Breast Augmentation

Your Breast Augmentation In Thailand Guide & How to Avoid A Botched Surgery!

If your goal is to have “breasts to impress” or breasts that “look gorgeous, not fake,” then this in-depth guide for your breast augmentation in Thailand is for you.

In addition, this guide includes tips to protect yourself from a horrible botched cosmetic surgery.

As with any other cosmetic surgical procedure, our surgeon’s goal is to safely and naturally transform you into the most feminine version of yourself!

From now on, learn that the dangerous risks of breast augmentation are not the ugly result of a botched surgery but the lack of education, training, experience, and supervision of a cosmetic surgeon.

Breast augmentations are often done on a large scale, and in recent years the popular myth has grown that it is a small procedure with no complications. It’s a major operation.

You need to ask your cosmetic surgeon the right questions, make the right decisions for you, and make sure you have enough time to properly recover after your surgery.

Only when all these pieces of the puzzle fit together will you minimize the risk of complications and maximize your satisfaction with the procedure.

This guide will help you make the right decisions and better understand the operation.

So, why choose Lelux Hospital for your breast augmentation surgery?

At this stage of your research, the only thing that matters is evidence of beautiful results. That is why we invite you to discover our breast augmentation surgery gallery.

Creating beautiful breasts requires a personalized surgery, not a one-size-fits-all approach! The surgeon will discuss all implantation techniques and locations.

What Is Breast Augmentation?

Breast augmentation is the enlargement of the breast.

This is usually done by placing an implant under the breast to make it appear larger.

It enlarges breasts that have always been small but can also be used to fill in breasts that used to be larger.

An example would be breasts that have deflated, perhaps after pregnancy.

A breast augmentation will reshape the breasts to some degree.

Breast augmentation can also be used to correct breasts that are uneven in size.

Patients who undergo breast augmentation are usually very pleased with the results.

However, it is important to understand what can and cannot be achieved, the limitations of the surgery, and the long-term consequences of breast implants.

How will this guide help me?

This guide provides suggestions on how to get advice about possible surgery. It discusses who is eligible for surgery and explains who might benefit most.

It explains the surgery and its process, including the different techniques that can be used. This guide gives detailed information about breast implants and alternatives. It explains the recovery process and gives an idea of what to expect after surgery.

It explains in detail the possible risks, difficulties, and complications that can occur after breast augmentation surgery. It explains what you can expect in the long run if you undergo breast augmentation surgery.

Although this guide is quite detailed, it is intended to complement a consultation with a surgeon who can explain what is suitable for you and what you can expect from the operation.

Every patient is different, and it is unwise to go into cosmetic surgery with a fixed idea of what you want to be done and how it will turn out.

Hopefully, after consultation with the Surgeon who will be performing your surgery and with the help of this guide, you will have put yourself in a position to make an informed decision.

How can I check my Surgeon’s qualifications?

You can check in advance if the Surgeon is on the list of board-certified cosmetic surgeons in Thailand.

You can use this website to check your Surgeon.

Many patients use internet search engines to look for doctors and services.

You should keep in mind that information you access this way may be promotional.

Those who are listed may have paid for such a listing.

A prominent listing is not a measure of the quality of service.

Sometimes doctors other than plastic surgeons offer breast augmentation and other cosmetic procedures.

It is quite reasonable to ask your Surgeon about his qualifications, experience, and registered specialty.

How much will breast augmentation in Thailand cost?

Before your consultation, it should be possible to get a quote for the surgery by visiting this page.

Many hospitals also offer a satisfaction guarantee, whereby they agree to handle dissatisfaction and complications for a specified period of time.

It would be best to determine what exactly your offered package entails. As with most things in life, you get what you pay for, and the cheapest offer will rarely be the best.

Cosmetic surgery involves a significant financial commitment, and you should make sure that you get what you need.

We do not advise taking out a loan to finance cosmetic surgery. You should only have surgery if you have the financial means to do so.

A wise piece of advice regarding breast augmentation is to have the money you need to be duplicated; one amount is used for the surgery, and a corresponding amount is set aside to be available in the future should revision surgery be required.

Implant Techniques

What is a cooling-off period?

Breast augmentation is a lifelong commitment.

It is important that you make the right choice and understand all the implications of the surgery you are considering.

You may need revision surgery down the years, and you need to be personally and financially prepared for that.

No one needs breast augmentation urgently.

If you are not offered a cooling-off period or are being pressured, you should look elsewhere.

What surgery is available, and what techniques are involved?

Breast augmentation involves placing an implant under the patient’s breast tissue to improve the size and shape of the breast.

Implants are usually inserted through an incision under the breast in the inframammary fold but can also be inserted through an incision in the armpit (transaxillary) or around the nipple (periareolar).

Implants can be placed either directly behind the breast (called sub-glandular placement) or behind the breast and chest wall muscle (called submuscular placement).

Your Surgeon will advise you on what is suitable for you.

Behind the breast

The insertion of implants behind the breast is considered to be the simplest of the available enlargement procedures and less likely to cause significant discomfort.

This route is also effective for patients with slightly drooping breasts.

Behind the muscle

The insertion of implants behind the breast muscle provides more padding, which is a crucial consideration for slender patients and those with very little breast tissue where the edge of an implant may be detectable through the skin.

The muscle provides extra cover and helps to hide the upper half of the implant, and so is often recommended for those who have very little breast tissue and whose ribs may be visible through the skin.

Dual plane augmentation

When slender women with slightly drooping breasts seek enlargement surgery, surgeons often combine these two routes, placing the implants partly behind the breast and partly behind the muscle.

Through this combined approach, surgeons try to give patients the benefits of both techniques.

This is called dual plane augmentation.

About the Implant

Scarless Breast Implant Technique

Every woman’s dream surgery would be completely scarless.

Scarless breast implants give you your best look with less scars on your breasts.

The result of this surgery is natural-looking breasts with great cleavage no matter what size you desire, whether it be a B, C, D cup, or larger!

Having perfected the technique, our surgeons have performed scarless breast implant surgery hundreds of times.

Are you curious how you’d appear?

Check out our breast augmentation photo gallery to see the dramatic results that you can achieve too!

What type of implants should I have?

The outer layer, or shell, of all implants, is made of silicone. Some implants have an additional polyurethane coating. The shell may be filled with either silicone gel or saline.

Implants have been used for breast augmentation since the 1960s, and when manufactured to the appropriate specifications, they are proven to be safe to use.

You should ask your Surgeon exactly what type and manufacturer of implants are used and why. Generally, smart surgeons will use proven and tested implants from reputable manufacturers.

Most patients are offered implants filled with silicone gel. They tend to feel the most natural, can be easily teardrop-shaped and are long lasting.

Saline-filled implants tend to feel less natural, wrinkles and ripples may be more visible, and there is a risk of deflation.

The two most important decisions you need to make regarding your implants are their size and shape.

Implant size

Implants are supplied by volume in milliliters or weight in grams. It is not possible to just pick a cup size and ask your Surgeon to provide that.

At your preoperative consultation, your Surgeon will assess your chest wall, your existing volume of breast tissue, and how much skin is available to accommodate the implant.

Your Surgeon will be able to give you an idea of what implant size is appropriate for you. Your own view is also essential since, in most patients, a range of possible implant sizes could be used, and it is helpful if the Surgeon knows if you would tend towards the larger or smaller end of that range.

Your Surgeon will not be able to guarantee you a cup size. In general, the larger the implants that are used and the slimmer you are, the less natural-looking your breast augmentation will be.

The implant will be less noticeable if it is not oversized and if you have a reasonable amount of your own tissue to cover the implant.

Implant shape

Implants can either be round or teardrop-shaped (otherwise known as anatomical).

Round implants provide a more considerable volume at the top of the breast, and by design, are the same width as they are tall.

With teardrop-shaped implants, it is possible for the Surgeon to choose the width and height separately, thus enabling more control of the eventual shape.

With either of these options, there are varying degrees of projection, depending on whether the desired effect is to look subtle or more noticeably pert.

In general, your Surgeon will advise the best shape option to fit your frame and your desired outcome.

Are silicone implants safe?

Breast implants are made from medical-grade silicone. This is a polymer that has been tried and tested and is used in a number of other medical devices.

Silicone is also used infrequently occurring household items such as shoe polish, hair conditioner, and kitchen implements. As far as we can tell, this material is safe.

All of us already will have small quantities in our bodies, apparently without affecting us. If you have breast implants, small amounts of silicone come off the surface of your implants and will be taken up in the lymph glands in your armpit and will end up in your liver.

Silicone is inert in the body, and you cannot react to it or reject it. There is no association between breast augmentation and breast cancer or cancer of any other part of the body.

Neither is there any proven association with any other illness. There have been recent reports of a condition called anaplastic large cell lymphoma (ALCL) in association with breast implants, but it is sporadic and infrequent; it does not seem to be as severe as ALCL occurring elsewhere.

Over time the implant shell may fail, and the silicone gel may leak out. Whilst this may cause symptoms and will result in reoperation to remove and replace the implants, there is no evidence that a ruptured breast implant causes ill health.

What does the operation involve?

Breast augmentation surgery takes about an hour and a half and is usually performed under general anesthesia.

The surgery itself involves accessing and creating the pocket in which the implant will be placed, using one of the above insertion routes: breast crease, axilla(armpit), or nipple.

Once the pocket has been created, the Surgeon may place a trial implant to check that the size chosen is appropriate.

The trial implant is removed, the final implant is placed, and the incision wounds are sutured. You may be able to go home the same day, but many patients spend one to several nights in the hospital.

Postoperative pain is well controlled with these procedures. Your chest will feel tight. Your breasts and the ribs below your breasts will be tender.

Patients are mobile from day one and should be able to resume a full exercise routine within six weeks.

Patients are advised to take approximately one to two weeks off from work immediately following surgery to allow for a full recovery.

Initially, your breasts may look too high, and the skin will appear tight. This will subside over the first six weeks after the operation as a more natural shape is achieved.

Most patients are very happy with the change they have achieved, but some find it difficult to get used to the new shape. You should be prepared for this possibility.

The type of scars depends on the technique used. For the first six weeks, the scars are usually quite red, changing to purple over the next three months and then fading to white.

Good quality scars form over time in most patients. Abnormal scarring is rare in breast augmentation surgery.

What complications can occur?

All operations involve risks. Fortunately, serious complications from this operation are rare. However, sometimes unavoidable complications do occur.

Bleeding

Some patients experience bleeding into the space around the implant. This usually occurs immediately after surgery but can occasionally occur up to two weeks later.

When it happens, the breast becomes very swollen and tight. You will need to go back to the operating room and have the blood removed to stop the bleeding.

The implant may be retained. You will likely spend an extra night in the hospital and have a little more bruising than expected, but things should settle down over time, and it is unlikely to negatively affect your surgical outcome. The risk of bleeding is less than 1%.

Infection

This is the most problematic complication of breast augmentation. It is also rare and occurs in less than 1% of cases. It is usually noticeable in the first two to three weeks after surgery that things do not settle down as expected.

The breast will be swollen and tender, it may look red, there may be wound discharge, and you may feel uncomfortable and have a raised temperature. If this is the case, you need to contact your hospital or Surgeon, who should examine you again.

Sometimes a mild infection will clear up with antibiotics, but usually, this will not be enough. Most patients with an established infection around the implant will need to have the implant removed.

A new implant cannot be placed immediately. It is important to wait three to six months for the effects of the infection to clear before placing a new implant.

The package price you pay for your breast augmentation should cover the cost of dealing with bleeding or infection.

Adverse capsular contracture

In each patient, the body forms a scar or capsule around the implant that secures it in place. In most people, this is not obvious, and the breast feels soft and looks natural.

In some patients (for reasons that are not fully understood), this scar tightens around the implant and makes the breast feel firmer than a normal breast.

In most patients, this does not bother them too much as the breast still looks satisfactory. However, in some patients, the breast becomes unacceptably firm and can take on a spherical shape. It may also become tender.

If this happens, you should revisit your Surgeon to discuss the situation. Sometimes, if the contracture is not too bad, you may decide to stay as you are. This is safe in any case.

Some patients choose to remove the implant and release/remove the capsule. This is called a capsulotomy or capsulectomy. A new implant can then be inserted.

This will hopefully lead to an improvement in the situation. The risk of noticeable tightening is present in up to 10% of all breast augmentations, but most of these patients do not require revision surgery.

The chance of having a reoperation for any reason is about 1% per year. So after ten years, about 10% of women will have had a reoperation.

Unfavorable capsular contracture is the most common reason for reoperation. In addition, once a capsular contracture has occurred, it is more likely to recur after revision surgery.

Changes to the feeling of the breasts

Most patients will get some alteration in the sensation in their breasts after breast augmentation surgery, the most usual symptoms being some numbness near the scar and oversensitivity of the nipples.

This oversensitivity gradually settles down but usually takes several months to do so. A few patients will get numbness of the nipples. If numbness persists for more than six weeks after the surgery, it is likely to be permanent.

Being able to feel or see the implants under the skin

In particularly slim patients, it is to be expected that you will be able to feel the edges of the implants. This is an inevitable consequence of the operation and will not improve with time.

It is much less likely in patients who start off with a reasonable amount of their own tissue covering the implant. As time goes by, some people will be able to see or feel ripples or folds in their implants, perhaps when leaning forwards.

For most patients, it is best to simply accept that this has occurred and is a limitation of the surgery. It can be challenging to correct with another operation.

In some patients, the situation can be improved by injecting small amounts of your own fat under the skin. This is called lipomodelling or lipofilling.

Occasionally a more marked crease can be felt. This can be a sign of adverse capsular contracture.

Implant failure

Implants are very resistant, but the shell may eventually fail, and a leak may occur. This is not usually a critical event, in many cases, the leak is contained within the capsule, and the patient does not notice a problem.

So patients may have an implant that has failed and not be aware of it. This does not appear to be harmful.

Some patients notice a change in the size, shape, or consistency of the implant. There may be a lump, and the breast looks swollen. If these things occur, you should seek advice.

A scan is usually performed, and if this indicates that the implant has ruptured, removal and replacement of the implant are advised.

There is no universal timetable for breast implant replacement, and it is unusual for breast implant replacement to be required before ten years.

If you have not noticed any changes in relation to your implants, you do not need regular follow-up or periodic scans. However, you may develop one of the problems described above and need or choose to have revision surgery at some point in the future.

For this reason, anyone who undergoes breast augmentation should be prepared, both personally and financially, to have revision surgery at some point in the future.

Other reasons for re-operation

Most patients are delighted with their breast augmentation, but a few decide, as time goes by, that they want to be bigger, so they will choose to have re-augmentation with larger implants.

With time augmented breasts, just like natural breasts, will change shape. In the case of most women, this will not trouble them, but sometimes the form is not as good as it was, and further surgery might be considered.

Very occasionally, teardrop-shaped implants can rotate behind the breast. The patient will notice a marked shape change, usually evident on waking in the morning. The implant will usually turn back to its correct position by itself or can be gently pushed back into place. This may happen only once, but if it becomes a repeated problem, reoperation will be needed. Rotation is more likely in patients who have pretty large implants inserted to correct markedly droopy breasts.
Some patients get intermittent swelling around their breast implants. This can be associated with fluid around the implant. If it occurs, scans will usually be recommended to ensure the implants are intact and to see if there is a fluid collection. Further tests or implant replacement may be recommended if the problem persists.

What are the long-term consequences of breast augmentation?

If you have breast augmentation as a young woman, you must accept that you are likely to have implants for many years. You may well have further surgery for any of the reasons outlined above.

An operation that gives you more youthful-looking breasts may seem quite appealing at the time, but will this be something that suits you when you are older?

Breast implants push your natural breasts forward, and so do not make it any more difficult to examine your breasts for lumps. They do, however, interfere with mammography. A mammogram is an X-ray of the breast looking for signs of breast cancer that you cannot feel. It is used as a screening test from the age of 50 years. The X-rays cannot pass through the implant, so some of the breast tissue is obscured.

If you are called for a screening mammogram, you need to tell the mammography service you have breast implants. They may scan you at a different center and take particular views. Sub-mammary implants are more of a problem than sub-muscular implants.

The more of your total breast volume that consists of implant, the greater the problem with mammography. If you have a breast augmentation, you will have to accept that this will reduce the sensitivity of a future mammogram.

Several myths have arisen about implants, such as it being unsafe to sunbathe or unsafe to fly in an airplane. Neither of these two activities presents a problem. There is no need to massage your breast implants.
Indeed this is not recommended with modern textured surfaced implants. Routine implant replacement after a specified time is not recommended. Replacement is only advised if you are unhappy with the appearance or have developed a problem.

Are there any alternatives to breast augmentation?

The only alternative surgical technique for breast augmentation is lipofilling. This is a relatively new technique in which fat is taken by liposuction from another area of the body, such as the hips or thighs, and injected into the breast area.

Only a relatively small amount of fat can be injected, so patients may need several procedures to achieve a positive effect.

Some of the fat is absorbed in the first few weeks after surgery, but the fat that remains beyond that time causes permanent augmentation. This is a much more gradual approach compared to implant-based breast augmentation, but it avoids the need for a breast implant.

Since this is a relatively new technique, we can’t be entirely sure how effective it will be in a particular patient. Your own fat is the only substance that can be safely injected into the breast.

Other materials have been tried and then withdrawn from use. Do not allow anyone to inject anything other than your own fat into your breasts.

Do I need a breast lift operation?

Some patients are disturbed by the sagging of the breasts.

If the sagging bothers you and you are satisfied with the size of your breasts, then you do not need a breast augmentation, but you may be offered breast lift surgery, called mastopexy.

This is a completely different surgery where the position of the nipple and breast tissue is lifted, and the skin of the breasts is tightened.

There will be an incision around the areola and possibly incisions that go vertically down and under the breasts.

So the scarring is more noticeable than a simple breast augmentation, but no implant is used.

All breast lift surgeries tend to sag back as a result of time and gravity. Mild degrees of sagging can be improved with breast augmentation alone.

Sometimes your situation is in between these two options, and your Surgeon feels you need a breast augmentation and mastopexy.

In most cases, it is best to do one or the other first and then see which result can be achieved, with the caveat that the other surgery can be done in a second step if necessary.

However, in some patients, it is clear from the outset that both operations are necessary, and your Surgeon will agree to perform both at the same time.

This requires careful preoperative planning and consultation. This is a complex operation. The results are not always completely predictable in terms of breast size and shape.