Breast Augmentation in Thailand

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Many women prefer to enhance their breast size or shape because they think that their breasts are too small, uneven in size and shape, not firm enough or just unattractive. In some cases the breasts may have not fully developed or have significantly changed in size or shape after pregnancy, weight loss or aging.

 

About the Procedure

A breast enlargement operation involves surgically inserting breast enlargement implants behind the natural breast tissues to increase the size of the breasts, and breast augmentation is performed to create better symmetry and make the breasts larger, firmer and fuller.

Breast implants are placed in the breast in one of the following ways:Breast enhancement in Thailand

  • Sub glandular placement – Implant placement between the breast and the chest muscle  can mean that surgery and recovery time are shorter and less painful. It causes less post operative pain and heals faster. However, it increases the visibility and palpation and has more risk of the implant hardening and deforming (capsular contracture). It can also cause difficulties with mammography imaging resulting in a higher rate of capsular contracture.
  • Sub muscular placement – Breast implant placed behind the chest muscle which tends to be more uncomfortable, and the recovery time is longer but achieves a more natural breast appearance and decreases the risk of problems with mammography and thus the rate of capsular contracture. A rigid bandage is applied for one week. The only disadvantage is that the breast may fell firmer.
  • Partial sub muscular implant placement– Implant placement partially behind the muscles.

The main step of the procedure is the incision used to insert breast implants. An incision (surgical cut) is made in or near the breast to create a pocket for the breast implant to lie in, either beneath the muscle or beneath the breast tissue. Once the breast implant is inserted, the incision is stitched  using dissolvable sutures. The size and shape depends on the individual’s choice.

Incisions can be made at four different parts of the body depending on the surgeon’s suggestions:

  1. The Periareolar or Areola incision is made around the nipple leaving minimal scar, but this will cause breastfeeding difficulties.
  2. An Inframammory or Crease incision is made underneath each breast to insert the breast implants. This doesn’t cause problems with breastfeeding or leave bad scars.
  3. The Axillary or Transaxillary incision is made in the armpit area around the side of the breast and will leave more of a visible scar than the other incisions, but it doesn’t cause difficulties with breastfeeding.
  4. The Transumbilical incision, also called navel or TUBA incision, is made at the Belly-button with the help of an endoscope.

The procedure is done either under general or local anesthetic. The patient may have to stay overnight at the hospital. The sutures are covered with gauze dressing to provide support and promote speedy healing. Occasionally, tubes may be used for a brief time following the breast augmentation surgery to drain the surgical site.

 

Length or surgery

Breast Augmentation surgery takes about 2 – 3 hours. The time varies on the anesthetic used and whether it is a local or general anesthetic.

 

Benefits breast augmentation

The benefits of the breast augmentation surgery are both physical and psychological. They includes:

  • Increasing breast size
  • Enhancing overall body shape, balance and proportions
  • Achieving an enhanced appearance and size, following pregnancy and/or weight loss
  • Restoring appearance through reconstruction following mastectomy (breast amputation)

 

Who is an ideal candidate for breast augmentation?

The surgery is addressed to certain categories of patients among which are:

  • patients with small breasts, disproportionate compared to body shape
  • patients who desire a pronounced enlargement of  breast volume
  • Women who experience unilateral or bilateral breast hypoplasia (an incomplete development of the breasts that remain small)
  • Women who experience unilateral or bilateral breast agenesis (the involution of the breast)
  • Women who want to regain breast size after weight loss
  • Women want to enhance their appearance or boost self confidence
  • Women who want to correct uneven or deformed breasts, or a congenital absence of breasts

 

Who is not an ideal candidate for breast augmentation?

The breast augmentation procedure can not be applied on:

  • Women with existing malignant or pre-malignant cancer of the breast without adequate treatment
  • Women with an active infection anywhere in her body
  • Women who are currently pregnant or nursing

 

Recovery from breast augmentation surgery

The average recovery time is about 1 to 2 weeks. It takes a few months for the breasts to settle after breast implant surgery. In the beginning, you will feel tired for the first few days. You might experience temporary swelling, hardness and discomfort with some bruising, twinges and pains for the first few weeks. These can be overcome by prescribed medications by your surgeon.

 

Planning your surgery

Before choosing to undergo  breast augmentation surgery, a woman should think about it carefully as it may not be a one time surgery. She may need additional surgery and surgeon visits for the remainder of her life: however, it can really satisfy  expectations. The following are the points to consider:

  • Breast implants are not considered lifetime devices. You will likely undergo implant removal with or without replacement over the course of your life.
  • Many of the changes to your breast following implantation are irreversible (cannot be undone). If you later choose to have your implant(s) removed, you may experience unacceptable dimpling, puckering, wrinkling or other cosmetic changes of the breast.
  • Breast implants may affect your ability to produce milk for breast feeding. Also, breast implants will not prevent your breast from sagging after pregnancy.
  • With breast implants, routine screening mammography will be more difficult, and you will need to have additional views, which means more time and radiation.

 

Preparing your surgery

Before you undergo the surgery, make sure to discuss all the possible requirements, outcomes and expectations taking into account your age, skin texture and the existing shape and position of your breast tissue and nipples with your surgeon. During the discussion, make sure to ask  the following questions:

  1. Where is the breast augmentation procedure going to be performed (i.e., hospital vs. office surgical suite)
  2. What are the risks and complications associated with having breast implants?
  3. Is my body’s physical condition ready for the surgery?
  4. How many additional operations on my implanted breast(s) can I expect over my lifetime?
  5. How will my breasts look if I decide to have the implants removed without replacement?
  6. What shape, size, surface texturing, incision site and placement site are recommended for me?
  7. What kind of anesthesia will the surgeon use during the breast augmentation surgery, and what are the side effects associated with this anesthesia?
  8. How much sensation will be left in my nipples after surgery?
  9. How long will it take for the swelling to go down after surgery?
  10. How long do I have to wear a special bra after breast augmentation?
  11. Will I experience any pain?
  12. How long will it be before I can start normal activities?
  13. How much will the entire procedure cost?
  14. What holds the implants in place and what are they made of?
  15. Will I have scars or will they be visible?
  16. How can I expect my implanted breasts to look over time?
  17. Will the surgery affect breast feeding?
  18. How can I expect my implanted breasts to look after pregnancy? After breast feeding?
  19. What are my options if I am dissatisfied with the cosmetic outcome of my implanted breasts?
  20. What alternate procedures or products are available if I choose not to have breast implants?

 

Anesthesia

Usually general anesthesia is preferred as it is the combination of conscious sedation and local tumescent anesthetic. A surgeon may choose to use local anesthesia, depending on the necessary requirements.

 

Risks, Complications and Side effects of breast augmentation

Risks and complications are obvious in most of the cosmetic surgeries. Regarding the breast implants, the associated risks are:

Infection: Infection occurs usually within days or weeks of surgery. Although infection is rare but in some cases when it occurs for long then the implant may have to be removed until the infection subsides. The implant may then be inserted later.

Bottoming Out: Bottoming out is a complication when the implant rides too low in the breast tissue and may cause the nipple to point upwards. Surgeon can help overcome this complication by re-entering the breast and re-creating the pocket.

Symmastia: Symmastia produces the appearance of breasts being too close to each other. To correct symmastia, a surgical procedure may be required. Larger implants may be exchanged for smaller implants. After corrective surgery, a special support bra and other supportive bandages may be needed to provide the necessary cleavage support while the tissues heal.

Capsular Contraction: It occurs when the scar tissue that naturally forms around the breast implant begins to shrink causing the implant to harden and sometimes deform. The body’s natural healing process creates a capsule around the breast implant. In some cases, however, the capsule closes or contracts around the implant. This closure is called capsular contraction. Capsular contraction compresses the implant, causing the implant to look distorted.

 

The side effects of the breast implant surgery are:

Breast Feeding: Many breast implant patients may successfully breastfeed. However, breast implants may interfere with breast feeding. Thus, consult with your doctor about your plans of breastfeeding.

Loss of Sensation: After breast surgery, some patients experience loss of sensation in the nipple and breast area. This occurs due to the damage to nerve endings in the breast and nipple. It is often temporary, but some cases can be permanent. Your surgeon can determine the most appropriate implant and surgical technique to minimize loss of sensation.

Mammography: Sometimes, you may need mammography later in your life as there is a risk that breast implants may cause small amounts of calcium to form around the implant, which may be confused as tumors on a mammography. Mammography then compresses the breasts, which causes rupture.

Rupture: No implant lasts forever. Implants can break or rupture, causing deflation. Many ruptures result from the natural aging of the implant, excessive compression to the breast or trauma to the breast. The most noticeable effect is that the size and shape of the breast change. Depending on the size of the rupture, changes in breast appearance can occur over a few days or over a very long period of time.

The obvious risk from ruptured implants is that the contents of the implant will escape from the shell into the breast and cause siliconomas (small lumps), which, in turn, can  cause tenderness or pain in the breast. In such cases, the surgeon or patient may decide to remove the deflated breast implant and replace it with another one. Those who do not replace the implants, dimpling or puckering of the breast may appear after removal.

Bleeding and Haematoma Formation: Patients may lose blood after a breast augmentation, and the drains may not drain all of the blood. The blood can accumulate in the pocket created for the implant. As a result, the breast may swell and become increasingly painful. If this occurs the patient has to undergo another operation in order to have the haematoma removed to stop the bleeding.

Breast Cancer: According to  past evidence, it has been observed that women who have breast implants have no increased risk of developing breast cancer. In fact, it is thought that the risk may actually be less. Instead, if those who have breast implants develops breast cancer, scientific studies have consistently shown that the risk of cancer recurring is no greater than in women without implants.

Rippling or unevenness in breast texture: This usually happens when the breast implant moves.

 

After your surgery

It takes a few months for the breasts to settle after breast implant surgery. Patients might experience temporary swelling, hardness and discomfort with some bruising, twinges and pains for the first few weeks. These can be overcome by prescribed medications by your surgeon.

In case of excessive swelling, deflated breasts, offensive wound discharge or excessive pain or heat in the breast, the patient should approach their doctor immediately. You may feel less sensation in your nipples temporarily; this should become normal as your breasts start healing.

The gauze dressing will be removed 2-3 days after surgery, and you will have to wear a surgical bra or a sports bra 24 hours a day for one full month. You will have a light dressing in place which will need to be kept dry for 2 weeks. After 2 weeks, your dressing will be removed and the wound inspected and lightly cleaned.

The bra will help drain down the fluid and reduce the swelling and bruising. You should avoid strenuous activities for about six weeks. However, you can resume your daily routine in about three months after the surgery.

 

Post operative care

After the surgery, you may experience some pain, swelling, bruising, and tenderness which can be overcome by the medicine prescribed by your doctor. You may be advised to wear a post-operative bra, compression bandage or jog bra to support your breasts as they heal.

Price range
US$2,300 – US$4,000

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Updated: December 3, 2012 by admin

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