Breast Augmentation in Bangkok

Breast size often shows up in clothes first. Tops gape at the neckline, dresses fit everywhere but the chest, and swimsuits look right only with padding.

We offer breast augmentation with implants or with your own fat, moved from another part of your body. The aim is a fuller shape that fits your frame and looks like yours, so your surgeon plans the size, shape and placement around you.

Who Breast Augmentation Suits

Breast augmentation suits you if your breasts feel small for your frame, differ in size or have lost volume over the years.

If your breasts have dropped as well as lost volume, a breast lift may suit you instead of implants, or alongside them. Your surgeon examines you and says which.

A few criteria apply:

• You are in good general health.
• Your breasts have finished developing.
• You are not pregnant or breastfeeding at the time of surgery.
• You are ready to stop smoking around the operation, and your surgeon tells you for how long.

If breast cancer runs in your family, tell your surgeon, who may ask you to have a breast scan first.

Implants or Your Own Fat

The first decision you make is what adds the volume, an implant or your own fat, and the two routes compare like this.

Fat transfer generally suits you if you want a modest change, have some spare fat to move and keep a stable weight.

Implants suit a larger or more defined change.

Your surgeon recommends the route that fits your goals and your body at your consultation.

Choosing Your Implants

Four choices shape your result: size, profile and shape, placement and the incision route. Your surgeon talks you through each one.

Size: Start From the Look You Want

Cup sizes vary between bra makers, which makes them a loose target. The same implant volume also looks different on a narrow frame than on a broad one.

A number on its own tells your surgeon little about what you want.

Bring photos of results you like, so your surgeon can see the look you are after. Your surgeon then measures your chest and helps you choose a volume that fits your frame and that look.

Profile and Shape

Profile describes how far the implant projects forward from your chest. At the same volume, a higher profile is narrower and sits further forward. Manufacturers name their profiles differently, so if you compare quotes, compare the look rather than the label.

Shape is the other half of the decision. Round implants add fullness across the breast, while teardrop (anatomical) implants slope more gently and usually have a textured surface. Implants also come filled with silicone gel or saline, and your surgeon explains which suits you.

Over or Under the Muscle

An implant can sit under the chest muscle or over it, and each position has its case.

Under the muscle, the implant has more cover, which helps hide its edges when your own breast tissue is thin. Scar tissue tightening may also be less likely, though the first few days tend to be more uncomfortable. In practice the implant usually sits partly under the muscle (the top beneath it, the lower part under your breast tissue), which is called dual plane.

Over the muscle, the implant sits where your breast tissue already lies and moves less when the chest muscle works. That is why it often suits very active people and people who lift weights. It needs enough of your own tissue to cover it, because its edges can show more and scar tissue tightening may be more likely.

Which one suits you depends on your tissue, your goals and how you live, and your surgeon explains the reasoning.

Where the Incision Goes

There are three routes in, and surgeons differ on which they prefer.

• The crease under your breast (the inframammary fold): A common route, with the scar sitting in the crease where the underside of the breast meets your chest.
• The edge of the areola (periareolar): The scar sits where the darker skin meets the lighter skin, and your surgeon considers the size of your areola when recommending it.
• The armpit (transaxillary): The scar sits in the armpit rather than on the breast, but the route limits the implant type and size your surgeon can place.

Your surgeon recommends a route at your consultation and explains the trade-off behind it.

Meet Our Breast Augmentation Surgeons

Two of our surgeons perform breast augmentation.

Wutthiwat
Anupansawang, MD

Pawalin
Chuenputhi, MD

Dr. Wutthiwat “Tei” Anupansawang, MD (Medical Council of Thailand ว.30963) has 22 years of experience and holds a board certification in general surgery.

He works in body contouring surgery, and the procedures he performs include breast augmentation, liposuction and abdominoplasty.

Dr. Pawalin “Palm” Chuenputhi, MD (Medical Council of Thailand ว.31884) has 21 years of experience and is board certified in both general surgery and plastic surgery.

Her clinical experience covers facial and breast surgery.

At your consultation your surgeon examines your chest and breast tissue, then talks you through size, placement and incision before explaining the plan.

What Happens on the Day

All surgery at KKC Clinic takes place at our surgical facility in Ekkamai. On the day, your surgeon goes over the plan with you and marks your chest, then you have general anesthesia, so you are asleep throughout.

With implants, your surgeon makes the incision agreed at your consultation and creates a pocket over or under the muscle. Your surgeon then places the implant and closes the incision with stitches.

With fat transfer, your surgeon first removes fat by liposuction from the agreed area and prepares it. Your surgeon then injects it into your breasts in small amounts.

You wake with dressings and a support bra or garment in place, and our team monitors you as the anesthetic wears off.

Recovery

Your surgeon gives you your own recovery plan, and most people follow a similar pattern.

• Support bra: Wear the support bra or garment day and night for as long as your surgeon advises, often several weeks and sometimes up to about three months.
• Discomfort: It is usually strongest in the first few days and eases with the pain relief your surgeon prescribes.
• Swelling and settling: Swelling settles over the first weeks. Implants often sit high and feel firm at first, then soften and settle into place over a few months.
• Wounds and showering: Keep your wounds dry and covered as your surgeon instructs, and shower when your surgeon says you can.
• Sleeping: Sleep on your back with your head raised in the early weeks, not on your front.
• Exercise: Gentle walking helps from early on. Leave heavy lifting and strenuous exercise for around six weeks, or as long as your surgeon advises. Bring chest exercise back last, especially with implants under the muscle.
• Check-ups and questions: Your surgeon checks your wounds before you fly home and sets the date. If you have a question at any point, message our consultant team through the usual messaging channels.

Coming to Bangkok for Surgery

Plan on staying in Bangkok for at least five days after the operation, or longer if you combine it with another procedure. Before you fly, your surgeon checks how your wounds are healing and confirms when you are fit to fly.

Pack clothes that fasten at the front, because raising your arms is uncomfortable at first, and plan a quiet first few days. Avoid swimming and long spells in the sun until your surgeon says your wounds have healed.

For the flight, book an aisle seat, drink plenty of water, move about the cabin and ask your surgeon whether to wear compression stockings. If you take hormonal contraception or have ever had a blood clot, tell your surgeon at your consultation.

Once you are home, your questions go to our consultant team through the usual messaging channels.

Risks

Every operation carries risk. These are the main ones with breast augmentation, and your surgeon goes through each at your consultation.

• Capsular contracture: Scar tissue around the implant can tighten, changing the breast’s shape or causing pain. It sometimes needs further surgery.
• Rupture and rippling: An implant can leak or break, and its edges can sometimes show or be felt where the tissue over it is thin.
• Shape and sensation: The implant can settle too low or your breasts can end up slightly uneven. Nipple sensation can change; it often improves over months but can be lasting.
• Infection, bleeding and clots: These come with any operation under general anesthesia, and an infected implant sometimes has to be removed.
• Rare conditions: BIA-ALCL, an uncommon immune-system cancer seen almost only with textured implants; BIA-SCC, a very rare cancer of the scar capsule; and breast implant illness, symptoms such as tiredness and joint pain whose cause is not established.

How Long Implants Last

Breast implants are not lifetime devices, so it helps to know what that means for you before you choose them. There is no fixed date to replace them.

Many people keep theirs for many years. Others have further surgery because of a complication, a change in their body or a wish to change size. In one long-term study, about 1 in 4 people had another operation within 10 years.

Advice on checking silicone implants varies by country. In the US, the FDA recommends an ultrasound or MRI scan 5 to 6 years after surgery, then every 2 to 3 years, even if you have no symptoms, because a silicone leak may not cause any. Saline implants do not need these scans, because a leak usually shows as a change in size.

Keep a record of your implant’s brand, model, size and surface, since future scans and any recall will need it. Revision surgery is available when you want or need it, and your surgeon can discuss what it involves.

Choosing a Clinic for Breast Augmentation in Thailand

Whichever clinic you are considering, four things are worth checking before you commit:

• Who will operate, with their full name and Medical Council of Thailand license number.
• Where the operation takes place.
• Exactly what the quoted price includes.
• How follow-up works once you fly home.

Here is how those look at KKC Clinic. Dr. Wutthiwat “Tei” Anupansawang and Dr. Pawalin “Palm” Chuenputhi are named above with their license numbers, and surgery takes place at our surgical facility in Ekkamai.

Your surgeon gives you a full quote at your consultation, so you know the cost before you commit. After you fly home, our consultant team answers your questions through the usual messaging channels.

Frequently Asked Questions

Start with a Free Consultation

Your consultation is free, and it is where your plan takes shape. Your surgeon examines you and talks through implants or fat transfer, then size, placement and incision, before giving you a full quote. Message our team to arrange a time that suits you.