Breast Augmentation

By Dr.Keerapat Bhiromekraibhak

Currently, breast augmentation is one of the top choices for women, as they are increasingly focused on their body shape. Breast surgery can help achieve a clear proportion and make dressing easier. Factors to consider include the placement of the silicone implants, the quality of the silicone, the surgical methods, choosing a qualified plastic surgeon, post-operative care, and other important aspects that should be researched before making a decision. All of these questions can be answered with us.

Detail

Nowadays, breast augmentation has become one of the top choices for women, as they are increasingly taking care of their body shape. Breast surgery can help achieve a well-proportioned figure and make dressing easier.

Ms.Aum Taweeporn Pringjamrat, 24 years old

Work as a model ( top 10 miss universe Thailand 2020 )

Underwent breast revision surgery with Mentor Xtra silicone implants, size 240 cc.

Height: 140 cm, Weight: 51 kg.

“Post-surgery feelings: I’m really happy that everything turned out perfect. I feel so much more comfortable now. The first time, the size didn’t suit my body; it was too big for me. Once I changed it, my life changed too. It’s easier to dress, and no matter how hard I work out, I don’t have back pain anymore.”

Ms. Manatsanun Limchanprapap, 28 years old

works as a model (Miss Grand Suphanburi 2018)

he underwent breast revision surgery with Motiva Ergonomix silicone implants, size 315 cc.

Height: 169 cm, Weight: 51 kg.

“I am very impressed and really like the results! The incision is very small, about 2-3 cm. I recommend Dr. Kiraporn at Genesis Clinic. He is skilled in surgery and delivers beautiful results for sure!”

Silicone breast implants come in 2 shapes

1. Round Implants: These silicone implants are spherical in shape and have a soft texture. The edges of the silicone are beautifully rounded, giving the breasts a natural appearance. Round implants come in various sizes.

2. Shaped Implants: These silicone implants are designed to resemble a teardrop shape, with a flat top and a fuller bottom, mimicking the natural contour of the breast. They are suitable for individuals whose breasts do not sag significantly.

The placement can be done in two ways

1. Subglandular Placement

This method is suitable for those who already have some breast tissue and experience sagging breasts. The existing breast tissue can help accommodate larger implants. However, a disadvantage of subglandular placement is that individuals with thin skin may be more likely to feel the implant, and there is a higher chance of developing capsule contracture compared to submuscular placement.

2. Submuscular Placement

This method is ideal for those with minimal breast tissue. Submuscular placement helps support the implant, making the breasts appear fuller. Additionally, this method reduces the likelihood of feeling the implant, appears more natural, and has a lower chance of capsule contracture compared to subglandular placement.

The choice of implant placement depends on the doctor’s assessment

Silicone Brands at Janasia Plastic Surgery

The silicone used at Janasia Plastic Surgery is cohesive gel silicone. This type of silicone is squeeze-resistant, preventing leaks, and is highly flexible. The selected silicone meets safety standards and has been approved by both the U.S. FDA and Thailand’s FDA, ensuring high quality and safety.

Motiva

Motiva features a smooth Nano texture and is currently the most popular breast augmentation silicone. It reduces the risk of capsular contracture and comes with a 10-year warranty against such complications (Grade 3). The shell consists of six layers, compared to other brands that typically have three layers. It offers excellent elasticity and durability, with a soft, natural feel that mimics real breasts.

Mentor

Mentor is a high-quality textured silicone that has been popular for over 20 years. It has continuously evolved and meets the standards set by the U.S. FDA. Mentor has been developed to enhance safety, particularly concerning ruptures and leaks, with a thicker surface compared to Natrelle silicone. Mentor Sebbin is a medical-grade silicone from France that is certified by the French National Agency for the Safety of Medicines and Health Products. The manufacturing facility adheres to ISO 9001 and 13485 standards. Sebbin silicone is soft to the touch and is priced lower than other silicone options.

Sebbin

Sebbin is a medical-grade silicone from France that is certified by the French National Agency for the Safety of Medicines and Health Products. The manufacturing facility adheres to ISO 9001 and 13485 standards. Sebbin silicone is soft to the touch and is priced lower than other silicone options.

Euro

Euro is another silicone brand from France that meets certification standards, providing an additional option for those interested in silicone from France.

Breast Augmentation Surgical Methods

1. Transaxillary Incision (Underarm Incision)

The advantage of the underarm incision is that it effectively hides the scar, which will eventually become a small, natural line in the armpit area. This method is suitable only for round implants. However, a downside is that patients may take longer to recover compared to the inframammary incision method.

2. Inframammary Incision (Under-breast Incision)

This method is very popular because the scar is hidden under the breast, typically measuring about 3-4 centimeters in length.

Steps of Breast Augmentation Surgery

1. Anesthesia will be administered to reduce pain and facilitate the surgery.

2. The surgeon will make an incision in the underarm or beneath the breast, as agreed upon with the patient, with an incision length of about 3-4 centimeters.

3. The surgeon will carefully separate the breast tissue and the pectoral muscle to create a space large enough to insert the implant.

4. The implant will be gradually inserted until it is properly shaped, and then the incision will be closed with stitches.

5. The sutures used will be dissolvable, and the entire surgery takes approximately 1-2 hours.

Post-Operative Care

1. After surgery, patients may experience soreness in the breasts and armpits for about 3-7 days, gradually improving thereafter.

2. Patients will be prescribed pain relievers, anti-inflammatories, and anti-swelling medication, which should be taken as directed by the doctor to prevent inflammation and infection.

3. A follow-up appointment will be scheduled 7 days after surgery to remove the bandage, check the incision, and evaluate the breast shape.

4. The doctor will teach patients how to perform breast massages and recommend starting these massages 2 weeks after surgery.

5. Light activities can be resumed during the first week post-surgery, while normal work and exercise can be resumed fully after 2 months.

6. The sutures used are dissolvable and do not require removal (they will dissolve within approximately 2 weeks to 1 month).

7. If the surgery was performed via the underarm, patients may use roll-on or spray deodorants after 1 month post-surgery.

8. If there is tightness or a lump-like sensation under the armpit or arm, patients can press and massage the tight area with their thumb to help relieve tension, applying pressure for a count of 1-10 before releasing. Regularly doing this will help dissolve any scar tissue and restore normal arm movement.

After surgery, if patients experience numbness, there is no need to panic; this can occur in some individuals due to bruising of the muscles and skin from the surgery. This sensation is normal and will typically resolve within about 3-6 months. Sharp or tingling pain is also a common occurrence

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