Skin quality
Fine texture changes and reduced elasticity are different from a deep volume deficit.
Skin qualityWhen skin feels less firm or looks less rested, start by understanding what has changed beneath the surface.

Considered care.
Personal to you.
Collagen-focused care covers treatments with different ingredients, mechanisms and evidence. Sculptra, Karisma RH Collagen and programmes called Made Collagen are not the same intervention. Comparing the exact product and the concern it is intended to address is more useful than choosing by the word “collagen” alone.
Follow the story as you scroll.
Connect what you notice
with the questions that matter.
An educational illustration. Your assessment is individual.
01 / Skin quality
Fine texture changes and reduced elasticity are different from a deep volume deficit.
Skin qualityHollowing or structural changes may need a separate facial assessment.
Volume and supportGradual treatments need staged review. Early swelling is not the final result.
Time and responseUNSURE WHERE TO START?
Based on your responses, we recommend exploring the following areas.
MICHIKO · YOUR QUESTIONS, EXPLAINED
Sculptra contains poly-L-lactic acid. The Karisma manufacturer describes a formulation containing recombinant collagen, high molecular weight hyaluronic acid and carboxymethyl cellulose. Made Collagen is a different named programme; the exact formulation, evidence and intended use need to be discussed on their own terms.
Photographs, a clear starting concern and a review schedule make subtle changes easier to assess. Discuss how long you can wait, whether a procedure is reversible and what follow-up or aftercare it requires before committing to a course.
WHY MICHIKO
Dr. Gift and our medical team explain the differences between formulations and match the plan to skin quality, facial support and your timeline. Clear expectations matter as much as selecting a product.
Describe what has changed and what you hope to improve. The assessment comes before a programme recommendation.
LISTEN
Compare the approaches that fit your assessment. Understand what each can improve, where its limits lie and whether a simpler first step would suit you.
ASSESS
Discuss the exact method or product, expected benefit, limits, risks and total cost. There is time to decide and room to choose a simpler plan.
PLAN
Know your aftercare, review timing and how to contact the team. Your response helps shape the next step.
CARE
BEFORE YOU VISIT
No. The ingredients, purpose, tissue effects and ability to reverse a treatment differ. Ask for the exact product name rather than assuming that all “collagen” treatments behave alike.
They cannot be assumed to correct significant excess skin or every structural change. Your assessment may point to a different treatment or referral.
Message MICHIKO on LINE and mention the service. Choose EmSphere or Phahonyothin 21, and confirm the relevant clinician and appointment before travelling.
Bring details of previous procedures, current medicines and supplements, allergies and any recent skin reaction. Tell the doctor if you are pregnant or breastfeeding. Mention work, travel and event dates so the plan can account for recovery and follow-up. Do not stop prescribed medicines without advice.

YOUR NEXT STEP
Message us on LINE, choose EmSphere or Phahonyothin 21, and mention Collagen & Regeneration. Dr. Gift and our medical team will assess your concern, explain the options, risks and cost, and leave the decision with you.
Helpful to bring: previous procedures, current medicines and any allergies.
TRUSTED AT MICHIKO
Familiar faces. Personal care.
























MICHIKO · BANGKOK

9/2 Supalai Park Building 1, Phahonyothin 21, Chatuchak, Bangkok 10900
Sat–Mon 10:00–19:00 · Tue–Wed 11:00–20:00 · Thu–Fri 10:00–19:00

EM TOWER, Floor 7, Room 7T 01, EmSphere, 628, 630 Sukhumvit Road, Khlong Toei, Bangkok 10110
Daily 11:00–20:00