Breast Augmentation and Augmentation Mammoplasty are plastic surgery terms for the breast-implant and the fat-graft mammoplasty approaches used to increase the size, change the shape and alter the texture of the breasts of a woman.

breast augmentation

Method

Patient must be aware that there are several Do’s and Don’ts to follow about 2-8 weeks before the surgery date. Please ask your surgeon for specific instructions. Breast Augmentation procedure is performed under General Anesthesia. The incision is made in the breast fold (Inframammary incision), around the areola (pre-areolar incision) or in the armpit (trans-axillary incision). The surgeon will lift breast tissue and skin to create a pocket (over the muscle, under the muscle). The implant is placed on the pocket made, incisions are closed with sutures, bandages are applied and fixed with surgical tape. Implants differ in types and sizes. Breast augmentation procedure requires general anaesthesia. Breast augmentation surgery usually takes about 1-2 hours. After surgery, the patient will be sent to the recovery room for observation for 1-2 hours. If the condition is normal, the patient will be sent back to ward room. If there is a need for close monitoring, the patient will be admitted to the Intensive Care Unit first before sending back to ward room.

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Risks and Complications

Possible risks and complications are bleeding and hematoma formation, fluid accumulation, infection, poor wound healing, capsular contracture, hardened and misshapen breasts, implant breakage and leakage, implant rupture, breast tissue atrophy, chest wall deformity, malposition/displacement, implant palpability, implant visibility, implant wrinkling/rippling, asymmetry of breasts or nipples.

Standard Pre-operative Investigations

Patient must follow few instructions such as no food and drinks 8 hours before pre-operative test etc. Ask for complete instructions.The patientt below 50 years old with no other medical problem, standard pre-op investigations will be done before surgery such as chest x-ray, blood tests and possible EKG.

Additional pre-operative investigation/s and consultation/s

If the result will show any abnormality, additional investigation/s and consultation/s with other specialist/s must be done. Patient from 50 years old and above, additional consultation with a specialist is required for medical clearance whether test results showed normal or abnormal with possible additional investigations. The pre-operative evaluation will be performed by a cardiologist. Patient regardless of age who has other medical problem, an additional consultation with a specialist is required and possible additional investigations.

Physiotherapy

Day 1 after surgery, the physiotherapist will teach patient breathing and coughing exercises. These exercises will help your breathing, clear your lungs, and lower your risk of pneumonia.

Recovery

Days 1-4: Inflammatory period: Swelling, pain, discomfort. Early risk for bleeding in the first 24 hours. This is the period that requires the vast majority of medication. Bruising may appear. Fluid retention is common as is weight gain. Wound check appointment will be 2-3 days after discharge day wherein the nurses will open the dressings, clean the wound and check for any signs of infection and other problems. Follow-up appointment with the surgeon will be 1 week after discharge. The stitches will be removed on that day. In some cases, the surgeon will not remove all stitches. The remaining stitches will be removed another week by own GP in your home country in order to avoid wound separation. Post-op care involves rest as much as possible, ambulate in moderation, always wear a compression garment for support, avoid smoking, avoid alcohol intake, avoid straining, avoid heavy lifting, avoid exposure to hot areas that will cause sweating, avoid saunas, avoid steam rooms, avoid swimming etc. Ask for your surgeon’s advice for specific instructions.

What is included in the price estimation?

Pre-operative investigations based on ASA class, surgeon’s fee, procedure fee, anesthesiology fee, medical supplies, equipment and facilities related to procedure, home medications, accommodation:superior private room for 2 nights, ICU 1 night only after surgery for monitoring (if indicated), follow-up appointment, stitch off and dressing as ordered by doctor only. (staff will provide appointment slip), additional home medications related to the procedure on the follow-up appointment, transportation on arrival, pre-op date, admission date, dressing change appointment, follow-up and departure only. (Airport-Hospital-Hotel).

What is excluded?

Pre-op investigations related to other medical problems, specialist consultation fee for underlying diseases or any regular consultation with other specialist from 1,250 THB per consultation, additional ICU (In case patient needs to stay more than 1 night due to underlying diseases or complication)from 40,000 THB per night, additional follow-up, laboratories or medications related to underlying diseases and complications, additional food for patient and family, outside calls, services and materials not included in the package, extra bed for watcher or relative, daily wound dressing(In case patient cannot change dressing daily by himself/herself and wants to do in the hospital), transportation services not mentioned in the inclusions.

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Hospital Details

Sikarin Hospital

Offshore Clinical - Sikarin Hospital

Founded in 1993, Sikarin Hospital has always kept its promise to provide high quality and value-driven healthcare to the local community in the eastern region of Bangkok. In recent years, this JCI-accredited and ISO certified hospital has began to set a strong foot-hold in providing care towards international community with strong determination to help and heal people regardless of where they are from.

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