the "eye of an artist" to see natural beauty and design results that will enhance your unique features without making you look like a different person or appear overly "done." This is a key difference in facial contouring performed by a specialized plastic surgeon.
Understanding the Aging Process: "Seeing the Future of the Face"
Aging is Not Just Wrinkles: Our faces change over time due to a variety of complex reasons, not just from wrinkles caused by expressions. This also includes:
Loss of Collagen and Elastin: Causes skin to lose elasticity, sag, and develop permanent wrinkles.
Subcutaneous Fat Atrophy (Volume Loss): Especially in the cheeks, temples, under the eyes, and forehead, making the face look gaunt, tired, and aged.
Bone Resorption: Some facial bones, such as the cheekbones, eye sockets, or jawbone, can change shape or resorb with age, causing the face to flatten or the facial structure to change.
Muscle and Tissue Laxity: Gravity and age cause muscles and tissues to sag, leading to nasolabial folds, marionette lines, and a less defined jawline.
Planning a Comprehensive Treatment: A specialized plastic surgeon's thorough understanding of these changes allows for a treatment plan with Botox and dermal fillers that not only addresses current problems but also effectively slows down and prevents future changes. This leads to a naturally youthful and sustainable result.
Managing Expectations & Personalized Treatment Plan: "Co-creating Your Beauty"
An Open Conversation: During the facial assessment by a doctor, I will take the time to talk with you so you can openly communicate all your needs, concerns, and expectations.
Realistic Results: I will provide clear and direct information about the realistic results you can expect. I don't make false promises or try to transform you into a completely different person, because our goal is to bring out "the best version of you."
Presenting Suitable Options: Based on the facial analysis and all the information, I will present the most suitable facial contouring options and techniques specifically for you. We don't use a "one-size-fits-all" approach because everyone's concerns are different.
A 'Customized' Treatment Plan: Whether it's using Botox to reduce wrinkles, dermal fillers to restore volume and contour the face, or even a combination of both in a "Liquid Facelift" treatment plan, every step is meticulously planned to achieve the most harmonious, natural, and beautiful results for you.
B. The Goals of Non-Surgical Facial Contouring at Aurora Clinic:
After a thorough facial assessment by a doctor, the main goal of non-surgical facial contouring at Aurora Clinic in both Surat Thani and Koh Samui is to create a face that is:
Naturally Rejuvenated:
Reducing the signs of aging, restoring lost volume, and bringing back a fresh, firm complexion without making the face look tight, stiff, or unnatural.
The changes are gradual, so people will notice you look better and more refreshed, but they won't be able to tell what you've had done.
Balanced and Harmonious:
Adjusting facial proportions for more symmetry and balance, such as shaping the chin to align with the forehead and nose, or filling in hollow cheeks to give the face more dimension and fullness.
Correcting minor facial asymmetries to build confidence and enhance your charm.
Contoured and Enhanced:
Creating a clearer facial structure, such as slightly enhancing the bridge of the nose, defining the jawline, or sculpting the cheeks to catch light beautifully.
Highlighting your best features without changing your original identity.
Precise Problem Solving:
Effectively addressing specific wrinkles, deep folds, or sagging without having to treat the entire face.
Focusing on using the appropriate and necessary amount of product to get the best results without overdoing it.
Maximum Safety:
Every step is overseen by an experienced specialized plastic surgeon and uses the highest standard, FDA-approved products.
Minimizing the risk of infection, complications, and undesirable side effects.
Therefore, non-surgical facial contouring is not just a treatment with a syringe; it's a "work of art" that requires the "science" of precise medicine and the "art" of seeing beauty and creating with precision. A specialized plastic surgeon is the one who controls and meticulously designs every step. At Aurora Clinic, we are committed to providing a facial contouring experience that not only delivers beautiful results but also ensures your safety, confidence, and lasting happiness.
II. A Deep Dive into 'Botox Injections': The Miracle of Relaxing Wrinkles and Reshaping... When Beauty Isn't Limited by Time
Look in the mirror. Do you notice the fine lines that appear when you smile, raise your eyebrows, or frown? While these wrinkles can tell a story of a life rich with experiences and emotions, they can also sometimes make you feel self-conscious or look older than you are.
This is where Botox plays a vital role. Many are familiar with the name, but how many truly understand its mechanism and its versatile capabilities? In this section, I will walk you through Botox in detail, from its principles to its applications in natural facial contouring and wrinkle reduction.
A. Getting to Know 'Botox': Origin and Mechanism
Botox is a widely known brand name for Botulinum Toxin Type A, a purified protein extracted from the bacterium Clostridium botulinum. When used in very small doses and injected into a precise location in a muscle, it works by blocking the release of a neurotransmitter (Acetylcholine) that sends signals from nerves to muscles, causing the injected muscle to temporarily relax or reduce its activity.
How does this mechanism affect 'facial contouring' and wrinkle reduction?
Dynamic Wrinkles: These wrinkles are caused by repeated muscle contractions under the skin from facial expressions like smiling, laughing, raising eyebrows, or frowning. When the muscles causing these wrinkles relax, the skin in that area becomes smoother, and the wrinkles fade. Regular treatments can also help prevent the formation of permanent wrinkles.
Facial Reshaping and Muscle Reduction: In some areas of the face, oversized or overactive muscles can affect the facial shape. Injecting Botox helps these muscles relax and atrophy from disuse, which reduces their size and leads to a slimmer face or improved facial proportions.
B. What Can 'Botox' Do for Your Face? Professional Applications in 'Facial Contouring'
As a specialized plastic surgeon, I use Botox to address a variety of issues and provide naturally youthful results to every patient at our cosmetic clinic in Surat Thani and our cosmetic clinic in Koh Samui.
Reducing Expression Lines (Wrinkle Reduction): "Erase Fatigue, Restore Radiance"
Reducing Expression Lines (Wrinkle Reduction): "Erase Fatigue, Restore Radiance" Forehead Lines: Caused by raising the eyebrows. Botox injections relax the forehead muscles, making the horizontal lines on the forehead appear shallower and smoother, resulting in a more youthful face. A word of caution: the right amount must be injected in the correct position to avoid making the forehead look too stiff or causing the eyebrows to droop.
Glabellar Lines / Frown Lines: These "frown lines" can make the face look stern, stressed, or tired. Botox injections in this area relax the muscles that cause frowning, smoothing out the deep lines between the eyebrows and making the face look softer and more relaxed.
Crow's Feet: The fine lines that appear around the eyes when you smile or squint. Botox injections in the outer corners of the eyes help the muscles around the eyes relax, causing these fine lines to fade, revealing brighter, more youthful eyes. These injections require special care to not affect the muscles used for smiling.
Perioral Lines / Smoker's Lines: Small vertical lines above the upper lip, often seen in smokers or those who frequently purse their lips. Injecting a very small amount of Botox in this area can help reduce these lines, making the lips look smoother.
Facial and Structural Contouring: "Transforming a Square Face into a V-Shape"
Masseter Reduction: This is one of the most popular uses of Botox for those with large masseter muscles that make the face look square or U-shaped. This can be caused by chewing habits, teeth grinding, or genetics. Injecting Botox into the masseter muscle (used for chewing) helps the muscle relax and atrophy from disuse, reducing the jawline size and resulting in a beautiful, natural V-shape. A facial assessment by a doctor with me, Dr. Taeng, will help determine if your large jaw is caused by muscle or bone, allowing us to choose the most suitable correction method.
Nefertiti Lift / Botox Face Lift: This technique involves injecting Botox along the jawline and into the platysma muscle in the neck, which pulls the face downward. When these muscles relax, the jawline looks lifted and more defined, and the neck appears slimmer, giving the face an overall younger look without surgery.
Nostril Flare Reduction: For some people, the nostrils flare excessively when they smile or make expressions. Injecting Botox into the muscles that control the nostrils can reduce the flaring, making the nose look slimmer and better shaped.
Correcting Excessive Sweating (Hyperhidrosis) and More: "Restoring Confidence in Every Activity"
Reducing Underarm/Palm/Foot Sweat: While not direct facial contouring, Botox is widely approved and popular for treating excessive sweating (Hyperhidrosis). By injecting it into the sweat glands in the underarms, palms, or feet, it inhibits their function, significantly reducing the amount of sweat. This helps reduce body odor and greatly boosts confidence in daily life.
Reducing Migraine Pain: Some types of Botox are approved for treating chronic migraines by injecting them into the muscles of the head and neck, which helps reduce the frequency and severity of the pain.
Treating Office Syndrome: For people with tight neck and shoulder muscles from work, injecting Botox into the trapezius muscles can help them relax, reduce pain, and make the shoulders look slimmer.
C. The 'Botox' Injection Process at Aurora Clinic (Cosmetic Clinic in Surat Thani / Koh Samui): A Standard of Safety You Can Trust
At Aurora Clinic, every step of the Botox injection process is performed under the highest safety standards by me, Dr. Taeng, Dr. Apirak Wongsaowasup (specialized plastic surgeon), and our professional team.
Comprehensive Facial Assessment by a Specialist:
This is the most crucial starting point. I will perform a meticulous facial assessment by a doctor, analyzing your muscle structure, the real problem you're concerned about, and your expectations. I will consider the balance of your face and your natural expressions to determine the most suitable injection points, dosage, and technique specifically for you to achieve the most beautiful and natural results.
An Open Discussion: I will clearly and honestly explain the expected results and any potential risks, and I will answer all your questions to ensure you feel confident and comfortable before starting the treatment.
Preparation Before Injection:
The team will advise on what to do before the Botox injection, such as avoiding NSAID pain relievers (like Aspirin, Ibuprofen) or certain supplements (like fish oil, Vitamin E) that may increase the risk of bruising for about 1 week before the procedure.
Please inform us of any drug allergies, pre-existing conditions, or medications you are currently taking for maximum safety.
The Meticulous Injection Process:
Skin Cleansing: The skin in the injection area will be thoroughly cleansed to reduce the risk of infection.
Cold Compress or Numbing Cream (as appropriate): To reduce discomfort during the injection.
Precise Injection: I will inject Botox with a very fine needle into the exact locations and with the dose that has been meticulously planned. We always consider the safety of important blood vessels and nerves.
Quick Procedure: The injection process only takes a few minutes, depending on the number of injection points.
Aftercare and Important Precautions:
No Lying Down: You should not lie down for at least 3-4 hours after the injection to prevent the medication from spreading to unwanted muscles.
No Massaging/Pressing/Rubbing: Do not massage, press, or rub the injection area for at least 24 hours to prevent the medication from migrating.
Avoid High-Heat Activities: You should avoid heavy exercise, saunas, hot soaks, or laser/heat treatments on the face for about 24-48 hours.
No Alcohol: You should not drink alcohol for about 24 hours after the injection.
Gentle Muscle Movement (in some cases): For wrinkle reduction, the doctor may sometimes advise gentle movement of the injected muscles in the first 30 minutes to help the medication absorb better into the muscles (as per the doctor's instructions).
Drink Plenty of Water: Sufficient hydration helps promote overall skin health.
Onset and Duration of Results:
Generally, results from a Botox injection will start to show in about 3-7 days and become most apparent within 2-4 weeks.
The results will last for about 4-6 months, depending on the Botox brand, the amount used, the injection area, and your daily lifestyle, such as frequent facial expressions or heavy exercise, which may cause the medication to wear off faster.
When the medication wears off, the muscles will gradually return to their normal function, and the wrinkles will slowly reappear. You should consult a doctor to plan a continuous injection schedule to maintain the desired results.
D. Maximum Safety and Caution: 'Authentic Botox' and 'Expert Doctor' are the Key
As a specialized plastic surgeon who prioritizes safety above all else, I must emphasize that the most important things for a Botox injection are:
Using Only 'Authentic Botox' with FDA Approval:
Today, there are many counterfeit or unapproved Botox products on the market, which can be extremely dangerous to your health and provide undesirable results.
At Aurora Clinic, we use 100% authentic Botox that is approved by the Thai Food and Drug Administration (FDA). You can check the lot number, expiration date, and origin of every box to ensure the highest quality and safety.
How to check: Look at the external label, barcode, and you can scratch off the code to check directly with the importing company (each brand has a different verification method).
Injections Performed Only by a 'Specialist Doctor' or 'Specialized Plastic Surgeon':
A Botox injection requires a deep knowledge and understanding of facial muscle anatomy, nerves, and blood vessels, as well as a highly precise injection technique.
If injected in the wrong spot or with the wrong dosage, it can cause undesirable side effects like a drooping eyebrow, eyelid, a crooked mouth, a stiff, unnatural-looking face, or in severe but very rare cases, it can affect breathing or vision.
Choosing a specialized plastic surgeon like me, Dr. Taeng, who has been directly trained and has extensive experience with Botox injections, will significantly reduce these risks. If a very rare complication occurs, we have the ability to diagnose and correct the problem promptly and with maximum efficiency.
Possible Side Effects:
Temporary and Mild Side Effects: Redness, swelling, bruising, or a slight tightness at the injection site, which usually goes away on its own in a few days.
Rare but Correctable Side Effects: Drooping eyebrows, eyelids, a crooked mouth, or abnormal muscle function, which usually gradually improve as the medication wears off (about 2-4 weeks). An expert doctor can use certain techniques to help correct or alleviate the symptoms.
Very Severe Side Effects (Extremely Rare): A severe allergic reaction or infection, which we focus on preventing with our use of authentic medication and strict hygiene standards.
A Botox injection at Aurora Clinic is not just about erasing wrinkles; it's about creating confidence, restoring youthfulness, and naturally enhancing your facial features. With a deep understanding of the art and science of Botox injections, the use of authentic, standard-approved products, and care from a specialized plastic surgeon, you can be confident that every step is safe, and the results will bring you the highest satisfaction.
If you are considering facial contouring in Surat Thani or Koh Samui with Botox, don't hesitate to consult with me and the team at Aurora Clinic. We are happy to answer all your questions and help you start your journey to a more youthful and confident face.
III. A Deep Dive into 'Dermal Fillers': The Miracle of Restoring Volume and Contouring... When the Fullness of Youth Returns
Take a look at your face as it changes over time. Many may start to see their cheeks look hollow, their temples sink in, their under-eyes become deep troughs, or their nasolabial folds become more pronounced. This is because as we age, our bodies lose collagen, elastin, and subcutaneous fat, and our bone structure changes, making the face look gaunt, tired, and older than it is.
This is where dermal fillers play a crucial role. Fillers are not just substances used to fill in space; they are a "restorative substance" that can bring back youthfulness, create dimension, and make the face look fresh, full, and natural again. In this section, I will walk you through dermal fillers in detail, from their properties and mechanisms to their applications in various dimensions of facial contouring.
A. Getting to Know 'Dermal Fillers': Properties and Mechanism
The most popular and widely approved dermal fillers used today are a type of Hyaluronic Acid (HA). HA is a substance found naturally in our bodies with the key property of retaining water (it can hold up to 1,000 times its weight in water), which makes the skin hydrated, elastic, and plump. When synthesized as a dermal filler, it takes the form of a clear gel with varying degrees of viscosity and elasticity to suit injections in different areas and solve a variety of problems.
How do dermal fillers work in 'facial contouring'?
Volume Restoration: When a dermal filler is injected into the appropriate layer under the skin, the HA substance fills the gaps caused by fat atrophy or bone resorption. This makes the area look full again, reducing shadows and making the skin appear smoother without hollows or grooves.
Structural Support & Contouring: Dermal fillers with a larger molecule and high viscosity can be used as a "structure" to support sagging tissue or create dimension in specific areas, such as slightly enhancing the bridge of the nose, shaping the chin to proper proportions, or creating dimensional cheekbones.
Hydration & Collagen Stimulation: HA has the property of attracting water, making the injected skin look full and hydrated. Additionally, some dermal fillers can stimulate the production of collagen and elastin under the skin, which are important proteins that help the skin become strong, elastic, and youthful in the long term.
B. What Can 'Dermal Fillers' Do for Your Face? Comprehensive Applications in 'Facial Contouring'
As a specialized plastic surgeon, I use dermal fillers to correct problems caused by volume and structural loss to provide youthful and dimensional results to every patient at our cosmetic clinic in Surat Thani and our cosmetic clinic in Koh Samui.
Filling Deep Folds and Static Wrinkles: "Erase the Marks of Age, Restore Smoothness"
Under-eye Hollows (Tear Trough): Dark circles, deep hollows, grooves, or bags under the eyes can make the face look tired and aged. Dermal filler injections under the eyes will fill the deep grooves, make the under-eye skin look smoother, reduce the dark shadows, and make the face look noticeably brighter and younger. Injections in this area require an extremely high level of expertise because the skin is very thin, and there are many important blood vessels and nerves. If the wrong technique is used, it can lead to complications such as a vascular occlusion (which can cause blindness in severe and very rare cases) or prolonged bruising. Therefore, a facial assessment by a doctor and injections performed only by a specialized plastic surgeon or a highly experienced expert doctor are the safest option.
Nasolabial Folds: The deep grooves that run from the sides of the nose down to the corners of the mouth. They are a sign of aging that can make the face look older. Dermal filler injections in the nasolabial folds will help fill them in, making the face look younger and fresher. A good correction for these folds may also require filling the mid-cheek area to support the folds from above.
Marionette Lines: The lines that run from the corners of the mouth down to the chin, which can make the face look sad, stern, or unhappy. Dermal filler injections in this area help lift the corners of the mouth and fill in the grooves, making the face look softer and more friendly.
Acne Scars or Hollows: Fillers can be used to fill in rolling acne scars or hollows from injuries to make the skin look smoother and more even.
Adding Volume and Contouring the Face: "Sculpting a Beautiful Facial Structure"
Refresh your look. Say goodbye to panda eyes ❌ and chapped lips ❌. Fill under the eyes for a brighter face + naturally fuller lips. Under Eye & Lip Filler with Restylane Filler. Temple Hollowing: As we age, the temples can sink in, making the upper face look gaunt, the forehead appear less full, and the cheekbones look too prominent. Dermal filler injections in the temples help the upper face look fuller and beautifully rounded, restoring youthfulness.
Cheek Augmentation: The loss of fat in the cheeks makes the face look hollow and gaunt, and the cheeks sag. Dermal filler injections in the cheeks or mid-face will help lift the mid-face, making the cheeks look full and dimensional, and the face look noticeably younger. This also helps support the sagging tissue, which can make the nasolabial folds look shallower.
Chin Augmentation: For those with a short, recessed, or sunken chin, dermal filler injections can help adjust the chin to an appropriate proportion for the face, making the face look longer and more V-shaped and balanced, or adding more dimension. Sculpting the chin with filler requires expertise in seeing the overall facial proportions to ensure the result looks natural and isn't too long or pointed.
Lip Augmentation: Dermal filler injections in the lips are very popular for adding fullness, shaping the lips to a beautiful proportion, correcting thin lips, downturned corners, or asymmetrical lips. It also helps hydrate dry, chapped lips, making them look healthy again.
Nose Augmentation / Non-surgical Rhinoplasty: Dermal filler injections in the nose are an option for those who want to slightly enhance the shape of their nose, fill in a flat nasal bridge, or correct minor asymmetry without surgery. However, I must emphasize that shaping the nose with filler has limitations in terms of permanent results and a limited amount. Most importantly, it is an area with a high risk of severe complications, such as a vascular occlusion that can cause tissue death or blindness if the substance enters a blood vessel connected to the eyes. Therefore, injections in this area must be performed only by a specialized plastic surgeon or a highly experienced expert doctor, and the appropriate type of filler must be used.
Skin Boosters and Hydration: "Restoring Radiance from Within"
Skin Fillers: Some fillers are specially designed to be injected into the superficial skin layers to add hydration and stimulate the production of collagen and elastin under the skin. This makes the skin look more radiant, glowy, soft, and overall healthier. It is suitable for those who want to rejuvenate dull, dry skin or who have general fine lines to make their skin look brighter.
C. The 'Dermal Filler' Injection Process at Aurora Clinic (Cosmetic Clinic in Surat Thani / Koh Samui): Superior Precision
At Aurora Clinic, every step of the dermal filler injection process is performed under the philosophy of "maximum safety and natural results" by me, Dr. Taeng, Dr. Apirak Wongsaowasup (specialized plastic surgeon), and our professional team.
Comprehensive Facial Assessment by a Specialist:
This is the most important step in deciding the type of dermal filler, the appropriate amount, and the most precise injection technique for each individual's problems and facial structure. I will perform a detailed analysis of what's causing your concerns (e.g., fat atrophy, bone resorption, or sagging) and how filler can correct it to achieve the most natural and beautiful results for you.
Communicating Expectations: I will clearly and honestly explain the expected results and any potential risks, and I will answer all your questions to ensure you feel confident and comfortable before starting the treatment.
Choosing the Right Filler Type and Amount:
HA fillers come in various brands and molecular sizes: such as Juvederm, Restylane, Belotero, each with different viscosity, elasticity, and water-holding properties, making them suitable for injections in different areas. For example, fillers for the under-eyes are very delicate, while fillers for the cheeks or chin are stronger and provide better support. I will choose the most suitable type of dermal filler for the area to be corrected and the results you desire.
The Right Amount: I will use only the appropriate and necessary amount of dermal filler to ensure the results are natural and do not look puffy or stiff.
Preparation Before Injection:
The team will advise on what to do before the dermal filler injection, such as avoiding alcohol, NSAID pain relievers (like Aspirin, Ibuprofen), or certain supplements (like fish oil, vitamin E, ginkgo biloba) that may increase the risk of bruising for about 1 week before the procedure.
Please inform us of any drug allergies, pre-existing conditions, or medications you are currently taking for maximum safety.
The Meticulous and Safe Injection Process:
Skin Cleansing: The skin in the injection area will be thoroughly cleansed to reduce the risk of infection.
Numbing Cream or Local Anesthesia: To reduce discomfort during the injection.
Injection with a Needle or Blunt-tipped Cannula: I will inject the dermal filler with the highest precision. I may use a small needle or choose to use a "blunt-tipped cannula," which has the advantage of having a blunt, not sharp, tip. This reduces the chance of puncturing blood vessels and nerves, making it safer and reducing bruising and swelling after the injection.
Massaging and Shaping (if necessary): After the injection, the doctor may gently massage and shape the injected area to ensure the dermal filler distributes evenly and creates a beautiful, natural shape.
Aftercare and Important Precautions:
Cold Compress: Apply a cold compress to the injected area immediately and for 1-2 days to reduce swelling and bruising.
Avoid Vigorous Massaging/Pressing/Rubbing: Avoid vigorously massaging, pressing, or rubbing the injected area for at least 1-2 weeks to allow the dermal filler to settle and set in place.
Avoid High-Heat Activities: You should avoid saunas, hot soaks, laser/heat treatments on the face, or heavy exercise for about 2 weeks.
Drink Plenty of Water: Drinking enough water is crucial because Hyaluronic Acid has the property of retaining water. Drinking a lot of water will help the dermal filler absorb water better, making the results look fuller and more natural.
Avoid Makeup (Initially): You should avoid wearing makeup in the injected area for about 12-24 hours to prevent infection.
Onset and Duration of Results:
The results of a dermal filler injection are usually visible immediately after the injection and will fully settle in 1-2 weeks as minor swelling subsides.
The results will last for about 6 months to 2 years, depending on the type of dermal filler, the amount injected, the area, and your daily lifestyle. For example, regular exercise or being in a hot environment may cause the filler to break down slightly faster.
D. The Utmost Importance of Safety and Precautions: Authentic Fillers and a Specialist Doctor are the Key
As a specialized plastic surgeon who prioritizes safety above all else, I must emphasize that the most crucial factors for dermal filler injections are:
1. Use Only 'Authentic Fillers' with FDA Approval:
This is the most critical element and the core of safety. Dermal fillers that are not authentic Hyaluronic Acid or are counterfeit (e.g., liquid silicone, plant oil) can cause severe, permanent, and irreversible harm, such as chronic inflammation, infection, lumps, skin deformities, or even tissue death.
At Aurora Clinic, we use 100% authentic dermal fillers from every brand (like Juvederm, Restylane, Belotero) that are properly certified by the Thai Food and Drug Administration (FDA). You can inspect the filler box and QR code at every step to ensure the highest quality and safety.
How to check: Look at the external label. The box and filler syringe must be sealed, have a security seal, and have a matching lot number and expiration date. You can also scan the QR code or call the importer directly for verification.
2. Injections Performed Only by a 'Specialist Doctor' or 'Specialized Plastic Surgeon':
Dermal filler injections require a deep knowledge of facial anatomy (the location of important blood vessels, nerves, and fat layers) and a precise injection technique. If injected in the wrong location, into a blood vessel, or with an inappropriate amount, it can lead to undesirable side effects, including:
Bruising and Swelling: These are common side effects, but an expert doctor can reduce their occurrence and help them heal faster.
Lumps/Unevenness: This occurs from injecting into the wrong skin layer or choosing the wrong type of filler.
Vascular Occlusion: This is the most severe and rare complication. If filler is injected into a blood vessel, it can cut off blood supply, causing the tissue in that area to die. In some cases (especially around the nose and under the eyes), it can cause blindness. If this occurs, a specialist doctor can diagnose and immediately inject the enzyme Hyaluronidase to dissolve the dermal filler, which helps prevent or reduce the severity of the complication.
Infection: This can result from not strictly following hygiene protocols.
Choosing a specialized plastic surgeon like me, Dr. Taeng, who has been directly trained and has extensive experience with dermal filler injections, will significantly reduce these risks. If a very rare complication does occur, a specialist has the ability to diagnose and correct the problem promptly and with maximum effectiveness.
A dermal filler injection at Aurora Clinic is not just about filling in deep lines; it's about creating a holistic aesthetic, restoring youthfulness, adding dimension to the face, and boosting your confidence in the most natural way possible. With a deep understanding of the art and science of dermal filler injections, the use of standard-approved, authentic products, and care from a specialized plastic surgeon, you can be confident that every step is safe, and the results will bring you the highest satisfaction.
If you are considering facial contouring in Surat Thani or Koh Samui with dermal fillers, do not hesitate to consult with me and the team at Aurora Clinic. We are happy to answer all your questions and help you start your journey to a more youthful, radiant, and beautifully contoured face.
IV. "Botox" vs. "Dermal Fillers": Which is Right for You? Advice from Dr. Taeng... When Understanding is the First Step to Perfect Beauty
Dr. Taeng, Dr. Apirak Wongsaowasup, a specialized plastic surgeon from Ramathibodi Hospital and a medical instructor at Surat Thani Hospital, is an aesthetic expert and the owner of Aurora Clinic.
Hello, I'm Dr. Taeng, Dr. Apirak Wongsaowasup. In the world of non-surgical facial contouring, Botox and dermal fillers are the two most important poles. They each have distinct properties and roles, but when used together wisely, they can create incredibly stunning results.
The question I hear most often in the consultation room at Aurora Clinic is, "Doctor, should I get Botox or filler?" The answer is more complex than you might think because it requires diagnosing the true problem and planning a treatment specifically for you.
A. Key Differences: Understanding the Mechanisms and Problems They Solve
Starting with an understanding of the fundamental differences between these two substances will help you see the bigger picture and begin to consider what might be suitable for your concerns.
Feature / Consideration | Botox (Botulinum Toxin Type A) | Dermal Filler (Hyaluronic Acid Dermal Filler) |
Mechanism | Relaxes Muscle Activity: Inhibits nerve signals to muscles, temporarily reducing muscle function. | Fills Gaps / Adds Volume: A clear gel that fills in areas that have atrophied or adds volume where desired. |
Main Problem Solved | Dynamic Wrinkles: Such as forehead, frown, or crow's feet lines, caused by repeated muscle contractions. | Deep Folds / Static Wrinkles: Such as nasolabial folds, marionette lines, or under-eye hollows, caused by volume loss. |
Facial Contouring | Reduces Muscle Size: For example, reduces jaw muscle size for a slimmer face, or lifts the jawline. | Adds Dimension / Fills Structure: For example, fills in hollow cheeks, temples, or augments the chin or nose. |
Result | Smoother skin, faded wrinkles, and a slimmer face (in the case of jaw reduction). | A fuller, more dimensional, lifted face, with shallower deep folds. |
Time to See Results | Starts to show in 3-7 days, with full results in 2-4 weeks. | Visible immediately after the injection (swelling subsides and final results show in 1-2 weeks). |
Duration | Approx. 4-6 months (depending on brand, amount, and self-care). | Approx. 6 months - 2 years (depending on filler type, area, and self-care). |
B. When Is "Botox" the Right Answer for You?
You may be a good candidate for a Botox injection if:
You are concerned about wrinkles caused by facial expressions:
Forehead lines when you raise your eyebrows: the horizontal lines that become prominent.
Frown lines between your eyebrows: the vertical lines that make you look angry or stern.
Crow's feet when you smile: the fine lines that fan out from the corners of your eyes.
Bunny lines on your nose or fine lines around your lips: caused by facial expressions. Botox helps these muscles relax, making the wrinkles look shallower and naturally smoother.
You want a V-shaped facial contour:
Large jaw from muscles: If you have large jaw muscles that make your face look square or hard, a Botox injection into the masseter muscle will help it atrophy, making the face look naturally slimmer and also helps reduce teeth grinding.
You want a defined jawline lift (Nefertiti Lift): Botox injections along the jawline and neck muscles can help reduce muscle sagging, making the jawline look more defined and lifted.
You have a problem with excessive sweating:
If you suffer from excessive sweating in your underarms, palms, or feet, making you feel uncomfortable and self-conscious, Botox can effectively inhibit the function of the sweat glands in the injected area.
C. When Are "Dermal Fillers" the Right Answer for You?
You may be a good candidate for dermal filler injections if:
You have deep folds or static wrinkles caused by volume loss:
Under-eye hollows: Makes the face look tired and aged. Dermal fillers can amazingly fill these deep hollows and reduce the dark shadows under your eyes.
Deep nasolabial folds or prominent marionette lines: These are not caused by muscle movement but by the atrophy of fat or bone in the mid-face. Dermal fillers will help fill these folds, making the face look younger and fresher.
You want to add volume or contour your facial structure:
Hollow cheeks or a sunken face: This makes the face look dull and lifeless. Dermal fillers will restore fullness, add volume, and make the face look younger and more dimensional.
You want to augment your chin for better proportions: For those with a short, recessed, or sunken chin, dermal filler injections can help reshape the chin to look longer and more balanced with the overall face.
Thin, misshapen, or dry lips: Dermal fillers can add fullness, reshape, and add moisture to make lips look more attractive.
You want to slightly reshape your nose: Dermal filler injections can help enhance the nasal bridge or shape the tip of the nose as desired (but this must be done with the utmost caution).
You want to rejuvenate your skin quality for a radiant look:
Skin Boosters: Can be injected into superficial skin layers to add hydration and stimulate collagen production, making the skin look radiant, smooth, and overall healthier.
D. When "Botox + Dermal Fillers" Is the Perfect Solution: The "Liquid Facelift" by Dr. Taeng
In many cases, especially as we age, our faces face more than one complex problem. It's not just wrinkles or just volume loss—it's both at the same time.
This is where "combination therapy" plays a crucial role, especially the technique known as the "Liquid Facelift," which is very popular at Aurora Clinic in both Surat Thani and Koh Samui.
Corrects Multiple Problems Simultaneously:
Botox will help relax the muscles that cause wrinkles in the upper face (forehead, frown, crow's feet), making the face look younger and more relaxed.
Dermal fillers will help restore lost volume in various areas (under-eyes, nasolabial folds, cheeks, temples, chin), making the face look fuller, more lifted, and more dimensional.
A Natural and Balanced Result: Using both substances with a precise plan and technique leads to a more natural and balanced result than using just one because it addresses both the root cause and the visible symptoms simultaneously. It's like "sculpting" the face to have a strong structure and smooth skin again.
Common Combination Examples:
Reduces wrinkles around the eyes (Botox) + Fills in under-eye hollows (dermal fillers): Restores eye freshness in a comprehensive way.
Reduces jaw size (Botox) + Sculpts a V-shaped chin (dermal fillers): Creates the perfect V-shaped face.
Reduces forehead wrinkles (Botox) + Fills in hollow temples and cheeks (dermal fillers): Restores youthfulness and fullness to the upper and mid-face.
E. The Utmost Importance: A "Facial Assessment by a Doctor" Who Is a "Specialized Plastic Surgeon" Is the Key to Success
This is the most important point: the "facial assessment by a doctor" who is a "specialized plastic surgeon." This is the key that will help you make the right decision and get the best results.
The Doctor is the 'Diagnostician' and 'Designer': You may think your problem is forehead wrinkles, but in reality, it may be linked to your eyebrows starting to droop, and addressing the root cause might give you a better result. When I, as a specialized plastic surgeon, perform a detailed facial assessment by a doctor, it helps us diagnose the true problem and "design" the most suitable treatment plan specifically for you, whether it's using just Botox, just dermal fillers, or a combination of both.
Maximum Safety: A deep understanding of facial anatomy (as I emphasized in Section I) is crucial for ensuring the safest injection of both substances. Choosing the right type of filler for the injection area, using a precise injection technique, and knowing how to manage the dosage are all areas in which a specialized plastic surgeon is an expert.
Natural and Balanced Results: My goal at Aurora Clinic is to create the most natural beauty possible so you look better and fresher, but still look like yourself. We don't want to change you so much that you look like a different person or look "done." The facial assessment by a doctor helps us see the balance of the face and choose the right injection points to ensure the results look natural and harmonious with your overall face.
Dr. Taeng's Advice: Don't buy a treatment based on a cheap promotion or reviews that don't indicate the doctor's expertise. The decision to get facial contouring should begin with a thorough consultation with a specialist doctor to ensure you receive the correct, safe treatment and achieve the highest level of satisfaction with your results. Most importantly, "authentic products" and a "specialist doctor" are things you should never compromise on.
I'm Dr. Taeng, Dr. Apirak Wongsaowasup. Choosing to use Botox or dermal fillers or a combination of both are all excellent options for non-surgical facial contouring to restore your youthfulness and boost your confidence.
I sincerely hope that my advice as a specialized plastic surgeon will help everyone considering facial contouring in Surat Thani or Koh Samui gain a deeper understanding and make the wisest decision. The most important thing is to choose a clinic with a specialized plastic surgeon you can trust, that performs a detailed facial assessment by a doctor, uses standard-approved products, and is ready to take care of you every step of the way.
At Aurora Clinic, we don't just provide the beauty results you desire; we provide "maximum safety," "an understanding of who you are," and "lasting confidence" to everyone. My team and I are ready to listen to all your concerns and be a part of creating a youthful, radiant, and confident face that is uniquely yours. I look forward to meeting you all!
V. Aurora Clinic: Expertise, Understanding, and Care in Every Non-Surgical Facial Contouring Journey... For Confidence That Shines From Within
Throughout my dedication to the art of plastic surgery and facial contouring, I've learned that true beauty is not just a perfect outer appearance but also a "good feeling about yourself" and "confidence" that radiates from the inside out.
At Aurora Clinic, whether in Surat Thani or Koh Samui, we don't just offer non-surgical facial contouring services; we are committed to creating a different "experience," from the first step you take to consult with us to the final beautiful and lasting results. We are guided by a philosophy rooted in "expertise, understanding, and care" in every detail for every patient.
A. An Experienced "Specialized Plastic Surgeon": The Key to Safety and the Best Results
In the world of aesthetics where new technologies and innovations are rapidly emerging, choosing "who" will take care of your beauty is more important than ever. And that's why at Aurora Clinic, I, Dr. Taeng, Dr. Apirak Wongsaowasup, am a specialized plastic surgeon (License No. 35777) whom you can trust:
Knowledge and Skills Beyond the Basics:
As a specialized plastic surgeon, I have gone through direct and extensive training in plastic surgery for much longer than a general doctor. My knowledge is not limited to superficial anatomy but goes deep into the crucial structures of the face, including muscles, nerves, blood vessels, and the bone structure and fat layers under the skin.
This profound understanding allows me to perform an accurate facial assessment by a doctor, identify the true problem, and plan a suitable treatment with Botox or dermal fillers for each individual. It reduces the risk of severe complications and creates the most natural and beautiful results.
Extensive Experience:
Over the years, I have performed non-surgical facial contouring with Botox and dermal fillers for thousands of patients with a variety of concerns. This diversity of cases has shaped my experience and expertise in handling different challenges and applying the right techniques for the best results.
This experience also includes the ability to solve problems or complications that may occur. While they are very rare, having a specialist doctor ready to handle them is extremely important.
The Art of Seeing Beauty:
Being a specialized plastic surgeon is not just about science and technique; it's also about the "art" of seeing beauty, balance, and aesthetics. I don't just "fill" or "reduce"; I "sculpt" and "create" to make your face look younger and more dimensional in the most natural way possible, while still maintaining your unique identity.
B. 100% Certified and Safe Products
Patient safety is our top priority at Aurora Clinic. I want to confirm that:
We Use Authentic, FDA-Approved Botox and Dermal Fillers for Every Single Box:
We only use high-quality Botox and dermal filler products that are certified by the Thai Food and Drug Administration (FDA) and are world-leading brands.
You can be confident that every product we use has a clear origin. You can check the lot number, manufacturing date, and expiration date on every box for your peace of mind and our transparency.
Using standard-approved products ensures the effectiveness of the substance and reduces the risk of unwanted side effects from using fake or non-standard medication.
Product Storage and Management Follows International Standards:
Every product is stored at the appropriate temperature as recommended by the manufacturer to maintain its quality and effectiveness at its highest level before it is used on a patient.
C. Holistic Facial Assessment and Personalized Treatment Plan: "Beauty Created for You"
At Aurora Clinic, we believe that true beauty is beauty created specifically for you, not a "one-size-fits-all" solution:
Detailed and Caring Consultation:
Every person who comes for a consultation will be welcomed and spoken to in a friendly and detailed manner. I will take the time to truly listen to your concerns, needs, and expectations.
I will perform a thorough facial assessment by a doctor, including proportions, symmetry, muscle structure, fat layers, and age-related changes, to diagnose the true problem and understand its cause.
Designing a 'Customized' Treatment Plan for You:
Based on the assessment and discussion, I will present a variety of treatment options, whether it's a Botox injection, a dermal filler injection, or a seamless combination of both using the "Liquid Facelift" technique.
The treatment plan will be designed to suit your facial structure, your concerns, your budget, and your lifestyle to give you the most natural and beautiful results that meet your needs.
Clear and Complete Information:
I will explain the treatment process, expected results, the timeline for seeing results, post-care instructions, and important precautions clearly and transparently so you understand every step and can make a confident decision without worry.
D. A Warm, Friendly Atmosphere and Excellent Service: "The Clinic That Feels Like Home"
In addition to our medical expertise, we also prioritize the overall experience of every patient:
A Clean, Safe, and Standard-Approved Location:
Aurora Clinic in both Surat Thani and Koh Samui is designed to provide comfort and relaxation for every patient. The atmosphere inside the clinic is clean, safe, and private.
All medical equipment and tools are cleaned and sterilized according to strict medical standards for the highest hygiene and safety.
A Professional Team Ready to Care for You:
The nurses and staff at Aurora Clinic are well-trained, knowledgeable, and ready to care for you with kindness and a friendly demeanor, from the first step you take inside until your post-treatment follow-up.
Close Post-Treatment Follow-up:
We don't stop after the procedure is finished; we place great importance on post-treatment follow-up to ensure you get the best results and are ready to offer advice or help if any questions or concerns arise.
Summary: Choose Aurora Clinic... Choose Your Lasting Confidence
I'm Dr. Taeng, Dr. Apirak Wongsaowasup. The decision to get non-surgical facial contouring is an investment in feeling good about yourself. Choosing the right cosmetic clinic is the most important thing.
At Aurora Clinic, in both Surat Thani and Koh Samui, we are ready to be your "travel companion" on your journey to beauty with our "expertise" as a specialized plastic surgeon, "understanding" of all your needs, and "care" in every detail throughout your treatment. This is so you can experience safe, natural beauty and confidence that shines from the inside out.
If you are looking for an expert to help awaken your confidence and restore youthfulness to your face, do not hesitate to contact me and the team at Aurora Clinic. We are happy to answer all your questions and help you discover "the best version of you." I look forward to meeting you all!
Aurora Clinic Samui ✨
FACEBOOK: facebook.com/auroraclinicsamui
Add Line to book promotions: https://lin.ee/PJSVPOv6 (@aurorasamui)
TEL: 083-629-1446
Opening Hours: Open daily from 10:00 AM - 8:00 PM
Aurora Clinic Surat Thani ✨
FACEBOOK: facebook.com/auroraclinicsurat
Tel: 096-652-0899
Line: @auroraclinic
Opening Hours: Open daily from 10:00 AM - 8:00 PM
We welcome everyone with warmth and are ready to help you become beautiful and confident in a way that is uniquely you.
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