Breast Reduction

Breast Reduction

Breast reduction surgery can deliver excellent functional and cosmetic results. The procedure is intended to reduce the size of and lift up the breast. Breast reduction can help relieve the physical symptoms associated with large or heavy breasts such as:

·         Breast discomfort

·         Neck ache

·         Backache

·         Shoulder pain

·         Skin irritations underneath the breast fold

·         Problems with clothes

·         Indented bra-straps

·         Difficulties and discomfort during exercise

On a purely cosmetic level, the operation can help patients who are unhappy with the shape, weight and droop of their breasts, by creating smaller and more uplifted breasts.  Many patients with large breasts can be very self-conscious of their appearance and find that they attract unwanted attention.

What Surgery is available, what technique are involved?

What should I Expect?

What Complications may occur?

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What Surgery is available, what technique are involved?

Most breast reduction surgery begins with the nipple, which is lifted into a new position and kept alive on a pedicle, of tissue. Excess skin and breast tissue is then removed, and the remaining breast tissue reshaped to create a smaller and more elevated breast.

The methods of reduction and reshaping vary, and depend upon the patient’s breast size, wishes and needs. While the principle of all breast reductions remains the same, different techniques do result in different types of scarring in the breast area.

Anchor-typed or Inverted T reduction 

The most common and traditional type of breast reduction uses an anchor-type incision, also known as an inverted T. This technique results in an anchor-shaped scar, starting around the nipple, travelling vertically down and then horizontally across the breast crease.

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Vertical scar reduction

Another common type of reduction procedure is the vertical pattern breast reduction. With this technique, patients end up with a scar around the nipple that travels vertically down, but with no scarring underneath the breast. The reduced scarring is a distinct advantage. However, the vertical pattern is less effective and reliable when dealing with particularly large breasts. Furthermore, because there is no horizontal excision of skin, the vertical incision is ridged up. This can cause the skin around the scar to look gathered in the early days after the operation, and a vertical pattern breast reduction will in general take longer to settle than an inverted T procedure.

Many plastic surgeons perform both the inverted T and the vertical pattern, more often than not reserving the vertical pattern for medium-sized breast reductions. However, some surgeons will offer the vertical pattern for larger-scale procedures also, and this is something that patients can discuss in their pre-operative consultation.

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Circumareolar reduction

It is possible to carry out a relatively modest breast reduction by using a scar only around the nipple. This technique is suitable when only a small amount of tissue needs to be removed. It can also be good when only one breast needs to be reduced to match the other breast.

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What should I expect? (Treatment/ Procedures & Outcomes)

Breast reduction surgery involves fairly complex operations that take between one-and-a-half to three hours to perform. The operation is carried out under general anaesthetic. Patients are usually required to stay in hospital for one or two nights. You will have some dressings on your breasts and often some drains (plastic tubes attached to suction bottles).  The drains will usually be removed before you go home.  You will be given instructions about your dressings and stitches when you go home.  Most surgeons will use mostly dissolving stitches, but some stitches might need to be removed.  Post-operative pain in these procedures is easily controlled. Patients will be mobile from day one and should be back to full exercise within six weeks. Patients are recommended to take at least two to four weeks off work immediately after the operation in order to ensure they recuperate fully.

All breast reductions result in some scarring although the nature of the scars will depend on the technique that has been used. Scars tend to be quite red in the first six weeks, changing to purple over next three months and then fading to white. Most patients will form good quality scars over time, but occasionally and unpredictably some patients will get red lumpy scars that do not improve.

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What complications may occur?

Whilst these operations are generally regarded to be highly successful, there are various negatives and complications that patients need to consider. This is a major operation and you must be prepared for the process and recovery period. Most patients are delighted with the physical and cosmetic improvements that breast reduction brings. However, it is impossible to guarantee that a particular cup size will result. There will be minor asymmetries between your breasts and the scars. Occasionally patients will bleed immediately after the operation and need to go back to the operating room for this to be dealt with. Wound healing problems are quite common, particularly in the anchor scar procedure where the horizontal and vertical scars meet. Most wound problems are minor and can be managed with simple dressings. However, more major wound problems can arise such as infections, skin loss, wound separation and delayed healing. Sometimes some fat beneath the skin will die. This can result in wound problems or lumpiness that takes time to settle. In some cases, the operation can result in the loss of the nipple. Wound problems, if they occur, can delay your recovery and result in worse scarring. Some patients will get alteration in the feeling of the breasts, this will often improve after the operation, but it is possible that you will lose feeling in a nipple. After many breast reduction techniques it will still be possible to breast-feed, but this ability might be lost.

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True Experts in Plastic & Reconstructive Surgery

Our Surgeons usually sub-specialized in the treatment of surgical condition in one or two of the subspecialties dictated by the various Plastic & Reconstructive divisions. This ensure that they are truly expert surgeon in the particular field of expertise in such areas as Facial cosmetic surgery: Face-lift, Brow’s lift and Neck-lift, Craniofacial Surgery (FFS), Rhinoplasty, Otoplasty. Body contouring procedures: Body Reshaping (Arm-lift, Thigh-lift, Buttock-lift), Breast Augmentation, Breast Reduction, Abdominoplasty, Liposuction and Reconstructive procedures for M-t-F girls (BGender Clinic).

The Doctors are supported by a dedicated team of house staff, anesthetists, nurses, pharmacist, case managers and other allied staff who work as a team to ensure the best care for our patients.

Page Title:

Bangkok Plastic, Reconstructive & Aesthetic Clinic: Plastic & Reconstructive Surgery Experts

Page description:

Breast Reduction with Breast Surgery  Experts: Bangkok Plastic, Reconstructive & Aesthetic Clinic.

Page keywords:

·         Breast reduction

·         Breast reduction Bangkok

·         Breast reduction Thailand

·         Cosmetic surgery Bangkok

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Breast Augmentation

Breast Augmentation

The procedure is appropriate for patients looking to increase the size and fullness of their breast and/or to correct minor sagging. Women who opt for breast enlargement surgery are usually those who have always had small breasts, or those who have lost breast volume after having children.

In the last decade there has been a shift in the understanding of breast enlargement surgery.  While this type of surgery has always been a volume operation (in other words making breasts bigger), it is now also regarded as a reshaping operation, where the size and shape of the breast needs to sit naturally with the build and dimensions of the patient. This approach aims to achieve a more natural looking breast that does not exceed or damage the boundary of the breast.

What Surgery is available, what technique are involved?

What should I Expect?

What Complications may occur?

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What Surgery is available, what technique are involved?

Breast enlargement involves the placement of an implant under the patient’s breast tissue to enhance the size and shape of the breast. The vast majority of implants are made of silicone, although saline is also an option. Implants can be placed either directly behind the breast (known as sub-glandular placement), or behind the breast and chest wall/muscle (known as sub-muscular placement). The implants are usually inserted using an incision under the breast at the crease, but can be put in via an incision in the armpit or around the nipple.

Behind the breast

The insertion of implants behind the breast is considered to be the simplest of the available enlargement procedures, and the least likely to cause discomfort.  This route is also the most effective for patients with slightly drooping breasts, resulting in fuller volume and better uplift.

Behind the muscle

The insertion of implants behind the breast muscle provides more padding, which is a key consideration for slender patients and those with very little breast tissue where the edge of an implant may be detectable through the skin. The muscle provides extra cover and helps to hide the upper portion of the implant, and so is strongly recommended for those whose ribs are visible.

Dual plane operation

When slender women with slightly drooping breasts seek enlargement surgery, surgeons often combine these two routes, placing the implants partly behind the breast and partly behind the muscle. Through this combined approach surgeons try to give patients the benefits of both techniques.

Implant shape

Implants can either be round or tear-shaped. Round implants provide a bigger volume at the top of the breast, along with a deeper cleavage. Tear-shaped implants, meanwhile, can look more natural. With either of these options, there are varying degrees of projection, depending on whether patients want their augmented breasts to look subtle or more noticeably pert. Temporary implants, placed inside a bra, can help patients assess their options and make decisions about which implants will help them achieve the augmentation they desire.

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What should I expect? (Treatment/ Procedures & Outcomes)

Breast enlargement surgery takes between one and one-and-a-half hours, and is done under general anaesthetic. The operation itself involves accessing and creating the pocket into which the implant will be placed, using one of the insertion routes mentioned above: breast-crease, armpit or nipple.

Once the pocket has been created, the implant is inserted and the incision wounds are stitched.  You may be able to go home the same day, but many patients will spend one night in hospital.  Post-operative pain in these procedures is easily controlled. Patients will be mobile from day one and should be back to full exercise within six weeks. Patients are recommended to take around two weeks off work immediately after the operation in order to ensure they recuperate fully.

The nature of the scars will depend on the technique that has been used. Scars tend to be quite red in the first six weeks, changing to purple over next three months and then fading to white. Most patients will form good quality scars over time.

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What complications may occur?

All breast enlargement procedures carry the risk of bleeding or infection. These risks are both less than 1%, but if they do occur will result in reoperation. A degree of altered sensation in the breast area is very common after breast enlargement. This usually gradually gets better, but there is a slight risk of losing nipple sensation completely. Hardening, or encapsulation, around the implant is also a potential risk, and up to 10% of women over a ten year period will experience this problem. The breast shape is likely to gradually change as time goes by. In the case of most women this will not trouble them, but sometimes the shape is not as good as it was and further surgery might be considered. Some patients can feel or see the edges of their breast implants under the skin. Sometimes visible folds and ripples become evident. Implants are made to be very tough, but the envelope can gradually fail and a leak can occur. This is not usually a serious event, but once detected will necessitate removal and exchange of the implant.

There is no universally agreed replacement schedule for breast implants, and it is rare for there to be a need to exchange breast implants before ten years. However, you may develop one of the problems described above and may need or choose to have revision surgery at some time in the future.

 

True Experts in Plastic & Reconstructive Surgery

Our Surgeons usually sub-specialized in the treatment of surgical condition in one or two of the subspecialties dictated by the various Plastic & Reconstructive divisions. This ensure that they are truly expert surgeon in the particular field of expertise in such areas as Facial cosmetic surgery: Face-lift, Brow’s lift and Neck-lift, Craniofacial Surgery (FFS), Rhinoplasty, Otoplasty. Body contouring procedures: Body Reshaping (Arm-lift, Thigh-lift, Buttock-lift), Breast Augmentation, Breast Reduction, Abdominoplasty, Liposuction and Reconstructive procedures for M-t-F girls (BGender Clinic).

The Doctors are supported by a dedicated team of house staff, anesthetists, nurses, pharmacist, case managers and other allied staff who work as a team to ensure the best care for our patients.

Page Title:

Bangkok Plastic, Reconstructive & Aesthetic Clinic: Plastic & Reconstructive Surgery Experts

Page description:

Breast Augmentation (Breast Implants) with Breast Surgery  Experts: Bangkok Plastic, Reconstructive & Aesthetic Clinic.

Page keywords:

·         Breast augmentation

·         Breast implants

·         Breast implant

·         Breast augmentation Bangkok

·         Breast implants Bangkok

·         Breast implant Bangkok

·         Breast augmentation Thailand

·         Breast implants Thailand

·         Breast implant Thailand

Abdominoplasty

Abdominoplasty

An abdominoplasty, or tummy tuck, is an operation that is performed to improve the shape of the abdomen.

There are a variety of abdominoplasty procedures available, and operations can be tailored to suit a patient’s wishes and needs. Generally speaking, however, tummy tucks are most commonly carried out to remove excess skin, unwanted scars, stretch marks and fat, and to tighten the stomach muscles.

What Surgery is available, what technique are involved?

What should I Expect?

What Complications may occur?

The ideal patient is someone whose weight is normal, particularly those who have been overweight and have lost the excess weight. Abdominoplasty is not an operation for people who are overweight, or as an attempt at losing weight. In appropriate patients abdominoplasty can have a very marked effect and is associated with high patient satisfaction.

What Surgery is available, what technique are involved?

Full Abdominoplasty

For patients who have significant skin laxity, excess fat and separation of the muscles, a classic tummy tuck is the most common procedure.  Performed under general anesthetic, this operation can require patients to be in hospital for two or three days.
During the operation, an incision is made from hip to hip and around the umbilicus. The excess skin and fat is excised from the umbilicus to just above the pubic hair. The muscles above and below the umbilicus are tightened. The skin is then sewn up to give a circular scar around the umbilicus and a long scar across the lower abdomen. Although this operation leaves a large scar, it does provide the greatest improvement in abdominal shape. Patients who are thinking about becoming pregnant should not undergo this procedure, and should wait until they are sure they are not having any more children.

  

Mini Abdominoplasty

For patients with only a small amount of excess skin a lesser abdominoplasty might be appropriate. A general anaesthetic is still needed.
During the operating, a wedge of skin and fat is excised from the lower tummy leaving a horizontal scar above the pubic hair.  Sometimes the muscles will also be tightened.  No scar is left around the umbilicus, which may be stretched slightly to become a different shape.  A mini abdominoplasty will give a smaller effect than a full abdominoplasty.

Liposuction

Liposuction can sometimes be done at the same time as the abdominoplasty. However, liposuction can be recommended instead of an abdominoplasty for younger patients who have good quality, elastic skin and whose main problem is a localized excess of fat.
A general anesthetic is most commonly used, but treatment can often be as a day case. During the procedure, small incisions are made, excess fat is removed and the wounds are then closed. Some degree of skin tightening or shrinkage can be expected as well, but the results of liposuction can sometimes be unpredictable. Liposuction alone will have less effect than abdominoplasty.

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What should I expect? (Treatment/ Procedures & Outcomes)

The surgical procedures described on this page are all best performed when a patient is fit and healthy. No special diet or exercise programme is required prior to an abdominoplasty, but you should be close to your ideal weight. You will be admitted on the day of surgery, and your length of stay depends on which procedure is done. With a full abdominoplasty you will have some dressings on your tummy and usually some drains (plastic tubes attached to suction bottles). The drains will usually be removed before you go home. You will be given instructions about your dressings and stitches when you go home. Most surgeons will use mostly dissolving stitches, but some stitches might need to be removed. Post-operative pain in these procedures is easily controlled. Patients will be mobile from day one and should be back to full exercise within six weeks. Patients are recommended to take at least four weeks off work immediately after the operation in order to ensure they recuperate fully. These timings are approximate and depend on what exactly is done; also some people recover quicker than others.

All abdominoplasties result in some scarring although the nature of the scars will depend on the technique that has been used.  Scars tend to be quite red and raised in the first six weeks, changing over next six months or so and then fading to white. Most patients will form good quality scars over time, but occasionally and unpredictably some patients will get red lumpy scars that do not improve.

 ^

What complications may occur?

Whilst these operations are generally regarded to be highly successful, there are various negatives and complications that patients need to consider. A full abdominoplasty is a major operation and you must be prepared for the process and recovery period. Most patients are delighted with the physical and cosmetic improvements that abdominoplasty brings.  However, it is impossible to guarantee that every patient will be completely satisfied with the result. There will be minor asymmetries in respect of the scars, and possibly residual bulges. Occasionally patients will bleed immediately after the operation and need to go back to the operating room for this to be dealt with. Wound healing problems can occur.  Most wound problems are minor and can be managed with simple dressings; however more major wound problems can arise such as infections, skin loss, wound separation and delayed healing. Wound problems, if they occur, can delay your recovery and result in worse scarring. In some patients fluid will collect in the abdomen in the region of the operation. If this occurs it needs to be removed using a needle, this is done in the outpatient clinic. All patients can expect alteration in the feeling of the lower abdomen which is usually permanent. This operation carries a risk of blood clots in the legs and possibly the lungs. Various precautions are taken to limit this risk but if a blood clot occurs, treatment with blood thinning medication will be needed for several months. Blood clots in the lungs can be serious.

 ^

True Experts in Plastic & Reconstructive Surgery

Our Surgeons usually sub-specialized in the treatment of surgical condition in one or two of the subspecialties dictated by the various Plastic & Reconstructive divisions. This ensure that they are truly expert surgeon in the particular field of expertise in such areas as Facial cosmetic surgery: Face-lift, Brow’s lift and Neck-lift, Craniofacial Surgery (FFS), Rhinoplasty, Otoplasty. Body contouring procedures: Body Reshaping (Arm-lift, Thigh-lift, Buttock-lift), Breast Augmentation, Breast Reduction, Abdominoplasty, Liposuction and Reconstructive procedures for M-t-F girls (BGender Clinic).

The Doctors are supported by a dedicated team of house staff, anesthetists, nurses, pharmacist, case managers and other allied staff who work as a team to ensure the best care for our patients.

Page Title:

Bangkok Plastic, Reconstructive & Aesthetic Clinic: Plastic & Reconstructive Surgery Experts

Page description:

Abdominoplasty  (Tummy Tuck) with Abdominoplasty  Experts: Bangkok Plastic, Reconstructive & Aesthetic Clinic.

Page keywords:

·         Tummy tuck Bangkok

·         Abdominoplasty Bangkok

·         Tummy tuck Thailand

·         Tummy tuck Bangkok

·         Arm lift

·         Thigh lift

·         Buttock lift

·         Arm lift Bangkok

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·         Buttock lift bangkok