Dr. Nattaya Direksil

Dr. Nattaya Direksil (Thai: พญ.นาถยา ดิเรกศิลป์) is a female surgeon who works out of Masterpiece Hospital, a cosmetic surgery hospital north of Bangkok's centre. The hospital's own doctor profile gives her specialty as Surgery (ศัลยกรรมศาสตร์) and places her in four of its departments: eye surgery, skin excision surgery, brow lift surgery and nose surgery. The hospital's website also uses a nickname for her, "Dr. Tuk" (หมอตุ๊ก).

Put simply, the hospital presents her as a surgery specialist in a cosmetic surgery hospital, and the procedures it attaches to her name are blepharoplasty (eyelid surgery), brow lift and rhinoplasty. Those three areas are all that this page treats as documented for her. If you are researching breast surgery, body contouring or gender-affirming surgery, her profile does not list her for those, and our patient team can suggest surgeons whose published profiles do.

Three points are worth stating openly, because patients tend to ask about them:

• The hospital's profile of her is written in Thai. We found no English-language page for her, so the details below come from that Thai page, which we read and summarised ourselves.
• Her specialty is recorded as Surgery. It is not recorded as plastic surgery or facial plastic surgery, and we repeat it exactly as published rather than upgrading it.
• The sources we could verify give no sub-specialty, fellowship, society membership, publication, years in practice or case volume for her, so we claim none of these.

To ask for an appointment, use the booking page. The patient team then checks with the hospital; what you send is a request, not a confirmed reservation. You can read how we vet providers in our provider research methodology guide.

The Masterpiece Hospital profile lays out a short training path for Dr. Nattaya:

• Medical degree: Doctor of Medicine (แพทยศาสตร์) at Naresuan University, Thailand. No year is given.
• Residency: resident physician in Surgery (แพทย์ประจำบ้าน ศัลยกรรมศาสตร์) at Rajavithi Hospital in Bangkok. No years are given.
• Board certification: a board certificate in Surgery (วุฒิบัตร) from the Medical Council of Thailand. The hospital profile prints the certificate number as 32739/2560, and the 2560 part is the Buddhist-era year equal to 2017.

In Thailand a residency followed by a board certificate is the usual way a doctor is recognised as a specialist. For Dr. Nattaya the recognised field is Surgery in general. What that tells a patient is limited: her documented formal specialist training is broad surgical training, and the page does not say how much of her later work has centred on aesthetic surgery of the eyelids, brow or nose. That is a fair thing to ask her directly, and the consultation section further down offers some wording.

Licence. The hospital's profile also prints a Thai medical practice licence number. 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. The number is therefore shown as *stated by the hospital*. If you want to check it yourself, use the Medical Council's online doctor look-up; our methodology page explains how we research provider facts. Asking the patient team to help confirm the licence before you book flights is sensible.

What is missing. The sources we checked show no overseas fellowship, no extra aesthetic-surgery qualification and no plastic-surgery society membership. A gap in a hospital web page does not prove that nothing exists, but it does mean we cannot state any of it.

The one role documented for Dr. Nattaya is attending surgeon at Masterpiece Hospital, in a building at the hospital's Sukhothai Road address in Dusit. Her profile there names four departments:

• eye surgery (แผนกศัลยกรรมตา)
• skin excision surgery (แผนกศัลยกรรมตัดหนัง)
• brow lift surgery (แผนกศัลยกรรมยกคิ้ว)
• nose surgery (แผนกศัลยกรรมจมูก)

Within the same profile she is named a "procedure doctor" (แพทย์ประจำหัตถการ) for the eye, brow and nose departments. Skin excision appears as a department but does not map onto one of our procedure pages, so we do not write a procedure claim about it.

On its about page the hospital traces its beginnings to 2013, when the business opened as Masterpiece Clinic in Siam Square, and it later became the Sukhothai Road hospital. The same page gives its size as 14 beds and seven operating theatres, of which four are anaesthesia rooms and three are not. For the accreditation record see the Masterpiece Hospital page.

We found no earlier posts, teaching appointments or leadership positions for Dr. Nattaya and do not guess at any. Other surgeons at the hospital are listed for overlapping areas. For example, Dr. Kosit Ieochai is recorded for facial plastic surgery (ENT) with a focus on the nose, and Dr. Nat Visaivate is recorded as an ophthalmology and oculoplastic surgeon in the eye department. If you would like a comparison between surgeons, the patient team can ask the hospital who it would propose for your case.

Each part below covers one documented area. The only surgeon-specific fact in each is the hospital's listing; everything else is general information that follows our procedure pages. Whether an operation suits you, and by which technique, is decided only after an examination, and every operation carries risks that the surgeon should explain.

### Eyelid surgery (blepharoplasty)

Dr. Nattaya is named as a procedure doctor in the hospital's eye surgery department. In blepharoplasty the surgeon trims or moves loose skin, muscle and fat around the upper or lower eyes. It is commonly considered for hooded upper lids, puffy lower lids and, in some people, to clear the upper field of vision that heavy lids block. Double eyelid surgery, which builds or sharpens the fold of the upper lid, is a closely related operation and may use a full incision or, where the lids allow, a stitch-only technique that may not last as long.

Patients commonly raise three subjects. The first is where the problem sits: skin, fat or the position of the lid edge. Ptosis, where the lid edge sits too low, is another condition and calls for a muscle repair, so a thorough consultation separates it from simple hooding. The second is eye health. Before operating, a surgeon commonly screens for dryness of the eyes, glaucoma, thyroid-related eye problems and any change in sight, since each can alter the risk. The third is recovery. In general, our procedure page describes swelling and bruising in the first two or three days, sutures removed at roughly the one-week mark (5 to 7 days), most bruising fading within 1 to 2 weeks, and a typical stay in Thailand of 5 to 7 days. Operating time is generally about 1 to 2 hours, commonly with local anaesthesia plus sedation, but your surgeon sets the plan.

On its service pages the hospital describes double eyelid surgery, eye-bag removal and ptosis surgery as services of the hospital as a whole. Those pages do not tie each one to Dr. Nattaya by name. We therefore say only that she is listed for the eye surgery department and for blepharoplasty, and we suggest asking whether she would carry out the particular eyelid operation you have in mind.

### Brow lift

She also appears in the hospital's brow lift department and as a procedure doctor for brow lift. A brow lift raises a brow that has sunk, which can make the upper lids look heavy and the face look tired. Some people come about their eyelids and learn at the consultation that brow position is part of the picture. In general a brow lift may suit a person better than eyelid surgery alone when the brow itself has dropped, and the two can be planned together. That is a judgement for the surgeon after an examination.

Our own guide to brow lift is still a stub, so we have no sourced recovery or technique figures to offer. Our brow lift page shows 7 to 10 days as the usual time away. Use that only as a rough planning number and ask the hospital for its own advice, especially if you plan to combine the operation with eyelid or nose surgery.

### Rhinoplasty (nose surgery)

The hospital lists Dr. Nattaya in its nose surgery department, and her profile links rhinoplasty to her. In rhinoplasty the bony and cartilage scaffold under the nasal skin is remodelled, and the skin then settles over the new outline. Depending on the plan it can straighten or narrow the bridge, remove a hump, refine or lift the tip, narrow wide nostrils, or build up a low bridge. Straightening the internal septum at the same sitting to ease breathing turns it into a septorhinoplasty.

Patients travelling to Thailand tend to want one of two quite different results: reduction (hump removal, narrowing, refinement) or augmentation (lifting a flat bridge or pushing the tip forward, commonly called Asian rhinoplasty). Techniques, materials and risks differ between them, so be clear with the surgeon about which you want. As general guidance, rhinoplasty is usually done under general anaesthesia and typically lasts 1.5 to 3 hours. A stay of 7 to 10 days is typical, finishing once the splint is taken off and the surgeon has checked the nose, and many return to desk work after 1 to 2 weeks. Most visible swelling goes down within 2 to 3 weeks, while the tip continues to refine for twelve months or more.

Because the hospital also lists ENT-trained colleagues for nose surgery, it is fair to ask who would operate on you and what that surgeon's experience is. The patient team can tell you whom the hospital proposes once it has reviewed your photographs.

A consultation is where the surgeon decides whether an operation is appropriate and, if so, which one. The prompts below are general good practice, shaped around the three areas she is listed for. They are not statements about how she works.

For any operation

• What training have you had in the exact operation I am asking about, and how regularly do you do it? (Her documented training is in general Surgery, so this is an ordinary question to ask.)
• Who is the anaesthetist, where will I spend the first night, and who responds to an urgent problem after I leave theatre?
• What is covered by the quote, what is left out, and what would a revision involve and cost?
• After I return abroad, who handles check-ups and how do I contact them?
• Are there consented photos of similar patients that I can look at? Take any before-and-after pictures with caution, including ours: the images on our procedure pages are examples of typical changes and do not show any surgeon's results.

For eyelid surgery

• Which is behind how my eyes look: loose skin, fat pads, a sagging brow or ptosis?
• Will my dry eyes, vision and any thyroid or glaucoma history be assessed before surgery?
• Which approach do you advise: an incision in the crease, or for the lower lid an approach from inside the lid that leaves no visible scar?
• If I want a double eyelid crease, would you use incision or sutures, and how long is each likely to hold?

For brow lift

• Is the position of my brow adding to the heavy look of my upper lids, and would a brow lift, eyelid surgery or both be the better plan?
• Where would the scar sit and how visible is it likely to be?
• How many days should I plan to remain in Thailand?

For rhinoplasty

• Will the approach be open or closed, and which graft or implant do you favour for my nose, with what trade-offs?
• If a graft is needed, which part of my body would it come from?
• Should the septum be treated if my breathing is blocked?
• How many months until the tip settles, and when would a revision be considered reasonable?

Write down the answers and do not feel pushed to decide on the spot. A first consultation held remotely from photographs gives only a provisional outline; the surgeon confirms the plan in person in Bangkok before any operation.

Enquirers abroad will find a free request form on the hospital's contact page that includes an online consultation option, alongside WhatsApp, WeChat, LINE and Telegram channels, and its own lines for Cambodia, Indonesia and China. Nothing we read mentions a dedicated international patient desk, an airport transfer service or an interpreter service, and no list of languages spoken by the hospital or by Dr. Nattaya, so we claim none. Before booking flights, ask the patient team in which language your consultation and your written aftercare will be delivered. The hospital's page for her is in Thai, and we found no English page for her.

Some planning points tied to her documented procedures, all general guidance:

• Eyelid surgery: our procedure page gives 5 to 7 days in Thailand, since stitches typically come out around then. Pack dark glasses for the journey, keep out of pools and off the eyes with cosmetics until the team says otherwise, and check which drops to carry on the plane.
• Rhinoplasty: our procedure page gives 7 to 10 days, ending when the splint is removed and you have been reviewed. Leave slack in your return flight, because the clinical team chooses the date.
• Brow lift: follow the hospital's own advice. If you combine it with eyelid or nose surgery, the longest recovery need sets the length of your stay.
• Where to stay: the hospital stands on Sukhothai Road in Dusit, north of the central districts. Read the Bangkok page for city information and choose a hotel within an easy journey of the hospital so that check-ups are not a burden.

On accreditation, our research file records that the American Accreditation Commission International (AACI) lists Masterpiece Hospital as an accredited hospital, with initial certification in February 2023. Accreditation describes the hospital, not any individual surgeon, and it is one piece of information among several.

Good preparation makes a remote first consultation much more useful. As general guidance, gather the following.

For everyone

• Basic health details: age, height, weight and smoking or vaping habits.
• Medicines and supplements you take, especially anything that thins the blood, plus known allergies.
• Any earlier surgery, injury or cosmetic injection in the area, with dates.
• Medical conditions, particularly bleeding or clotting problems, diabetes and anything that slows healing.
• Your goals in plain words: what you dislike now and what you picture instead. A few pictures of looks you like can help, though the surgeon will explain what is realistic for your face.

Eyelid surgery

• Clear, front-facing photographs in even daylight with no make-up: one relaxed with eyes open, one looking up and, if relevant, one with eyes closed.
• A close side view of each eyelid.
• Eye history, including dryness, glaucoma, thyroid-related eye problems, contact lenses and earlier eye operations, with your spectacle prescription if you have one.

Brow lift

• Front and side photographs of the forehead and brows at rest, with hair pulled well back.
• Photographs showing where your brows sit when you are not frowning or lifting them.
• A note of any previous forehead or brow procedure.

Rhinoplasty

• Front, left, right and base (taken from below) photographs of the nose in neutral light without make-up.
• Any past nose operation or knock, plus breathing, sinus or allergy problems.
• A note on whether you want the nose reduced, refined or built up, and whether breathing bothers you.

A plan based on photographs alone is provisional. The patient team will say if the hospital wants extra information or tests before your in-person visit.