เสริมหน้าอก
Breast Implant Surgery
Breast augmentation is one of the most popular cosmetic surgeries today, especially among women who wish to enhance the size or shape of their breasts to better suit their body and personal preferences. Breast implants are not only about increasing size, but also about enhancing body proportions, adding charm, and boosting confidence in all types of clothing. It also contributes to improved self-image in daily life.
Today, breast implant techniques, materials, and safety standards have evolved, making the procedure more accessible. However, breast augmentation is not a decision to be made hastily. Results depend on several factors, including the choice of implant, size, surgical technique, timing, and proper pre- and post-operative care.
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Who is Breast Augmentation For?
Women with small or asymmetrical breasts
to enhance balance and proportion.
Those lacking body confidence
breast implants can help restore self-assurance.
Those with sagging breasts
particularly post-pregnancy or weight loss.
Those wanting to refresh their look or add sexiness.
Breast augmentation can transform your look, make you look more attractive and add charm to every look.
Women seeking professional opportunities that benefit from an attractive appearance.
For example, in a career that requires an attractive personality, breast augmentation will help prepare you for new opportunities.
Know this Before Getting Breast Implant !
Tips : Different silicone shapes give different breast augmentation results.
- Provide fullness from the upper chest to the lower breast.
- Suitable for women with some natural breast tissue who want enhanced cleavage and volume.
- Mimic the natural slope of the breast when standing.
- Offer a subtle, natural shape with slight droop.
- Ideal for women with less natural breast tissue, or mild to moderate sagging.
Differences in techniques for breast augmentation with incisions under the breast and under the armpit
1. เทคนิคการเสริมหน้าอกแบบแผลใต้ราวนม (Inframammary Incision)
- Incision is made under the breast fold (approx. 3–4 cm).
- Pros: direct visibility for accurate implant placement, suitable for all implant types/sizes, scar is hidden under the breast, faster recovery.
- Cons: may be visible when bending forward if the breast fold is shallow.
- Best for: patients choosing implants larger than 300cc with well-defined breast folds.
2. เทคนิคการเสริมหน้าอกแบบแผลใต้รักแร้ (Transaxillary Incision)
- Incision is made in the underarm fold (approx. 3–5 cm), often using an endoscope.
- Pros: no scar on the breast, ideal for swimwear/dress wearers, reduced risk of capsular contracture.
- Cons: more complex procedure, longer recovery, not ideal for teardrop implants.
- Best for: patients avoiding breast scarring, selecting implants under 300cc.
Recommendations for choosing
You should choose a technique based on your body structure and the needs of the service recipient. Consult a specialist to assess which type of wound is suitable for your body to achieve safe and natural results.
Breast Ptosis (Sagging) & Breast Lift
Sagging breasts, especially after pregnancy or weight loss, can be addressed with a breast lift. Sagging breasts are a major problem for women with large breasts or those who have given birth. This is because during pregnancy, female hormones change, causing the breasts to expand. Hormonal changes and breastfeeding can cause volume loss and tissue stretching, leading to sagging. This makes many people lack confidence in their daily lives. The way to restore the breasts to their original firmness is by performing a breast lift.
Degrees of Ptosis
- Grade 1: Nipple is level with the breast fold.
- Grade 2: Nipple is 1 cm below the fold.
- Grade 3: Nipple is 2–3 cm below the fold.
- Grade 4: Nipple is >3 cm below the fold, breasts sag significantly.
Recommendations for
breast augmentation silicone replacement
Signs that indicate silicone replacement
Though long-lasting, breast implants are not permanent. Replacement may be necessary due to
Additional advice
Regular silicone check-ups: You should get checked every 2-3 years to check the integrity of your silicone.
Choose a certified clinic: To ensure safety and natural results.
Capsular contracture
- Signal and problem
– Breast feels harder than usual
– Silicone compression causing breast deformity or pain
– Silicone capsular contracture may be caused by the body’s response to a foreign material.
- Recommendation
– Should change new silicone along with surgery to remove scar tissue
– Choose silicone that has properties that reduce the chance of scar tissue, such as sand-textured silicone.
Desire to change size
- Signal and problem:
– Dissatisfied with the original breast size you chose, such as wanting to increase the size to make it more prominent or reduce it to look more natural
– The breasts that were once suitable may change with age, weight, or pregnancy.
- Recommendation
– Consult with doctor to reevaluate new size that is suitable
– It is recommended to choose the size that is goes with the size of the body for a sustainable result
Rupture or leakage
- Signal and problem:
– The old version of silicone there could be rupture or leakage which causes distortion of breast or tightness in the chest.
– Silicone can leak out of the block but new version has cohesive gel which can reduces dispersion when leaking out.
- Recommendation:
– Silicone must be change immediately for safety of the patient
– Choose new version of silicone which is high in quality and sustains pressure
Pain, tightness, or deformity
- Signal and problems
– Feeling hurt around the chest area which are cause from inflammation, dispersion of silicone, or formation of membrane
- Recommendation:
– Doctor will evaluate the problem if its from silicone or membrane and recommend solutions with changes of new silicone and change the position of the old one.
Pre- & Post-Operative Guidelines
- Consult a surgeon to choose a suitable implant shape/size research informations about silicone shape (round/teardrop) and size that suits your body. Choose surgery technique (Inframammary Incision/Transaxillary Incision) that suits with your body and needs. Preliminary physical examination and inform if you have any disease.
- Fast for 6–8 hours pre-surgery: No food and drink for atleast 6-8 hours before surgery (because the use of general anesthesia). Avoid fatty and spicy food 1 day before surgery.
- Stop blood-thinning meds/supplements 7 days prior: Stop using Aspirin, Ibuprofen, and Vitamin e for at least 7 days before surgery. Also stop some kinds of herbs like ginseng, garlic, and fish oil. If there are any daily medications that are needed to be consumed please inform the doctor beforehand.
- Avoid smoking/alcohol at least 2 weeks pre-op: Smoking could have effect on wound healing and makes the wound heals slower. Alcohol could have an effect in blood pressure and the use of general anesthesia.
- Shower and wear easy-to-remove clothes (e.g., button-up shirts): (1-2 days after surgery taking a bath would be hard) wears clothes that is easy to wear like shirts with buttons or zip in the front to easily change in and out of clothes. No make up, nail paint, or any accessory is allowed on the day of the surgery.
- Prepare necessary recovery items (support bra, neck/back pillows): Choose sport bra or support bra instead of regular underwear. Prepare neck pillow to use when laying down.
- Arrange for someone to assist post-surgery: There should be somebody to bring you back because after surgery you cannot drive by yourself yet. Prepare and clean house that has a good air flow to heal faster.
- Rest for at least 24 hours, sleep on your back at a 45-degree angle: rest for the first 24 hours after surgery and only lay down flat so as to prevent any pressure on the chest. Neck pillow should be used to create a 45 degree angle position to reduce swelling and avoid lifting heavy objects and opening your arms out wide for 2-4 weeks.
- Keep incisions dry and clean for 7 days: Avoid making the wound wet until doctor says that it is ok (around the first 7 days). Take care of the wound as instructed by the doctor by using alcohol cotton to wipe around the wound and change the gauze regularly. Avoid scratching/picking/touching the wound frequently.
- Wear a support bra 24/7 for 1–2 months, avoid underwire bras: Use support bras or sport bra with no wire for the whole 24 hours for 1-2 months. Bras with wires should not be worn due to pressure on the wound.
- Avoid strenuous activities and exercise for 6–8 weeks: Avoid exercising or heavy physical activity for at least 6-8 weeks. Avoid driving by yourself for the first 2 weeks because moving your arms could make it hurt. Avoid massaging your own chest in the first part if needed doctor advice is needed.
- Avoid smoking, alcohol, and irritating foods for 1 month: No smoking and alcohol for at least 1 month because the wound would heal slower. Avoid seafood, spicy, and fermented food that could cause any inflammation. Instead food with high protein in recommended to take as well as vitamin c and lots of water.
- Take medications and attend follow-up appointments as advised: Eat painkillers, antibiotics and anti-swelling medication as prescribed by your doctor. If you experience any abnormal symptoms such as unusually severe pain, excessive swelling or redness, or if there is any pus oozing out, see your doctor immediately. You must return for your scheduled appointment to have the silicone checked for alignment.
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FAQs
There are three main types of breast surgery:
- Breast Augmentation: Enhances size using silicone implants.
- Breast Reduction: Reduces breast size, often for those experiencing back pain or sagging.
- Breast Lift: Lifts and firms sagging breasts without increasing size.
Selection should be based on your body frame, existing breast shape, and desired outcome. Options include round or teardrop (anatomical) implants, and choosing between smooth or textured surfaces. A consultation with your surgeon will help determine the most suitable choice for your body type.
Pain levels vary by surgical technique and individual tolerance. Generally, patients experience tightness or soreness for about 3–7 days, and may return to light work within 5–7 days post-op.
Modern implants can last 10–20 years. However, routine check-ups every 1–2 years are recommended. If there are no complications, replacement may not be necessary.
Scar location depends on the technique used:
- Inframammary (under the breast fold)
- Periareolar (around the nipple)
- Transaxillary (underarm) Surgeons typically use refined stitching methods to minimize scarring.
If implants are placed under the muscle and do not interfere with milk ducts, breastfeeding is generally unaffected.
- Discontinue supplements, vitamins, and blood-thinning meds at least 1 week before surgery.
- Stop smoking 2 weeks before and after surgery.
- Undergo basic health screening before the procedure.
- Avoid lifting heavy objects or engaging in arm/chest exercises for the first month.
- Sleep on your back.
- Consistently wear the doctor-recommended bra.