The breast lift surgical procedure may be performed under local anesthesia or general anesthesia. Your time in surgery is typically two to three-and-a-half hours.

The degree of lift needed generally will determine the number and length of the incisions. The more lift a patient needs, the more likely the patient will need a lift with more extensive incisions. In other words, someone who needs a significant lift likely will not be a candidate for a periareolar incision, but rather the "anchor incision" (described below).

There are many variations to the design of the incisions for breast lift surgery. The size and shape of your breasts, size of your areolas, and extent of sagging are factors that will help your plastic surgeon determine the best technique for you.

In some instances, it may be possible to avoid the horizontal incision beneath the breast. Sometimes a technique may be used that avoids this horizontal incision as well as the vertical incision that runs from the bottom edge of the areola to the breast crease. One surgical technique for breast lift involves three incisions that form an anchor shape ("anchor incision"):

• The first incision is around the areola, extending above it and creating a new position for the nipple.
• The second incision runs vertically from the nipple down to the bottom of the breast.
• The third incision runs on the underside of the breast just above the fold under the breast.

These incisions create flaps where excess skin will be removed.

Excess skin may also be removed as the nipple and areola are moved to a higher location on the breast. The nipple is normally positioned so that it will be even (vertically) with the lower crease between the breast and chest. The skin that was previously above the nipple is brought down around the nipple and sutured together under the breast. The nipple and areola remain connected to the underlying breast tissue and the associated nerve and blood supply, reducing the chances of sensation loss.

For some patients, other techniques may be appropriate that may include omitting the horizontal incision along the bottom of the breast and thus leave one less scar after surgery. For women with smaller breasts and less droopiness, a concentric series of incisions can be used, omitting both the vertical and horizontal incisions.

If you are getting breast implants during the surgery, they can be placed:

• immediately behind the breast (subglandular placement)
• behind the breast and the major muscle groups in the chest area (complete submuscular)
• behind the breast and Pectoralis Major muscle — this is the most common location for implants (partial submuscular placement)

"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.

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