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Information provided is intended to inform clients of expected procedures and outcomes. However, not al patients, procedures
or surgeons are the same, and information may not be applicable to al procedures. PIAC reserves the right to vary the way
that a procedure is performed or which technique is used.
During breast augmentation, a breast implant is
placed either under the breast tissue and over
the chest muscle, or under both the chest muscle
and the breast tissue. Your surgeon wil advise you
on the most suitable procedure for you. This helps
to increase or balance the size of the breasts,
restore breast volume, or restore the shape of
breasts after partial or total loss. Please note that
breast augmentation cannot cor ect significantly
Mild Involutional Changes (Glandular Ptosis) due to sagging or drooping breasts. In these instances,
aging, multiple pregnancy, significant weight loss.
a breast lift is often necessary, which may be
performed in conjunction with this procedure.
Over time, age, genetics, pregnancy, weight
Al breast implants are made with a silicone based
changes, sun exposure, and gravity can cause
non-reactive casing but they are fil ed with either
the size and shape of breasts to change. Breast
silicone gel or saline. The outer silicone case may
augmentation can help women who are dissatisfied
be smooth, shiny, polished, or a slightly rough
with the size of their breasts, or who have experienced
texture. The type, style, and size of breast implants
changes in the appearance of their breasts.
you choose are determined by your lifestyle, body
contours, the amount of breast tissue you have,
It is one of the most common plastic surgery
and the cup size and appearance that you would
procedures performed today, however you should
like to achieve. You should talk to your doctor
careful y consider whether breast augmentation
about choosing the breast implant option that is
is suitable for you before deciding to go ahead.
You may ask your surgeon any questions that you
may have and he or she wil give you guidance
We of er the most commonly used methods of
and advice to make sure that your choice is
incision and insertion; at the nipple, under the
breast or under the armpit and it may be more
than a simple case of aesthetics as to which
option is chosen. Your surgeon wil advise you
If you have large chest muscles and thick
enough subcutaneous fat or breast tissue, the
implant should be placed above the muscles in
order to al ow for comfortable movement and
For patients with mild to moderate breast sagging,
a larger implant would be placed over the muscle
but your surgeon wil evaluate and give you final
opinion case by case. This enables a ful and
During the consultation, you wil have to make a natural augmentation. In many occasions, breast
choice and in agreement with your surgeon about
lift or Nipple Areolar Complex Repositioning is
recommended additional y for a bet er outcome.
2.A) under the breast tissue and over the
1) Inform your surgeon of any medication/s
that you are taking (both prescription and
non - prescription), any al ergies, al medical
conditions (such as bronchial asthma, diabetes,
hypertension, blood dyscrasias, coagulopathy,
medications like Ibuprofen, al vitamins and herbs
for at least 2 weeks prior to surgery to eliminate
4) type of implant content = silicone - fil ed
the chance of post-operative bleeding.
3) Stop smoking for at least 2 weeks prior to
surgery as this may af ect your reaction to the
(anatomical), moderate or high projection
anaesthetics and wil prolong your healing process
4) NO food and any liquid intake for at least
When assessing the size and placement of the 6 hours prior to surgery.
implant our aim is to augment your breasts in
5) Absolutely no alcoholic beverages for at
proportion with your body and to maintain a
natural look. The size and placement of the
6) Make sure you do not wear any jewelries,
implant chosen depends on many factors, such
piercings, make up and nail polish to surgery.
as your lifestyle, your desired cup size, your breast
asymmetry, desired upper breast pole ful ness,
If you have a smal 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).
In some cases, prolonged hospitalization may be
11) Wearing of sports bra day and night for
secondary to pain sensitivity and vomiting from
12) Underwire brassiere may be worn 6 weeks
after surgery to prevent from rubbing against the
1) Drains, dressings, bandages are removed
on the first or second day fol owing the surgery.
13) Breast massage is advised differently
Afterwards you are free to bathe and shower
depending on the surgeon or the type of implants.
Usual y it may be started on the third day
2) It is highly encouraged to start walking
fol owing surgery. This is performed at least twice
as soon as possible after surgery. This wil help
daily, 10 to 15 minutes for each breast for 3 months.
your circulation thus reduces sweling and eliminates
If sweling is noted on the first few days of massage,
chances of developing clots in your leg veins.
you should stop the exercise and resume after
3) Bruising, swel ing, soreness and discomfort
are not uncommon on the first few days up to
14) If you have the armpit incision Avoid
a week after surgery. This wil resolve within 2 weeks.
sudden pushing of the breast upward for 3 weeks
4) Mild numbness, burning sensation and extra
15) You may be able to resume exercise and
sensitivity to your nipples may be noted for a few
normal physical activities within a month or two,
after any residual soreness has subsided.
5) Upon discharge from the hospital you wil
be given oral antibiotics, make sure you complete
the ful course of antibiotic therapy. Wound dressing
materials, pain and anti-swel ing medications wil
Imagine that you divide your breast into four
also be provided. Change the wound dressing at
least twice a day. But some surgeons do not need
the patient to change the dressing until the fol ow
6) Do not submerge in swimming pools, bath
tubs for at least a week or while incisions are not
completely closed. Smal openings in the wound
serve as portal of entry for bacteria which may
7) A moist environment is inviting to some
bacteria, so it is important that you keep the
wound or the incision dry and stay in a cool room
especially if you have the armpit incision.
8) Know the signs of infection. This includes
fever (temperature over 37.8 C), pain not
relieved by meds, redness, pus formation, excessive
swel ing, excessive tenderness. When signs and
symptoms of infection is noted, cal your doctor
9) Sutures wil be removed at least 1 week
10) Vigorous activities should be avoided for
Remember to move your implant in al the four
If the breast does become infected from colection
quadrants using a slow steady movement.
of blood or deflated, the implant must be removed
1) Position your palms on the outer quadrants
immediately. You wil need to wait for several
of your breasts and press slowly inward. You can
months before repeating the operation. With the
feel and see the implants bulge toward the inner
advent of silicone gel fil ed implant, chances of
quadrants of the breast. Press and hold for 20 to
2) Press the breasts slowly outward such that
Despite bleeding generally being minimal during
a bulge on the outward quadrants of the breast
the operation, there is a possibility that continual
wil be noted. Press and hold for 20 to 30 seconds,
bleeding after surgery may result in a blood clot
formation which needs to be removed. This is
3) Position your palms on the lower quadrants
uncommon and it is suggested you remain in
of the breast and push slowly upward. Bulging of
Thailand for approximately 2 weeks for your surgeon
the implant on the upper quadrants of the breast
to monitor your improvement after surgery. Infection
should be noted. Press and hold for 20 to 30
is uncommon, but possible. Your surgeon should
provide you with antibiotics prior to surgery to
4) Do the same for the downward movement. eliminate this possibility.
Implants do not cause breast cancer but may
Breast augmentation increases breast size which
obscure its detection. For women with silicone
can enhance your self esteem and confidence.
implants an annual mammogram is advised to
The procedure wil leave you with a better figure
ensure that implants are not leaking, as silicone
and help to balance your body proportions. For
leaks out slowly unlike saline - which is easier to
rupture and wil deflate fairly quickly. The new
undergone a mastectomy, child birth or weight
generation of cohesive gel wil not leak out easily
loss, you wil notice a magnificent improvement
but can have some reactions. If there is a leakage
and initial scarring will gradually fade.
or break in the implant, it should be replaced.
Inform the radiology technician that you have
In 2006, both Silicone and Saline implants were
both approved by U.S. health of icials. Implants
manufactured by Inamed and Mentor - the two
leading marketers of implants - were considered According to scientific research, women with
safe and ef ective for continued use.
breast implants are not at any increased risk of
autoimmune or connective tissue diseases. Although
some patients have claimed of complications to
Since 2006, statistics show that a low number of
their health due to ruptured silicone implants in
silcone or saline implant recipients have experienced
the past, studies have not conclusively indicated
that implants bring about increased risks of any
Capsular contracture occurs if the capsule or shel
around the implant begins to tighten and thicken.
This wil cause the breast to feel hard and appear
Tel + 66 (0) 76 249400 Fax + 66 (0) 76 210936
unnatural. This can be prevented by regular self
massage. Should this occur, removal of the capsule
is required or perhaps implant may need to be
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LABORATORY SERVICES CRMC Laboratory Draw Station is located in the Out Patient Services area. We are available 6AM to 6PM daily. No appointment is necessary. (Please note that due to lower weekend and after hours staffing, your wait time may be longer on weekends and after stated hours.) We must have a copy of your physician’s orders for your lab work. Please ask your physician to fax a