Volume Filler

Concerns addressed by this treatment

Forehead wrinkles & expression lines: Forehead wrinkles and frown lines are caused by repeated muscle contraction (frontalis and corrugator). The first-line treatment is botulinum toxin (Botox/Dysport/Xeomin) — 4 to 16 units relax the muscle, smoothing existing lines within 7 days and preventing new ones for 3–4 months. For deeper static lines that remain visible at rest, a small amount of HA filler can supplement Botox to fill the residual etching. At Waleerat Clinic in Bangkok, this is performed by board-certified physicians; the standard cost is from ฿8,900.

Thin lips & lost lip volume: Thin lips can be addressed two ways depending on the look you want. HA lip filler (Restylane Kysse, Juvéderm Volbella, Saypha) physically adds 0.5–1cc of volume — lasts 6–12 months, gives a fuller appearance. Lip Flip Botox (2–6 units into the upper-lip border) relaxes the muscle so the lip rolls outward, revealing more pink — lasts 6–10 weeks, no added volume but fuller look. The two are often combined: filler for body, Lip Flip for shape. At Waleerat Bangkok, Lip Flip from ฿4,900; Filler from ฿18,900.

How to avoid bruising after filler injection: To minimise bruising after filler: stop NSAIDs (ibuprofen, aspirin), fish oil, vitamin E, gingko, garlic, ginseng, and red wine for 5–7 days before the appointment — these inhibit platelet function. Schedule appointments for the morning when platelet activity peaks. Choose cannula technique over needle when possible (Waleerat uses cannula by default for sensitive areas like under-eye, brow, and lips). Apply ice immediately after and arnica gel for 48 hours. If bruising occurs, it typically resolves in 5–7 days and can be camouflaged with concealer.

Sunken cheeks / mid-face volume loss: Sunken cheeks reflect underlying mid-face volume loss — typically from age-related fat-pad shrinkage (Bichat / SOOF), bone resorption, or rapid weight loss. The two strategic interventions: (1) immediate volume replacement with HA filler in the deep cheek + zygomatic-arch areas — Restylane Lyft, Juvederm Voluma, or Belluxi at ฿4,999-฿11,999/cc; (2) gradual structural rebuild with biostimulators — Sculptra (PLLA, 2-3 sessions over 12 weeks) or Reset Regenerative (CaHA, 1-2 sessions). Often combined: HA for instant correction + biostimulator for long-term scaffolding. At Waleerat the consultation includes a 3-axis facial-volume map to target the specific lost pocket.

Nasolabial folds + marionette lines: Nasolabial folds (the lines from nose to mouth corner) and marionette lines (from mouth corner down to chin) deepen with mid-face volume loss + skin elasticity decline. Treatment requires precise depth placement: HA filler in the DEEP DERMIS layer of the fold (not surface) — superficial injection causes Tyndall effect (visible blue tint under skin), the most common new-physician mistake. Product choice: Restylane Defyne (designed for dynamic lines), Juvederm Volift, or Neuramis. Typical volume: 0.5-1cc/side for nasolabial, 0.3-0.5cc/side for marionette. Pricing ฿9,999-฿11,999/cc. For prevention, biostimulators (Sculptra/Profhilo) maintain mid-face support over 2+ years.

Weak chin / shorter jawline: A weak / receding chin throws off the entire facial profile by collapsing the lower third. Two non-surgical approaches: (1) HA filler chin augmentation — Juvederm Volux (the 2024 chin-specific formulation) or Restylane Defyne, 1-2cc typically gives V-line shape, ฿11,999/cc and lasts 12-18 months; (2) thread-lift Onyx for non-volume chin contouring + gentle lift, ฿129,000 with 12-month longevity. Many patients combine: filler for immediate V-line + threads for jawline definition. The decision factor is bone structure — patients with adequate vertical chin height respond best to filler; significant retrognathia may need surgical genioplasty referral.

Flat / low nose bridge: A flat or low nose bridge is one of the most-requested Asian aesthetic features. Three options at Waleerat: (1) Nose thread lift (Endoline PDO/PCL) — non-surgical bridge-raising with absorbable threads, ฿29,000, 12-18 month duration, no incision/scar — best for first-time patients or those wanting reversibility; (2) Nose filler (HA Restylane Lyft / Juvederm Voluma) — instant bridge augmentation, ฿9,999-฿11,999/cc, 12-month duration — but carries vascular-occlusion risk in expert hands only; (3) Rhinoplasty (surgical) — permanent solution with prosthetic implant or autologous cartilage. The non-surgical thread/filler combo (1+2) is the most popular combination in Bangkok 2024 for natural-looking 'K-beauty' bridge profiles.

Combination treatments

This treatment is commonly combined with: Wrinkle-Relax Injection; Skinvive — Injectable Moisturizer; Profhilo Bio-Remodelling.