Nipple with Inverted Nipple Correction-2 sides. LA (PPSI)
Your PPSI Plastic Surgery Package Includes:
- Admission to the hospital in a private room
- Operating theater fee
- Anesthetic fee
- Surgical fee
- Pre-operative screening (chest x-ray, complete blood cell count, and EKG)
- Breast augmentation and breast lift clients will be provided with 1 complimentary post-op bra.
- Follow up visit/s after the operation
PPSI includes the following complimentary services for procedures over 100,000 Thai Baht (THB);
- 24-hour on-call post-operative care for emergency situations
- Arranged and scheduled pre and post-surgery consultations with your surgeon/medical practitioner, as necessary
- All ground transfers to/from the hospital and airport/hotel
- Support with VISA and entry requirements
In addition, Gorgeous Getaways provides
Telephone/video patient advocate support when returning home with our Careplus policy which ensures we are there to support you should you have any post-surgery issues up to a year following surgery
|Procedure or Treatment Time|
1 to 2 hours
Local Anaesthesia (LA)
Thai Baht (THB)
English spoken widely by healthcare professionals, Thai
7 days recommended
Phuket Plastic Surgery Institute
It is not uncommon to have some sensory changes after breast augmentation, especially if there is a larger implant. Most of the time, sensation does return, especially if placed below the muscle, therefore, one should wait 3-6 months for the sensation to return. However, it is acceptable to have some nipple sensation loss with breast augmentation. The ratio of sensory loss from breast augmentation is 5-10% with the inframammary fold incision having the lowest ratio of nipple sensation loss.
The decision is based on a number of factors, including the member’s desires, reasons for the surgery and overall health. For example, are you doing it because you feel your breasts are too small relative to your body contour or are you unhappy with the size and firmness of your breasts following pregnancy, breastfeeding or major weight loss? Unevenness between the breasts can also be a motivating factor. Your surgeon can help you make the right decision during your pre-surgical appointment(s).
The ideal option to prevent rippling is to decide preoperatively what type of implant you need and whether it should be placed above or below the muscle. The optimal way to prevent rippling, or at least minimize rippling, is to place the implant below the muscle, make sure there is adequate breast tissue and not oversize or underinflate an implant if you are using saline or silicone implants. Sometimes the use of silicone implants may be better, especially in patients with no breast tissue as well as placement below the pectoralis major muscle. If you are using saline implants make sure you maximally fill it and not overfill or underfill, as that can cause more scalping or rippling. If you underfill, it can cause more deflation in saline implants. Remember, one can almost always feel any implant in the lower outside quadrant of your breast. Your surgeon will be the best person to advise you after examination.
Most doctors ask that women wait 3 months before wearing under wire bras after implant surgery. Your body will be forming scar tissue around the implant for 3 months. During this time the pressure of the wires could cause the scar tissue to form in such a way that an indentation from the wires could become permanent. After this initial healing time under wire bras should be worn intermittently to avoid permanent indentation.
There is very good scientific evidence in medical literature to show that a breast implant looks more natural and feel better if placed below the muscle. It also does not obscure mammography and there is good evidence-based data to support that the implants stay softer longer by a significant margin if placed below the muscle.
Replacement of implants that have ruptured is not an emergent operation, but it is one that should be undertaken as soon as possible, from the diagnosis. Over time silicone implants that have ruptured tend to leak and can cause more scar tissue formed by interaction around the implant. The procedure requires removing the implants and also the scar tissue around the implant. Therefore, in most cases, you do need a drain when replacing the implant. The recovery is brief â€“ about 3-5 days. It would be advisable for you to see a surgeon to get a proper prognosis.
The problem with high-profile implants is that they have not been adequately studied and may have much higher incidence of breast tissue and glandular thinning and subsequent long-term rippling effects, whether they are silicone or saline, although this has not been studied extensively.
In regards to the types of implants used, and the placement: In the majority of cases, the surgeon places the implants under the muscle, as this produces a more natural look and also reduces the risk of capsular contracture (when a skin forms around the implant). He usually makes the incision under the breast, so your folds of the skin should hide the scars. He will assess you at the consultation and determine the best placement of the implants.
One should never underfill a saline implant because there is a higher chance of having a deflation or rupture because of full flow problems. You should always maximally fill the implant so that it will get less scalping and no rippling in this area, plus it will deflate much less.
Yes, this can occur since we did not know the real cause of capsular contracture (breast implant hardness). It is uncommon for capsular contracture to occur, especially with saline implant below the muscle, but if saline implants do get hard they will begin getting hard earlier than later â€“ usually in the first several months. If silicone implants get hard, they will get hard progressively over time. One can attempt to do early aggressive breast massaging for perhaps 6-8 weeks. However, if capsule contracture develops then a simple inferior capsulotomy or release of the scar tissue may be all that is needed, especially with saline implants, to restore shape and symmetry. This is done easily as an outpatient under IV sedation.
Many women with breast implants have successfully breast fed their babies. Current studies indicate that women with breast implants, either gel or saline, do not have any higher levels of silicone in their milk than women without breast implants. Breast implants can, however, interfere with the ability of some women to breast-feed. The peri-areola incision site is more likely to affect this ability. Some women experience mastitis, inflammation in the breast ducts, during this time, which can also cause capsular contracture. Taking antibiotics when symptoms first appear may minimize the potential for this problem. You should always report signs of inflammation to your physician.
It is somewhat a myth that breast implants will create significant cleavage. It depends more on the shape of your breasts and the diameter of your breasts preoperatively, as well as the degree of breast augmentation and the amount of breast tissue that you have. Often, if you have an average chest wall size, there is a better chance for having improved cleavage. However, it is not a guarantee and just increasing the size does not necessarily increase breast cleavage. It is actually counter-intuitive since the implant actually pushes the breast to the side, diminishing the amount of cleavage one would anticipate.
Most surgeons recommend only round, textured implants these days, as the tear drop shape is more prone to rotate and distort the breast shape. The surgeon will discuss with you the look that you want, and based on your current breast shape and tissues, he will recommend an implant size. Please note, that your current build and breast size and shape may mean that you may have to go larger or smaller than your ideal size. For example, if you have had pregnancies and have droopy breasts with a lot of tissue, it usually requires a biMedawayer implant to fill to create a nice shape. It is not only the size that is important, the surgeon also suMedawayests an implant size to give a nice shape.
Yes, if there is radiographic evidence or an MRI it should be replaced for several reasons. Primarily, because long-term the silicone can cause small granulomas or small masses in the breast which can mimic breast tumors that may be similar to breast cancer and can disseminate throughout the breast. It is optimal to remove the implant with the capsule and attempt to replace with a new implant below the muscle. All implants need to be considered for removal at 10-15 years, whether the implant is saline or silicone.
It usually does not since it depends on the size of breast that you are beginning with. The resulting cup size does not directly correlate with the implant size. Just as different sizes, whether it is a B, C, or D cup, vary from patient to patient and from retailer to retailer, there is no way to guarantee that one will have B, C, or D cup breasts after implants. The goal is to make them proportionate to the patient’s chest wall diameter, the amount of breast tissue the patient has and the size and shape. It is very important not to over-augment patients, as they will then have further movement of their breast tissue out to the outside (or lateralization) which will cause distortion and the breast will look too large for the patient’s body and chest wall.
The major riskÂ of breastÂ augmentation is capsular formation – when a fibrous layer forms around a foreign body -Â but this occurs in only about 5% of patients. We have had no patients with this problem, and we put this down to the fact that the surgeons use the safest and highest quality implants (you may find that other surgeons use cheaper copies to keep the prices down). Also, the surgeons nearly always inserts the implant underneath the muscle, rather than in front, as this gives a more natural appearance, while also reducing the risk of capsular contracture. In most cases, breast implants last a lifetime, although gravity will have its usual effect with age, and patients can get their implants replaced after 10 years, but this is to give a better shape, not because of implant problems.
Should one use high-profile or moderate-profile implants for sagging breasts rather than a breast lift?
In most cases, surgeons won’t recommend using high-profile or moderate-profile implants (saline or silicone) to correct sagging breasts, as this is not the solution. If you truly have breast ptosis or sagging breasts, you should do a breast lift with or without implants. Obviously, if patients want a lift and more upper fullness they should do a lift with (moderate-profile) implants in most cases.