Breast enlargement surgery
Also known as breast implants or augmentation mammoplasty can change the size and shape of your breasts. Some women may desire fuller breasts, while others may seek to reverse the effects that pregnancy, breast feeding or massive weight loss can have on their breasts. Breast augmentation is usually performed by inserting silicone gel breast implant behind breast tissue or behind the breast muscle.
The plastic surgeon will use FDA approved breast Implants from Mentor round shape and anatomic tear drop shape in different sizes.
MemoryGel implants are available with a structured or smooth surface and in many different sizes and profiles.
Nowadays almost everyone is choosing the silicon Implant. Silicone gel implants are smoother and softer than saline implants. Many women prefer the softer, more natural feel of silicone implants especially those with little breast tissue. Silicone-gel implants are also less likely to ripple than saline breast implants. The breast Implants are available in different sizes and shapes. The round shapes implants staring in size 150 cc all the way up to 600 cc. Usually women desire size from 255 cc to 400 cc. The anatomic shape implants also called tear drop shape. Basically, the difference between the two implants is that the anatomical implant is made of more cohesive silicone, making it firmer. It also has a definite shape, much like the natural contour of a woman’s breast, making it a better option for women who have mild breast ptosis or small breast.
Possible incision for breast augmentation
The incision location is based on individual anatomy. Fold incision, inflammatory incision, is placed near the crease where the breast and chest come together. The nipple incision, a periareolar incision is placed along the outline of the areola, or the brown or pink pigmented region surrounding the nipple. Armpit incision, a transaxillary incision is placed in the natural folds of the skin of the armpit.
What is the best position for breast implant placement
Subglandular implant placement places the implant under the breast tissue, but above the muscles in the chest. Complete submuscular implant placement places the breast implant under/behind the pectoral and chest muscles.
Pre Operative Assessment for Size and Placement of the Implant
The goal is to augment your breasts to a size in better proportion to your physique and maintain a natural look. If you have only a small amount of breast tissue and want to enhance the tissue much as possible, it is recommended that an implant is placed below the muscle in order to prevent the feeling or appearance of the implant. There is also less chance of capsular contraction. If you have large chest muscles as a result of exercising, the implant should be placed above the muscles in order to allow for comfortable movement and a natural look. For patients with mild to moderate breast sagging, larger implants placed over the muscle is recommended.
What are the Results?
Breast augmentation increases breast size and may also balance your body proportions. Clothes may fit better, and you may also experience an increase in confidence and self-esteem.
How long will be the duration of breast operation?
one to two hours
What is the after care for breast augmentation?
All dressings and bandages are removed on the third day following the operation. The patient is requested to gently move the implants upward, downward, and inward in order to decrease the chances of capsule contraction. Only gentle massaging is recommended. Overly aggressive manipulation of the implant or strong squeezing can possibly cause an inflammation, thus producing an adverse effect on the capsules. During the first month following surgery, you should exercise your implants three to four times per for fifteen to twenty minutes. After that, if breast contour improve satisfactorily, you will need to exercise only once or twice daily.
What is the recovery time?
Hospital Admission: One to two night admission to hospital.
Anesthetic: General anesthesia (you are asleep)
Patient need to stay in Thailand a total of 12 – 14 days after surgery for post-op cares.
Post Operative Care
For at least three to five days upon surgery, try to keep arm extension to a minimum. After removing the gauze dressing, you may be required to wear a support bra to help your breasts form and maintain a pleasing and balanced shape. You will probably be able to resume exercise and normal physical activities within a month or two when soreness has subsided.
You are able to fly back home after 9 days, it is highly recommend to stay up to 14 days.
This is an example on breast surgery schedule
Day 1 – Consultation and Prepare for Laboratory Testing
Day 2 – Surgery and 1 night in hospital private room after surgery
3 – Discharge from Hospital
3 to Day 7 – Stay in hotel for recovery period and follow up on doctor appointment
8 – 9 Stitches removal and final check up
some cases the doctor will take stitches out 2 weeks after the surgery.
Our plastic surgeon recommend to stay at least 12 -14 days in Thailand