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Doctor’s Advice: Can Filler and Biostimulator Be Used Interchangeably? Dr. Saetawut Lertlukpreecha explains clearly, with guidance on choosing the right option for your face.

  • Writer: Dr. Saetawut Lertlukpreecha
    Dr. Saetawut Lertlukpreecha
  • Aug 6
  • 2 min read
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Hello, I’m Dr. Saetawut Lertlukpreecha.


One of the most common questions I get at the clinic is:


“Doctor, which is better—Filler or Biostimulator?”
“If I’m already getting fillers, do I also need Biostimulator?”
“Can they replace each other?”

In this article, I’ll explain in a simple and clear way how these two treatments are similar, how they differ, and who they’re suitable for.





What Are Filler and Biostimulator?



Treatment

Primary Function

Result

Filler (HA)

Instantly restore volume

Immediate results, lasts 8–18 months

Biostimulator

Stimulates collagen production

Gradual results in 1–3 months, lasts 1–2 years



How Do They Work Differently?




✅ Filler:



  • Fills deep hollows (e.g. under eyes, cheeks, chin, temples)

  • Ideal for those who want immediate results

  • Allows precise reshaping and contouring of facial features




✅ Biostimulator:



  • Stimulates your body’s natural collagen production

  • Best for those who want natural lifting and firmer skin over time

  • Does not provide instant volume or change facial shape immediately





So, Can They Be Used Interchangeably?



Answer: No, they cannot directly replace one another.

They serve different purposes:


  • If you have volume loss (e.g. sunken temples, under-eye hollows) → Filler is more appropriate

  • If you have sagging skin and want a natural lifting effect from within → Biostimulator is the better option





But… Can They Be Used Together?



Yes! And when used together properly, they complement each other very well.



Example of a treatment plan I often use:



  • Inject Filler in specific hollow areas such as under the eyes or chin

  • Then use Biostimulator in areas like the cheeks or jawline to stimulate skin tightening



→ The result: a fuller, lifted, and firmer appearance that lasts longer




Doctor’s Recommendations: Who Should Use What?




Facial Concern

Recommended Treatment

Sunken, flat, or volume-deficient face

Filler

Thin or slightly sagging skin, no desire to change facial shape

Biostimulator

Deep tear troughs or nasolabial folds

Filler

Sagging jawline

Biostimulator

Want a natural look

Biostimulator or a suitable combination



Things to Know:



  • Filler is dissolvable (via Hyaluronidase)

  • Biostimulator is NOT dissolvable – must be injected by an experienced doctor

  • Both require a thorough facial structure assessment before treatment





Doctor’s Advice:



“I don’t see Filler and Biostimulator as ‘alternatives,’
but as different tools that can be used together effectively.
The most natural beauty doesn’t come from simply filling—it comes from thoughtful planning with a doctor who understands the skin in depth.”



Summary:



Filler and Biostimulator are not direct substitutes, but can be used together for the best results.


If you want to achieve long-lasting, safe, and natural rejuvenation,

consult a doctor to create a plan tailored to your facial structure and personal goals.

 
 

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