Information provided is intended to inform clients of expected procedures and outcomes. However, not all patients, procedures,or surgeons are the same, and information may not be applicable to all procedures. The Hospitals may reserve the right to vary the way that a procedure is performed or which technique is used.
PRICE (THB) 105,000
Breast Augmentation
PRICE (AUD) $ 3,600.00
AUD$ prices are correct as of 10March 2010 and can change according to currency rate fluctuations.
Surgical/Procedure Name
Surgical Procedure
Augmentation Mammaplasty
During breast augmentation, a breast implant is placed either under the breast tissue and over the chest muscle, or under both the chest muscle and the breast tissue. Your surgeon will advise you on the most suitable procedure for you. This helps to increase or balance the size of the breasts, restore breast volume, or restore the shape of breasts after partial or total loss. Please note that breast augmentation cannot correct significantly sagging or drooping breasts. In these instances, a breast lift is often necessary, which may be performed in conjunction with this procedure.
Common Name Breast Augmentation Boob Job Breast Implants Surgery
Conditions to be treated Small Breast (Hypoplasia) Mild Involutional Changes (Glandular Ptosis) due to aging, multiple pregnancy, significant weight loss.
Duration Thailand 12 Days
Introduction Over time, age, genetics, pregnancy, weight changes, sun exposure, and gravity can cause the size and shape of breasts to change. Breast augmentation can help women who are dissatisfied with the size of their breasts, or who have experienced changes in the appearance of their breasts. It is one of the most common plastic surgery procedures performed today, however you should carefully consider whether breast augmentation is suitable for you before deciding to go ahead. You may ask your surgeon any questions that you may have and he or she will give you guidance and advice to make sure that your choice is fully informed. Our Hospital offer the most commonly used methods of incision and insertion; at the nipple, under the breast or under the armpit and it may be more than a simple case of aesthetics as to which option is chosen. Your surgeon will advise you about best procedure to suit you
All breast implants are made with a silicone based non-reactive casing but they are filled with either silicone gel or saline. The outer silicone case may be smooth, shiny, polished, or a slightly rough texture. The type, style, and size of breast implants you choose are determined by your lifestyle, body contours, the amount of breast tissue you have, and the cup size and appearance that you would like to achieve. You should talk to your doctor about choosing the breast implant option that is right for you. .
Hospital Admission One night at least
Duration of Operation Two to three hours
Anaesthetic General anaesthesia
Pre-operative Care During the consultation, you will have to make a choice and in agreement with your surgeon about 1) your desired cup size 2) placement of the implant 2.A) under the breast tissue and over the chest muscle 2.B) under both the chest muscle and the breast tissue 3) placement of incision 3.A) armpit incision 3.B) areola incision 3.C) crease incision or under the breast (inframammary fold) 4) type of implant content = silicone - filled or saline - filled 5) shape of implant = round or teardrop (anatomical), moderate or high projection 6) your expectations after the surgery When assessing the size and placement of the implant our aim is to augment your breasts in proportion with your body and to maintain a natural look. The size and placement of the implant chosen depends on many factors, such as your lifestyle, your desired cup size, your breast asymmetry, desired upper breast pole fullness, existing degree of breast ptosis. If you have a small amount of breast tissue and want to augment as 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 (hardening).
If you have large chest muscles and thick enough subcutaneous fat or breast tissue, 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, a larger implant would be placed over the muscle but your surgeon will evaluate and give you final opinion case by case. This enables a full and natural augmentation. In many occasions, breast lift or Nipple Areolar Complex Repositioning is recommended additionally for a better outcome.
Incision Choices: Under the Crease of Breast: The most common choice for incision is under the crease of the breast, the advantages as follows: 1. It is easy for the surgeon to place. 2. Decreased risk of bacteria 3. Simple reentry point for revision surgery, when necessary. Under the Arm Pit: 1. Requires maneuvering the implant through the body. 2. Secondary incision may be necessary for revision surgery. Areola 1. Alters sensation in the nipple. 2. May inhibit cancer detection. 3. Simple point of entry 4. Reduced risk of bacteria infiltration. . 5. Secondary incision may be necessary for revision surgery
Breast Implant Placement Under the Muscle: 1. Less wrinkling of the skin surrounding the implant. 2. Decreased incidence of capsular contraction. 3. Less palpability Above the Muscle: 1. Easier to place. 2. May produce less discomfort post surgery. 3. Mammography is not inhibited for cancer detection
Breast Massage Breast massage is advised differently ,depending on the surgeon or the type of implants. Usually it may be started on the third day following surgery. You surgeon may also advise to wait until the sutures are removed. You will be taught by the Surgeon how to massage directly only your own breast. Do not worry, you cannot break the implant. The best time to massage is in the shower or when you are warm and relaxed. You should massage once or twice a day for 10-15 minutes for around 3 months. If swelling is noted on the first few days of massage, you should stop the exercise and resume after a few days At the earliest sign of hardening of the implant you must advise Destiny Meditravel office. Remember to move your implant in all the fourquadrants using a slow steady movement. 1) Position your palms on the outer quadrants of your breasts and press slowly inward. You can feel and see the implants bulge toward the inner quadrants of the breast. Press and hold for 20 to 30 seconds. Repeat four times. 2) Press the breasts slowly outward such that a bulge on the outward quadrants of the breast will be noted. Press and hold for 20 to 30 seconds, repeat four times. 3) Position your palms on the lower quadrants of the breast and push slowly upward. Bulging of the implant on the upper quadrants of the breast should be noted. Press and hold for 20 to 30 seconds. Repeat four times. 4) Do the same for the downward movement. Hardening can occur weeks, months, or even years after your surgery. If you catch it early it is possible to reverse the trend without further surgery. If you wait too long to inform Destiny Meditravel who will then inform your surgeon , you may need additional surgery to release the scar tissue around the implant. and needs to be done in an operating room under general anaesthsia.
How to perform the breast massage: Imagine that you divide your breast into four quadrants. a) upper outer quadrant b) upper inner quadrant c) lower outer quadrant d) lower inner quadrant
Hardening can occur weeks, months, or even years after your surgery. If you catch it early it is possible to reverse the trend without further surgery. If you wait too long to inform Destiny Meditravel who will then inform your surgeon , you may need additional surgery to release the scar tissue around the implant. this needs to be done in an operating room under general anaesthsia
Incision Choices: Under the Crease of Breast: The most common choice for incision is under the crease of the breast, the advantages as follows: 1. It is easy for the surgeon to place. 2. Decreased risk of bacteria 3. Simple reentry point for revision surgery, when necessary. Under the Arm Pit: 1. Requires maneuvering the implant through the body. 2. Secondary incision may be necessary for revision surgery. Nipple Location: 1. Alters sensation in the nipple. 2. May inhibit cancer detection. 3. Simple point of entry 4. Reduced risk of bacteria infiltration. . 5. Secondary incision may be necessary for revision surgery
Breast Implant Placement This is a controversial topic, even among plastic surgeons. The answer to this question will vary according to the individual patient. Under the Muscle: 1. Less wrinkling of the skin surrounding the implant. 2. Decreased incidence of capsular contraction. 3. Less palpability Above the Muscle: 1. Easier to place. 2. May produce less discomfort post surgery. 3. Mammography is not inhibited for cancer detection SHAPES AND TEXTURES Implants come in round and "anatomic" shapes and in smooth and textured surfaces. , the smooth round implant seems to give the most natural looking and feeling result. Textured implants adhere to the surrounding tissues and are thicker to the touch. They often do not move with the body and have a higher incidence of visible rippling.
Risks and Complications The vast majority of breast augmentations go well, but no surgery is risk free. You will receive a list of things to look out for, such as temperature increase or bleeding from the incision although breast augmentations have been suspected of causing numerous systemic illnesses; the majority of these unfounded claims have been proven wrong. As a result, breast augmentation surgeries are on the rise. Women should be aware, however, that there are potential risks associated with breast augmentations, as are present with any other surgery Risks During Implantation The following are some of the major breasts implant risk factors related to the surgical procedure itself: • Anaesthesia reaction • Infection • Excess bruising or bleeding • Hematoma • Seroma • Granulomas Risks During Recovery Breast implant risk factors can also be related to unfavourable symptoms that occur after surgery. Breast implant surgery patients should expect to experience some degree of the following symptoms for the first month or longer following plastic surgery: • Pain • Swelling • Bruising • Tenderness • Loss or reduction of sensation in the breast • Scarring • Bleeding Delayed healing and tissue atrophy are more rare, but are potential breast implant risk factors.
RECOVERY -WHAT TO EXPECT It's the moment you have been waiting for. Your breast augmentation surgery is over, but you are about to embark on the breast augmentation recovery process. Here's what you can expect now Waking Up After Breast Augmentation After you wake up and are brought into the recovery room, a nurse will monitor you until you are ready to be taken back to your room. How long this takes varies, but usually it takes at least two hours. As the anaesthesia wears off, you will feel sore and possibly confused. Your vision may be blurry and you may be extremely sleepy. If you feel any pain, ask for a pain reliever. You may also feel very cold and start shivering immediately after your surgery. This is usually from the medications. The shivering can also be due to the temperature of the operating room or there may have been ice packs applied to the breasts after breast implant surgery. Ask for a blanket if you feel uncomfortably cold. If you have had general anaesthesia, you may feel nauseated. Medication can help. Make sure to tell your surgeon or anaesthesiologist if you don't feel well.
Drains For Your Breast Augmentation Your surgeon may have placed one or more drains in your incision to remove excess fluid. (The fluid may be pinkish or brownish.) These thin plastic tubes willbe removed on the first or second day Drains are usually removed painlessly. There may be a little irritation around the edges of the incision due to the drain. Caring for Breast Implant Incisions Keep your incisions/suture line dry. Your surgeon may have placed Steri-Strips on top of your incision line and sutures or you may have had internal sutures and tissue glue to bind the incision edges. Do not let creams, lotions into the incision, as these products may cause inflammation
Monitor Your Temperature Take your temperature regularly during cosmetic plastic surgery recovery. An elevated temperature could mean you have an infection. Antibiotics Upon discharge from the hospital you will be given oral antibiotics, make sure you complete the full course of antibiotic therapy. Wound dressing materials, pain and anti-swelling medications will also be provided. Change the wound dressing at least twice a day. But some surgeons do not need the patient to change the dressing until the follow up day Soreness and Pain After Surgery If your breast implants are placed over your chest muscle, your recovery will most likely be shorter and less painful than if your implants are placed under the muscle. Pain medication, including Vicodin, Vicodin ES, Pandol,Tylenol with codeine, and Percocet, can help. Do not take pain relievers with aspirin or ibuprofen until your surgeon says that it is OK to do so, since they can cause excessive bleeding. Swelling After Breast Implant Surgery.You may be swollen for three or four months after breast implant surgery. Drinking water, cutting back on salt and engaging in light exercise can help reduce this swelling (edema).The swelling will resolve within 2 weeks Bruising You will probably have some bruising after your breast implant surgery, but this will fade. Certain herbal remedies such as arnica or bromelain may help. Ask your surgeon what he or she recommends. If you still have discolorations after several months, talk to your surgeon.
Know the signs of infection. This includes fever temperature over 37.8 , pain not relieved by meds, redness, pus formation, excessive swelling, excessive tenderness. When signs and symptoms of infection is noted, call your doctor immediately.
RECOVERY -WHAT TO EXPECT
In the days and weeks right after your surgery, your breasts will be quite firm and will sit high up on your chest. Don't worry. They will soften up and will drop. The wearing of correctly fitting compression garments will assist in the final position and comfort .Remember, the breast on your dominant side (your right side, if you are right-handed) may not drop as fast as the breast on your non-dominant side. In the weeks and months following your breast augmentation procedure, your breasts may appear “off” in shape or position. They also may feel itchy or sensitive. This is because your skin has been stretched over the implants, making your breasts very firm and high. The full results of your breast augmentation won't be seen completely for many weeks, so be patient
Sleeping With Your New Breasts Sleeping is difficult right after your breast implant surgery. You have to sleep on your back with your upper back and head elevated to reduce swelling and pain. Be sure to have someone wake you up to take your meds, eat healthy meals, and drink your fluids
Bathing You may shower the day after surgery. If you prefer to bathe, do not Do not submerge in swimming pools or bath tubs Leave the adhesive strips (steri-strips) on your skin. A moist environment is inviting to some bacteria,so it is important that you keep the wound or the incision dry and stay in a cool room especially if you have the armpit incision Tip: You may not be able to wash your hair for a week because you should not raise your hands over your head. Wash your hair the night before your surgery and braid it or place it in a ponytail
Bra’s The Compression bra’s acts as a "dressing," holding the breasts and implants in perfect position. Try to keep the bra "even." If the bra feels too tight or hurts, switch immediately to any bra that feels comfortable. A bra that is too tight can cause ulceration of the skin We advise you to wear a bra at all times for 2 weeks. After 2 weeks, you may sleep without the bra. You should not go braless during the day for 4-6 weeks after breast enlargement surgery. It is more comfortable not to wear an underwire bra. Activities During Breast Augmentation Walk around as soon as you are able while recovering from surgery. This will help prevent blood clots and can also help relieve swelling. Do not engage in strenuous, vigorous activities, or exercise, for at least 4-6 after your breast surgery.
Breast Scars and Keloid Prevention Your incisions will heal slowly and scars will form. These scars may be raised and red before they eventually flatten and become paler. Some people may develop lumpy, raised scars called keloids. If you have dark skin, you are more likely to form keloids. Talk to your surgeon about keloid prevention. Visit our Scar Treatment Section for more information. Loss of Sensitivity You may lose some sensitivity in the nipple or the surrounding skin after breast augmentation surgery. This usually subsides within a few weeks. In rare cases, however, loss of sensation can be permanent. As sensation returns to your nipples and breasts, you may experience sharp pains, itchiness, heat, tingling and prickling. These temporary sensations occur because nerve function is returning. Nipple Over sensitivity Many women complain of very erect and sensitive nipples after breast implant surgery. You can protect your nipples by using a Band-Aid (especially the large round ones), large corn pads, or nursing pads. These pads will protect your overly sensitive nipples from the abrasiveness of your clothing and shield your erect nipples.
Tel : + 61 8723 1284 Mobile: 61 + 404 493105 Email : contact@meditravel.com.au Web : www.Meditravel.com.au