The method of inserting and positioning your implant depend on individual anatomy. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. Every attempt will be made to assure that the resulting of scars will be almost invisible.

The incision is made with a special instrument designed to create a space for the implant. The extent of the incision must be smooth and appropriate for the size of the implant. After surgery, Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage will be applied over your breasts for two days after surgery to speed up healing.

Type on Implants

All breast implants utilize a silicone shell but contain different kinds of filler, silicone gel or saline. The outer silicone shell may be smooth shiny and polished, or a slightly rough texture. Breasts augmented with the textured implants are less likely to develop contracting capsules than those with the smooth implants.

Placement of Implants

There are two techniques for placing implants.

1. The implants are placed under the breast tissue and over the chest muscle.
The surgeon will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples.

2. The implants are placed under the chest muscle and breast tissue.
In some cases need to put the implants behind your chest muscle may reduce the potential for capsular contracture. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle however, may be painful for a few days after surgery than placement directly under the breast tissue.
These two options should be thoroughly discussed between the patient and the surgeon.

Pre Operative Assessment for Size and Placement of the Implant

Our goal is to augment your breasts to a size in better proportion to your physique and maintain a natural look.

The size and placement of the implant we choose will depend on many factors, such as your original cup size, your desired cup size, and your physique including chest muscle.

If you have only a small amount of breast tissue and want to enhance the tissue much as possible, it is recommended that a large implant is placed below the muscle in order to prevent the feeling or appearance of the implant. There is also less chance of capsular contracture.

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.

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

Duration of Operation:

one to two hours

Possible Risks and Complications

Capsular contracture occurs if the capsules around the implants begin to tighten and thicken. This will cause the breasts to feel hard and appear unnatural. Hard breasts can be treated in several ways. Sometimes removal of the capsule is required, or perhaps the implant needs to be replaced. Bleeding is usually minimal during the operation. In an unusual case, bleeding after surgery may cause a large blood clot that needs to be removed. Sometimes nipples become oversensitive, under sensitive, or even numb. This can notice by small patches of numbness near your incisions. These symptoms usually disappear within time.

Infection is an uncommon risk. However, if a breast becomes infected, the implant must be removed immediately. You need to wait for several months before repeating the operation.

Occasionally break or leak implants, if a saline implant breaks, the implant will deflate in a few hours and the salt water will be harmlessly absorbed by the body. If a break occurs in a gel implant, however, one of two things may occur. If the shell breaks but the scar capsule around the implant does not, there is no detect any change. If the scar also breaks or tears, especially following severe pressure, silicone gel may move into surrounding tissue. The gel may collect in the breast and cause a new scar to form around it, may require a second operation and replacement of the leaking implant. In some cases, it may not be possible to remove all of the silicone gel in the breast tissue if a rupture should occur but the new type of gel so call Cohesive silicone gel will not cause this problem very often.

Side Effects

The severity and duration of such side effects may vary, especially if another cosmetic procedure was performed at the same time.

After Care

All dressings and bandages are removed on the third day following the operation. Afterwards, the patient is free to bath as usual.

The patient is requested to gently move the implants upward, downward, and inward in order to decrease the chances of capsule contracture.

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.

Routine mammograms should be continued after breast augmentation for who are in the appropriate age group, when request a routine mammogram, be sure to go to a radiology center where technicians are experienced in the x-ray of a breast with an implant. Additional views will be required. Ultrasound examinations may be of benefit in some cases with implants to detect breast lumps or to evaluate the implant

Recovery Time

Patient need to stay in Bangkok 7 more days after surgery for post-op cares.

Hospital Admission

One night admission to hospital.

Anesthetic

General anesthesia (you are asleep)

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.

Able to fly back home after five to seven days.