Breast Implantation Surgery / Augmentation / Correction in Bangkok Thailand

Breast Augmentation / Implantation 

           Breast augmentation is a surgical procedure to enhance a small breast. For some women, a sexy breast look is essential for self-esteem. Breast augmentation surgery will improve your body and make you feel more confident. There are many techniques for breast augmentation, including breast implant and fat transfer.

Incision for Breast Augmentation

There are three standard incisions to insert the breast implants as follows;

          1. The periareolar incision is at the junction of the pigmented areolar skin and the natural breast skin. The incision is for aesthetic surgery but passes through the milk duct.  The surgeon requires the incision of 1/3 of the areolar. The advantage of this incision is the scar placed on the border of pigmented skin, which can camouflage.

          2. Trans-axillary incision is made in the under armpits, 4-5 cm. The incision in a natural skin crease in the underarm area is used to create a submuscular pocket for breast implant placement. This technique can cause the implant to be a little high because it is hard to put the implant in the expected area. The scar will be visible when raising the arms. 

          3. Inframammary incision. This area is the most common procedure: 5-6 cm incisions for a breast implant, the inframammary crease incision at the base of the breast. This incision allows direct access to the submuscular or sub-glandular plane and avoids dissection through the milk ducts around the nipple. It is often an incision required for breast implant revision surgery. The scar will be visible.

incision_of_breast_implant

Picture 1. Shows incision of breast implant

Breast Implant material

          There are two basic types of breast implants: Saline and silicone gel, which need Food and Drug Administration approval (FDA approved).

  • Saline –Filled implants are silicone shells filled with saline. The saline implant is filled with saline during breast implant surgery.
  • Silicone gel-filled implants are silicone shells filled with silicone. The gel implant feels more like natural breasts than saline, but it poses more risk if it leaks.

Both saline and silicone come in different sizes and have either smooth or textured shells. So please consult the broad certified plastic surgeon.

The positioning of a Breast Implant.

We offer three positionings for the placement of breast implants as follows;

  1. Subglandular pocket
  2. Submuscular pocket
  3. Biplanar pocket, Dual plane

beneath_breast_tissue_(Subglandular_pocket)

1. Beneath breast tissue (subglandular pocket)

Under_the_chest_cuscle_(Subpectoral_plane)

2. Under the chest muscle (Subpectoral plane)

Position_of_implant:_partly_under_the_muscle,_partly_under_breast_tissue_(dual_plane)

3. Position of implant: partly under the muscle, partly under the breast tissue (dual plane)

A Good Candidate for Breast Augmentation

  1. Realistic in their expectation
  2. Psychologically stable
  3. Good physical health
  4. Not currently pregnant or nursing
  5. 18 years of age or older

Preparation for Breast Augmentation

  • Consult with the surgeon about your expectations, then choose the breast implant type, size, and incision area. The manufacturer of the implant you will be getting and keep the copies for your records. Physical examination, blood test, chest x-ray
  • Stop smoking at least two weeks before and after surgery
  • Stop taking anti-inflammatory medications such as Aspirin and Ibuprofen for at least two weeks. Also, avoid herbal supplements and vitamins, which may increase bleeding during and after surgery

Procedure for Breast Augmentation (Breast Implant)

  1. The operation is done during general anesthesia.
  2.  After opening the incision, the surgeon will separate the breast tissue of your chest to create the pocket upper or lower the outermost muscle of the chest wall ( pectoral muscle) and then insert the implant into the pocket. The surgeon will create and adjust the shape by keeping the implants behind the center of the nipple and balancing the breast. If saline implants, they will insert the empty implant and fill sterile saline with the amount required.
  3. The surgeon will close the incision and bandage it with adhesive and surgical tape
  4. The operation time is 1-2 hours.

Post-operative Care for Breast Augmentation

  • Keep clean and dry the incision wound 2-3 days after surgery
  • Take stitches off seven days after surgery
  • You will need a follow-up appointment for 7 days, 14 days, and one month
  • You will need a massage to prevent the capsular contracture and adjust the positioning implant, making a balanced shape for at least one month to move around the breast, one hour every day
  • While you are healing, you should wear a compression bandage or sports bra for extra support and positioning of the breast implant
  • Sleeping with torso slightly elevated to control bruising and swelling
  • Please don't lift things over 2-3 kilograms within two months. The lifting will make the breast implants move up
  • Avoid strenuous activities for at least two weeks
  • During the healing process, remember that your breast will be sensitive to physical contact or jarring movement for at least two weeks

Recover from Breast Augmentation

          You can return to regular activities within a few weeks and avoid strenuous activities for at least two weeks.

The breast implant might improve your body image and self-esteem, but keep your expectations realistic. Your breasts will continue to age after the implant, and weight loss or gain will also change the appearance of your breasts. If you feel unsatisfied with the appearance of your breasts, you might need more correction surgery.

Risks and Complications for Breast Augmentation

Any operation might be a complication, although a very rare includes

  • Keloid from the incision scar
  • Bleeding
  • Bruising
  • Soreness
  • Poor healing
  • Asymmetry
  • Infection: if you notice warmth and redness in your breast due to fever, you might have an infection; contact the surgeon as soon as possible
  • Shortness breathe, or chest pain
  • Decreased or Lost Sensation
  • Capsular contracture might need a second surgery
  • Skin waves and sagging
  • Implant Failure
  • Risk from anesthesia

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Why are quality implants and highly experienced surgeons crucial for breast augmentation success?

               Quality breast implants and a skilled and experienced surgeon are crucial for achieving the best surgical results. They help ensure that the implants are placed correctly and look natural and that the procedure is performed safely with minimal complications. High-quality breast implants are made of durable materials designed to look and feel like natural breast tissue.

               A skilled and experienced surgeon will have the knowledge and expertise to properly place the implants, create a natural-looking shape, and minimize the risk of complications. A good surgeon will also have a well-equipped facility, patient safety protocols, and a good track record of happy patients with good results. Making breast implants look natural can be difficult for several reasons. One reason is that breast tissue is complex and varies significantly from person to person, so it can be challenging to create a natural-looking shape and size that complements each individual's body.

               Another reason is that the implants' position and placement can significantly impact the final result. If the implants are placed too high or too low or are not positioned symmetrically, they may look unnatural. It also requires a high degree of skill and experience on the part of the surgeon to place the implant in such a way that it seems natural, preserving the patient's natural skin and breast tissue. Another reason is that the implant's size, shape, and texture also affect how natural the final result will look. The implant should be chosen based on the patient's body size, shape, and skin type, and it should be in proportion to the patient's body and should not look too large or too small. Additionally, the tissue of the breast can change over time due to aging, weight changes, and pregnancy, which can affect the appearance of the implants.

               Finally, it's important to note that natural-looking breast implants are not just a matter of technical skill but also of artistic judgment. A good surgeon should have a good sense of aesthetics and be able to create a natural-looking result that is in harmony with the patient's overall body proportions and shape. The importance of the best quality implants and the most experienced, highly respected board-certified surgeon cannot be understated. When it comes to your body, there can be no shortcuts.

What are the most Popular and Highly Preferred Types of Breast Implants?

Breast augmentation has a variety of options available; it can be overwhelming to decide which type of implant is right for you. At Kamol Cosmetic Hospital, we are known for our high-quality breast augmentation services, offering a range of options, including:

  • Structured saline breast implants
    These implants are made of a silicone shell filled with sterile salt water. Compared to traditional saline implants, they have a more natural feel and look.



  •  
  • Saline breast implants
    These implants are made of a silicone shell filled with sterile salt water. They are considered a safe option and have a lower risk of complications. Compared to traditional saline implants, they have a more natural feel and look.

 

  • Gummy bear breast implants
    These implants are made of a cohesive gel that maintains its shape and firmness even if the implant shell is ruptured. They are considered a safe option and have a lower risk of complications.

 

  • Silicone breast implants
    These implants are made of a silicone shell filled with silicone gel. Compared to saline implants, they have a more natural look and feel.

 

  • Smooth breast implants
    These implants have a smooth surface and are considered a safe option. They have a lower risk of complications and are known for their natural look and feel.

 

  • Round breast implants
    These round implants provide a more full and lifted look. They are considered a safe option and have a lower risk of complications.

 

  • Textured breast implants
    These implants have a textured surface that helps to reduce the risk of capsular contracture, a complication that can occur after breast augmentation.

 

  • Male-to-female breast surgery
    This type of surgery is designed for male individuals who desire to have a more feminine breast shape and size.

Why Choose to Pursue the Best Breast Implant?

Breast augmentation is a popular cosmetic procedure that allows individuals to enhance their size, shape, and contour. The best breast implant, when executed correctly, can provide a variety of benefits, including:

  • Adding volume to the breast to achieve the desired shape and size
  • Improving a person's overall body contour and symmetry
  • Restoring breast volume and shape after changes due to aging, pregnancy, or cancer
  • Increasing self-confidence and self-esteem

 

Frequently Asked Questions (FAQs)

A: Women choose breast implants for various reasons, including:

  • To increase breast size: This is the most common reason. Some women naturally have small breasts or have experienced a decrease in breast size after pregnancy or weight loss.
  • To improve breast shape: Augmentation can create a more symmetrical and aesthetically pleasing breast shape.
  • To restore breast volume: After pregnancy, breastfeeding, or weight loss, breasts can lose volume and become deflated. Augmentation can help restore a more youthful appearance.
  • To enhance self-confidence: Many women feel more confident and comfortable in their bodies after breast augmentation.

A: There are two main types of breast implants:

  • Saline Implants: These implants are filled with sterile salt water (saline solution). They are a safe and well-established option.
  • Silicone Gel Implants: These implants are filled with a cohesive silicone gel that feels more like natural breast tissue.

Both types of implants have their own advantages and considerations. Your surgeon will help you choose the type of implant that is best for you based on your individual needs and preferences.

A: Breast implants can be inserted through various incisions, including:

  • Inframammary Incision:This incision is made in the crease beneath the breast. It offers good access for implant placement and is often preferred for larger implants.
  • Periareolar Incision: This incision is made around the edge of the areola (the pigmented area around the nipple). It can result in less visible scarring but may not be suitable for all patients.
  • Transaxillary Incision: This incision is made in the armpit. It leaves no scars on the breast itself but can be more challenging for implant placement.

Your surgeon will discuss the best incision option for you based on your anatomy, the type of implant, and your personal preferences.

A: During your consultation, your surgeon will:

  • Discuss your goals and expectations.
  • Evaluate your breast anatomy and overall health.
  • Recommend the most suitable implant type, size, and placement.
  • Answer your questions and address any concerns.
  • Explain the risks and benefits of the procedure.
  • Provide pre-operative and post-operative instructions.

A: Your surgeon will provide detailed instructions on how to prepare for your surgery. This may include:

  • Undergoing a pre-operative medical evaluation.
  • Stopping certain medications or supplements.
  • Quitting smoking.
  • Fasting for a certain period before surgery.
  • Arranging for transportation and support after surgery.

A: You can expect some swelling, bruising, and discomfort after breast augmentation. This can be managed with pain medication and supportive bras. You will need to avoid strenuous activity and heavy lifting for several weeks. Your surgeon will provide detailed post-operative instructions to ensure a smooth recovery.

A: As with any surgical procedure, breast implantation carries potential risks and complications, including:

  • Bleeding
  • Infection
  • Capsular contracture (scar tissue formation around the implant)
  • Implant rupture or leakage
  • Changes in nipple or breast sensation
  • Asymmetry

These complications are rare, and our exceptional surgeons take every precaution to minimize such risks.

A: It's generally possible to breastfeed after breast augmentation, but there are some considerations:

  • Implant Placement: Subglandular placement (above the muscle) is less likely to interfere with milk ducts and breastfeeding.
  • Incision Type: A periareolar incision (around the areola) may have a higher risk of affecting milk production.
  • Individual Factors: Some women may experience changes in milk production or nipple sensation after breast augmentation.

It's important to discuss your breastfeeding goals with your surgeon before the procedure.

A: Breast implants can make mammograms slightly more challenging, but they do not prevent you from getting them. You will need to inform the mammography technician that you have implants so they can use specialized techniques to ensure clear images.

A: Numerous studies have shown that breast implants do not increase the risk of breast cancer. You should continue to perform regular breast self-exams and follow your doctor's recommendations for breast cancer screening.

A: Choosing a qualified and experienced surgeon is crucial for achieving the best possible results and ensuring a positive surgical experience. Here are some factors to consider:

  • Board Certification: Make sure the surgeon is board-certified in plastic surgery.
  • Experience: Look for a surgeon with extensive experience in breast augmentation procedures.
  • Track Record: Research the surgeon's track record and patient reviews.
  • Communication: Choose a surgeon who listens to your concerns, answers your questions clearly, and makes you feel comfortable.
  • Aesthetic Sense: Review before-and-after photos of the surgeon's previous patients to see if their aesthetic style aligns with your preferences.

A: While most women are happy with the results of their breast augmentation, it's possible to experience dissatisfaction with the size, shape, or feel of the implants. If this occurs, you can discuss revision options with your surgeon.

A: Breast implants do not prevent natural aging and gravity. Over time, your breasts may still experience some degree of sagging. However, breast augmentation can help improve the shape and firmness of your breasts for many years.

A: Yes, you can have breast implants if you plan to have children in the future. However, pregnancy and breastfeeding can affect your breast shape and may require a revision surgery later on.

A: Some women may experience temporary changes in nipple sensation after breast augmentation. This is usually temporary and resolves within a few months. In rare cases, changes in sensation can be permanent.

A: The length of your scars will depend on the incision technique used. Inframammary incisions (in the crease beneath the breast) typically result in the longest scars, while periareolar incisions (around the areola) and transaxillary incisions (in the armpit) result in smaller scars.

A: Your surgeon will make every effort to place the incisions in discreet locations where the scars will be less noticeable. The scars will fade over time and can often be concealed by clothing or swimwear.

A: Signs of a breast implant rupture can include:

  • Changes in breast size or shape.
  • Pain or discomfort.
  • Lumps or hard areas in the breast.
  • Rippling or wrinkling of the implant.

If you suspect a rupture, you should contact your surgeon immediately.

A: Capsular contracture is a complication that can occur after breast augmentation. It involves the formation of scar tissue around the implant, which can cause the breast to feel firm or hard. In severe cases, it can cause pain and distortion of the breast shape.

A: While there is no guaranteed way to prevent capsular contracture, there are steps you can take to reduce your risk, such as:

  • Choosing a qualified and experienced surgeon.
  • Pain or discomfort.
  • Lumps or hard areas in the breast.
  • Rippling or wrinkling of the implant.

If you suspect a rupture, you should contact your surgeon immediately.

A: Capsular contracture is a complication that can occur after breast augmentation. It involves the formation of scar tissue around the implant, which can cause the breast to feel firm or hard. In severe cases, it can cause pain and distortion of the breast shape.

A: While there is no guaranteed way to prevent capsular contracture, there are steps you can take to reduce your risk, such as:

  • Choosing a qualified and experienced surgeon.
  • Following your surgeon's post-operative instructions carefully.
  • Massaging your breasts as directed by your surgeon.

A: If you have any further questions that haven’t been addressed here, please feel free to contact Kamol Hospital directly.

Our supportive and knowledgeable staff will happily provide you with all the information you need.

 
 
 
 

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