Breast augmentation (augmentation mammoplasty)
Services & Facilities
- Doctor fee
- Clinical interview/ surgery consultation
- General anesthesia fee
- 1 night in hospital
- All medications supplies
Pre-op preparation
- Inform us about any allergies, all medical you are using and medical that you can’t use.
- Avoid aspirin And all the supplements , anticoagulant and vitamin E before surgery at least 2 weeks
- Blood pressure within controlled
- Do not smoke at least 7 – 10 days before and after surgery
- Plan to be in Bangkok at least 10 days after surgery
Pre-op evaluation
Goal of operation is to enlarge your breast in proper size and look naturally.
The size depends on many factors such as original cup size, your body, chest muscle, and the size you wish. So if you have small amount of breast tissue, we recommend you to do the implantation under the muscle which make you feel natural and less chance of capsular contracture. But if your breast is ptosis and nipple is below the normal position we recommended you to implant above the muscle or under the breast tissue or dual plane.
First thing is you should tell us about the size of breast you want and then we will have discussion and find out for the possibility and conclusion together.
Position of implant
Under the breast tissue over the muscle : surgeon will open up the breast tissue to create enough pocket and implant will be inserted and adjusted in the proper position centered beneath the nipple.
Under the chest muscle and breast tissue : the surgeon will create an enough pocket under the muscle and implant in proper position. With this procedure, it may reduce the chance of capsular contracture.
Note : We consider dual plane in some cases
Type of implant
We use medical top grade implants which is silicone shell, different kinds of content; silicone gel or saline or combined. The outer shell may be smooth or texture depends on which one is suitable for each patient.Anatomical and round implants are provide
Procedure
Method of insertion and positioning are depend on individual patient. Surgeon will do the incision in invisible area such as armpit, areolar, or in the lower mammary line.
Surgeon will make enough pocket under or above the chest muscle and implant will be inserted and adjusted in proper position.
Patient should have breast bandage for at least 24 – 48 hours and stitches will be remove in a week. Drainage will be used and remove within 24 – 48 hours before you leave hospital.
Duration
40 minutes – 1.5 hours
Possible risks and complications
Capsular contracture, the breast will feel hard and unnatural looking when capsule become thicker and tighten. It need to be removed all or partial of breast, do new implant reposition, or changed the implant (in case of alternate size require or implant ruptured)
Bleeding which is unusual case. If large blood clot happens after surgery, it needs to be removed and also bleeding has to be in controls.
Sensation of the nipple will be abnormal but usually be disappearing within time.
Infection which can occur by uncontrolled factors. If the breast becomes infected, it necessary to be removed immediately and patient has to wait for several months before repair the operation.
Break or leak of implant. If the implant was saline, the breast will smaller in few hours and the saline will be absorbed into the body without harm. But if it was break of gel it may cause one of two thing; if gel break but the capsule does not damage there will not be any change but if capsule also break, silicone gel will move into surrounding tissue and cause small capsular which need to be remove. Anyway new type of silicone gel product so call the cohesive gel will not cause of problem very often.
After care
Patient can take a bath and the dressing and bandage will be removed after operation 48 hours.
Stitch off will be done after a week. We will inform you how to do breast massage to reduce the chance of capsular contracture. You should do the massage everyday 15 – 20 minutes 3 – 4 times in first few months, after that you can do only 1 – 2 times a day.
Routine mammogram can do normally but you should tell the technician about your implantation and also better be done with the ultrasound.
Hospitalization
1 night in hospital
Anesthesia
General
Post-op care
- Do not elongate your arms in 3 – 4 days after the operation. After dressing removed you should wear a soft or sport bra ( no wire) to support your breast. Exercise and normal activities can be resume within 1 – 2 months.
- No pectoral muscle exercise at least 6 weeks
- After care in details will be advised again after operation