Breast Enlargement (Implants)

(Augmentation Mammoplasty)

What are breast implants?

There are two basic types of implants: saline filled and silicone gel-filled breast implants. Both types have the same basic type of outer envelope made of a solid, rubber-like form of silicone called an elastomer.

Saline filled implants – These implants are made of an elastomer silicone envelope, which is surgically implanted under your tissues, and then filled with sterile saline, a salt-water solution, through a valve.

Silicone gel-filled implants – These implants are made of an elastomer envelope pre-filled (prior to surgery) with a clear, sticky, thick jellylike form of silicone that approximates the consistency of breast tissue. Silicone gel implants come in many sizes. The size used depends on the amount of augmentation desired or the size the reconstructed breast is to be.

How does breast implant surgery work?

Augmentation – Breast implant surgery for breast augmentation involves making a single incision in or near the breast and inserting the implant either between the breast and the chest muscle (subglandular placement) or behind the chest muscle (submuscular placement).

Subgladular placement – this placement may make surgery and recovery shorter, may be less painful, and may be easier to access for re-operation than the submuscular placement. However, this placement may result in more noticeable implants, more capsular contracture, and more difficult imaging of the breast with mammography.

Submuscular placement – This placement may make surgery last longer, may make recovery longer, may be more painful, and may make it more difficult to have some re-operation procedures than the subglandular placement. The possible benefits of this placement are that it may result in less noticeable implants, less capsular contracture, and easier imaging of the breast with mammography.

Once you choose the placement of your breast implant, it is necessary for you to determine the location of the incision site. The location of the incision depends upon your body type and your personal preference. You can choose to have the incision, around your nipple (periareolar incision), underneath your breast (inframammary incision), or near your armpit (transaxillary incision). If the incision is made under the arm, the surgeon may use a probe fitted with a miniature camera, along with minimally invasive (very small) instruments, to create a "pocket" for the breast implant.

Periareolar – This incision is the most concealed, but is associated with a higher likelihood of inability to successfully breastfeed, as compared to the other incision sites.

Inframammary – This incision is less concealed than periareolar and associated with less difficulty than the periareolar incision site when breast-feeding.

Axillary – This incision is less concealed than periareolar and associated with less difficulty than the periareolar incision site when breast-feeding.

The breast implant surgery itself may be done either under local or general anesthesia in the hospital, a surgical center, or in the physician’s office. The procedure is usually done as one-day outpatient surgery; however, for some women an overnight stay is recommended. The procedure takes two hours or more, depending on whether the implant goes above or beneath the muscle.

First, the surgeon creates a pocket-a space between the tissues-to accommodate the implant. After inserting the implant, he or she closes the pocket and sutures the tissues in place. Then either a surgical bra or bandage is placed over the incision. Post surgical swelling is to be expected, as is some pain and discomfort. Most women return to work and resume non-strenuous activities, such as driving, about a week to ten days after surgery.

What will happen at the initial consultation?

During the initial consultation, you and your surgeon will discuss the changes you want to make in your appearance. He/she will explain the different options available to you, the procedure itself, and its risks and limitations. He/she will also explain the kind of anesthesia required, the surgical facility, and costs.

Your surgeon will begin with a complete medical history. He/she may also give you specific instructions preparing for surgery, including guidelines for eating and drinking, smoking, and taking or avoiding vitamins, supplements and medications. Routine laboratory tests may be required before surgery.

The Cost

Breast Enlargement
115,000 Baht/ 3,700US$/*

*Price based on the Thai Baht currency. Click the following link to see the latest exchange rate for other currencies. Please note price may vary after your photographs have been assessed also the surgeon, clinic, hospital or area/ country that you choose.

The Package Includes

• Accommodation for 1 nights in the surgical floor including : Room, Nursing Service Charges, Service Charges, Regular menu food charges

• Operating Room Charges ; OR Room Use, Recovery Room, Scrub & Circulate Nurse

• Medical Equipment and Medical Supplies necessary for the procedure

• Medications : Routine medication used

• Anaesthesia : Pre-Aesthetic Drugs, Anaesthesia, Medical Gas (Oxygen, Nitrous Oxide)

•  Doctor Fees : Surgeon, Anaesthesiologist

The Package Excludes

• Take home medications and supplies

• Laboratory Testing necessary for the procedure if required by surgeon as CBC, PT & PTT, Urianalysis, Anti HIV

• Radiology Studies : Chest X-ray, if required

• Other charges not related to the procedures

• Charges for other procedure or other plastic surgery

• Charges for OPD incurred prior to the surgery

• Charges for inpatient stays in excess of 1 nights. Additional charges for these days including room and other charges will be added to the package price at a normal hospital rates

• Charges for intensive care, if necessary

• Items of a personal nature such as in-room drinks, telephone charges and guest meals will be charged at the normal rates in effect

Duration

Operation will take around one to three hours.

Hospital stay

One night stay

Notice

The package is applicable for elective, uncomplicated patients. Patients with the following conditions are considered to be complex or high risk cases and will not qualify for the package: Bleeding Disorders Patients with underlying severe medical problems such as HIV and uncontrolled diabetes

Effective date March 26, 2007 - December 31, 2008

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