Augmented Mammoplasty (Breast Augmentation)

Augmented Mammoplasty (Breast Augmentation) is an operation to increase the size of the breasts using implants. The implants have a silicone shell that can contain either sterile saline/water or silicone liquid/gel. Incisions are made in inconspicuous areas to minimize visible scarring. Incision options include: Inframammary incision, Transaxillary incision, Periareolar incision. Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference. After the incision is made, a breast implant is inserted into a pocket either: Under the pectoral muscle (a submuscular placement), or directly behind the breast tissue, over the pectoral muscle (a submammary placement). The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon’s recommendations. Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin. Over time the incision lines will fade.

Duration of the operation:

The surgery requires 2 hours to complete.

Post operative care:

• Move slowly and get some rest. Avoid activities that tend to wear you out. Recline your had slightly elevated above lower body.
• Early ambulation is required to speed up healing process and improve circulation.
• Eat a light diet at the day of surgery. Begin with liquids and progress to soup initially then advancing your diet to regular foods.
• You may take shower 24 hours after the surgery. Gently rinse the breast area with water and pat dry. When showering remove the gauze dressing but leave the steri strips in place.
• Avoid strenuous activities that can cause pain and discomfort.
• The incision will be covered with steri-strips and a small gauze dressing. It is normal to feel tired and sore for the next 2-3 days. It is normal to feel that the breast implants are not part of your body.  It takes 2-3 weeks for your beast implants to soften and feel more natural.
• Bra: You do not need to wear a bra or may wear a loose fitting comfortable bra if desired. Do not wear a push up bra for 6weeks.
• Wound Care: Remove the gauze dressing before showering at least 24 hours after surgery. Steri strips will remain for the next 6 weeks. Avoid direct sunlight to the incision for 1 year. Use a sunscreen with zinc oxide with SPF 20 or greater.
• Medications: Take all medications as prescribed.  Follow all instructions which may accompany the medications such as: Taking with food, avoid alcohol and driving restrictions.
• Follow up appointment: Your first visit will be scheduled to see Dr. Juta in the next 3-4 days.

Recovery period:

You may go back to work in 2-5 days depending on how you feel. 

Possible risk and complications:

The risks of breast implants and complications after breast augmentation include: unfavorable scarring, bleeding (hematoma), infection, poor healing of incisions, changes in nipple or breast sensation, may be temporary or permanent, capsular contracture, which is the formation of firm scar tissue around the implant, implant leakage or rupture, wrinkling of the skin over the implant, anesthesia risks, fluid accumulation, blood clots, pain, deep vein thrombosis, cardiac and pulmonary complications, possibility of revisional surgery.

Anesthesia use:

General anesthesia

Hospital admission:

This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis.

For more information you may contact the information below: 

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Email: info@bangkok-plasticsurgery.com

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