Breast Reduction

Breast reduction in Thailand or a reduction mammoplasty is a reconstructive or cosmetic surgical procedure that aims to create smaller, lighter breasts by removing excess glandular tissue, fat, and skin from overly large heavy, sagging, pendulous breasts.

A breast reduction will be reconstructive if the goal is to bring breast size into proportion with the rest of the body and to relieve whatever discomfort may be caused by overly large breasts, such as back, neck and shoulder pain, stretched skin, and painful and deep indentation from bra straps.

Is Breast Reduction Thailand Right For Me?

Before a woman decides to have breast reduction surgery, she should think carefully about her expectations as well as possible risks, and discuss them with her surgeon. The best candidates for breast reduction Thailand are women who are looking for improvement, not perfection, in the way they look or are looking to alleviate physical discomfort and pain.

Breast Reduction Thailand is an excellent choice for you if you have at least one of the following conditions:

• You suffer from neck, back, and shoulder pain caused by the weight of large breasts;
• Tight bra straps have caused visible, uncomfortable grooves in your shoulders;
• Your breasts feel un-proportioned to the rest of your body;
• You are self-conscious of your breast size;
• Poor body image and confidence;
• You have large, sagging breasts with low nipples and large areolas;
• Isolation and depression;
• Difficulty finding clothing that fits properly;
• You have one breast significantly larger than the other;
• Difficulty jogging or performing an aerobic exercise;
• Embarrassment in social or professional settings;
• And also, embarrassment wearing certain types of shirts;
• Lastly, if you don’t smoke.

What you should know before your breast reduction surgery?

The success and safety of your breast reduction surgery highly depend on your complete honesty during your consultation. You’ll be asked a number of questions about your health, desires, and lifestyle.

Be prepared to discuss:

• Why you want the surgery, your expectations, and desired outcome
• Medical conditions, drug allergies, and medical treatments
• Use of current medications, vitamins, herbal supplements, alcohol, tobacco, and drugs
• Previous surgeries
• Family history of breast cancer and results of any mammograms or previous biopsies

Your surgeon may also:

• Evaluate your general health status and any pre-existing health conditions or risk factors
• Examine your breasts, and may take detailed measurements of their size and shape, skin quality, placement of your nipples and areolas
• Take photographs for your medical record
• Discuss your options and recommend a course of treatment and likely outcomes of your breast reduction procedure and any risks or potential complications.
• And lastly, discuss the use of anesthesia during your procedure for breast reduction

Breast Reduction Risks

Complications of breast reduction in Thailand are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including:

• Unfavorable scarring
• Infection
• Changes in nipple or breast sensation, which may be temporary or permanent
• Anesthesia risks
• Bleeding (hematoma)
• Blood clots
• Poor wound healing
• Breast contour and shape irregularities
• Skin discoloration, permanent pigmentation changes, swelling and bruising
• Damage to deeper structures – such as nerves, blood vessels, muscles, and lungs – can occur and may be temporary or permanent
• Breast asymmetry
• Fluid accumulation
• Excessive firmness of the breast
• Potential inability to breastfeed
• The potential loss of skin/tissue of breast where incisions meet each other
• Potential, partial or total loss of nipple and areola
• Deep vein thrombosis, cardiac and pulmonary complications
• Pain, which may persist
• Allergies to tape, suture materials, and glues, blood products, topical preparations or injectable agents
• Fatty tissue deep in the skin could die (fat necrosis)
• Possibility of revisional surgery

Preparing For Your Breast Reduction

Your surgeon, through our virtual consultation, will provide you with a list of instructions on what to do before your surgery.

This will cover such areas as smoking, medications, what to bring with you to the hospital and when to have your last meal before surgery.

It is of utmost importance that you follow these instructions, and the ones you will be given after your surgery. Your speedy recovery and health should be your number one priority.

You will have to strictly follow these instructions before your breast reduction in Thailand surgery.

These are as follows:

• For smokers: STOP smoking two weeks before surgery. You will need another two weeks after surgery to start smoking. Smoking increases the risks of complications. Chemicals present in smoke act as free radicals that interfere with the healing process. Prolonged healing may result in the formation of large, noticeable scars. If your surgeon finds out that you are still smoking, he will not perform the surgery.
• Stop drinking alcoholic beverages a week before your surgery.
• The day before your surgery. Make sure you do not eat or drink anything at least six hours before your operation.
• Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements as they can increase bleeding

Special instructions you receive will cover:

• What to do on the day of surgery
• Post-operative care and follow-up

Breast Reduction Procedure

Breast reduction in Thailand is performed under a general anesthetic, which means you will sleep through the operation. You will be provided with anesthesia by a board-certified anesthesiologist. Typically, the operation takes about three hours, but maybe longer in women with extremely large breasts.

Prior to the operation, your surgeon will outline the planned incisions on your breasts with a marking pen with you sitting upright.

These skin markings provide a guide for the surgery, which is done with you in the supine position so that in the upright position the breasts are shaped appropriately and are as symmetrical as possible.

The outline of the incisions results in scars with a “lollipop” shape, going around the areola (which is made smaller), and vertically down the center of the breast. It is not typically necessary to use an incision horizontally in the fold beneath the breast. Your surgeon uses the “short scar” technique for almost all his breast reductions. In extremely large reductions, the scar beneath the breast may be necessary

During the Breast Reduction Procedure

During the procedure, the breast tissue to remain with the nipple and areola attached is preserve, while removing the skin and breast that is excessive.

This is done in such a way as to preserve the best possible circulation to the nipple and areola and the smaller mound of breast beneath it. Flaps of the breast are developed and sewn together to secure not just the skin, but also the breast gland itself in a smaller configuration.

Some skin is removed to wrap the breast tissue in a tighter envelope, and the entire breast including the nipple is moved to a higher level on the chest, thereby giving the breast its new contour.

All incisions are closed with dissolving type stitches and surgical wound tapes. Thick gauze and cotton dressings are placed for comfort and support. After the operation, you will need to spend at least an hour in our recovery room in order to recover from the anesthetic.