Fresh Code Clinic
Decode Your Freshness
Unlock the secrets to all your skin problems, with expert advice from doctors to help you better understand your skin.

SkinVive is an injectable hyaluronic acid (HA) gel from Allergan Aesthetics that is injected in small droplets into the skin. The US FDA indication is for cheek smoothing and, later, neck line reduction in adults over 21 years of age.[1][4] This article describes what it is, how it differs from conventional fillers, what research has found, and which skin types it is compatible with. All information is general knowledge, not diagnosis, and is not personalized medical advice. Most information is from US FDA documents and manufacturer-funded research, with sources cited in each section. Results vary from person to person; consult a physician before making a decision. In short, SkinVive is an injectable HA gel that is injected in small droplets. The US FDA indication is for cheek and neck line smoothing in adults over 21 years of age; it is not specified for volume addition or facial contouring. US FDA approval is separate from Thai FDA registration status; interested parties should inquire about the registration number and actual product used directly from the clinic. In the manufacturer-funded research, Those who have received the injection…

ฟิลเลอร์ร่องแก้ม คือการฉีดเจลเติมเต็มชนิด Hyaluronic Acid (HA) เข้าไปบริเวณร่องที่พาดจากข้างปีกจมูกโค้งลงไปถึงมุมปาก ซึ่งทางการแพทย์เรียกว่า nasolabial fold ร่องนี้ชัดขึ้นเมื่อยิ้มและมักลึกขึ้นตามวัย คำถามที่พบบ่อยคือร่องลึกเกิดจากอะไร ใครเหมาะกับการฉีดฟิลเลอร์ตรงร่อง และต้องรู้อะไรบ้างก่อนตัดสินใจ เนื้อหาในบทความนี้เป็นความรู้ทั่วไป ไม่ใช่การวินิจฉัย ผลลัพธ์ขึ้นกับแต่ละบุคคล ควรปรึกษาแพทย์ที่ตรวจประเมินใบหน้าจริง ร่องแก้มในบทความนี้หมายถึงร่องข้างจมูกถึงมุมปากเท่านั้น ไม่ใช่ส่วนนูนของแก้มด้านหน้าที่เรียกกันว่าแก้มส้ม และไม่ใช่ร่องเว้าใต้ขอบตา สองเรื่องนั้นมีบทความแยกไว้แล้ว คือ ฟิลเลอร์แก้มส้มคืออะไร ฉีดบริเวณไหน และ ฟิลเลอร์ใต้ตา ส่วนหน้านี้เน้นสาเหตุของร่องแก้มลึก ความเหมาะสมของผู้ที่จะฉีด ตัวเลขจากงานวิจัย และความเสี่ยงที่ควรรู้ สรุปสั้นก่อนอ่านต่อ ร่องแก้มลึกขึ้นได้จากหลายปัจจัยร่วมกัน เช่น กลางใบหน้าที่แฟบลงและผิวที่หย่อนตามวัย จึงต้องให้แพทย์ประเมินก่อนว่าควรเติมที่ร่อง เติมที่แก้ม หรือใช้วิธีอื่นร่วมด้วย[3][4] ฟิลเลอร์ทำงานด้วยการเติมปริมาตรให้ร่องตื้นลง และการศึกษาด้วยภาพ 3 มิติรายงานว่าไม่พบการดึงผิวเข้าหาร่อง ผู้ที่แก้มห้อยและผิวหย่อนมากจึงควรคุยกับแพทย์เรื่องวิธียกกระชับร่วมด้วย[5] งานวิจัยแบบสุ่มในผู้ที่มีร่องแก้มรุนแรงรายงานปริมาณรวมเฉลี่ย 1.3 mL ต่อข้าง และราว 80% ยังตอบสนองที่ 12 เดือน แต่เป็นงานที่ผู้ผลิตสนับสนุน และไม่ใช่ตัวเลขของคลินิก[2] ร่องแก้มถูกระบุว่าเป็นตำแหน่งเสี่ยงสูงต่อหลอดเลือดอุดตันจากฟิลเลอร์ ผิวซีดขาว…

Treating acne scars doesn't have a single method that works for everyone, as acne scars come in many forms: narrow and deep, wide and well-defined, and those that leave the skin uneven. Each type responds differently to treatment. This article provides an overview of commonly used acne scar treatments, ranging from chemical peels and microneedle therapy to radiofrequency (RF) and laser treatments, as well as filler injections and targeted procedures. Fresh Code Clinic's services for acne scars are also listed. This information is general knowledge and not a personalized diagnosis or recommendation. Each person's scar type, depth, skin color, and acne history are different, so a doctor must examine the skin before choosing a method and planning treatment. Results vary from person to person; consultation with a doctor is recommended. In short, acne scars are broadly categorized into narrow and deep (ice pick), round or oval with well-defined edges (boxcar), and wide and sloping edges (rolling). Post-acne redness or dark spots are skin discoloration, not scars. There is no single method that works for all scars. A Cochrane review concludes that there is insufficient evidence to determine which method should be the first choice. Doctors therefore choose based on the type of scar and often use a combination of methods. Self-care has limited benefits. Retinoids or salicylic acid may make mild scars less noticeable. However, microneedle treatment at home carries the risk of infection and dark spots, and squeezing or pressing pimples increases the chance of scarring. The number of sessions and recovery time vary depending on the method and are determined by the doctor on a case-by-case basis. Before starting, any inflamed acne should be controlled, and you should inform your doctor about any acne treatments you have received in the past two years. Table of Contents: Treating Acne Scars Starts with Identifying the Types: What are Acne Scars and How Many Types Are There...?

Sculptra คือสารฉีดชนิดกระตุ้นคอลลาเจน (collagen stimulator หรือ biostimulator) ที่มีอนุภาคขนาดเล็กของ poly-L-lactic acid หรือ PLLA เป็นส่วนประกอบสำคัญ[2][5] แพทย์ฉีดเข้าสู่ผิวหนัง เพื่อให้ร่างกายค่อยๆ ตอบสนองและเพิ่มการสร้างคอลลาเจนของตัวเอง[3] บทความนี้เป็นความรู้ทั่วไป ไม่ใช่การวินิจฉัย และไม่ใช่คำแนะนำเฉพาะบุคคล ผลลัพธ์ขึ้นกับแต่ละบุคคล ควรปรึกษาแพทย์ก่อนตัดสินใจ เนื้อหาแบ่งเป็นกลไกการทำงาน ข้อบ่งใช้ที่ FDA สหรัฐฯ อนุมัติ ผลลัพธ์ในงานวิจัย ความต่างจากฟิลเลอร์ กลุ่มที่เหมาะและไม่ควรฉีด และจำนวนครั้งที่งานวิจัยรายงาน ข้อมูลส่วนหนึ่งมาจากเอกสารของผู้ผลิตและงานที่ผู้ผลิตให้ทุน ซึ่งระบุไว้ชัดเจนในแต่ละจุด เพื่อให้ผู้อ่านชั่งน้ำหนักข้อมูลได้เอง สรุปสั้นก่อนอ่านต่อ Sculptra คือสารฉีดกระตุ้นคอลลาเจนที่มีอนุภาค PLLA กลไกที่งานวิจัยอธิบายคือร่างกายตอบสนองต่ออนุภาคแล้วกระตุ้นเซลล์สร้างคอลลาเจน แต่รายละเอียดระดับโมเลกุลยังเข้าใจไม่ครบ[3] ผลมักไม่ปรากฏชัดทันทีหลังฉีดครั้งแรก ปริมาตรช่วงแรกเป็นของสารพาซึ่งลดลงในไม่กี่วัน ผู้ผลิตแนะนำให้ประเมินผลไม่เร็วกว่า 4 สัปดาห์หลังการรักษา[3][5] FDA สหรัฐฯ อนุมัติให้ใช้กับริ้วรอยร่องแก้มและริ้วรอยเส้นละเอียดบริเวณแก้มในผู้ที่ภูมิคุ้มกันปกติ งานวิจัยติดตามผลได้ราว 2 ปี แต่เป็นการอนุมัติของสหรัฐฯ ไม่ใช่ทะเบียน อย. ไทย[1][2] งานวิจัยวางแผนฉีดได้ถึง 4…

What are the differences between Oligio and Ultraformer, and which machine should you choose for facial lifting? This question often arises when individuals start experiencing sagging cheeks, undefined jawlines, loose skin, or wrinkles, but are unsure whether to choose RF radio frequency or HIFU technology. While both machines aim for skin tightening, they operate on different principles and deliver energy differently. This article will help you choose based on your skin care goals, not on the machine name or advertising claims of which is more powerful. It primarily compares Oligio and Ultraformer MPT, and adds Ulthera as a third option for those researching non-surgical facial lifting, illustrating each technology's role and outlining questions to consider before treatment. Key Takeaways: Oligio uses Monopolar RF to deliver heat energy to tissue, making it suitable for assessment when the goal is firmness and skin quality. Ultraformer MPT uses HIFU, delivering focused ultrasound energy to a defined depth, making it a good choice for planning lifting based on tissue layers. Ulthera is another option using focused ultrasound, featuring an ultrasound visualization system to help monitor tissue layers during energy delivery. There is no single best machine for everyone; the choice should depend on your skin problems, sagging severity, facial structure, and medical suitability…

What are the differences between Ulthera and Ultraformer? This is a question many people ask before deciding on a facelift. Both machines use focused ultrasound energy to deliver energy to the tissue beneath the skin, but they differ in technology, energy placement control, treatment head design, sensation during treatment, and treatment plan approach. This article provides a neutral comparison to help those undecided between Ulthera/Ultherapy and Ultraformer MPT understand the advantages of each machine and what factors should be considered when making a choice. Actual results depend on skin condition, degree of sagging, facial structure, energy level, number of lines or shots, and the treatment plan chosen by the doctor. Therefore, a personalized assessment by a doctor is recommended before treatment. Key Takeaways: Both Ulthera and Ultraformer MPT use focused ultrasound to create heat energy in the target tissue layer and stimulate collagen restructuring. A key advantage of Ulthera is its ultrasound visualization, allowing the patient to see the tissue layers and location before energy delivery. Ultraformer MPT features Micro-Pulsed Technology and multi-depth cartridges…

The question of which to do first, Ulthera, Botox, or Filler, is a question for people who already have Botox or filler injections and are about to do Ulthera Prime because two Thai research papers that I've read found that if Ulthera is done too close to the injection date, the effect of Botox is reduced and the effect of HA filler is partially reduced [1][2]. This article provides a timeline and checklist of how each case should be ordered, what the intervals are that the research has tested, and which areas do not yet have figures. This is general knowledge, not a diagnosis. The actual intervals to use must be determined by the doctor based on the area and each person's injection history. Key Takeaways: If planning a whole new treatment, the Pan-Asian consensus, for example, for the upper face, is to do Ulthera (MFU-V) first, then Botox and filler [4]. This order avoids cases where research has found an impact, but is an example from consensus, not a comparison of experimental results. If Botox has already been injected, a randomized 15-person trial found that MFU-V 1.5 mm head, if done immediately, on day 7 or day 14, reduces the effect of Botox. Researchers recommend waiting at least 2 weeks and have not yet tested beyond…

Acne scars and recurring acne are different problems. Acne is inflammation, while acne scars are the resulting marks. Therefore, it's necessary to differentiate between scar types and control acne simultaneously. This article explains the types of acne scars, the causes of recurring acne, the four steps of the Spotless Skin program at Fresh Code Clinic, and how to prepare and care for your skin after treatment. This is general knowledge, not a diagnosis. Key Takeaways: Red acne scars (PIE), dark acne scars (PIH), and acne pits are caused by different mechanisms, so they must be categorized before choosing a treatment method. Some scars may last a long time if left untreated. Recurring acne in the same spot is due to many factors, not just hygiene. Inflamed acne should be controlled first; otherwise, new scars will replace old ones. Fresh Code Clinic's Spotless Skin program is divided into four steps: clearing acne, treating dark scars with Discovery Pico, treating red scars with Dual Yellow Plus+, and rejuvenating the skin with Vitacool. Use sunscreen with SPF 30 or higher daily, and avoid picking or squeezing pimples…

Is Discovery Pico good? The answer depends on what your main skin problem is. As stated by the clinic, this is a picosecond laser used to treat pigmentation and skin texture problems, but the evidence is not as strong as it is for acne scars. Acne scars have more research supporting their effectiveness than melasma, and the term "skin brightening" does not mean skin whitening. This article explains the working principle, what it helps with, how many modes it has, whether it is painful, how many sessions are needed, post-treatment skin care, including post-procedure masks, and what you should ask the clinic before deciding. This is general knowledge, not a diagnosis. Key Takeaways Discovery Pico is a picosecond laser. As stated by the clinic, it is used to treat pigmentation and skin texture. The strongest evidence is for acne scars with the Fractional 1064 nm head, but this is a small procedure with some improvement, not complete elimination.[1][7] Melasma: An analysis of six randomized controlled trials found that the results varied greatly. 1064 nm reduced melasma scores, while 755 nm was no better than creams and caused post-inflammatory hyperpigmentation. Melasma is not on the FDA indications that the clinic found.[1][8] Skin brightening (Pico Bright) is the name of the mode and the clinic's terminology. No research has been found to directly measure skin brightening. And it is not a skin whitening [1]. Post-inflammatory hyperpigmentation is a side effect to watch out for. Sun protection should be used regularly, and ask the clinic about the model of device…

How many sessions of Dual Yellow to reduce acne redness and see results is a question that cannot be answered with a fixed number, because Dual Yellow Plus+ is a dual-wavelength laser that Fresh Code Clinic uses to treat acne redness that remains after acne has subsided. The number of sessions and downtime depends on the intensity of the redness, skin condition, and post-treatment care. The clinic's service page itself does not specify the number of sessions. This article explains what acne redness is, what this machine helps with according to the clinic's specifications compared to the evidence found, including melasma, dark spots, and skin brightening, how many sessions are needed, whether downtime is required, and how to care for the skin. This is general knowledge, not a diagnosis. Key Takeaways Post-Acne Redness (PIE) is redness that remains after inflammation, different from dark spots (PIH) caused by pigmentation, so the type of redness must be differentiated before choosing a treatment method[2][3]. According to the clinic, Dual Yellow Plus+ emits two wavelengths of light: yellow light 578 nm for redness and blood vessel problems and green light 511 nm for pigmentation problems. However, the clinic's service page concludes that there is no research found on this type of machine directly for post-acne redness[1]. There is no fixed number of sessions for everyone. The clinic's service page does not specify the number of sessions or the downtime…

Where is the best place to get Ultraformer MPT? The answer is not just one clinic name, but rather choosing a doctor and clinic whose identity can be verified, who assesses the facial structure on a case-by-case basis, and who explains the limitations of the machine directly, because Ultraformer MPT is a HIFU machine that delivers energy under the skin. This article explains how to verify the name of the doctor and clinic, questions to ask before making a decision, the location of Fresh Code Clinic, the principles of the machine, comparisons with other machines, and the expected results from research. This is general knowledge, not a diagnosis. Key Takeaways: Ultraformer MPT is a HIFU / Focused Ultrasound machine from CLASSYS. The manufacturer specifies 4 energy delivery modes: Dot, MP mode, Linear and Circular, and depths of 1.5, 2.0, 3.0, 4.5 mm[2]. When choosing a clinic, start by verifying that the doctor is a registered doctor, the clinic has a license to display, the doctor who assesses is the one performing the procedure, and explains the number of times…

Oligio X is a non-surgical skin tightening device that uses monopolar RF radio waves, an improved version of the original Oligio. The key change is the GXG Dual Mode system, which delivers energy in the sequence of G, X, and G, along with an enhanced cooling system for greater comfort. This article explains what Oligio X is, how it differs from its predecessor, how it compares to Ulthera Prime and Xtherma, which programs it can be combined with, and what you should know before treatment. This is general knowledge, not a diagnosis. Key Takeaways: Oligio X is a monopolar RF skin tightening device with a frequency of 6.78 MHz and a maximum power of 400W. It uses heat to stimulate the contraction of existing collagen and the creation of new collagen without surgery. The key difference from the previous model is the GXG Dual Mode, which delivers energy in the sequence of G Mode,…