Breast Reduction Surgery | Plastic Surgery Thailand | Medical Tourism

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Breast Reduction Surgery
Duration	2 - 3 Hours
Surgery type	Inpatient Surgery
Anesthetic	General Anesthesia
Hospital Stay	1 Night
Days Required in Bangkok	8 Days
Plastic Surgeon	Dr. Preecha Tiewtranon
	Dr. Saran Wannachamras
Average Cost	From US$ 4000 [see note ]

Breast Reduction Surgery - Introduction

Breast reduction surgery is typically performed to create a more proportional chest curvature with your overall body shape, and to alleviate problems with activities, health, and clothing. The procedure can also help achieve symmetry where breasts are not equal in size. The plastic surgeon can change the shape and firmness of the breasts to create a more aesthetic appeal. Nipple surgery may also be performed to reduce areola size. In fact, the breast reduction candidate may require a breast lift to achieve a fully satisfactory outcome.

Breast Reduction Surgery - Procedure

Breast reduction plastic surgery is usually performed under general anesthesia, so you will sleep through the procedure. The breast comprises glandular tissues, fatty tissues, and skin: all three areas are surgically reduced as needed.

Before entering the operating room, the surgeon will ask you to sit upright. While sitting, surgical markings will be drawn on your breasts. The markings outline the "sitting-up" position of your breasts, to make the correct incisions later during surgery when you are lying down. The drawings will typically take the form of an anchor — encircling the areola and extending above the areola to the new location of the nipple. The markings also extend down vertically below the nipple and horizontally following the natural curve of the crease beneath your breast.

The incision is made along the surgical markings. Flaps are created on both sides of the breast and the excess skin, fat, and glandular tissues are extracted. In most cases the nipples are moved to a higher position on the breast, but remain attached to the nerves and blood vessels. For very large breasts, however, the nipples may need to be moved and grafted to a completely new location. In these cases, the nipples are removed from the underlying connecting tissues and you will lose sensation in the nipple and areola.

The nipple and areola are usually moved to a new position. The position of the nipple is usually vertically level with the crease on the underside of the breast. After surgery, the flaps of skin (that were once above the nipple) are refolded around and beneath the breast, pulled to the front of the breast around the nipple, and sutured in place. The reduction of breast tissue and skin reduces the weight of the breast and reshapes it into proportion.

Upon completion of the procedure, stitches remain around the areola and nipple area, in a vertical line beneath the nipple and horizontally under the breast. If the breasts were not too overly large, then some surgical techniques can avoid the horizontal scar altogether.

Patients who receive this procedure usually remain in the hospital over night. If the breasts are not too large and the skin has good elasticity then liposuction may be possible. This is especially useful in women who wish to avoid long scars. It is possible that this technique may preserve the ability to breast feed. For many surgeons it has become the most popular way to perform breast reduction on a patient who is about a DD size. Very large and pendulous breast still require the more traditional methods that result in longer scars.

What To Expect After The Surgery

Breast reduction surgery will make your breasts smaller and firmer. Without the excessive weight of large breasts, you may find greater enjoyment in playing sports and engaging in physical activity.

The incisions from your breast reduction surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible, more so in some individuals than others. Fortunately, the incisions for breast reduction are in locations easily concealed by clothing, even low-cut necklines.

Breast reduction often makes a dramatic change in your appearance. For this reason, it may take some time to adjust to your new body image. Most women, however, eventually become comfortable with their smaller breasts and feel very pleased with the results of surgery. In fact, the level of patient satisfaction resulting from breast reduction is among the highest of any plastic surgery procedure.

Risks

Some of the potential complications that may be discussed with you include bleeding, infection and reactions to anesthesia. Rarely, a patient may require a blood transfusion during the operation. This usually can be anticipated in advance, and your plastic surgeon may, under certain circumstances, advise you to donate your own blood in preparation for surgery.

Following reduction, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. If desired, minor adjustments can be made at a later time. Permanent loss of sensation in the nipples or breasts may occur rarely. Revisionary surgery is sometimes helpful in certain instances where incisions may have healed poorly. In the unlikely event of injury to or loss of the nipple and areola, they usually can be satisfactorily reconstructed using skin grafts.

You can help to lessen certain risks by following the advice and instructions of your plastic surgeon, both before and after surgery.

Recovery

The day after surgery, you will be encouraged to get out of bed for short periods of time. After several days, you will be able to move about more comfortably. Straining, bending and lifting must be avoided, however, since these activities might cause increased swelling or even bleeding. You may be instructed to sleep on your back to avoid pressure on your breasts.

Any surgical drains will be removed a day or two after surgery, at which time your dressings may also be changed or removed. You will be instructed to wear a support bra for a few weeks, until the swelling and discoloration of your breasts diminishes. Generally, stitches will be removed in stages over a period of approximately three weeks, beginning about one week after surgery.

You may notice that you feel less sensation in the nipple and areola areas. This usually is temporary. It may, however, take weeks, months or even more than a year before sensation returns to normal. Your breasts may also require some time to assume a more natural shape. Incisions will initially be red or pink in color. They will remain this way for many months following surgery.

After breast reduction surgery, it is often possible to return to work within just a couple of weeks, depending on your job. In many instances, you can resume most of your normal activities, including some form of mild exercise, after several weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Severe pain should be reported to your doctor.

Any sexual activity should be avoided for a minimum of one week, and your plastic surgeon may advise you to wait longer. After that, care must be taken to be extremely gentle with your breasts for at least the next six weeks.

Pre-Surgery Medical checkup
Blood pressure, BUN, CBC, prothrombin & partial thromboplastin times, EKG & HIV tests prior to the surgery.

Cost

Average cost of Breast Reduction Surgery in Thailand is US$ 4,000 . But this cost may vary individually depending on the patients medical history and the surgeon and facility you chose to get the surgery done.

"You are required to send a Photograph of your chest area frontal , sideways to the surgeon for the initial consideration and approval. Without the photographs Surgeons will not approve and schedule the consultation appointment."

All the costs quoted by the Hospital / Surgeon includes the following

Pre-Surgery Consultation
Doctors Fee
Surgery fee
Hospital room charges
Nursing fee
All medications required
Post-Operative Follow Up

In addition to the cost of the surgery, you will need to be prepared for the following additional costs.

Stay
For this procedure you are required to stay in Bangkok for at least 8 days of which you will be spending the first night at the hospital, and then you can choose whether to stay in the serviced apartment at the hospital or a hotel outside until the post surgery follow up appointment 7 days after the surgery. Surgeon will allow you to fly only after the follow up appointment, and therefore you need to plan accordingly.

Serviced apartment at the Hospital : Piyavate hospital provides a serviced apartment manned 24/7 by registered Nurses within the hospital complex, with prices ranging from US$ 45 - US$ 195 / night depending on the type of room you choose.

Hotel: If you wish to stay in a Hotel outside the hospital it could cost you anywhere between US$ 40 - 300 / night depending on the hotel you choose. There are many Quality / Clean entry level hotels that offer rooms for as little as US$ 40 in the near vicinity of the hospital and the Up market hotels near the Sukhumvit (10 mins in taxi) or Silom (25 mins in taxi) Shopping districts, the rate could go as high as USD 300 / night.

BMT Concierge Service : If you wish to have us arrange you received at the airport and arrange the round trip airport transfer, and Transfer to all of your appointments and the surgery by one of our patient co-coordinators, there will be an additional Fee of US$ 169 which is to be paid after you confirm the surgery plan. This fees only applies if you choose our Concierge service. There are no additional fee if you choose only the Surgery planning service.

All the fees due for the surgery has to be paid directly to the surgeon or the hospital before undergoing the procedure. There are no fees to be paid to us apart from the fee for the Concierge service if you wish to have us arrange all of your transportation.
If you are HIV+ve, there will be an additional 60% fee will be levied to cover the cost of additional equipment and personnel expenses.

Hospital
This Surgery will be performed at the Plastic Surgery center at Piyavate International Hospital. piyavate Hospital is ISO 9001 certified and HA accredited International Hospital in Bangkok, Thailand.
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FACIAL PLASTIC SURGERY

	FACE LIFT SURGERY Improves sagging facial skin and loose neck skin.
	EYELID SURGERY Corrects sagging or drooping eyelids, as well as bags below the eyes.
	EAR PINNING SURGERY Reduces the size of large ears or sets ears back closer to the head.
	NOSE SURGERY Reshapes the nose by reducing or increasing size.
	CHIN AUGMENTATION Reshapes the chin by inserting an implant shaving the bone.
	CHEEK AUGMENTATION Restore the fullness to your cheeks if it has been lost with aging.
	FOREHEAD LIFT Forehead lift is often performed to treat conditions associated with aging.

BREAST PLASTIC SURGERY

	BREAST AUGMENTATION Procedure to surgically enhance breast size with breast implants.
	BREAST LIFT SURGERY Breast enhancement procedure that raises and reshapes sagging breasts.
	BREAST REDUCTION SURGERY Performed to create a more proportional chest curvature with your overall body.
	BREAST RECONSTRUCTION Restores breast appearance for women who have had their breast(s) removed.
	MALE BREAST REDUCTION Reduces abnormally-enlarged, female-like breasts in men.

BODY PLASTIC SURGERY

	LIPOSUCTION Surgical procedure that vacuums fat deposits from under the skin.
	ABDOMINOPLASTY Flatten the abdomen by removing excess skin and fat.
	CALF IMPLANTS Performed to enlarge the calves, resulting in a more defined appearance.
	BUTTOCKS AUGMENTATION Procedure to surgically enhance buttocks size with implants.
	ARM LIFT Reduces or removes loose, sagging skin from the upper arm.
	BODY LIFT Body lift aims to improve the shape and tone of the underlying tissue that supports fat and skin.

OTHER PLASTIC SURGERY

	BOTOX INJECTION A toxin designed to help eliminate or improve persistent facial wrinkles.
	INJECTABLE FILLERS Used to fill in fine lines and provide more contour and definition.
	MICRODERMABRASION Used to remove superficial layers of the skin using vacuum & sand like crystals.
	SPIDER VEIN TREATMENT Removes superficial dilated veins that lie just beneath the skin..
	HAIR TRANSPLANTATION Transplantation of Grafts containing hair follicles to bald scalp
	SEX CHANGE SURGERY Reassignment of gender using a number of surgical methods.

WEIGHT LOSS SURGERY

	GASTRIC BYPASS SURGERY Gastric Bypass, Roux en-Y (Proximal) is the most commonly employed gastric bypass technique.
	ADJUSTABLE GASTRIC BANDING b Johnson, generally known as Swedish Bandy Realize Adjustable Gastric Band from Johnson & or SAG-BAND Surgery

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