The HA filler has been used in Thailand for over 10 years. However, in the past the dermal filler injection technique was not yet well developed. The filler was usually injected into a shallow skin layer to correct wrinkles such as deep cheek lines. In addition the HA filler itself too is not well developed. As a result the HA filler injected dissolves quickly resulting in poor treatment and unnatural look.

In the past few years, new types of HA fillers have been introduced into the market. This created better results that lasted longer. In addition, the advance in the study of facial anatomy has led to innovative procedures in derma filler injection techniques. Previously small needles were used to inject the filler into a shallow layer of the skin to correct wrinkle lines. Today big blunt tipped needles are used to inject the filler deep close to the bone to contour the face and correct the scaffolding effect due to aging. Dr. Puttipong Poomsuwan is the first Thai doctor to use the term “blunt tipped needle” in the Cosmetic Magazine in 2011. He is also the pioneering Thai doctor who introduced the derma filler injection technique close to the bone in an article in Cosmetic Magazine in 2013. This innovative technique has resulted in the development of solutions not possible before including solving the problem of bags under the eyes, facial contouring by derma filler injection, solving the facial symmetry problem, big cheek bones, and appearance of short jaws. These problems used to be solved only through invasive surgery. In addition derma filler injections can provide facial lift to reduce the look of sagging skin. Most important of all the use of blunt tipped needles prevents the side effect that the filler might accidentally get injected into the blood stream. This might cause death of the skin or even the most serious side effect, blindness. 

By pioneering this innovative procedure, Dr. Puttipong Poomsuwan has gained great respected in the beauty aesthetics medical circles. This has resulted in invitations to speak and train doctors in almost every country in Southeast Asia.


Filler literally means a substance that fulfills. In the past many different substances might be injected into the body from the face to other parts that may sag due to age or to make these parts appear more full. This may include the buttocks, breast, cheeks, or chin. Later the medical circles realized that many of these substances may be dangerous to the body. As a result today there is only one substance that is accepted as safe and certified by food and drug administrations around the world. This substance is HA or Hyaluronic Acid. 

Hyaluronic Acid or HA is a natural substance in the human body. It is found abundantly in the skin. The highest level of HA is found in children and reduces as the individual ages. HA has the quality in retaining moisture creating a fresh look for the skin. When the level of HA reduces the skin would become thinner, dry and lack elasticity. HA is a natural substance that can dissolve naturally, which ensures its safety. To expedite the dissolution of HA, Enzyme called Hyaluronidase can be used.