What you need to know about:

Breast Augmentation

Fast Fact

96%
Worth It Rating
Average Cost:
$5,150
Recovery Period:
6 to 8 weeks
Permanence:
10 to 20 years
177
Doctors
Time it takes:
45 minutes to 1 hour
96
Hospitals & Clinics
Reviews
Anesthetize:
General anesthesia

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Overview of

Breast Augmentation

in Thailand

Breast augmentation, or augmentation mammoplasty (otherwise commonly known as a “boob job”), is a procedure that surgically enhances breast size and contour via breast implants or fat transfer. Implants typically made of either saline or silicone are placed behind each breast, enabling a one (or more) cup size increase. Breast augmentation is often performed to increase the volume of breasts that have reduced in size owing to weight loss or pregnancy, as well as to correct shape or symmetry irregularities.

Goals of

Breast Augmentation

This procedure aims to enhance breast volume and definition in order to improve the chest profile of women who are not satisfied with the overall size and appearance of the breasts. Since breast augmentation is categorized under plastic surgery, it is considered a reconstructive as well as a cosmetic procedure.

It is performed to:

  • Increase the size of naturally small breasts
  • Correct symmetry irregularities to provide a balanced chest area
  • Restore the volume and contour of breasts that have undergone changes due to weight loss, pregnancy, or breastfeeding
  • Restore breast volume that has been lost due to surgical procedures, such as a mastectomy

Price of

Breast Augmentation

in Thailand

Average Cost

$5,150

Price Range

$3,000 to $7,300

Pros and cons of

Breast Augmentation

Pros

  • Enhances overall body contour: Implants can help balance breast proportions against the overall body contour, producing a more aesthetically appealing figure that enables clothing to fit better.
  • Provides natural-looking results: Silicone implants provide results that give off a more natural appearance and feel compared to their saline counterparts, which are known to lack firmness and create a crumpled appearance underneath the skin. Implants are also most unlikely to be noticed or felt when placed beneath the chest muscle.
  • Implants are long-lasting: Push-up bras produce only temporary effects that disappear as soon as the bra is taken off. This vastly differs from implants, which provide results that can last up to a decade or even longer.

Cons

  • You would need to undergo surgery: As with all surgical procedures, there are some unavoidable risks that need to be considered before deciding to proceed with the treatment. The good news is that these risks can be minimized so long as you are healthy and only work with well-experienced surgeons. However, breast augmentation can be very expensive, making it cost-prohibitive for many women.
  • There is a risk of leakage or breakage: Although a rare occurrence, implants can leak or even break if given enough force, such as when being punched in the chest area or when your chest comes into contact with a hard surface as a result of falling over or being pushed. This is more evident with saline implants as a tear in the material will cause the saline to leak out, after which it undergoes reabsorption by the body. However, tears in silicone implants are not very obvious owing to the thickness of the gel which enables it to stay in place within the implant.
  • You might become tired of implants: Although the results from implants are known to be long-lasting, there will come a time when they may need to be removed or replaced, and the process can be quite bothersome. If you decide that you want to get your implants changed because you’d like a different size, additional surgery is required to have them removed first and then replaced with the ones that you want. However, a breast lift is an alternative option that you can consider which is known to also effectively enhance the shape of the breasts.

How it works:

Breast Augmentation

Breast augmentation is typically performed after the administration of general anesthesia, so the patient remains asleep throughout. Other times, only local anesthesia is used, in which case the patient stays awake during treatment. How the procedure is carried out tends to differ on a case-by-case basis, taking about one to two hours for completion; however, the main steps are as follows:

1. The surgeon makes an incision in one of three areas:

o   The crease beneath the breast (known as the inframammary fold)

o   Around the nipple/areola

o   In the armpit area

 

Respectively, these incision types are known as the inframammary incision, the periareolar incision, and the transaxillary incision. Which option is best for your particular situation will be determined via a thorough discussion with your surgeon, and it typically depends on a couple of factors such as the extent to which breast enlargement is required and the type of implant used, the patient’s body type, and preferences among both the surgeon and the patient.

 

2. The skin and breast tissue are lifted and an appropriately-sized pocket is created.

 

3. The implant is inserted through the pocket via one of two placement types:

o   Submuscular: The implant is placed beneath the pectoral muscle. This requires a longer time for recovery and intense pain may be experienced post-treatment.

o   Subglandular (or submammary): The implant is placed on top of the pectoral muscle, just behind the breast tissue.

 

4. The incisions in the breast tissue are stitched close with layered sutures and are given further support and protection with bandages, skin adhesives, or surgical tape. The incision lines will be quite noticeable initially, but will gradually fade over time.

Preparation before

Breast Augmentation

Pre - treatment

Your surgeon will help determine the best implant size prior to surgery by allowing you to examine how different implants feel after inserting them into a bra. You will be given all the instructions you need before undergoing treatment, such as whether you should discontinue smoking or taking certain medications, what items you must bring to the hospital for your appointment, and how long before surgery you should stop eating/drinking.

These instructions, as well as those provided after surgery, must be meticulously followed in order to ensure a speedy recovery and that you remain in good health both before and after treatment is completed.

The following offers some insight as to the type of instructions you might receive from your surgeon:

  • You must abstain from alcohol for at least one week before your surgery. It is even more critical that you do not consume any alcoholic beverages the day before your procedure, and that you refrain from eating or drinking for at least six hours prior to treatment.
  • If you smoke, it is vital that you stop doing so at least two weeks before your scheduled surgery. Similarly, you would have to wait two weeks after surgery to resume smoking again. Smoking tends to exacerbate potential risks and complications as the chemicals in smoke act as free radicals that can impede the essential healing process. When this process is prolonged for an extended period of time, it can result in the formation of unsightly scars. If it is discovered that you have not quit smoking, your surgeon will decide not to perform the surgery.
  • You should avoid taking any anti-inflammatory medications, such as aspirin, as well as any herbal supplements/pills as they can cause excessive bleeding.
  • Keep in mind that the procedure can only be performed in the absence of breast milk as it may carry bacteria that could potentially cause contamination of the implant, as well as infection or capsular contracture (tightening of scar tissue around the implant). It is therefore recommended to wait for at least three months after weaning before proceeding with breast augmentation. Birth control pills or hormonal supplements can also prompt the production of breast milk, so you must stop taking them no less than two weeks prior to surgery.

Recovery after

Breast Augmentation

Post - treatment

After the procedure is complete, you will be given pain-relieving medications while the anesthetic wears off. You must have a friend or family member take you home as you won’t be able to drive while still under the effects of anesthesia. The sutures that were used to stitch the incisions closed will gradually disappear in about six weeks as they dissolve over time. If the sutures are not dissolvable, or you’ve had drainage tubes inserted, you will need to schedule a follow-up visit with your surgeon in order to remove them.

You will be given thorough instructions on:

  • Post-surgery breast care
  • How frequently the prescribed medications (either topical or oral) should be applied/taken to assist the healing process and minimize infection
  • When you need to schedule a follow-up appointment
  • When you need to call your surgeon in case of any concerns

As with all surgical procedures, it is important that you discuss and address any specific questions or concerns that you may have about your recovery period with your surgeon.

Post-operative instructions/guidelines that may be given include the following:

  • You must get adequate rest after the procedure. If you are a smoker or you drink alcohol, you must discontinue smoking and alcohol consumption for at least a month post-surgery.
  • You must wait for at least three to six weeks before attempting to engage in any high-intensity physical activity or workout; however, you may be required to perform some post-treatment exercises to help relieve any pain or discomfort, which include flexing or moving the arms around. You should be able to return to work three to five days after surgery.
  • The type of bra that should be worn (usually wireless support bras) will be informed by your doctor. These bras should be worn approximately one to two weeks post-surgery when the majority of the swelling has subsided and after the removal of sutures. You should avoid any physical contact with the breasts for at least three to four weeks after surgery. You may be able to resume wearing wired bras around four to six months later.
  • If drainage tubes have been placed, you can take a shower 48 hours after they have been removed.
  • It could take a couple of months to one year (or more) for the scars to gradually fade over time.
  • You may notice some swelling or bruising in the treated areas but this is normal and will eventually subside over the next few months, with the final results being visible at least six months after surgery.

It is not very common to experience any major complications as a result of the procedure; however, it is essential that you seek medical help as soon as possible if you experience or notice:

  • Signs which may point to infection, including fever, or a sensation of warmth or redness in the treated area
  • Any pain in and around the chest area, breathing difficulties, or an irregular heart rhythm

 

Breast Massage

In order to obtain good breast contour and minimize any risk of capsular contractures, it is recommended to perform a proper breast massage after surgery. How this should be done will be informed by your surgeon during your follow-up appointment. It is important to note that you may still experience capsular contractures even if the massage is done properly as it also depends on how well your body heals post-treatment.

While gently massaging with both hands, push both of the breasts closer together then push them away from each other. Next, push them downwards, then upwards. These steps should be repeated as directed by your surgeon.

Before and after photos of

Breast Augmentation

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Patient reviews of

Breast Augmentation

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Risks & side effects

All surgical procedures carry some form of risk; however, you must fully understand all the risks and side effects that may accompany breast augmentation before proceeding with the treatment. During an in-depth consultation, your surgeon will have a thorough discussion with you regarding these risks, and you mustn’t hesitate to ask any questions that you may have about the procedure.

Possible risks include:

  • Bleeding/hematoma
  • Infection
  • Swelling or soreness
  • Accumulation of fluid
  • Temporary or persistent pain
  • Undesirable reactions to anesthesia
  • Some delays in healing
  • Formation of keloids or hypertrophic scars
  • Capsular contracture
  • Rupturing or leakage of implants
  • Skin wrinkling over the implant
  • Asymmetrical breasts
  • Short- or long-term changes in sensation/sensitivity in and around the nipple or breast area
  • Challenges in obtaining a mammogram
  • Revision surgery

In situations where capsular contracture, implant deflation, bleeding, or infection is experienced, this may require the complete removal or replacement of the implant in order to treat these issues.

FAQs:

Breast Augmentation

Who are the best candidates for breast augmentation surgery?

The most suitable candidates for this procedure are women who:

  • Are in good health both physically and emotionally
  • Aren’t satisfied with their natural breast size and would like to achieve more symmetry in the chest area
  • Have sensible expectations as to the results that can be achieved from the procedure

 

What are the main advantages and disadvantages of silicone implants over saline implants?

While silicone implants offer a much more natural appearance and feel, silicone leakage can be quite detrimental to the adjacent tissues in comparison to their saline counterparts.

 

Will I be asleep during surgery?

General anesthesia will be administered prior to surgery, so you will be asleep throughout.

How long will I stay in the hospital?

You will typically be expected to stay in the hospital for one to two nights before getting discharged. While you can go shopping and sightseeing before your follow-up appointment, you should avoid swimming, heavy lifting, and other high-intensity activities.

 

How many days after the operation can I leave Bangkok?

You can travel or resume work after your check-up visit, which is usually scheduled 7 to 10 days post-surgery.

 

How long is the recovery period?

Many patients are usually able to walk with slow, careful steps the day after surgery, with further progress expected over the next few days. You may experience some bruising or swelling, but these effects usually subside after about two weeks. For the first four weeks, you must limit physical activity and any contact with the breasts. The conclusion of the healing phase, as well as the full final results, can be expected within the next 6 to 12 months.

 

Is breast augmentation surgery suitable for me?

Before deciding to proceed with breast augmentation, it is imperative that you thoroughly weigh your expectations and potential risks via an in-depth discussion with your surgeon. Women who want to enhance rather than perfect their appearance are most suited for this procedure.

 

That being said, breast augmentation may be an excellent option for you if you meet at least one of the following criteria:

  • You feel that your natural breast size is too small or seems underdeveloped.
  • You find that the upper portion of your breast area lacks volume.
  • You have asymmetrical breasts that seem to vary in shape or size.
  • Your breasts appear to lack in shape or volume due to pregnancy, weight loss, or just plain aging.
  • You notice that your hips appear wider owing to an overall disproportionate figure caused by small breasts.
  • You feel that your wardrobe is restricted/limited as a result of small breasts.
  • You have undergone breast implant surgery but are facing issues with the implants.
  • There has been significant underdevelopment in one or both breasts, producing noticeable shape irregularities.

 

How do silicone breast implants compare to saline implants?

Saline implants have been around for a long time. They are composed of a silicone outer shell but the inner shell contents are empty when initially inserted into the breast pocket. This will be filled with sterile salt water (saline) after insertion, resulting in a smaller, less visible incision site. Saline implants are usually less costly in comparison to silicone implants; however, one major disadvantage is that they can often cause the overlapping skin to appear wrinkly, and you may be able to feel the water sloshing about. However, the implants can be overfilled with salt water in order to prevent any visible wrinkling or rippling.

Silicone implants, on the other hand, are completely composed of silicone which is a synthetic substance that has an identical feel to human fat. These implants have a casing that is filled with silicone gel and are available in many shapes and sizes to choose from with some being much firmer to the touch than others. While silicone implants have a more natural appearance and feel, silicone leakage/rupture can pose a greater risk to nearby tissues. It is therefore recommended to perform an MRI scan once in a while to check for any ruptures. You should discuss with your doctor how often these scans should be scheduled if you decide to settle for silicone implants.

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