Filler Treatments at DCH Hospital | Enhance Your Natural Look

Filler Injections

Filler injections are a shortcut for those who want to enhance facial features without undergoing surgery or extended recovery time. It’s especially ideal for people who are afraid of surgery. Fillers are a popular non-surgical option to treat facial wrinkles and deep lines. In addition to smoothing wrinkles, fillers can help with concerns like undefined lips, sunken under-eyes, hollow temples or cheeks, prominent cheekbones, gaunt appearance, and a flat forehead. After injection, fillers can immediately reduce wrinkles and restore plumpness and volume to the skin.

Fillers commonly use Hyaluronic Acid (HA), which helps stimulate collagen production in the skin where volume has decreased due to aging. Once injected, the skin becomes smoother, firmer, and more youthful-looking. The results are natural and long-lasting. Popular filler programs can also help enhance facial proportions effectively.

What is Filler?

Filler (Hyaluronic Acid or HA) is a substance designed to mimic a natural compound found in the body. It retains moisture in the skin, fills wrinkles, and adds volume to specific areas. Fillers can replenish lost collagen and hyaluronic acid, which are essential components of youthful skin that diminish with age.

Human skin contains collagen fibers that keep it firm, elastic, and plump. As we age, our bodies produce less collagen and hyaluronic acid, causing skin to thin, develop wrinkles, and lose hydration.

Injecting HA into areas with wrinkles, sunken under-eyes, smile lines, or hollow temples helps retain moisture in the skin layers, smoothing and firming the skin for a youthful appearance. It’s a safe and natural-looking treatment for facial rejuvenation.

Where Can Fillers Be Injected?

There are 7 main areas

where fillers are commonly injected, depending on individual needs and concerns, such as deep lines, volume loss, or enhancement goals. These facial areas typically show visible improvement after treatment:

Under-Eye Filler

Under-eye filler targets hollow or dark under-eye areas caused by volume loss. It reduces the appearance of dark circles, eye bags, and fine lines, making the eyes look brighter and the face more refreshed and youthful.

Lip Filler

Lip filler involves injecting filler into the upper and lower lips to enhance volume and shape. It’s ideal for those with thin lips, undefined shape, or wrinkles around the mouth. Only 1 cc is typically needed, with immediate results. Lip filler can also create a defined cupid’s bow or lift drooping corners of the mouth.

Chin Filler

Chin filler is suitable for individuals with a short or recessed chin. It adds length and definition naturally, resulting in a more V-shaped and balanced face. When performed with the correct technique, it offers natural results comparable to chin implants, without the need for surgery or recovery.

Temple Filler

Temple filler adds volume to sunken temples, helping balance the facial profile. This is popular among those who believe in enhancing facial feng shui, especially in business contexts. It softens high cheekbones, slims the face, and lifts the outer corners of the eyes and eyebrows naturally. Results are immediate, with no need for invasive procedures.

Nasolabial Fold Filler (Smile Lines)

This treatment fills deep creases beside the nose (smile lines), making the face look noticeably younger. It can be done early, even before lines deepen, to prevent them from becoming more pronounced over time.

Forehead Filler

Forehead filler enhances facial proportion by adding volume to flat or uneven foreheads. It’s a popular choice for individuals who want a non-surgical method to improve appearance and facial harmony. Results are immediate and natural-looking.

How many Types of fillers are there?

Filler, in medical terms, refers to the injection of any type of substance used to add volume. Internationally, fillers are divided into four main types:

HA (Hyaluronic Acid):
The safest and most widely used filler worldwide. It is naturally absorbed by the body over time.

Animal-derived Collagen:
Rarely used nowadays due to its risk of allergic reactions and inflammation.

Transplanted Fat:
Fat grafting, ideal for those needing large volume augmentation.

Biosynthetic Polymers (e.g., liquid silicone):
Unsafe, non-degradable, and not approved by regulatory bodies like the FDA or Thai FDA.

In Thailand, authentic Hyaluronic Acid (HA) fillers that are FDA-approved come in various brands. Doctors assess each patient’s specific issues and select the appropriate type, such as for treating nasolabial folds or under-eye concerns, ensuring a safe and aesthetic result.

Are there risks in getting fillers?

A common concern is whether filler injections are risky. Safety depends on:

Common Side Effects:

Swelling, redness, or bruising: Typically mild and resolves within 1–2 weeks.
Allergic reactions: Can occur, especially with fake or substandard fillers.

Risks Due to Injector Inexperience:

Pain, lumps, or excessive swelling due to poor technique.
Acute or chronic infections if hygienic standards are not met.
Vascular occlusion if filler is injected directly into a blood vessel, potentially causing tissue damage or blindness.
Lumps or filler migration due to incorrect injection techniques.

Risks from Fake Fillers:

Made from unverified substances, possibly contaminated with bacteria or harmful chemicals.
Illegally imported, making safety and quality untraceable.
Difficult to remove, often requiring surgery or scraping.
Severe allergic reactions, infections, or tissue death due to impurities.

Dangers of Counterfeit Fillers:

Inflammation: Caused by bacteria or non-sterile materials in fake fillers.
Migration: Low-viscosity fillers can move to unwanted areas, leading to deformities or vascular blockages.
Hard Lumps & Fibrosis: Non-degradable fillers like liquid silicone may form hard masses under the skin.
Non-degradable substances: Substances like paraffin can’t break down naturally and need surgical removal, increasing the risk of scarring and infection.

Benefits of filler injections:

Corrects wrinkles and enhances facial structure.

Safe and FDA-approved, with no residues and low allergy risk.

Immediate results, no wounds or downtime.

Adjustable and reversible (HA fillers can be fully dissolved).

Improves skin hydration and radiance.

Ideal for delicate areas like under the eyes and nasolabial folds.

Which filler brand is best? How long does each last?

Choosing a filler brand depends on the area being treated and individual needs. Consult an experienced medical professional to determine the right brand and formulation.

Authentic HA fillers approved by the FDA typically last 6–18 months, depending on properties like firmness, elasticity, and water retention.

DCH Hospital offers top brands from Korea, the USA, Switzerland, and Germany. Here’s a summary of how long each lasts:

Belotero Soft: Fine lines, under-eye – lasts 6–9 months
Belotero Balance: Lips, deeper folds, face shaping – lasts 12–18 months
Belotero Intense: Similar uses – lasts 12 months
Belotero Volume: Adds volume (cheeks, chin, temples) – lasts 12–18 months
Belotero Revive: Hydration and skin rejuvenation – lasts ~6 months

Volift: Deep folds (smile lines, under-eyes, lips) – lasts 12–18 months
Voluma: Temples, cheeks, chin – lasts 18–24 months
Volbella: Under-eye hydration, lip enhancement – lasts 8–12 months
Volux: Jawline and chin shaping – lasts 18–24 months

Fine: For thin skin, fine lines (eyes, lips) – lasts 6–8 months
Medium: Moderate volume (forehead, smile lines) – lasts 8–16 months
Hard: Structural support (chin, temples) – lasts 12–18 months

Contains Calcium Hydroxylapatite (CaHA), stimulates collagen production, suitable for lifting and rejuvenation.
Radiesse Regular: For patients 30+, used on temples, smile lines, chin, jawline – lasts 12–18 months
Radiesse Plus: (Radiesse + lidocaine) – similar benefits and longevity

Filler Dissolving Injection

Filler dissolving injection involves the use of an enzyme called Hyaluronidase to dissolve Hyaluronic Acid (HA)-based fillers that are unsuitable. This method can fully dissolve the filler (100%), and is commonly used to correct results such as lumpiness, migration, or incorrect placement. The enzyme helps accelerate the breakdown of the filler safely and efficiently.

Who is filler dissolving suitable for?

Those who have had fake or non-standard filler injections.
Those who experience swelling, lumpiness, or dissatisfaction with the results after a period of time.
Individuals who want to revise or correct the results of previous filler injections.
Those experiencing allergic reactions or vascular occlusion after filler injection.

Filler dissolving should only be performed by a qualified and experienced physician. Proper assessment of the amount required in each case is essential to ensure safety and minimize side effects. This procedure not only corrects filler-related problems but also helps restore patient confidence by returning their facial appearance to its natural and balanced state.

Filler Scraping (Surgical Removal)

Filler scraping is often necessary in cases where fake or unapproved fillers (not approved by the FDA) have been used. Fake fillers often have a coarse texture, low purity, and may contain contaminants or ingredients that the body cannot naturally absorb. These fillers cannot dissolve naturally and may even contain harmful substances such as alcohol or other chemicals.

Fake fillers carry a high risk of allergic reactions, inflammation, infection, or hard lumps, leading to facial deformities. Many people are drawn to fake fillers because of low prices and attractive promotions, but the consequences can be severe—often requiring surgical scraping as a corrective measure.

Symptoms that indicate a need for filler scraping:

Abnormally hard or lumpy filler that doesn’t subside and may merge into larger lumps.
Formation of fibrosis or hardened tissue due to long-term presence in the body.
Inflammation, infection, or allergic reaction from fake filler.
Facial deformity resulting in a loss of confidence.
Residual fake substances that need to be removed before injecting authentic filler.

If you experience any of the above symptoms, it is recommended to consult a physician immediately to evaluate whether scraping is necessary. Most importantly, scraping should be performed only by a qualified specialist to ensure safe and effective correction without side effects.

Why choose filler injection at DCH Hospital?

International Standards: Our hospital is certified with international standards and equipped with modern technology to ensure the highest level of safety.
Experienced Medical Team: All procedures are performed by doctors with extensive experience and deep understanding of facial anatomy.
100% Authentic Filler: We use only FDA-approved genuine fillers with traceable sources.
Reasonable Pricing: Transparent pricing with no hidden costs, ensuring great value for the results.
Post-Injection Follow-up: We provide thorough care and follow-up after every procedure to ensure the best possible outcome.

Choose a hospital that meets international standards. At DCH Dr. CHEN Hospital Skin Center, we specialize in skin care and facial contouring—offering a safe, confident, and naturally beautiful filler experience tailored to your needs.

Frequently Asked Questions

Is filler injection dangerous?

Is filler injection risky? What are the possible side effects? Where is a safe place to get fillers? These are common concerns for those considering filler treatments.
Filler injections are considered a safe cosmetic procedure if performed by a qualified physician using FDA-approved fillers. The U.S. FDA has approved Hyaluronic Acid (HA) fillers, which are naturally occurring substances in the body. They are biodegradable, leave no residue, and can be safely reinjected as needed.

How to identify authentic and safe fillers?

Choosing authentic, certified fillers is essential for safety and minimizing the risk of complications such as inflammation, redness, or hard lumps. Key indicators of genuine fillers include:

FDA Registration Number on the box, registered in Thailand.
Thai-language instructions and full product information included.
Matching lot numbers on the box, syringe, sticker, and packaging.
Check with the importer by calling the registered supplier for verification.

Well-known brands like Juvederm, Ultra V Hyal Fille, and Belotero have distinct features. Your doctor will recommend the best brand for your specific concerns and inject using proper techniques.

How many CCs of filler are needed for each area?

The amount of filler required depends on the area being treated and the individual’s needs. The doctor will assess and recommend the appropriate amount to achieve natural and noticeable results.

Who is filler injection suitable for?

Those with deep wrinkles or fine lines.
Individuals with sagging skin due to aging.
People with under-eye bags, tear troughs, or dark circles.
Those wanting to correct asymmetrical or thin lips.
Individuals looking to enhance features such as the nose, forehead, or chin.
People with acne scars or enlarged pores.
Anyone wanting to hydrate and plump their skin for a dewy appearance.

Pre-filler injection guidelines

Proper preparation helps reduce risks and enhances results. Doctors typically recommend:

Avoid certain medications/supplements like aspirin, ibuprofen, vitamin E, ginseng, or blood thinners 1–2 weeks before the procedure.
Avoid alcohol for 24–48 hours before injection to reduce swelling or bruising.
Stop using exfoliating products (e.g., AHA, BHA, Retinol) 1 week prior in the injection area.
Avoid laser treatments or facial massages for at least 3 days before injection.
Stay hydrated and get enough rest to improve skin quality.
Disclose full medical history, including allergies or previous filler treatments.

Follow your doctor’s instructions and choose a reputable hospital and experienced physician for the best and safest outcome.

Post-filler injection care

To ensure optimal results and reduce side effects:

Do not touch, press, or massage the injected area unnecessarily for at least 3 days.
Take prescribed medications such as antibiotics, pain relievers, or anti-inflammatory drugs as directed.
Avoid heat exposure, including saunas, intense workouts, or activities causing facial flushing for at least 48 hours.
Avoid deep laser treatments (e.g., HIFU, RF) or similar programs for at least 1 month.
Minimize movement in the treated area, especially during the first 3 days.
Avoid alcohol, fermented foods, spicy or sweet foods, and raw or unsanitary food, especially near hot cooking surfaces.

If severe swelling persists beyond 3 days, contact your doctor immediately for assessment.

Filler vs. Fat Grafting – Which is better?

ฉีดฟิลเลอร์กับฉีดไขมันอันไหนดีกว่ากัน อยู่ได้นานกี่ปี เป็นคำถามยอดฮิตที่หลายๆ คนถามกันเข้ามา โดยทั้ง 2 วิธีนี้เป็นการช่วยเติมเต็มเหมือนกัน แต่ผลลัพธ์และการทำงานค่อนข้างต่างกัน

Many people ask whether fillers or fat grafting is better and how long each lasts.
Both methods add volume, but the results and procedure are different.
If you want a lifted, natural-looking face with immediate results and long-lasting effects, filler is usually the better option.

Which filler brand is the best?

There’s no single best filler brand for all areas of the face. Each brand has different models suitable for different purposes.
Doctors will assess the specific concerns of each patient and select the right filler type to achieve the best possible results.

How long will swelling last after filler injection? When will I see results?

You’ll see immediate changes after injection.
Swelling typically subsides within 7–14 days, and the final result becomes clear after about 2 weeks, when the filler fully settles.