HA filler

HA filler for facial contouring, deep folds, chin, nose and jawline, by a doctor

Hyaluronic acid (HA) filler restores lost volume and refines facial proportions. It lasts 9–18 months and can be dissolved with an enzyme if needed. Injected with a blunt cannula or under ultrasound guidance in higher-risk areas.

ForeheadTempleUnder-eyeCheekNasal bridgeLipsChin
Illustration: HA filler placed on the bone or in the fat layer to support skin that has hollowed from volume loss

What HA filler is

Hyaluronic acid occurs naturally in the skin and joints, where it holds water and fills the spaces between cells. HA filler is hyaluronic acid that has been cross-linked into a gel that holds its shape in the tissue for many months before the body gradually breaks it down. It is used to replace volume lost with age, such as in the nasolabial folds, temples and under the eyes, and to refine proportions, such as the chin, nose and jawline. Its key advantage is that it is reversible: if you are unhappy or a problem arises, the doctor can inject the enzyme hyaluronidase to dissolve it within a day.

Treatment areas, typical amounts and how long they last

AreaHelps withTypical amountLasts approximately
Under-eyesDeep tear troughs, sunken eyes, shadowing0.5–1 cc per side12–18 months
Nasolabial foldsDeep folds from the nose to the mouth corners1–2 cc9–12 months
Hollow cheeks / cheekbonesSunken cheeks, a tired look, lifting the midface1–2 cc per side12–18 months
TemplesHollow temples, an angular-looking head1–2 cc per side12–18 months
ForeheadA flat forehead lacking curve2–4 cc12–18 months
NoseA low bridge, a drooping tip, a hump0.5–1 cc9–12 months
ChinA short or receding chin, lengthening the lower face1–2 cc12–18 months
Jawline / jaw angleAn undefined jawline, a round-looking face2–4 cc12–18 months
LipsThin lips, an undefined lip border, lines around the mouth0.5–1 cc6–12 months
Mouth cornersDownturned corners, marionette lines0.5–1 cc per side9–12 months
NeckHorizontal neck lines1–2 cc6–12 months
Backs of the handsVisible veins and tendons1–2 cc per side12 months

Brands we use and how we choose

Thai FDA-registered fillers the doctor may choose include Juvederm (Voluma, Volux, Volbella, Volite), Restylane (Lyft, Defyne, Kysse, Eyelight), Belotero, Neauvia and Teosyal. Each product differs in firmness (G prime) and lifting capacity. Areas that must bear load, such as the chin or jaw, use a firm product, while thin-skinned areas such as the under-eyes or lips use a soft one. Using the wrong product for the area is the main cause of lumps and unnatural results. Before every injection the doctor opens the box so you can see the product name, lot number and expiry date.

On the day

Assessment and planningThe doctor examines your face from the front and side, marks the areas, explains how many cc will be used and what the result will look like, and takes before photographs
Numbing cream for 20–30 minutesMost fillers already contain lidocaine, so there is little discomfort as the gel goes in
Injection with a needle or blunt cannulaAreas with important blood vessels, such as the nose, nasolabial folds, under-eyes and temples, are treated with a blunt cannula to reduce the risk of entering a vessel and of bruising. Areas needing precision on bone, such as the chin, use a standard needle
Ultrasound guidance (when indicated)If you have had filler before, have had a nose implant, or are being treated in a higher-risk area, the doctor uses ultrasound to locate vessels and existing filler before and during injection
Shaping and final checkThe doctor moulds the gel so it sits smoothly and checks the result with you in the mirror. 30–45 minutes in total, with a review at 2 weeks

What to expect afterwards

Days 0–2Swelling and tendernessSwelling peaks on days 1–2, especially in the lips and under the eyes, and small bruises are possible. Use cold compresses, sleep with your head raised, and avoid strenuous exercise, heat, alcohol and pressing on the area for 48 hours. You can work as normal
Days 3–7Swelling settles, bruises fadeThe shape approaches the final result and bruises can be covered with make-up. Avoid laser, HIFU and facial massage over the area for at least 2 weeks. After nose filler, avoid heavy glasses pressing on the bridge for 1–2 weeks
Week 2Result settlesThe gel integrates with the tissue and draws in water to reach its final shape. Review appointment, with a top-up if more is needed
Months 9–18Gradual breakdownThe filler reduces slowly rather than disappearing suddenly. A partial top-up when you notice the volume fading usually needs less than the first time
What to know before you decide: vascular occlusion

Filler that enters or compresses a blood vessel can starve tissue of blood. It is rare but serious. The highest-risk areas are the nose, between the brows and the nasolabial folds. Warning signs are unusually severe pain, skin turning pale white or mottled purple, grey patches, or blurred or lost vision in one eye. If this happens during or after injection, hyaluronidase must be injected immediately. The clinic has the enzyme ready at every injection and gives you a way to reach the doctor afterwards. Who should not have filler: women who are pregnant or breastfeeding, anyone with an infection or inflamed acne at the injection site, anyone with an active flare of an autoimmune condition, or anyone who has had a permanent substance (liquid silicone) injected in the same area

Related services

Prices

HA filler, 1 cc
Brand chosen by the doctor for the area, including numbing cream, blunt cannula and a review appointment
From 12,000 THB
Premium filler, 1 cc
Area-specific products, such as for the under-eyes, lips or jawline
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Ultrasound guidance
Added for patients with existing filler or higher-risk areas
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Frequently Asked Questions

Can filler form lumps or migrate?

It can, if the wrong product is chosen for the area, if it is injected too superficially, or if large amounts are injected repeatedly. The advantage of HA is that if this happens it can be dissolved with hyaluronidase.

Can nose filler replace rhinoplasty?

Yes, for people who want a slightly higher bridge or to disguise a hump, lasting around a year. It does not suit those who want a smaller nose or who already have a silicone implant, who should consult our surgical team.

Will my face swell a lot after filler?

For the first 1–2 days the swelling exceeds the final result, especially in the lips and under the eyes. The true result shows after 2 weeks, which is why the doctor injects a measured amount and tops up at the review rather than over-filling at the start.

How can I spot counterfeit filler?

Ask to see the box and lot number before injection. Registered fillers carry a Thai-language sticker from the importer, and a price far below the market rate is a warning sign.

Free doctor consultation, no obligationMessage us privately on LINE or WhatsApp and the doctor will suggest the right approach for you