The “Anchor” Incision
The incision is made around the perimeter of the areola, vertically down from the areola to the breast crease, and horizontally along the breast crease – known as an “anchor” incision. This technique produces the most scarring, and it is suitable for women with a severe degree of sagging who will not be helped sufficiently by other less invasive techniques. This incision is the oldest technique and is often used for a breast lift in conjunction with a breast reduction.
The “Lollipop” Lift
The incision is made around the perimeter of the areola and vertically down from the areola to the breast crease – also known as a “keyhole” incision. This technique is suitable for women with a moderate degree of sagging who will not be helped sufficiently by the peri-areolar technique.
A Breast Lift, also known as mastopexy, raises the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. A breast lift can rejuvenate your figure with a breast profile that is more youthful and uplifted.
The “Donut” Lift
The incision is made around the perimeter of the areola only – which is why this technique is technically referred to as the “peri-areolar” incision; also called a “Benelli” lift (so named for the surgeon who pioneered the technique). This technique is suitable for women with a mild to moderate degree of sagging, although when used by a skilled surgeon in conjunction with the placement of implants, it can produce a satisfactory result for patients with more pronounced sagging.
The “Crescent” Lift
Although not as commonly used as the aforementioned techniques, there is a fourth incision type wherein the incision line lies just along the upper half of the areola. A crescent-shaped piece of skin is removed above that line, and the surrounding skin is reattached to the areola. This type of lift is usually done in conjunction with breast augmentation, and is suitable only for women with a very small degree of sagging. It cannot accomplish the same amount of lifting as the previously mentioned incision techniques.
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 Lift procedure can be achieved through a variety of incision patterns and techniques. The appropriate technique for you will be determined based on breast size, the size and position of areolas, the degree of breast sagging and skin quality and elasticity as well as the amount of extra skin. Incision lines are permanent, but in most cases will fade and significantly improve over time. Breast Lift procedure requires Intravenous sedation and general anaesthesia. Breast lift surgery usually takes about 2-3 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 the 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.
Length of stay in hospital: 1 night in ICU or as indicated by attending physician
Risks and Complications
Possible risks and complications are unfavorable scarring, bleeding or hematoma, infection, poor healing of incisions, temporary or permanent changes in the nipple or breast sensation, breast contour and shape irregularities, breast asymmetry, skin discoloration, permanent pigmentation changes, swelling and bruising, damage to deeper structures such as nerves, blood vessels and muscle tissue necrosis, fluid accumulation, excessive firmness of the breast, potential partial or total loss of sensation to nipples and areolas, pain which may persist, possibility of revisional surgery and risks associated with anesthesia. Because of the removal of some breast tissues, this procedure may also interfere with breastfeeding.
Standard Pre-operative Investigations
Patient must follow few instructions such as no food and drinks 8 hours before pre-operative test etc. The patient 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.
Length of stay in hospital: 1-day outpatient visit
Additional pre-operative investigation/s and consultation/s
If the result will show any abnormality, additional investigation/s and consultation/s with another specialist/s must be done. Patient from 50 years old and above, additional consultation with a specialist has required for medical clearance whether test results showed normal or abnormal with possible additional investigations. The pre-operative evaluation will be performed by the cardiologist. Patient regardless of age who has other medical problem, an additional consultation with a specialist is required and possible additional investigations.
Length of stay in hospital: 1-day outpatient visit
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.
After a breast lift, your breasts will likely be covered with gauze and a surgical support bra. Small tubes might be placed at the incision sites in your breasts to drain any excess blood or fluid. Your breasts will be swollen and bruised for about two weeks. You’ll likely feel pain and soreness around the incisions, which will be red or pink for a few months. Numbness in your nipples, areola and breast skin might last for about six weeks. 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. A 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 the home country in order to avoid wound separation. Post-op care involves rest as much as possible, sleep on your back or your side to keep pressure off your breasts, ambulate in moderation, always wear 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.
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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