Breast Augmentation
Breast augmentation is a cosmetic surgery procedure for women to increase breast size which involves placing breast implants under the breast tissue or chest muscles.
It is a cosmetic surgery procedure that helps women who are dissatisfied with the size of their breasts. It also assists women who have experienced changes in the appearance of their breasts due to pregnancy, breast-feeding, weight-loss, genetics, sun exposure, gravity, hormones, or any number of changes to the size and shape of your breasts.
It is also referred to as “breast enhancement”, “breast implants”, and most commonly as “a boob job” while the, in the plastic surgery world the correct term is an augmentation mammoplasty.
As with all surgical procedures, you should consider whether breast augmentation is suitable for you before deciding to go ahead and ask your surgeon/agency 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 and for reasons such as personal preference.

Surgical Procedure
Breast augmentation is performed by placing breast implants either under the breast tissue (under the muscle) and over the chest muscle (over the muscle), or under both the chest muscle and the breast tissue (dual plane). All breast implants are made with a silicone-based 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. Choosing the breast implant option that is right and suitable should be consulted with a surgeon.
In terms of methods of incision and insertion, this is discussed in consultation between yourself and the consulting Plastic Surgeon, in respect to best results and decided upon after physical examination at the time of consultation. The most commonly used methods of incision and insertion in the following areas:
  • Around your nipple (Circular Incision)
  • Under the breast (Inframammary fold incision)
  • Under the armpit (Transaxilary incision)
The methods may be more than a simple case of aesthetics as to which option is chosen so it’s also best to choose a surgeon who is best suited to this procedure and your needs to discuss your wishes and requirements.
It is recommended that prior to the operation, in consultation and face to face contact and a medical check-up, clients must consult with a specializing surgeon to advise on the most suitable procedure. This includes: increase or balance the size of the breasts; restore breast volume, or restore the shape of breasts after a partial or total loss.
Clients must note that breast augmentation cannot correct significantly sagging or drooping breasts. If there is any degree of breast sagging often a breast lift is necessary, to achieve a good outcome. This is performed in conjunction with this procedure.
Hospital Admission
The surgeons recommend a one-night hospital admission
Duration of Operation
The procedure may take two to three hours.
Breast augmentation is done using general anaesthesia in which the patient is asleep for the surgery.

Pre - operative Care
When assessing the size and placement of the implant, the goal is to augment the breasts in proportion with the body and to maintain a natural look in proportion the body. Therefore, the size and placement of the implant chosen depend on many factors including the following:
  • Current cup size
  • Desired cup size
  • Build of body including chest muscle tone
For example: If the patient has 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 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 placed over the muscle is recommended. This enables a full and natural augmentation.
To avoid post-operation bleeding, patients must do the following prior to surgery:
  • Inform the surgeon of any allergies, all medical conditions, and any medication that you are taking (both prescription and non-prescription).
  • Avoid aspirin and blood thinning medication such as brufen for two weeks • Avoid smoking for 2 weeks as this may affect reaction to the anaesthetic and prolong the healing process.
  • Inform the surgeon if suffering from hypertension.
Post Operative Care
All dressings and bandages are removed on the second or third day following the procedure and upon removal, patients are free to bath and shower as usual.
Our patients are under the care of medical staff such as our Surgeons and nurses and directed on the correct technique /procedures reasons for breast massage which should be conducted twice a day or as directed by a surgeon.
Patients will probably be able also to resume exercise and normal physical activities within a month or two after any residual soreness has subsided. All medical advice should be followed strictly.
Women that choose silicone implants should have an annual mammogram to ensure that their implants are not leaking, as silicone leaks out slowly unlike saline – which is easier to rupture and will deflate fairly quickly. If there is a leakage or break in the implant, it should be replaced.
Risks and Complications
Since 2000, statistics show that a low number of silicone or saline implant recipients have experienced complications. However, the following risks and complications might be experienced after breast augmentation:
  • Capsular contracture: This occurs if the capsule, or shell, around the implant begins to tighten and thicken. This will cause the breast to feel hard and appear unnatural. Preventing this can be best achieved by regular self-massage which will be advised by the surgeon. Sometimes removal of the capsule is required, or perhaps the implant may need to be replaced, however, this is uncommon if you follow your surgeon’s directions.
  • Infected or deflated breast: If this happens, the implant must be removed immediately. The patient will need to wait several months before repeating the operation.
  • Continual bleeding: Despite bleeding generally being minimal during the operation, there is a possibility that continual bleeding after surgery may result in a blood clot – which would need to be removed. This is uncommon and it is suggested that a patient may remain in Thailand for approximately 2 weeks for the surgeon to monitor the improvement after surgery.
  • Infection: This is uncommon but possible. The surgeon should provide the patient with antibiotics prior to surgery to eliminate this possibility. A reputable accredited surgeon will perform these procedures to eliminate risk.
  • • Detecting breast cancer may be more difficult.
Autoimmune Risks

According to scientific research, women with breast enhancement are not at any increased risk of autoimmune or connective tissue diseases. Although some patients have claimed of complications to their health due to ruptured silicone implants in the past, studies have not conclusively indicated that implants bring about increased risks of any rare diseases.
Breast augmentation increases breast size which can enhance your self-esteem and confidence as well as resulting in a better figure and help to balance your body proportions.
For many women, including those who may have undergone a mastectomy, childbirth, or weight loss, you will notice a magnificent improvement and initial scarring will gradually fade.
In 2000, both Silicone and Saline implants were both approved by U.S. health officials. Implants manufactured by Silimed and Mentor – the two leading marketers of implants – were considered safe and effective for continued use.