Personalized Treatment Proposal

Personalized Facial Rejuvenation Plan

A tailored SMAS Lift approach designed for a comfortable, anxiety-free recovery.

Patient

Ms. Xiaoying Zhu

Lead Surgeon

Dr. Palapong Chayangsu, MD

Clinic Location

Bangkok, Thailand

Patient Summary

Ms. Zhu presents with mild-to-moderate laxity in the mid-to-lower face and jawline. While she has previously undergone a thread lift and maintains her upper face beautifully with neurotoxins, she is now seeking a more definitive, longer-lasting surgical solution for her lower facial contours.

Her primary goals are achieving a natural, refreshed V-shape without an over-pulled appearance, while avoiding aggressive techniques that require extensive downtime. Equally important is ensuring a highly supportive, anxiety-conscious post-operative experience, as she prefers to recover in a hospital setting with robust pain management and minimal restrictive garments.

Why Choose Dr. Palapong

A surgeon aligned with your aesthetic philosophy

15+

Years of Surgical Experience

3,000+

Facial Procedures Performed

Customized Surgical Approaches: Expert at determining exactly how much intervention is necessary. Recommends the less aggressive SMAS lift tailored to your specific anatomical needs, avoiding unnecessary deep plane dissection.

Patient-Centric Recovery: Deeply understands post-operative anxiety and provides highly personalized, compassionate hospital care tailored to sensitive patients.

Advanced Healing Techniques: Utilizes refined suturing and localized pressure methods that completely eliminate the need for uncomfortable full-head compression garments.

Doctor's Assessment & Recommendation

Clinical findings and the rationale behind your treatment plan

Mid & Lower Face Laxity: Mild to moderate sagging is present. An Extended SMAS Lift is perfectly suited to lift the deeper structural layers, providing a smooth, V-shaped jawline without looking overly tight.

Upper Face Stability: The forehead and brow positions are currently excellent, effectively managed by your ongoing neurotoxin routine. No surgical intervention is recommended for the upper face.

Prior Thread Lifts: The previous placement of 14 threads will not impede or complicate the SMAS lift procedure.

Visible Facial Vessel: The small prominent vessel can be flattened and softened during the procedure, though it cannot be entirely removed due to underlying vascular structures.

Neck Skin Quality: While the lift will improve the structural contour of the jawline and upper neck, surface skin laxity on the neck is best addressed in the future with non-surgical energy devices (e.g., Ultherapy, Morpheus8).

Procedure Plan

Your personalized surgical roadmap

Procedure 01

Extended SMAS Facelift

TechniqueExtended Superficial Musculoaponeurotic System (SMAS) Lift

PurposeCorrect mild-to-moderate mid and lower face sagging; restore jawline definition and V-shape contour

Areas TreatedCheeks, lower face, and jawline, with structural improvements to the upper neck

SettingHospital-based procedure with tailored sedation and advanced pain management

Recovery1 night hospital stay included (can be extended); stitch removal on Day 5 and Day 7

Surgical BenefitSignificant longevity (6–10 years) with less surgical trauma, shorter downtime, and no need for full compression garments

Expected Results

What you can realistically anticipate from your procedure

Restored

V-Shape jawline contour and elevated mid-face structure

Refined

Natural expression without the "pulled" look, maintaining your unique features

6–10 Yrs

Expected longevity of the results, supported by good skincare and genetics

Services & Pricing

Transparent pricing for your treatment plan

Option A: Extended SMAS Lift (Hospital)

Extended SMAS Lift (Hospital Setting)	$12,300
Additional Hospital Nights (Optional, approx. per night)	$160

Base Package (USD) $12,300

≈ THB 393,600 at 32 THB/USD

Option B: Presenter Program

Extended SMAS Lift (with 10-15% Presenter Discount) $10,455 – $11,070

Estimated Package (USD) ~$10,455

Requires consent for media usage. Final discount confirmed by clinic.

Item	Option A (Standard Base)	Option B (Presenter Program)
Extended SMAS Facelift	$12,300	$10,455 - $11,070
Hospital Stay (1 Night)	Included	Included
Extra Hospital Nights (Optional)	$160 / night	$160 / night

Note: Prices are quoted in USD. The estimated Thai Baht conversion is calculated at 32 THB/USD. The Presenter Program discount (10-15%) requires patient consent for photo and video usage. Additional hospital nights are approximately 5,000 THB ($160 USD) per night.

Payment Terms

A deposit is required to secure your surgery date (August 3).
The remaining balance is due prior to the procedure.
Accepted methods include major credit cards, bank transfers, and cash.

Refund Policy

Deposits are fully refundable up to 30 days before the scheduled surgery date.
Rescheduling is permitted with advanced notice, subject to availability.

This estimate supersedes any prior verbal discussions.
Final clinical approach and exact pricing will be confirmed during your in-person pre-operative assessment.
Additional hospital nights for enhanced anxiety/pain management are entirely optional and billed separately.

What's Included in Your Package

Everything covered by your surgical package

Surgical & Medical Team

Lead Surgeon (Dr. Palapong)
Board-certified Anesthesiologist
Dedicated nursing staff

Hospital & Post-Op Care

1 Night private hospital room
Advanced pain management protocol
Anti-anxiety support & medication

Follow-Up Support

Stitch removals (Days 5 & 7)
Routine post-op consultations
Direct line for recovery questions

Comfort & Logistics

Garment-free recovery approach
Pre-operative medical screening
Visa duration support

Medical Clearance: Standard pre-operative blood work and ECG are required to ensure you are fully fit for surgery. These are included in your hospital package.

Not Included (Available on Request)

Item	Details
Flights & Accommodation	Airfare to Thailand and personal hotel stays are not included.
Extended Hospital Stays	Stays beyond the included 1 night are available at approx. $160 USD per night.
Energy Device Treatments	Future neck skin tightening (e.g., Ultherapy) is billed separately.

Recovery & Timeline

What to expect, day by day

Day 0

Surgery day. Rest comfortably overnight in the hospital with dedicated nurses, robust pain management, and anti-anxiety care.

Days 1–3

Option to extend hospital stay or return to your accommodation. Swelling and mild bruising begin to develop.

Day 5

First follow-up at the clinic. Stitches on the face are gently removed.

Day 7

Second follow-up. Stitches behind the ears are removed.

Week 2

Bruising typically resolves and significant swelling subsides. You can comfortably enjoy sightseeing and shopping with your sister.

Week 4

Final clearance. You are ready to safely fly back to Japan.

Recommended Length of Stay in Bangkok

We recommend a stay of 4 weeks in Thailand, which aligns perfectly with your planned travel itinerary. This duration allows us to monitor your early recovery, remove all sutures, and ensure you are fully healed and comfortable before your flight back to Japan.

Next Steps

Your path forward

1. Secure the Date: Confirm your August 3rd reservation with our clinic staff and place your deposit.

2. Confirm Visa Requirements: Verify that your US passport allows for your planned 4–5 week stay in Thailand (our team can assist with documentation if a visa run or extension is needed).

3. Decide on Hospital Stay: Let us know how many additional nights you would like to book at the hospital for your peace of mind and comfort.

4. Book Flights: Finalize your travel arrangements between the US, Japan, and Bangkok.

Contact & Booking

Get in touch

Website

www.bkflclinic.com | www.bangkokfacelift.com

admin@bkflclinic.com

WhatsApp / Direct Line

+66 61 555 6552

Location

26/1, Chani Residence Building, 2nd Floor, Soi Thonglor 13, Khlong Tan Nuea, Watthana, Bangkok 10110

Operating Hours

Mon–Sat 10:00–19:00 ICT (UTC+7) — international support 24/7 once booked

Thank you for considering BKFL. We deeply understand your concerns regarding pain and recovery, and we would be honoured to provide you with a safe, comforting, and transformative experience here in Bangkok.

Prepared for Ms. Xiaoying Zhu — May 14, 2026

Medical Disclaimer & Terms of Quotation

This document, issued by BKFL Clinic on May 14, 2026, constitutes a confidential instrument prepared exclusively for Ms. Xiaoying Zhu.

The clinical outlines and financial estimates contained herein are derived from an initial remote consultation and are contingent upon a comprehensive, in-person clinical evaluation. BKFL Clinic reserves the right to modify treatment protocols, procedural requirements, and final pricing based on the findings of said physical assessment. All professional fees are quoted in USD and shall remain fixed for a period of 30 days from the date of issuance.