01Anatomy first — 6 distinct eye-area concerns plainly explained
Outer-canthal angle (Foxy eye position). The outer corner of the eye sits along a horizontal line connecting both outer canthi.
With age the lateral retinaculum (the ligament anchoring the outer canthus to the orbital rim) loosens, causing the outer corner to drop 1-3mm. A 'foxy eye' is the OPPOSITE — outer canthus elevated 2-4mm above horizontal, creating the upturned almond shape associated with K-beauty + supermodel aesthetics.
Achieved via lateral thread lift (Endoline Foxy) or upper-lateral blepharoplasty (surgical).
Upper-lid heaviness (hooded eye + ptosis). Hooded eye = excess upper-lid skin/fat covering the eyelid crease.
Ptosis = the levator palpebrae muscle weakened, causing the eyelid edge itself to droop over the pupil. They LOOK similar but are anatomically different.
Hooded eye is cosmetic + improves with Botox brow lift or upper-lid surgical blepharoplasty. True ptosis is a MEDICAL diagnosis requiring evaluation — if the lid covers the pupil at rest, refer to an oculoplastic surgeon, not a cosmetic procedure.
Under-eye hollow + tear trough. With age, the orbital fat compartment under the eye thins and the bone underlying it (the maxillary bone) resorbs.
The result: a hollow groove from the inner corner of the eye to the cheek. Treatment: Belotero Balance HA filler (the CPM-technology HA with the lowest Tyndall-effect risk for this thin-skin zone).
Higher-skill injection zone — we don't recommend tear-trough filler from non-physician injectors.
Dark circles. Two completely different mechanisms get called 'dark circles' but require opposite treatments.
PIGMENTED dark circles = melanin in the periorbital skin from sun/genetics. Treatment: Pico Laser + topical brightening.
STRUCTURAL dark circles = SHADOW cast by the under-eye hollow. Treatment: filler fills the hollow → shadow disappears.
Consultation distinguishes; the wrong treatment ON the wrong type does nothing. Many patients have BOTH and need sequential programs.
Crow's feet (lateral periorbital lines). Dynamic wrinkles caused by orbicularis oculi muscle contraction during smile/squint.
Treatment: Botox (2-3 units per side) — Xeomin or Allergan preferred for this zone (precision matters). Result lasts 3-4 months.
Brow position. The medial brow (inner third) is controlled by corrugator + procerus muscles.
Relaxing these causes the inner brow to lift 1-2mm — the 'sleepy-eye Botox' or 'medial brow lift' effect that visually opens the eye aperture. ฿4,500-฿8,500 depending on zone count.
Often bundled with crow's feet + forehead in a 'full upper face' program.
02Decision tree — by visible concern, the right starting tool
Concern: my outer corners droop / I want the Foxy upturned look. Recommendation: Endoline Foxy thread lift (฿29,500).
Optionally add small-volume Restylane Lyft (0.5cc) at the lateral orbital rim to anchor the result (combo ฿49,500). Result builds over 4-8 weeks, lasts 12-18 months.
Maintenance every 12-18 months.
Concern: my upper lids look heavy + crowd my eyeshadow. Recommendation: sleepy-eye Botox medial brow lift ฿4,500 + assess whether actual upper-lid SKIN is the problem (vs muscle).
If skin excess: surgical blepharoplasty referral. If just brow position: Botox suffices and is reversible (vs surgery which is permanent).
Concern: my eyelid covers part of my pupil even when relaxed (eye looks half-closed). This is PTOSIS = medical diagnosis.
NOT a cosmetic procedure. We refer to an oculoplastic surgeon for evaluation.
Cosmetic Botox/filler will NOT fix true ptosis and may worsen it.
Concern: I have hollows under my eyes that get worse in photos. Recommendation: Belotero Balance HA filler in the tear-trough zone ฿12,000/cc.
Typical use 0.5-1cc per side. Result is immediate but final shape settles over 2 weeks.
Reversible with hyaluronidase if patient or physician decides correction needed.
Concern: I have dark circles under my eyes. Recommendation: distinguish at consult — is it PIGMENT (color) or SHADOW (cast by hollow)?
Pigment → Pico Laser series (4-6 sessions, ฿4,500-฿8,500 each). Shadow → tear-trough filler (above).
Many patients have both; sequence pigment-first, filler at month 2.
Concern: I have crow's feet from smiling. Recommendation: Botox 2-3 units per side ฿4,500-฿6,000 depending on brand.
Xeomin preferred for this zone due to tighter diffusion control. Result onset 3-7 days, peak 14 days, duration 3-4 months.
03Foxy eye deep-dive — Endoline Foxy thread protocol
Endoline Foxy is a fine-gauge PDO thread system specifically designed for the lateral periorbital zone. The threads are short (5-8cm) with low-density barbs — engineered to lift outer canthus without creating visible tissue distortion in thin periorbital skin.
Procedure: 30-45 min including local anaesthesia. Patient lies supine.
Physician marks the entry point at the temporal hairline + the target endpoint at the outer canthus + the directional vector. 2-4 threads per side inserted through a 21-gauge cannula. Each thread anchored to the deep temporal fascia, then tensioned to elevate the outer canthus 2-4mm.
Result: visible immediately as the threads are tensioned (you see the lift in the mirror at the end of the procedure). Refinement over 4-8 weeks as collagen forms around each thread track.
Peak result at month 3 when both physical thread tension AND collagen scaffold are at maximum.
Combo with filler (Restylane Lyft 0.5cc per side, ฿49,500 total program): the filler at the lateral orbital rim creates a structural foundation that anchors the thread result. Often we add a small Botox dose (1-2 units per side, lateral orbicularis) to relax the muscle that pulls down the outer canthus — that adds 4-6 months to the lift duration.
Recovery: mild bruising 5-7 days (most patients use makeup at day 3). Some patients feel a 'pulling' sensation in the temple when smiling for week 1 — fades by week 2.
No restrictions on normal activity except no facial massage in the temporal zone for 4 weeks.
04Dark circles — pigment vs structural shadow, the critical distinction
The single most common consultation mistake patients make: they self-diagnose 'dark circles' as one thing when there are actually TWO completely different problems that look similar.
PIGMENTED dark circles. The skin under the eye contains excess melanin.
Causes: genetics (especially South Asian + Mediterranean phenotypes), chronic sun exposure, post-inflammatory hyperpigmentation from rubbing. Test: pull the skin taut — if the darkness STAYS, it's pigment.
Treatment: Pico Laser 4-6 sessions + nightly topical brightening (kojic acid / hydroquinone / arbutin). Filler does NOTHING for pigment.
STRUCTURAL dark circles (shadow cast). The under-eye is hollow; overhead lighting casts a SHADOW into that hollow.
The skin itself isn't pigmented — it just looks dark because no light reaches it. Test: pull the skin taut — if the darkness DISAPPEARS, it's shadow.
Treatment: Belotero Balance HA filler fills the hollow → shadow goes away. Laser does NOTHING for shadow.
MIXED dark circles (most patients). Many patients have BOTH pigment AND hollow.
Treatment: sequence pigment-first (Pico Laser × 4-6 sessions, 4-6 weeks apart), then tear-trough filler at month 2. Reverse order causes the filler to look 'wrong' because the pigment dominates the visible result.
VENOUS dark circles (less common). Some patients have visible blue/purple veins under the eye that are not pigment OR shadow — they're actual venous pooling.
These are NOT treated with our standard programs; we refer to a vascular consultation if confirmed.
05When we refer for surgery — and why honest scope-of-practice matters
Surgical referral cases at Waleerat. Some eye-area concerns require an oculoplastic surgeon, not a cosmetic clinic. We refer (don't try to fix) for:
True ptosis (eyelid covers pupil at rest). Requires levator advancement surgery — a specialised oculoplastic procedure.
Cosmetic Botox actually MAKES ptosis worse by paralysing the brow that compensates. We screen for true ptosis at every consult; if present, we refer.
Significant upper-lid skin excess (dermatochalasis). When the patient's actual upper-lid SKIN — not just the brow — droops over the eye crease, surgical upper-blepharoplasty is the right tool.
Botox cannot remove skin; it only relaxes muscle. Patients who want non-surgical fixes for true dermatochalasis invariably leave disappointed.
Significant lower-lid bags. Pre-septal fat herniation from the orbital fat compartments creates 'bags' that are not flattened by under-eye filler.
Surgical lower-blepharoplasty (transconjunctival or trans-cutaneous) is the right tool. Filler can sometimes camouflage small bags but is the wrong tool for large/medium ones.
What we DON'T refer (what we DO well). Lateral canthus lift via threads (Foxy eye), filler for under-eye hollow, Botox for crow's feet + sleepy-eye + brow lift, Pico Laser for pigmented dark circles — these are our core competencies.
Match the procedure to the anatomy; refer when the right tool is surgical.
06Bangkok 2026 pricing — what each program covers
Crow's feet Botox: ฿4,500-฿6,000 per side (varies by brand — Xeomin ฿4,500, Allergan ฿6,000). Bundle with sleepy-eye + forehead = ฿15,000 for 'full upper face' program.
Sleepy-eye Botox / medial brow lift: ฿4,500 single zone, ฿8,500 sleepy-eye + brow combo.
Endoline Foxy thread lift: ฿29,500 single session. Combo with Restylane Lyft 0.5cc per side ฿49,500. Bundle with crow's feet + sleepy-eye ฿55,000 for complete 'open eye' transformation program.
Tear-trough filler: Belotero Balance ฿12,000/cc — most patients use 0.5-1cc per side, total ฿12,000-฿24,000.
Pico Laser for pigmented dark circles: ฿4,500-฿8,500 per session, 4-6 sessions = ฿18,000-฿51,000 total. Often bundled with general facial Pico for melasma at the same session.
What's included: physician consultation + photographs + post-procedure care + 24-hour follow-up + 1 touch-up at week 2-4 if needed. Anaesthesia (topical + injectable as needed) included in the listed price.
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