What methods are there for lifting sagging skin? Which technique should I choose? Dr. Daeng's style at Aurora Aesthetic Clinic Surat Thani & Koh Samui.
- SPARK IDEA
- Jul 18
- 28 min read
Hello everyone! I'm Dr. Daeng, Dr. Apirak Wongsaosup, a specialist in plastic surgery and the owner of Aurora Aesthetic Clinic, dedicated to serving clients in Surat Thani and on the beautiful island of Koh Samui. Today, I want to talk about an issue I believe many of you are interested in and concerned about: sagging skin.
Time is something no one can escape. As we age, a clear sign that appears on our face and neck is skin laxity or sagging. Skin that was once firm and taut begins to lose its elasticity, collagen, and elastin, leading to wrinkles, deep lines, and cheeks that once looked full now start to droop, becoming "jowls." The sharp jawline we once had begins to fade, no longer clearly defining the face as before. These issues can make us feel less confident, sighing softly when we look at ourselves in the mirror, right?
But in an era where aesthetic technology is constantly advancing, there are many different ways to address sagging skin. These procedures are collectively known as lifting and tightening, ranging from non-surgical techniques to surgical options. A key question many people have is, "What methods are available for lifting sagging skin, and which technique is best for me?" In this article, I, Dr. Daeng, will answer these questions, explain various techniques in my own style, and help guide you in choosing the right lifting and tightening method for you at Aurora Aesthetic Clinic Surat Thani & Koh Samui.
Understanding 'sagging skin': What causes it? - When skin tells the story of time.
Friends, throughout our journey of life, our skin is like a "storybook." It remembers every smile, every frown, every joy, every sorrow, and certainly, it also remembers the passing of "time." The issue of sagging skin that we notice on our face and neck isn't just a general physical phenomenon; it's a "narrative" that our skin is telling us, "time has reached a certain point."
When our skin recounts the story of increasing age, many factors come into play, more complex than we might imagine. These include both internal factors within our own bodies and external factors we face daily, much like a history book recording numerous events.
Changes in Internal Structure – When the "Pillars" and "Springs" Deteriorate
Imagine the structure beneath our skin as a "building." It has "pillars," which are Collagen, and "springs," which are Elastin, helping the skin maintain its flexibility and return to its original state after being stretched or contracted.
Collagen is the main structural protein in the skin. It acts like "pillars" that support the skin, keeping it strong and firm. As we age, our body produces less collagen, and the quality of existing collagen fibers also deteriorates. These fibers, once neatly arranged and strong, begin to break down and become disorganized. This is much like a building's pillars starting to decay, no longer able to support the structure, causing the skin to start collapsing and become sagging.
Elastin is a protein fiber that gives skin its elasticity. It's like "springs" that help the skin bounce back to its original state after we smile, laugh, or frown. As we age, elastin production decreases, and its quality declines. The springs that were once strong begin to stretch out, unable to bounce back as before, leading to permanent wrinkles and sagging skin. Think of an old, worn-out rubber band that has lost its elasticity—that's what happens to our elastin over time.
Changes in the Fat Layer – When the "Cushion" Sinks and Shifts
Beneath our skin lies a fat layer that acts like a "cushion," helping the face appear full, plump, and soft. However, as we age, the volume of this subcutaneous fat decreases in certain areas (like the temples and upper cheeks), making those areas look sunken. At the same time, this fat can also shift downwards, accumulating in lower areas (such as the lower cheeks and jawline) due to gravity.
This reduction of fat in the upper face and its downward shift in the lower face make the overall facial appearance less full than before, creating deep grooves and further contributing to the look of sagging skin. It's like a cushion collapsing, causing the cover (our skin) to appear loose and no longer taut and firm.
Changes in Bone Structure – When the "Foundation" Begins to Crumble
This is something many people might overlook, but truly, the bone structure of our face also changes with age. A process called Bone Resorption occurs, where bone is gradually broken down, leading to a decrease in bone volume, particularly around the eyes, cheekbones, and jawline.
When the bone structure, which acts as the "foundation" of the face, diminishes, it impacts the overlying tissues and skin. This causes the skin to appear sunken and further accentuates existing sagging. It's like the foundation of a building starting to give way, making the entire structure look unstable and potentially causing it to tilt.
Gravity – The Constant "Pulling Force"
The Earth's gravity is a constant companion. While gravity isn't the primary cause of collagen, elastin, or fat loss, it is a relentless "pulling force." When our underlying skin structures aren't strong enough to resist gravity, the skin continues to be pulled downwards and sags, making the aforementioned problems even more evident.
External Factors – "Enemies" That Accelerate Skin's Storytelling
Beyond internal bodily factors, external elements we encounter daily play a significant role in accelerating skin deterioration and sagging.
Sunlight (Photoaging): Sunlight, especially ultraviolet (UV) radiation, is a formidable "enemy" of our skin. UV rays damage collagen and elastin fibers, rapidly weakening the skin's structure and accelerating premature wrinkles and sagging.
Smoking: Toxins in cigarette smoke destroy collagen and elastin, and also constrict capillaries in the skin. This reduces blood circulation to the skin, depriving it of oxygen and essential nutrients for regeneration, leading to duller skin and easier sagging.
Pollution: Air pollution can generate free radicals that damage skin cells and accelerate skin aging.
Lifestyle and Diet: Unhealthy eating habits, nutrient deficiencies, insufficient rest, and stress all impact overall skin health and can accelerate sagging.
When the Stories Converge – Into Visible Signs of Sagging
When all these factors – the decrease in collagen, elastin, and subcutaneous fat, changes in bone structure, and damage from external factors, all under the constant pull of gravity – combine, they manifest as the visible signs of sagging that we observe, such as:
Wrinkles that used to disappear when facial expressions ceased become permanent.
Cheeks that were once plump now begin to droop, making nasolabial folds (smile lines) more pronounced.
The once sharp jawline starts to show "double chin" or "jowls."
The corners of the mouth, once straight, begin to turn downwards, forming marionette lines.
The skin on the neck develops horizontal lines and appears less firm.
Understanding the "Story of Sagging Skin" – How to Care for It?
Understanding the causes of "sagging skin" will help us properly care for our skin and choose appropriate and effective "lifting and tightening" methods. This includes adjusting behaviors, avoiding harmful external factors, and consulting with a specialist to select the most suitable lifting and tightening procedure for your specific concerns.
At Aurora Aesthetic Clinic, both in Surat Thani and Koh Samui, I am ready to listen to everyone's "skin story." Together, we can plan the care and rejuvenation of sagging skin to restore a more youthful, radiant, and firmer appearance, using the variety of "lifting and tightening" techniques we offer.
"Lifting and Tightening": What Methods Are There? – A Variety of Choices, Dr. Daeng's Style at Aurora Clinic, for the Youthful Skin You Can Choose
When skin begins to tell the story of time through sagging, we have a variety of ways to "write a new chapter" for our skin. It's like having a diverse "toolkit" ready to "repair" and "rejuvenate" aging skin. At Aurora Aesthetic Clinic Surat Thani & Koh Samui, I'm ready to offer this "toolkit" to all of you. Let's see what tools (techniques) are in this box.
Group 1: Energy-Based Lifting Procedures – When Technology Awakens Skin Power from Within, Without Needles or Knives
The core principle of this group of procedures is the precise and controlled delivery of various forms of energy into different layers of the skin. These energies, whether ultrasound waves or radiofrequency waves, convert into "thermal energy" upon contact with the underlying tissues. This generated heat acts as a "signal" that tells our body to initiate the process of "repair and rejuvenation."
Imagine that our skin has tiny "collagen production factories" hidden throughout the face and neck. When these factories slow down with age, we use this external energy like a "bell" or an "alarm" to prompt those factories to return to full operation. This encourages them to produce more collagen and elastin, which are essential "building materials" for the skin, restoring their quantity and quality.
The results from using energy for lifting and tightening are twofold:
Contraction of Existing Collagen: The heat generated in the skin layers causes existing collagen fibers to "contract" slightly. This is like "pulling a fabric tight," which gives an immediate partial firming effect to the skin.
New Collagen and Elastin Formation (Neocollagenesis & Elastogenesis): This is the more significant long-term result. When tissues receive heat at an appropriate level, it stimulates skin cells (especially fibroblasts) to continuously start producing new collagen and elastin. These new fibers gradually interweave, making the skin overall appear denser, plumper, more elastic, and naturally firmer over time.
Let's delve into the popular technologies and devices in this group that we choose to use at Aurora Clinic for the best results:
HIFU (High-Intensity Focused Ultrasound): Like an ultrasound laser beam that precisely targets energy to deep points (Popular examples: Ultraformer III, Doublo-S).
HIFU (High-Intensity Focused Ultrasound) is a technology that uses ultrasound wave energy. What makes HIFU special is its ability to "focus" this energy into small, highly concentrated points, delivering it precisely to the desired skin layer without damaging the surface. Imagine using a "magnifying glass" to focus sunlight into a hot spot on paper; that's the principle of HIFU, but instead of sunlight, it's ultrasound waves, and instead of paper, it's our skin.
The thermal energy points created in the skin layer stimulate tissue contraction at a deeper level than typical RF, and powerfully boost new collagen production around these points. It's like "placing tiny foundation piles" under the skin to build new supporting structures from within. Popular and highly effective HIFU machines today include Ultraformer III, which has multiple cartridge depths allowing precise energy delivery to different skin layers, or Doublo-S, another HIFU technology that yields satisfactory results.
Ideal for: Individuals with mild to moderate sagging skin, who want to focus on localized lifting and tightening, such as slightly sagging cheeks, an undefined jawline, or slightly drooping brows and outer eyes.
Sensation during treatment: You might feel a warm or tight sensation in the treated area. In some spots near nerves, a slight tingling might be felt.
Expected results: Some lifting and tightening results are visible immediately, with more significant improvement gradually appearing over 2-3 months post-treatment as the body fully produces new collagen. Results can last approximately 6 months to 1 year, depending on self-care and original skin condition.
Pros: It's a non-invasive procedure, requires no downtime, and leaves no wounds.
Cons: Mild swelling or redness, or a tight feeling, might occur after the procedure.
Ultrasound (e.g., Ultherapy): Visible Ultrasound for Precise Structural Lifting (Popular example: Ultherapy)
Ultherapy is another form of ultrasound technology, but what makes Ultherapy widely known and accepted is its ability to display real-time images of the skin layers being treated on screen. It's like the doctor has "X-ray vision" that allows them to see the internal skin structure, enabling them to deliver focused ultrasound energy (MFU - Microfocused Ultrasound) to the desired skin layer with maximum precision, especially to the SMAS layer, which is the same layer plastic surgeons target during a facelift.
The ability for the doctor to see the skin layers ensures that the energy is delivered to the correct target, resulting in tissue contraction and stimulation of new collagen production in the most appropriate layer for lifting and tightening. Ultherapy is considered a gold standard for ultrasound technology, emphasizing precision and depth.
Ideal for: Individuals with moderate to significant sagging skin (but not yet at a surgical stage) who desire a noticeable lift of the face, neck, jowls, brows, and submental area, and who prioritize precision in their treatment.
Sensation during treatment: You might experience pain or a hot sensation in the area where the energy is delivered, especially in deeper spots and near bones. The pain might be slightly more intense than with HIFU.
Expected results: Some lifting and tightening results are visible immediately, with more significant improvement gradually appearing over 2-3 months post-treatment. Results can last approximately 1-2 years, depending on self-care and original skin condition.
Pros: Provides relatively clear and long-lasting lifting and tightening results, with high precision in energy delivery.
Cons: Generally more expensive than typical HIFU. May cause more discomfort during treatment.
RF (Radiofrequency) - e.g., Thermage: Warm, Broad-Area Thermal Energy to Restore Collagen (Popular example: Thermage)
RF, or Radiofrequency, is a technology different from ultrasound. RF works by using thermal energy delivered through a handpiece into the dermal and fat layers. But instead of focusing on precise points like HIFU or Ultherapy, RF heats a broader area volumetrically. It's like using a small "oven" that bakes the skin from within. The heat generated immediately causes existing, relaxed collagen fibers to contract, leading to some instant tightening. More importantly, it stimulates the activity of skin cells (Fibroblasts) to continuously produce new collagen and elastin in the heated areas. RF's function thus focuses on overall skin tightening and improving skin quality to look smoother and plumper. Thermage is a popular and well-known RF technology, distinguished by its tip that can deliver energy over a wide area, providing long-lasting results.
Mechanism of action: Delivers broad thermal energy beneath the skin -> Collagen contracts -> Stimulates new collagen production.
Ideal for problems: Mild to moderate sagging skin, loss of skin elasticity, small wrinkles caused by sagging, desire for overall skin texture improvement to look denser.
Popular treatment areas: Entire face, around the eyes, neck, abdomen, upper arms.
Sensation during treatment: You might feel warmth in the treated area, but the device usually has a cooling system to enhance comfort.
Expected results: Some immediate tightening is visible, with results gradually becoming more apparent over 3-6 months post-treatment. Results can last approximately 1 year or longer, depending on self-care and original skin condition.
Pros: Helps with overall skin tightening, improves skin texture to be smoother, no downtime. Suitable for treating the entire face and areas requiring smoothness.
Summary for Energy-Based Devices:
This group of procedures is an excellent option for those looking to lift and tighten mild to moderate sagging skin without surgery, without needles (for energy delivery), and with minimal downtime. However, it's crucial that these procedures are performed by a specialized doctor at a standard-setting aesthetic clinic like Aurora Clinic, both in Surat Thani and Koh Samui. This ensures the doctor can assess and select the appropriate technology, as well as set the most suitable and safe energy parameters for you. Each technology (HIFU, Ultherapy, RF) has its strengths and suits different problems. Consulting a doctor will help you choose the right "tool" from this "toolkit"!
Group 2: Minimally Invasive Lifting Procedures – When Internal Adjustments Restore Firmness with Minimal Wounds
Why are they called "minimally invasive"? Because these procedures involve the use of medical instruments, such as needles or blunt cannulas, inserted into the skin layers, resulting in "wounds." However, these wounds are very small, almost imperceptible over time, unlike major surgery that requires long incisions and extensive tissue dissection. This "minimally invasive" nature gives these procedures the significant advantage of much shorter recovery times compared to surgery.
The core of this group of procedures is to make adjustments or insert certain materials directly into the skin layers to allow those materials to lift and tighten tissues or stimulate new collagen production from within. It's like we are "repairing" or "strengthening" the deteriorating internal structure of a building.
Let's look at some popular procedures in this group:
Thread Lifting: The Art of Weaving Internal Structures for Lifting and Collagen Stimulation (with High-Quality PDO, PLLA, PCL Threads)
For those of you who have been following Dr. Daeng's articles from the beginning, you're probably already very familiar with thread lifting, right? Thread lifting is truly the "star" of this minimally invasive procedure group.
How does it work?: The principle of thread threading is to use special silk threads that can break down naturally (e.g., PDO silk, PLLA silk, PCL silk that we have already penetrated) into the subcutaneous fat layer, or the SMAS, especially the type with spines, will act like an internal "support structure" that helps support sagging skin tissue to return to its proper position. This is a physical lift that shows results immediately after the procedure, and more importantly, These silks are also small "foreign objects" that go Stimulate the body to repair and rehabilitate. The area where the suture is inserted This causes the continuous stimulation of the production of new collagen (Neocollagenesis) and elastin. "Plant the seeds of collagen" under the skin, which will gradually grow into a strong "mesh structure". It will tighten and elastic the skin in the long run.
Why Minimally Invasive?: Thread lifting is done by using a small needle to insert the thread under the skin without the need for a long incision. This makes there are almost no visible scars from the outside.
Suitable for: Slight to moderate sagging of the face and neck, sagging cheeks, undefined jawline, cheek lines Deeper betel nut grooves, slightly drooping eyebrows/eyebrows, those who want Lift and tighten the face to look slender into a V-shape, those who want to restore their skin condition and stimulate collagen without surgery.
Advantages: Partial lifting results can be seen immediately after the procedure, Continuous collagen stimulation, Short time to perform, Greatly less recovery than surgery, Very small wounds
Limitations: Results are not as permanent as surgery (depending on the type of sutures), there may be some swelling or bruising or tightness after surgery.
At Aurora Clinic in both Surat Thani and Koh Samui, we choose to use a variety of high-quality threads, including PDO silk, PLLA silk, and PCL silk to be able to choose the best fit for each friend's problems and needs. I will conduct a detailed evaluation to select the type, quantity, and orientation of the thread to achieve the maximum lifting efficiency.
Collagen Stimulating Injectables: Awaken skin cells with replenishment and rejuvenation (popular examples: Sculptra, Radiesse)
This group of procedures uses a syringe to inject certain substances into the skin layer to stimulate the activity of fibroblast cells. It creates new collagen. It replenishes some volume in the injection area at first, but the main goal in the long term is to restore the skin structure by creating new, healthy collagen.
Popular examples: Poly-L-Lactic Acid (PLLA), which is in the form of small particles that are made into injectables, such as Sculptra, which naturally decomposes and stimulates the production of collagen continuously, or Calcium Hydroxyapatite (CaHA) in the form of microspheres, such as Radiesse, which has stimulating properties. Collagen as well.
How it works?: When these substances are injected into the skin layer, The particles of the substance will go, stimulate the body's response, and send fibroblast cells to work at the injection site. This causes It creates new collagen fibers around those particles. This process takes place gradually. This makes the skin in the injection area look denser, elastic, and firmer naturally.
Why Minimally Invasive?: This group of procedures is done by injection. A small needle is used to introduce the substance into the skin layer, so only small needle marks tend to disappear quickly and take very little time to recover.
Suitable for the problem: those whose skin looks responsive, lack of volume, with deep grooves caused by loss. Collagen and fat, want to restore the skin to look firm. Tighten up overall, those who want gradual results. Natural look
Pros: Help Replenishes volume in missing areas, stimulates collagen regeneration in the long term, provides natural-looking results, takes less time to do, and has little downtime.
Limitations: Not focused on Lifting is a direct pull as much as a thread lift or surgery, there may be some swelling, bruising, or tightness after injection, it takes time to see the stimulation results. (Usually more pronounced results are seen in 2-3 months after injection)
Summary for the group of semi-surgical lifting procedures
This group of procedures is a great choice for friends who want to "get hands-on" with their problems. Sagging skin and stimulating collagen production from the inside without being ready for major surgery. Stimulating Injectables Collagen will focus on replenishing volume and restoring the overall skin condition.
The most important thing is to enter. At Aurora Clinic in both Surat Thani and Koh Samui, my team and I are experts in assessing the problem and recommending the most suitable procedure for this group. Whether it is choosing the type of silk, the number of threads, or the type of injectable used, so that you can get the results of the Beautiful, safe, and the most satisfying!
Group 3: Surgical Procedures - The Ultimate Correction for Durable and Sustainable Results
Friends, from the energy-focused and semi-surgical groups that we have talked about. Now we have arrived at the "ultimate measure" in the fight against the problem. That is group 3: Surgical Procedures - the ultimate correction for long-lasting and sustainable results!
From Dr. Deng's point of view of Aurora Clinic in both Surat Thani and Koh Samui, I see surgery as a place to live. Lifting and tightening is like a "major restoration of the building". It has clearly deteriorated over time. The internal structure is very damaged. There is a large amount of excess material (skin). Minor repairs or partial reinforcement of internal structures may no longer be enough. But it needs a deep revision to the main structure to return to strength, elegance, and durability as long as possible.
Surgical lift: When the root cause correction delivers superior results, longer lasting results
When the problem of sagging skin is severe , there is a clear excess of skin. There are drooping cheeks. There is a delaprate caused by extreme sagging or a clear level of structural change under the surface layer. Energy-based or thread lifting procedures may not give enough results to meet the needs and the results may not be as durable as they should be. Therefore, surgery and lifting are the most powerful options and the solution that really "gets to the root" of the problem.
Facelift: organization of internal structures Facelift surgery is a plastic surgery procedure designed to correct sagging skin and changes that occur in the middle part of the face (e.g., sagging cheeks, revealing deep cheek lines) and lower face (e.g., drooping cheeks, unsharp jawline, drooping corners of the mouth, making it look like betel nut grooves).
Surgical lift: When the root cause correction delivers superior results, longer lasting results Mechanism and General Procedure:In a facelift, the surgeon makes incisions in areas where scars can be most discreetly hidden. Generally, the incision starts at the hairline near the temple, extends down in front of the ear, wraps around the earlobe, and then goes up to be concealed behind the ear. In some cases, a small incision may also be made under the chin. Then, the surgeon carefully separates the skin layer from the underlying tissue and muscle layers. This step must be performed with extreme caution to avoid damaging nerves and blood vessels.
What is crucial for a durable and natural-looking facelift result is not just tightening the skin. Instead, it is suturing and repositioning the deeper muscle and tissue layers, especially the SMAS (Superficial Musculoaponeurotic System), which is vital for lifting and tightening the face. Tightening the SMAS layer is comparable to "resewing the framework of a bra" or "repairing the deep foundation." Once the internal structures are firm and properly positioned (by lifting them in a direction that counteracts gravity and sagging), the surgeon then removes excess sagging skin and meticulously closes the incisions.
Suitable for Problems: Individuals with severe skin sagging in the cheek and jawline areas, jowls, deep nasolabial folds, prominent marionette lines, and downturned mouth corners that cannot be corrected by non-surgical procedures.
Expected Results: The mid and lower face will appear significantly lifted and tightened. The previously undefined jawline will become much more defined, and nasolabial and marionette lines will appear shallower. The overall face will look noticeably younger, like "turning back time" several years. The results are long-lasting, typically 5-10 years or more, depending on individual factors and self-care.
Advantages: Provides the most significant lifting and tightening results, best for addressing severe skin sagging, and offers the most durable results. It directly corrects underlying facial structures.
Limitations: This is a major surgical procedure. It involves scars (though discreetly hidden) and requires a significantly longer recovery period than other procedures (generally 2-4 weeks for swelling and bruising to subside enough to resume social activities). It also carries higher surgical risks compared to non-surgical procedures.
Neck Lift: Restoring a Sleek and Tight Appearance to the Neck, Double Chin, and Lower Jawline Sagging isn't just a problem on the face. The neck is another area that often clearly shows signs of aging, whether it's sagging skin on the neck forming layers resembling a "turkey wattle," prominent vertical platysmal bands, or a double chin caused by fat accumulation and sagging skin and muscles. A neck lift is a cosmetic surgery procedure specifically designed to address these issues.
Neck Lift: Restoring a Sleek and Tight Appearance to the Neck, Double Chin, and Lower Jawline Mechanism and General Procedure:Neck lift incisions are typically located under the chin (a small incision) and behind the ear, areas where scars can be effectively hidden. The surgeon will remove excess sagging skin from the neck area. Crucially, they will also tighten the platysma muscle, which often loosens and creates vertical bands, resulting in a smoother, more toned neck and addressing the appearance of prominent neck muscle bands. In some cases, liposuction of the submental area (under the chin) may be included to eliminate excess fat and further enhance the sleek, tightened appearance of the neck. A neck lift is often performed in conjunction with a facelift to achieve a harmonious, natural, and comprehensively youthful lifted result for both the face and neck.
Suitable for Problems:Severe skin sagging in the neck and submental area, prominent neck muscle bands, and a double chin caused by sagging skin and muscles.
Expected Results:A noticeably smoother, more toned neck. Reduced appearance of neck muscle bands and double chin. A more defined jawline. A significantly more youthful-looking neck. Results are long-lasting for many years.
Advantages:Provides the most significant lifting results for the neck and double chin. Best for addressing severe sagging in the neck area. Results are long-lasting and can directly correct the underlying neck muscle structure.
Limitations:This is a major surgical procedure. It involves scars (though discreetly hidden), requires a longer recovery period than other procedures, and carries higher surgical risks.
Brow Lift and Double Eyelid Surgery / Eyelid Lift:Although not directly lifting the lower face, issues in the upper facial area caused by sagging significantly impact the overall youthful and vibrant appearance. Correcting these issues surgically is considered part of overall facial lifting from a cosmetic surgery perspective.
Brow Lift and Double Eyelid Surgery / Eyelid Lift Brow Lift: For individuals with drooping eyebrows or significant forehead wrinkles that make the face appear tired, dull, or aged, a brow lift will help lift and tighten the forehead and brow area. This makes the eyes appear more open and brighter, rejuvenates the upper face, and can also reduce forehead wrinkles. There are various techniques for a brow lift, depending on the surgeon's assessment.
Double Eyelid Surgery / Eyelid Lift (Blepharoplasty): Sagging upper eyelids that obscure the eyelid crease, or under-eye bags that make one look tired and aged, are clear signs of sagging. Double eyelid surgery, which involves removing excess sagging skin and fat while creating a new eyelid crease, or tightening weakened eye muscles (in cases of ptosis), can significantly help the eyes appear more open and vibrant, and make the upper face look much younger.
Who is "Right" for a Facelift? A Crucial Decision for Lasting Results
A facelift is a significant decision. It is suitable for individuals who:
Have severe skin sagging that energy-based procedures or thread lifts cannot sufficiently correct, or those who desire the most pronounced lifting results.
Have a significant amount of excess skin in the face and neck area.
Are in good health with no underlying medical conditions that contraindicate surgery or might increase risks.
Understand the surgical procedure, recovery time, and accept the potential for scars (although cosmetic surgeons generally try to hide them as discreetly as possible).
Have realistic expectations regarding the outcome and understand that surgery corrects existing skin sagging but does not halt the natural aging process.
The Importance of a Plastic Surgeon in Facelift Surgery at Aurora Clinic:
Friends, lifting surgeries, whether it's a facelift, neck lift, brow lift, or eye surgery, are complex procedures that require the knowledge, expertise, and experience of a specialized plastic surgeon. The surgeon must have a deep understanding of the anatomical structure of the face and neck, as well as various surgical techniques, to plan the appropriate surgery for each individual. This ensures beautiful, natural results, minimizes risks, and maximizes safety.
At Aurora Clinic, located in Surat Thani and Koh Samui, I, Dr. Apirak Wongsawasuph (Dr. Teng), License No. W.35777, am a board-certified plastic surgeon with extensive experience in lifting surgeries. I am ready to provide detailed consultations, frankly assess your concerns, and advise whether a lifting surgery is the right option for you. If it is, I will recommend the most suitable surgical technique to ensure you achieve the most satisfying results.
While surgery is an option that requires a longer recovery time and a decision that needs careful consideration, for those with severe skin sagging, a lifting surgery performed by a qualified and experienced surgeon is like a "significant investment" that is worthwhile for restoring youthfulness, confidence, and elegance to your face and neck for a long time.
Which Technique to Choose? - Dr. Teng's Advice for the Right Results for You at Aurora Clinic
Deciding on the appropriate lifting technique isn't just about selecting a name you've heard or a review you've seen. Instead, it's a decision that requires a detailed and personalized assessment by an expert physician. I will consider these important factors with everyone during the consultation process.
I want to emphasize again that no single technique is best for everyone! Choosing the most suitable "technique" or "set of tools" for you is like choosing the "best path" for your journey to achieve firm, youthful skin in a way that is uniquely yours.
Which Technique to Choose? - A Decision Based on Detailed and Personalized Assessment
The decision to choose the appropriate lifting technique isn't just about picking a name you've heard or a review you've seen. Instead, it's a decision that requires a detailed and personalized assessment by an expert physician. I will consider these important factors with everyone during the consultation process.
1. Level of Skin Sagging: This is the "starting point" for consideration. We must honestly assess the degree of your skin sagging: mild, moderate, or severe.
Mild Sagging: Energy-Based Devices are often recommended, such as HIFU (e.g., Ultraformer III, Doublo-S) or RF (e.g., Thermage), which stimulate collagen and provide a gradual lifting effect. Alternatively, plain thread lifts or collagen-stimulating Injectables (e.g., Sculptra, Radiesse) may be used to rejuvenate the skin's condition.
Moderate Sagging: More penetrating and higher-energy Energy-Based Devices (e.g., Ultherapy) or barbed thread lifts (PDO, PLLA, PCL threads) which provide a more noticeable lifting effect, may be necessary. A combination of several techniques might also be used to achieve the most satisfactory results.
Severe Sagging: Surgical lifting procedures, such as a facelift or neck lift, are often recommended. These address the root cause of the problem and provide the most significant and durable results.
2. Area to Be Corrected: Where does the sagging occur? Is it a general problem across the entire face and neck, or concentrated in specific areas like the cheeks, jawline, double chin, brows, or around the eyes? Each technique may be suitable for different areas.
Focus on Lifting Cheeks and Jawline: Barbed thread lifts, HIFU, Ultherapy, facelift surgery.
Focus on Overall Skin Improvement, Reducing Fine Wrinkles: RF (e.g., Thermage), HIFU, collagen-stimulating Injectables (e.g., Sculptra, Radiesse).
Focus on Lifting Brows, Outer Corners of Eyes: Thread lifts in the brow/temple area, Ultherapy, brow lift surgery, double eyelid surgery / eyelid lift.
Focus on Lifting Neck, Double Chin: HIFU, Ultherapy, thread lifts, neck lift surgery.
3. Expected Results: What kind of results do you desire? A gradual, natural-looking change or a clear and rapid transformation? How long do you want the results to last? Answering these questions will help select the technique that best aligns with your desired outcome.
Desire Gradual, Natural Results: Energy-Based Devices, plain thread lifts, Injectables are often recommended.
Desire Noticeable Lifting Results: Barbed thread lifts, Ultherapy, surgery are often recommended.
Desire the Longest-Lasting Results: PLLA or PCL thread lifts, or surgery are often recommended.
4. Acceptable Recovery Time: How much time do you have for recovery? Do you need to return to your daily routine quickly?
Desire Minimal/No Recovery Time: Energy-Based Devices are the answer.
Can Accept Slight Recovery Time (may have some swelling/bruising): Thread lifts, Injectables.
Can Accept Longer Recovery Time (requires time for recuperation): Surgery.
5. Budget: Each technique has different costs. Considering your available budget will help you choose a suitable technique and allow for continuous treatment (if repeat procedures are desired).
6. Skin Condition and Overall Health: The physician will assess your skin condition, such as its thickness, elasticity, and other skin concerns, as well as your medical history and any underlying conditions, to determine the suitability and safety of each technique specifically for you.
Dr. Teng's Advice: Consultation is the Most Important "First Step"
Friends, the most important thing when choosing a "lifting" technique is to directly consult an expert physician at a trustworthy beauty clinic like Aurora Clinic in both Surat Thani and Koh Samui! Talking with an experienced doctor like myself will help you receive accurate information, a detailed problem assessment, and personalized advice that is right for you.
I will comprehensively analyze your face, considering all the factors mentioned above, and openly discuss with you to jointly plan the most suitable treatment for you. Sometimes, using just one technique might not be enough; it may require a combination of several techniques (Combination Treatment) to achieve the most perfect and natural lifting results.
No matter which path you choose for caring for your sagging skin, Dr. Teng and the team at Aurora Clinic are ready to take care of you every step of the way. With our knowledge, expertise, modern technology, and attention to every detail, we are committed to providing lifting results that are beautiful, safe, and boost your confidence even more!
If you are confused or unsure about which technique to choose for your sagging skin concerns, do not hesitate to contact me, Dr. Teng, for a consultation! At Aurora Clinic Surat Thani & Koh Samui, we are ready to be your companion on your journey to beauty. See you soon!
Why Choose Aurora Clinic for Your Lift? - Confidence at Every Step, by Expert Physicians
Deciding to undergo a lifting procedure for sagging skin is an investment in your appearance and confidence. To ensure this investment is worthwhile and as safe as possible, choosing the right clinic and caregiver is crucial. At Aurora Clinic, we offer what gives you confidence in every dimension:
Board-Certified Plastic Surgeons: Knowledge, Precision, and Trusted Experience This is the absolute core of Aurora Clinic! I, Dr. Apirak Wongsawasuph (Dr. Teng), am a board-certified plastic surgeon. Being a plastic surgeon gives me a deep understanding of the anatomical structures of the face and neck, including the skin, fat layers, muscles, nerves, and blood vessels. This understanding is vital for accurately diagnosing sagging issues, planning the most appropriate lifting treatment (energy-based, threads, or surgery), designing the correct direction and approach for the lift to achieve the most natural and effective results, and crucially, avoiding vital structures for the patient's utmost safety. My extensive experience in numerous lifting procedures—Non-surgical, Minimally Invasive, and Surgical—allows me to accurately assess and recommend the most suitable options for your specific concerns.
Modern and Diverse Technologies and Techniques: Addressing All Levels of Sagging At Aurora Clinic, we prioritize offering modern and internationally recognized lifting technologies and techniques. We have a diverse "toolbox" ready for sagging issues at all levels, whether it's:
Popular Energy-Based Devices such as HIFU (e.g., Ultraformer III, Doublo-S), RF (e.g., Thermage), Ultherapy for mild to moderate sagging.
A variety of high-quality threads for thread lifts (PDO, PLLA, PCL threads), chosen according to the specific problem and needs.
Injectables that stimulate collagen (e.g., Sculptra, Radiesse) to rejuvenate the skin from within.
Expertise in surgical lifting of the face and neck for severe sagging.
This diversity of techniques truly allows me to design the best "personalized treatment plan" for each individual.
Personalized Assessment and Treatment Planning: Not Just Treatment, But Crafting Your Unique Beauty I believe everyone possesses their own unique beauty. Sagging skin issues and individual needs vary from person to person. At Aurora Clinic, we don't use a "one-size-fits-all" approach to treatment. Instead, we emphasize detailed and personalized assessment in every case. I will take the time to listen carefully to your concerns and expectations, assess your skin condition and facial structure, and then use all this information to plan the best possible treatment for you. Whether it's a single technique or a combination of several techniques (Combination Treatment), our goal is to achieve lifting results that are beautiful, natural, and perfectly align with your desires.
Highest Safety and Standards: Peace of Mind at Every Step:Patient safety is Aurora Clinic's "number one" priority. We maintain cleanliness and safety standards equivalent to a plastic surgery clinic. We use medical instruments and equipment that are certified, meet high standards, and are regularly maintained. Our entire team is well-trained and ready to care for you with attention to detail at every stage, from pre-procedure preparation to the procedure itself and post-procedure care.
A Caring and Supportive Team: Your Partner in Beauty:Beyond the physician, every team member at Aurora Clinic is ready to care for you with genuine attention, a friendly demeanor, and the best advice. We understand that deciding on cosmetic procedures can involve anxiety. Our team is ready to answer all your questions, provide necessary information, and ensure you feel as comfortable as possible throughout your visit.
Convenient Locations in Surat Thani and Koh Samui: Accessible Beauty:Aurora Clinic has two convenient branches. Whether you are in downtown Surat Thani or enjoying a relaxing vacation on the paradise island of Koh Samui, you can easily access services from our expert medical team.
As per your request, here is the English translation:
Why Choose Aurora Clinic for Your Lift? - Confidence at Every Step, by Expert Physicians
Deciding to undergo a lifting procedure for sagging skin is an investment in your appearance and confidence. To ensure this investment is worthwhile and as safe as possible, choosing the right clinic and caregiver is crucial. At Aurora Clinic, we offer what gives you confidence in every dimension:
Board-Certified Plastic Surgeons: Knowledge, Precision, and Trusted Experience
This is the absolute core of Aurora Clinic! I, Dr. Apirak Wongsawasuph (Dr. Teng), am a board-certified plastic surgeon. Being a plastic surgeon gives me a deep understanding of the anatomical structures of the face and neck, including the skin, fat layers, muscles, nerves, and blood vessels. This understanding is vital for accurately diagnosing sagging issues, planning the most appropriate lifting treatment (energy-based, threads, or surgery), designing the correct direction and approach for the lift to achieve the most natural and effective results, and crucially, avoiding vital structures for the patient's utmost safety. My extensive experience in numerous lifting procedures—Non-surgical, Minimally Invasive, and Surgical—allows me to accurately assess and recommend the most suitable options for your specific concerns.
Modern and Diverse Technologies and Techniques: Addressing All Levels of Sagging
At Aurora Clinic, we prioritize offering modern and internationally recognized lifting technologies and techniques. We have a diverse "toolbox" ready for sagging issues at all levels, whether it's:
Popular Energy-Based Devices such as HIFU (e.g., Ultraformer III, Doublo-S), RF (e.g., Thermage), Ultherapy for mild to moderate sagging.
A variety of high-quality threads for thread lifts (PDO, PLLA, PCL threads), chosen according to the specific problem and needs.
Injectables that stimulate collagen (e.g., Sculptra, Radiesse) to rejuvenate the skin from within.
Expertise in surgical lifting of the face and neck for severe sagging.
This diversity of techniques truly allows me to design the best "personalized treatment plan" for each individual.
Personalized Assessment and Treatment Planning: Not Just Treatment, But Crafting Your Unique Beauty
I believe everyone possesses their own unique beauty. Sagging skin issues and individual needs vary from person to person. At Aurora Clinic, we don't use a "one-size-fits-all" approach to treatment. Instead, we emphasize detailed and personalized assessment in every case. I will take the time to listen carefully to your concerns and expectations, assess your skin condition and facial structure, and then use all this information to plan the best possible treatment for you. Whether it's a single technique or a combination of several techniques (Combination Treatment), our goal is to achieve lifting results that are beautiful, natural, and perfectly align with your desires.
Highest Safety and Standards: Peace of Mind at Every Step
Patient safety is Aurora Clinic's "number one" priority. We maintain cleanliness and safety standards equivalent to a plastic surgery clinic. We use medical instruments and equipment that are certified, meet high standards, and are regularly maintained. Our entire team is well-trained and ready to care for you with attention to detail at every stage, from pre-procedure preparation to the procedure itself and post-procedure care.
A Caring and Supportive Team: Your Partner in Beauty
Beyond the physician, every team member at Aurora Clinic is ready to care for you with genuine attention, a friendly demeanor, and the best advice. We understand that deciding on cosmetic procedures can involve anxiety. Our team is ready to answer all your questions, provide necessary information, and ensure you feel as comfortable as possible throughout your visit.
Convenient Locations in Surat Thani and Koh Samui: Accessible Beauty
Aurora Clinic has two convenient branches. Whether you are in downtown Surat Thani or enjoying a relaxing vacation on the paradise island of Koh Samui, you can easily access services from our expert medical team.
Friends, if you are looking for a way to lift sagging skin, restore youthfulness, and regain your confidence, choosing a beauty clinic with board-certified plastic surgeons and a variety of techniques like Aurora Clinic in both Surat Thani and Koh Samui is a choice you can trust.
I, Dr. Teng, am happy to be your companion on your journey to beauty. We are ready to listen to your concerns, perform a detailed assessment, recommend the most suitable techniques, and care for you at every step to ensure you achieve lifting results that are beautiful, safe, and leave you feeling happier and more confident!
If you are ready to begin your journey to more youthful and toned skin, please do not hesitate to contact me, Dr. Teng, at Aurora Clinic Surat Thani & Koh Samui! We are ready to welcome and care for you with attention.
Aurora Clinic Surat Thani ✨
FACEBOOK: facebook.com/auroraclinicsurat
Add Line to Book Promotions : https://lin.ee/PJSVPOv6 (@aurorasamui)
TEL : 083-629-1446
Location : https://maps.app.goo.gl/y1a4H3wX5reeJU989…
Opening Hours: Open daily from 10:00 AM - 8:00 PM
Aurora Clinic Koh Samui✨
FACEBOOK: facebook.com/auroraclinicsamui
Tel : 096-652-0899Line : @auroraclinic
Location : https://maps.app.goo.gl/MfSBczSYdXZ2xctr9…
Opening Hours: Open daily from 10:00 AM - 8:00 PM
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