Forehead Filler Injections vs Silicone Forehead Augmentation
Forehead augmentation is a type of plastic surgery that can help the face look fuller and softer, because a forehead with a smooth curve that suits the face helps balance the nose, mouth and chin.
With current technology, there are 2 main forehead augmentation methods. The first uses a silicone implant, either ready-made or custom-cast and designed for each person (4D CT FIT). The other is forehead filler injections. Whichever technique is used, the aim is to reshape the forehead or address concerns such as a flat forehead without definition, deep lines, a narrow forehead, a wide forehead or a high, rounded forehead.
This raises the question of which technique to choose and how they differ, so you get the look you want in a way that suits you.
Differences Between Silicone Forehead Augmentation and Forehead Filler Injections
Forehead Filler Injections
Forehead filler injections use hyaluronic acid, and the change can be clearly seen. For other areas of the face, such as the nasolabial folds or under the eyes, filler injections usually use about 1ml to 2ml, but the forehead may need 3ml to 5ml or more (at the doctor’s discretion).
This method can help soften deep lines and make the skin look firmer and more hydrated, depending on your concerns and the shape of your forehead. If you want the forehead to be more prominent than before, a larger amount is needed. If the shape is not what you want, the injected material can be dissolved.
If forehead filler injections are given by an inexperienced doctor, or with a product that is not registered with the Thai Food and Drug Administration, the injected material may sag or droop out of shape, the skin may look rippled, and there is a risk of affecting your eyesight. This may happen if the injection accidentally goes into a blood vessel or affects muscles in other areas.

Benefits of Forehead Filler Injections
- It can feel less uncomfortable in some cases and does not need surgery, and recovery time depends on each person.
- You can choose how prominent the forehead is.
- It is simple and convenient to have done.
- It can help soften lines and creases on the forehead.
Drawbacks of Forehead Filler Injections
- The cost is high because a large amount is needed.
- The injected material may move down with gravity and make the skin uneven, and a bumpy surface is difficult to correct.
- You need top-up filler injections regularly.
- There is a chance of effects on the nerves.
- If a lot is injected, the skin may dent when you press on it.
- If filler injections are not given correctly, or are repeated many times, there is a chance the forehead may look rippled.
Silicone Forehead Augmentation, Ready-Made vs Personalised Cast Implants (4D CT Fit)
This technique gives a smooth, soft contour that follows your facial structure, especially the silicone forehead augmentation with 4D CT Fit technique, which uses 3D images from a full CT scan, so the implant is detailed and suits your face. How prominent the forehead is can be adjusted to what you want and the doctor’s opinion. Silicone forehead augmentation is also long-lasting and usually does not need repeated correction.
Silicone Forehead Augmentation
- Ready-made silicone implants (S Nature) come in 3 sizes, S, M and L, depending on how much fullness you want.
- Personalised silicone forehead implant, 4D CT FIT, is made to order in Korea for each person from implant-grade material, using 3D images from a CT scan and the doctor’s approval. The implant is smooth with thin edges, designed so the edges are less likely to show.
- Personalised silicone forehead implant, Casting Mold, uses implant-grade material. A plaster mould is sent to Korea to make a silicone implant for each person.

Benefits of Silicone Forehead Augmentation
- You can choose how prominent the forehead is.
- It gives a smooth surface with a lower chance of ripples.
- If you are happy with the result, you do not need further correction.
- It is designed for each person, so it addresses your specific concerns.
- The silicone implant sits under the periosteum (the membrane covering the bone) and is held securely, which helps stop it from moving.
- It can help reduce lines on the forehead for a smoother look.
- The incision is small and placed where it is hidden.
- You do not need to have your hair shaved, and no area of hair is removed.
- Allergy to silicone is very rare.
Drawbacks of Silicone Forehead Augmentation
- If the surgeon has limited experience, there is a chance of affecting tissue and nerves.
- Recovery takes a long time, with swelling for 1 to 3 months.
- If you want to change the silicone implant, you need another operation.
- If the forehead is too prominent, the face will look unbalanced.
- In the future, the edges of the silicone implant may become visible in people with thin skin.
- You may have swelling and bruising after surgery.
| Silicone forehead augmentation | Forehead filler injections |
|---|---|
| Long-lasting | Forehead filler injections usually last 1 year (with genuine products) |
| Needs surgery with an incision on the head | Filled with hyaluronic acid injected under the periosteum |
| The silicone implant sits under the periosteum, which helps it stay in place and helps the forehead keep its shape even if your weight goes up or down | Results can be seen 7 to 14 days after treatment |
| Can help reduce fine lines | No incision and no surgery needed the forehead is swollen for 7 to 14 days after the injections |
| You can choose how prominent the forehead is | Can look softer than a silicone implant |
| Correction needs another operation to replace the silicone implant | Correction can be done by dissolving the injected material |
| Choosing an experienced doctor is important | Avoid sleeping on your front or side for 1 to 2 weeks after treatment |
Whichever forehead augmentation method you choose, when choosing a beauty clinic that offers plastic surgery, consider the doctor’s experience, the standards of the facility, follow-up care after treatment and detailed consultation and advice, for your own benefit
S45 Clinic has experienced doctors who provide silicone forehead augmentation with attention to every detail, and if a general anaesthetic is used during surgery, an anaesthetist provides one-to-one care

