Dr. Kasama Nilprapha

Dr. Kasama Nilprapha (Thai: กษมา นิลประภา) teaches and operates as a plastic and reconstructive surgeon in Bangkok, at King Chulalongkorn Memorial Hospital in the Pathumwan district. On the website of Chulalongkorn's surgery department she appears as a lecturer (อาจารย์) in the plastic surgery unit, and the hospital, which belongs to the Thai Red Cross Society, is where the university's medical faculty trains its doctors. On the department's website her name carries the prefix อ.พญ., marking her as a lecturer and a female physician. No professorial rank is published for her, so this page calls her Dr. Kasama.

Four special interests appear on her Department of Surgery profile:

• plastic and reconstructive surgery as a whole;
• planning and rebuilding the face with three-dimensional technology (the English label on the profile reads '3D Planing and Reconstruction');
• operations for cancer inside the mouth (oral cavity cancer);
• taking out the parotid salivary gland, wholly or in part (parotidectomy).

Taken together, these point to head-and-neck reconstruction rather than cosmetic work. No official page we opened names a cosmetic or gender-affirming operation for her, so we have not connected her profile with our cosmetic procedure pages. Readers who arrived looking for a nose, eyelid or breast operation will find that the practice-areas section gives a plain account of what her sources do and do not say, and names colleagues in her unit whose official profiles do list those operations.

Her specialist standing rests on two Thai diplomas (วุฒิบัตร) awarded by the Medical Council of Thailand: the first in surgery (2013), the second in plastic and reconstructive surgery (2016). ThPRS, the Thai society for plastic surgeons, lists her in its public member directory, and a name search on the RCST website (Royal College of Surgeons of Thailand) finds her too. Everything said about her here was taken from university, society and PubMed records that we opened on 27 September 2026. The checks we apply to each surgeon, in Bangkok and other Thai cities, can be read in full on the provider research methodology we follow.

If you would like an appointment, you can request a consultation with Dr. Kasama Nilprapha. Our coordinators forward it to the hospital, find out when she could see you and report back; an appointment exists only once you have agreed to it.

Dr. Kasama's education is recorded in two places at Chulalongkorn University: her Department of Surgery profile and her staff page on chulaplasticsurgery.com, the site of Chulalongkorn's plastic surgery division (CUPS). The Department of Surgery dates each stage by the year it began, while CUPS prints full ranges in the Buddhist calendar. Read side by side, they give the sequence below.

Medical school, 2003–2008. She earned her Doctor of Medicine (แพทยศาสตรบัณฑิต) at Chulalongkorn's Faculty of Medicine. CUPS gives the years as B.E. 2546–2551.

Internship year, 2008–2009. New Thai graduates complete a supervised first year in practice (แพทย์เพิ่มพูนทักษะ). She spent hers at Srinagarind Hospital, Khon Kaen University's teaching hospital in the north-east of the country.

General surgery, 2009–2013. Staying on at Srinagarind, she completed residency with Khon Kaen University's Department of Surgery. In 2013 the Medical Council of Thailand awarded her its diploma in surgery, and the RCST member search still records surgery as her field.

Plastic and reconstructive surgery, 2013–2016. She then came back to Chulalongkorn for specialist plastic surgery training in the Department of Surgery at King Chulalongkorn Memorial Hospital. CUPS describes the post as แพทย์ประจำบ้านต่อยอด, a Thai term for a residency that builds on a specialty already completed, which in her case was general surgery. The Medical Council's diploma in plastic and reconstructive surgery followed in 2016; it is the national specialist qualification for this field.

Short courses outside Thailand. Three appear on the Department of Surgery profile, all dated after she qualified:

• 2016, South Korea: a KOREA-ASEAN capacity-building project for burn specialists, held at Hallym University Hangang Sacred Heart Hospital;
• 2017, Hamburg, Germany: a Train the Trainer seminar run by the Initiative Chronische Wunden, a German chronic-wound initiative (the profile words it 'Training in the Trainer Seminar');
• 2019, London: 3D MedLive, a programme on 3D printing in surgery.

The profile names these courses but gives nothing on their length or syllabus, so we add no detail. They do line up with the rest of her record: burns and wound care feature in her research, and 3D printing sits naturally beside her listed interest in three-dimensional facial planning.

Licence number. Her 2019 ThPRS entry prints Thai medical licence number 36396. The licence can be looked up on the Medical Council of Thailand's public register at checkmd.tmc.or.th, and our patient team can help you confirm it before you travel. Anyone can search that register for her by name.

Chulalongkorn's Department of Surgery gives Dr. Kasama's present post as lecturer and plastic surgeon (ศัลยแพทย์ตกแต่ง), a role that spans the university's medical faculty and its teaching hospital. The department's roster of current staff places her in the plastic surgery unit, which lists ten surgeons in total. No start date for her appointment is published.

When she sees patients. Her profile gives two weekly clinics, both in the Chakri Thotsamo building, floor 6:

• Mondays 08:00–14:00, a regular weekday outpatient clinic;
• Tuesdays 16:00–19:00, an out-of-hours clinic.

Treat these times as the published pattern, not a promise: in a teaching hospital, rotas, examinations, conferences and leave can all move a surgeon's clinic. The sources also differ slightly on location. The hospital's own surgery department page puts surgical outpatients in the Bhor Por Ror building, likewise on floor 6, whereas her profile names the Chakri Thotsamo building. Once an appointment is set, our team will confirm which building you need.

Teaching as well as operating. Because she holds a lecturer's post, her working week includes training residents. In Thai university hospitals, as in teaching hospitals elsewhere, residents and fellows usually take part in clinics and operations under the faculty surgeon's supervision. That is normal practice, and it is fair to ask at consultation which parts of your operation she will carry out herself.

Published research. A PubMed author search returns six papers under her name. Five show her with a Chulalongkorn affiliation. The sixth shows no affiliation for her on PubMed, but both Chulalongkorn profiles list it as her work, so we include it.

• 2022, *Health Science Reports*: a paper introducing the 3D PED BURN app, a tool for estimating the burned body-surface area of children in three dimensions.
• 2022, *Journal of Plastic, Reconstructive & Aesthetic Surgery*: an anthropometric study that measured the outer ear in Thai people. Reference measurements of this kind are used when ear reconstruction is planned.
• 2022: a prospective randomised controlled study, published in *International Journal of Lower Extremity Wounds*, testing whether cold water changes the pain patients report while negative-pressure wound dressings are being changed.
• 2021, *Aesthetic Plastic Surgery*: an anatomical study of the cartilage of the nasal septum and its clinical implications. Septal cartilage is a common source of graft material in nose surgery.
• 2018, *BioMed Research International*: a study of abnormalities in sperm production after hormone therapy in trans women.
• 2016, *Asian Pacific Journal of Cancer Prevention*: a prospective single-centre study of outcomes for patients with cholangiocarcinoma (bile duct cancer) in north-eastern Thailand. This is the paper without a listed affiliation for her.

Read as a group, the papers show academic interest in burns and wound care, facial and ear proportions, and nasal anatomy. We do not read them as a menu of operations she offers.

The four areas below come from Dr. Kasama's Department of Surgery profile. The profile names each one without describing how she works, so the surgeon-specific part of each entry is brief. The rest is general information about what a consultation in that area usually involves, offered to help you prepare. Our procedure pages do not cover these reconstructive operations, so this section carries no procedure links for her own areas.

Facial planning and reconstruction with 3D technology

Of her four listed interests this is the most distinctive, and it fits with the 2019 London course on 3D printing in surgery on her training record. In general, three-dimensional planning begins with a CT scan of the face and skull, which software turns into a digital model. On that model the surgical team can rehearse bone cuts, measure asymmetry and check how a reconstruction will sit. The plan may then be printed as a physical model, or as cutting and positioning guides that are used during the operation. Typical uses include facial fractures, rebuilding the jaw after a tumour has been removed, and correcting an uneven face.

Her profile does not say which conditions she plans in 3D, whether the planning is done within the hospital, or how long it takes. If 3D planning is the reason you are contacting her, useful questions are:

• would 3D planning change the operation itself in your case, or mainly help to explain it;
• can a CT scan taken in your home country be used, or will a new scan be needed in Bangkok;
• how much time planning and any printed models or guides add before a surgery date can be set;
• is the planning work billed separately.

Oral cavity cancer surgery

Her profile lists operations on cancers that start inside the mouth. The oral cavity covers the lips, the front of the tongue, the floor of the mouth, the gums, the lining of the cheeks and the hard palate. In general, treatment is decided by a multidisciplinary team. The operation usually removes the tumour together with a margin of healthy tissue, sometimes with lymph nodes from the neck, and then repairs the defect. Repair can be as simple as closing the wound or as involved as moving tissue from elsewhere in the body; where part of the jaw has to be rebuilt, 3D planning is one of the tools used to shape the new bone. Speaking, chewing and swallowing may be affected for a while, and many patients work with speech and swallowing therapists during recovery. Depending on the final pathology, radiotherapy or other treatment may follow the operation.

In the same plastic surgery unit, the official profile of Dr. Pasu Promniyom also lists oral cavity cancer surgery, and the hospital's otolaryngology (ear, nose and throat) department has its own head and neck surgeons. Her profile does not say how this work is shared between them. For someone travelling from abroad that matters, because cancer care rarely ends with a single operation: ask early which stages would take place in Bangkok and how follow-up would continue once you are home.

Parotid gland surgery (parotidectomy)

The parotid, the largest of the salivary glands, lies in front of and below the ear. A parotidectomy removes part or all of it, most often because of a lump. In general, the central concern is the facial nerve, which passes through the gland and moves the muscles of facial expression. The surgeon identifies and protects it during the operation, and the risk of temporary or lasting facial weakness is a routine part of the consent discussion. Patients also commonly ask about the scar, which usually runs in front of the ear and down into a crease of the neck; numbness around the earlobe; a drain for the first days; and Frey's syndrome, in which the cheek sweats or flushes during meals.

If a parotid lump is why you are consulting Dr. Kasama, ask what the tests so far suggest, whether a partial or a total removal is planned, and how facial nerve function will be assessed after the operation.

Burns, wounds and wider reconstructive work

Outside her four listed interests, her record includes a burn-specialist programme in South Korea and a chronic-wound trainer seminar in Germany, and her papers include a paediatric burn-area tool and a trial on pain during wound-dressing changes. Together these suggest a grounding in the reconstructive side of the specialty. Her profile does not name burn or wound care as a clinic service, however, so if you are asking about a burn scar or a wound that will not heal, our team will first ask the hospital whether she is the appropriate surgeon to see.

For jaw and facial-skeleton problems that go beyond her listed areas, it may help to know that Assoc. Prof. Pornthep Pungrasmi, in the same unit, has a profile listing maxillofacial surgery, orthognathic (jaw) surgery and ear reconstruction.

Cosmetic and gender-affirming surgery: what the sources show

No official page lists a cosmetic procedure or a gender-affirming operation for Dr. Kasama. Two of her papers touch on neighbouring topics, nasal septal cartilage and the effects of hormones in trans women, but they are research, not evidence that she performs rhinoplasty or gender-affirming surgery. She may still see such patients; published sources do not say so either way, and our team will ask the hospital for you if you wish.

Other surgeons in the same unit do have these operations on their official profiles:

• Asst. Prof. Seree Iamphongsai: open rhinoplasty and endoscopic brow lift, among other facial cosmetic operations;
• Dr. Pasu Promniyom: facelift;
• Assoc. Prof. Pornthep Pungrasmi: augmentation mastopexy, which combines breast augmentation with a breast lift, and hair transplant;
• Asst. Prof. Poonpissamai Suwajo: blepharoplasty, with gender-affirming surgery among her listed specialties.

The hospital also says that its plastic surgery unit carries out gender-affirming surgery, including vaginoplasty lined with pedicled peritoneum (peritoneal vaginoplasty) for trans women and endoscopic mastectomy (top surgery) for trans men. Whether any of these operations suits a particular patient is a question for an in-person assessment by the operating team.

A first meeting with a reconstructive surgeon is mostly about understanding the problem and agreeing a plan. The questions below follow Dr. Kasama's documented areas; pick the ones that fit your situation.

Questions for any of her areas

• Will Dr. Kasama lead your care and perform the operation herself, and how will residents or fellows be involved?
• Which other specialists will be part of the plan? For cancer this typically means oncologists, radiologists, and speech and swallowing therapists.
• What does the hospital need from you before it can give a treatment plan and a cost estimate?
• Whom do you contact about a problem after you have gone home?

Facial reconstruction with 3D planning

• What exactly is being rebuilt: bone, soft tissue or both? If tissue is needed, where will it come from?
• Will you see the virtual plan before surgery, and can you keep a copy for your doctors at home?
• Which parts of the result can the plan predict, and which depend on how you heal?
• Is more than one operation likely?

Oral cavity cancer

• Has the diagnosis been confirmed by biopsy, and has the cancer been staged with imaging?
• Will the lymph nodes in the neck be treated at the same operation?
• How will the area be reconstructed, and what does that mean for speaking, eating and appearance?
• Is further treatment likely after surgery, and could it be given in your home country?
• How long should you plan to stay in Bangkok? Only the treating team can answer this, because it depends on the operation and on your recovery.

Parotid surgery

• What do the scan and any needle test suggest about the lump?
• Is a partial or a total parotidectomy planned?
• How will your facial nerve be protected, and how will its function be checked afterwards?
• Where will the scar sit, and will you have a drain?
• When will the final pathology result be ready, and how will it reach you if you have already flown home?

Practical points before you go

Her published sessions are a Monday outpatient clinic and a Tuesday evening out-of-hours clinic. The languages she consults in are not published, so if you need to speak English, ask our team to confirm this before you travel, or plan to bring someone who can interpret. Consultation and treatment fees at King Chulalongkorn Memorial Hospital are set by the hospital. We have no published figures for her and do not quote any.

About the hospital. Dr. Kasama's clinics are held at King Chulalongkorn Memorial Hospital, which stands at 1873 Rama 4 Road, Pathumwan (postcode 10330). The Thai Red Cross Society owns it and Chulalongkorn University's medical faculty teaches there. It first opened its doors on 30 May 1914, according to the hospital's history page. For size, the only figure we have is 'over 1,500 beds', from a Chulalongkorn medical faculty page that also carries 2018 statistics, so the number may be dated.

Accreditation status. In the database of HA Thailand, the national accreditor, the hospital holds Advanced Hospital Accreditation: its re-accreditation dates from 23 May 2025 and runs to 22 May 2029, which we confirmed on 27 September 2026. Searches of the Joint Commission International (JCI) directory under several versions of the hospital's name returned no match. HA Thailand and JCI are independent schemes, and holding one tells you nothing about the other.

Related departments under the same roof. Besides the plastic surgery unit, the hospital has an Otolaryngology–Head and Neck Surgery department whose facial plastic and reconstructive surgery division provides head and neck reconstruction after cancer surgery, and the Princess Sirindhorn Craniofacial Center. In the otolaryngology department, the profile of Asst. Prof. Wisarut Samuckkeethum lists head and neck tumours and salivary gland tumours. Official pages do not say whether Dr. Kasama works with these teams, but for a patient with a head and neck condition it is useful to know that they are in the same hospital.

Help for overseas patients. We looked for an official description of an international patient desk, interpreters, airport pick-ups or supported languages at this hospital and found none. Travel and agency websites make claims of that kind; we could not verify them with the hospital and leave them out. An English-language version of the hospital website exists. No official page states which languages Dr. Kasama speaks.

In practice, this means a little more preparation than at a private hospital that advertises an international desk:

• have your medical reports translated into English or Thai before you send them;
• ask our team to confirm the language of the consultation in advance;
• keep your travel dates flexible, because university hospital clinics follow teaching timetables and a reconstructive or cancer plan may need tests before surgery can be scheduled;
• check with your insurer before you travel whether treatment at this hospital is covered;
• agree how follow-up will work after you go home, including who will check your healing, receive the pathology results and arrange any further treatment.

Getting there. The hospital stands on Rama 4 Road in Bangkok's central Pathumwan district and publishes its own map and travel directions. When an appointment is confirmed, our team will pass on the building and floor for her clinic.

Good information at the request stage lets the hospital answer the real questions, whether Dr. Kasama can help and what happens next, without asking you to travel just to find out. Send copies, keep your originals, and include whatever applies to you.

Whatever the reason for your request

• Your passport name, your age and where you live.
• Two or three sentences about the problem and anything doctors have already told you.
• Your health conditions, regular medicines (say clearly if you take anything that thins the blood), allergies, and whether you smoke.
• Any previous operation on this part of the body, with the surgeon's operation report if you can obtain it.
• Which language you want the consultation in, and when you are free to travel.

Facial reconstruction or 3D planning

• CT scan reports and, if you can get them, the scan images themselves (on a disc or as a download link in DICOM format). Three-dimensional planning is built from the images, and a written report alone is not enough.
• Clear photographs: front, left and right profile, and both three-quarter views, taken in even light with hair off the face and a relaxed expression.
• If the problem follows an injury or earlier surgery, when it happened and what was done.

Oral cavity cancer

• The biopsy (pathology) report.
• Imaging reports, such as CT, MRI or PET-CT, and the images if possible.
• Any staging information, and any treatment already given or planned.
• A note of any difficulty eating, speaking or opening your mouth.

A parotid lump

• Ultrasound, CT or MRI reports.
• The result of any needle test or biopsy.
• A short video or photos of you raising your eyebrows, closing your eyes tightly, smiling and puffing out your cheeks. This records how your facial nerve works before any treatment.
• How long the lump has been there and whether it has changed.

If you do not have some of these, send what you have. Our team will tell you what the hospital asks for before it can give an opinion.