Facial contouring | ลานนาวดีคลินิก
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Facial contouring

Facial contouring : A facial contouring clinic is  a cosmetic clinic that focuses on procedures to “correct, fix flaws, or enhance facial structure” to achieve a beautiful, balanced, and harmonious appearance that complements each individual’s personality. This isn’t limited to surgical procedures; it also includes the use of various technologies and fillers to improve appearance and beauty.

Structural facial reshaping (The Concept)

The human face consists of four main skin layers that the clinic will treat:
 
• Bone layer: Corrects age-related collapse or enhances deficiencies (e.g., short chin, sunken temples).
• Fat layer: Addresses excess fat (e.g., chubby cheeks, double chin) or adds fat to areas of atrophy.
• Muscle layer: Adjusts the size of overactive muscles that make the face appear square or wide.
• Skin layer: Corrects sagging and wrinkles to create a more defined facial contour.

Modern facial contouring clinics.

Treatment methods are usually divided into two main groups:
 
• Non-invasive/Minimally invasive methods:
• Injectables: such as fillers for volume enhancement, wrinkle reduction, jaw reduction/face lifting, and mesofat for fat reduction.
• Energy devices: such as Ultherapy, Thermage, or HIFU, which use sound waves or radio waves to tighten deep skin layers.
• Thread lifts: using dissolvable threads to instantly lift sagging skin.
• Surgical methods:
• Chin surgery, buccal fat removal, or chin liposuction.
Facial contouring

The Goals of Facial Rejuvenation

Why do people go to facial contouring clinics? They usually have these main goals:
 
• V-Shape / L-Shape: Reshape the face for a slimmer look or emphasize the jawline for a sharp, defined Western-style appearance.
• Anti-Aging: Rejuvenate the face and correct sagging caused by aging.
• Facial Design: Adjust facial proportions according to the “Golden Ratio,” such as ensuring forehead, chin, and nose are in harmony.
• Correction: Correct facial asymmetry (unevenness between the two sides of the face).

Three main problems people often encounter (Identify User Pain Points)

Most customers tend to search using these terms. You should clarify the problem:
 
• Problem “Wide face – large jaw”: Differentiate the cause for the client (large jaw muscles / wide jaw bone / or excess cheek fat) to lead to targeted treatment, such as Botox vs. Mesofat injections.
• Problem “Sagging face – tired look”: Explain deep lines that make one look older than their age, such as nasolabial folds and under-eye wrinkles, and how lifting devices can help “restore” youthfulness. • Problem “Undefined facial
contour – lack of facial dimension”: For example, a short chin or sunken temples, which makes the face look unflattering in photos (photogenic). Filler injections can help create light and shadow to give the face more dimension immediately.

The “most popular” procedure right now.

1. The Essentials injection group
remains the most popular of all time, but with techniques that are becoming more subtle:
• Botox: Not just for wrinkle reduction, but also focusing on “Office Lift” or injecting to lift and define the facial contours, and reducing the jawline to create a V-shape face without a stiff appearance.
• Dermal Fillers: The current trend is to “refine” specific areas, such as chin filler to create a more balanced, elongated face, or under-eye filler to reduce fatigue (SkinVive™ or injectable hydration are becoming very popular).
 
2. Collagen Stimulators (Biostimulators) – Hot Trend!
This is a major trend for 2026: “Renewing skin from within” instead of just adding it in:
• Sculptra / Juvelook / Radiesse: These are injectable substances that stimulate the body to produce its own collagen, helping the face look naturally fuller, firmer skin, and with results lasting up to 2 years.
• Exosome Therapy: Using concentrated cell extracts to repair skin at the molecular level, helping with pores, clarity, and rapid skin rejuvenation.
 
3. Energy-Based Devices for Skin Tightening (
For those who are afraid of needles or do not want bruising):
• Ultherapy & Ultraformer MPT: Focuses on lifting the SMAS layer (the same layer targeted in surgical facelifts), with noticeable results for double chin and sagging cheeks.
• Thermage FLX / Oligio: Focuses on breaking down accumulated fat on the face and tightening sagging skin. Suitable for people with chubby cheeks.
• Potenza / Sylfirm X: Microneedling RF innovation that helps with both skin tightening and treating skin problems (acne scars, melasma, freckles) in one device.
 
4. Skin Boosters & Glow:
The facial trend is “Glass Skin,” or skin that looks healthy and radiant:
• Rejuran / PN Injections: Using salmon DNA extract to repair the epidermis, resulting in radiance and smaller pores.
• Meso Fat: New formulas focusing on fat breakdown that are “painless and non-swelling,” allowing you to resume your daily life immediately after injection.
 
5. New Trend: Wellness & Hybrid Procedures
• Body Contouring Synergy: Combining facial procedures with body contouring, such as using GLP-1 medication (for weight loss) with a facelift to prevent sunken cheeks from rapid weight loss.
Facial contouring

Preparation “before” a medical procedure (Pre-Treatment Care)

• Avoid medications and supplements that hinder blood clotting (7-14 days prior to procedure): *
• Supplements: Vitamin E, fish oil, ginkgo biloba extract, ginseng, garlic tablets
. • Avoid alcohol and smoking (at least 24-48 hours prior): as these affect blood circulation and slow wound healing.
• Avoid exfoliation or waxing: Avoid facial laser treatments, the use of fruit acids (AHA/BHA), or harsh facial scrubs 3 days prior to procedure to prevent skin irritation.
• Provide detailed health information: especially any pre-existing conditions, drug allergies, or history of cold sores in the treatment area
. • Rest: Get enough sleep and drink plenty of water to keep skin cells hydrated and ready for the LANNA injection or lifting procedure.
Facial contouring

Self-care “after” a procedure (Post-Treatment Care)

A. Injection-based treatments (Botox, Filler, Skin Boosters)
• First 4 hours: Avoid lying flat or bending your head down to prevent the medication from spreading to the wrong area.
• First 24 hours: Avoid strenuous exercise and makeup (if possible) to prevent infection at the injection site.
• First 48 hours: Avoid alcohol, as it can increase blood flow and worsen swelling and bruising at the injection site.
• Compression: If bruising occurs, apply a cold compress during the first 48 hours. If bruising persists, apply a warm compress.
• Important prohibition for Filler: Avoid saunas or steam rooms for 2 weeks, as heat may cause the filler to break down prematurely or migrate.
B. Skin tightening treatments (Ultherapy, HIFU, Thermage)
• Focus on aftercare: Skin is often drier than usual after these treatments. Focus on using rich moisturizers.
• Sun protection: Skin will be temporarily more sensitive to sunlight. Apply sunscreen with SPF 50+ PA++++ daily
. • Avoid high heat: Refrain from washing your face with very hot water for the first week.
C. Thread Lift Procedures
• Avoid opening your mouth wide: Such as during dental procedures, yawning widely, or chewing tough/hard foods for the first 2 weeks to prevent the threads from dislodging.
• Sleep with your head elevated on a pillow: This helps reduce swelling during the first 2-3 days.

Foods to avoid and foods to eat (Dietary Guide)

• ❌ Forbidden foods (2 weeks): * Undercooked food (risk of infection)
• Spicy/fermented foods (increases facial swelling)
• Foods cooked over a hot stove (e.g., Korean BBQ/Shabu-shabu) as heat can affect the filler.
• ✅ Recommended foods:
• Coconut water/Centella asiatica: Helps reduce swelling and bruising from within.
• High-quality protein: Helps repair tissue after the procedure.

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ดร.นพ.ธีรศักดิ์ แพทยาดิกุล
Dr.Teerasak Pattayadeekul

อาจารย์พิเศษ Dermatology and Regenerative medicine สำนักเวชศาสตรชะลอวัย ม.แม่ฟ้าหลวง / แพทย์ปริญญาเอก สาขา ผิวหนัง ศัลยกรรมผิวหนัง/เลเซอร์/ความงาม

  • Fellow in dermato surgery & LASER รามาธิบดี
  • Vissiting fellow dermatology Juntendo Dermatology & Dermatopathology.
  • MD.Msc.Phd in Dermatology / LASER / Aesthetic Surgery.
  • Fellow in LASER surgey and Facial plastic surgery Fort Lauaderdel Florida USA
  • Diploma of Hair Transplantation by Thai association and Academy of Cosmetic surgery and medicine
  • Diplomate American board hair transplsnt ( ABHRS)
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พญ.ทวีพร ตรีประภากร
Dr.Thaweeporn Treepraphakorn

แพทย์สาขาศัลยกรรมความงาม/เลเซอร์/ปลูกผม
แพทย์ อเมริกันบอร์ดปลูกผม (ABHRS)

  • Fellowship in Cosmetic Surgery/ Korean  college of Cosmetic Surgery
  • Diplomate American Board of Hair Restoration  Surgery/ABHRS
  • International Board of Hair Restoration Surgery/ IBHRS
  • Certificate Hair transplantation By Korean Society of Hair Restoration Surgery
  • Member in association of Aesthetic Anti-aging Surgery,Thailand
  • Member of International Society of Hair Restoration Surgery (ISHRS)
  • Certificate Liposuction and Fat grafting by Korean college of Cosmetic Surgery
  • Master degree in Dermatology (MSc)
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