Dr. Teng Answers All Your Questions Before Breast Augmentation | Aurora Clinic Surat Thani & Koh Samui
- SPARK IDEA
- Nov 12
- 14 min read
Hello everyone, I'm Dr. Teng, Dr. Apirak Wongsawasup (License No. 35777), the owner and physician at Aurora Plastic Surgery Clinic.
If you're reading this, I believe your mind is filled with many questions and hopes about "Breast Augmentation." This is not just a surgery; it's a significant journey toward becoming your most confident and perfect version.
As a Plastic Surgeon, I've seen thousands of patients with the same dream. However, the dream is often accompanied by worries and a lack of understanding about the process. Many fear the pain, worry about unnatural results, or are concerned about safety.
Today, I intend to open a comprehensive "Breast Augmentation Guide" distilled from my years of experience and the specialized techniques genuinely used at Aurora Clinic in both the Surat Thani Aesthetic Clinic and the Koh Samui Aesthetic Clinic. I will answer every question you have, from basic topics like breast implants to advanced techniques like the Dual Plane Technique and our clinic's signature method, the Aura Hybrid Technique (small incision, minimal pain, bloodless).
Please use this article as your compass to make a confident decision and choose the safest path.
I. Understanding Before Deciding: What is Breast Augmentation?
Breast Augmentation is a medical procedure using breast implants to increase size, improve shape, and correct deficiencies in the existing breasts. It is a critical step in building confidence and achieving perfect femininity.
1.1. Augmentation is More Than Size: The Philosophy of Natural Breast Augmentation
I want to emphasize that breast augmentation at Aurora Clinic is not about following fashion trends; it's about creating the perfect silhouette based on physiological and aesthetic principles. Our philosophy focuses on achieving the most natural breast augmentation result, so it looks like you were born with these perfect breasts.
1.1.1. Detailed Measurement: The Key to Aesthetic Harmony (The Golden Ratio)
The correct start is a detailed measurement. Accurate and systematic measurement is the foundation for choosing the most appropriate implant size and shape.
Base Width Measurement: This is the most critical value for limiting implant size. Choosing an implant with a base width wider than the existing breast base will result in a boxy, unnatural look at the breast border. I will measure from the midline of the body outwards to the end of the breast tissue (Lateral Inframammary Fold) to determine the optimal diameter of the breast implant.
Skin Elasticity and Thickness Analysis: The skin over the breast acts like a "cover" that must hold the implant. If the skin has low elasticity, choosing too large a size might cause stretch marks or make the skin too thin, clearly showing the implant edges. The Plastic Surgeon will evaluate the thickness of the existing tissue to decide whether to place the implant submuscularly or subglandularly.
Overall Body Proportionality Calculation: The new breasts must harmonize with your skeletal structure and height. I consider the width of the hips, shoulders, and waist to ensure the new breasts don't make other parts of the body look "obese" or "too small," but rather achieve the most harmonious proportions.
1.1.2. Correcting More Than Just Adding Size: Managing Individual Deficiencies
Many patients who visit me at the Surat Thani Aesthetic Clinic have issues beyond just small breasts. True breast augmentation involves correcting these issues simultaneously.
Managing Mild to Moderate Ptosis: For breasts with mild to moderate sagging, using the Dual Plane Technique for implant placement can utilize the lifting force of the Pectoralis Major muscle to support and elevate the breast without needing to cut out excess skin (Mastopexy). This assessment helps patients achieve a firmer, more natural breast augmentation result with minimal scarring.
Breast Asymmetry Correction: Having asymmetrical breasts is very common. The Plastic Surgeon's role is to use breast implants of different volumes or profiles to create the closest possible symmetry between the two breasts, requiring precise and accurate surgical planning.
Managing Tuberous Breast Deformity: This is a condition where the breast has an abnormally conical or narrow shape. Surgery, in this case, is complex, requiring a special technique to release the constriction band around the breast base, along with the use of implants, to allow the breast base to expand and appear natural.
1.2. The Mission of Breast Implants: Material, Shape, and Global Brands
Choosing a breast implant is like selecting the main material for an artwork, emphasizing the highest quality and safety. At Aurora Clinic, we choose implants from global brands that have undergone rigorous certification, and I select the "most suitable" implant, not just the "best" one.
1.2.1. Next-Generation Gel Implants: Safety with Sensation (Medical Grade & Cohesive Gel)
Advancements in medical technology have made breast implants highly safe and providing a feel closest to real tissue.
International Safety Standards: All implants used at Aurora Clinic are Medical Grade Silicone and must be certified by strict medical device regulatory bodies, such as the US FDA and the European CE Mark, as well as the Thai FDA, guaranteeing high safety.
Cohesive Gel Technology: Modern breast implants use Cohesive Gel, a highly viscous and form-stable gel. Even if the implant shell is damaged, the gel will not leak into the body, further enhancing safety.
Shell Texture:
Smooth: Provides the softest feel. May allow for slight, natural implant movement.
Textured: Has a rough surface to help reduce implant movement and is theoretically believed to help reduce the incidence of Capsular Contracture. However, the trend is shifting towards smooth and nano-textured implants.
Micro/Nano-textured: The latest technology providing a soft surface feel while retaining tissue adherence properties, mitigating risks associated with older textured surfaces.
1.2.2. Shape Options: Round or Teardrop?
Choosing the implant shape defines the "style" of the new breasts and must align with the chosen implant placement.
Round Implants:
Distinctive Feature: Provides maximum fullness in the upper pole, especially when used with submuscular augmentation or the Dual Plane Technique.
Suitability: Ideal for those who desire a clear contour or those with mild breast ptosis, using the implant's pressure for a subtle lift.
Anatomical/Teardrop Implants:
Distinctive Feature: Mimics the shape of a natural breast, with a tapered top and fuller bottom.
Suitability: Ideal for those desiring the highest level of natural breast augmentation or those with very little existing breast tissue. However, caution is needed regarding post-operative implant rotation.
1.2.3. Top Brands Used at Aurora Clinic: Motiva, Mentor, Allergan Natrelle
At the Surat Thani Aesthetic Clinic and the Koh Samui Aesthetic Clinic, we choose leading brands to meet the specific needs of each patient.
Motiva: Unique for Ergonomix, which allows the implant to change shape according to gravity (Soft/Adaptive Gel), offering a soft feel and highly natural breast augmentation. Features Nano-textured surface and an RFID Chip for data logging.
Mentor: A highly respected brand with extensive research, known for its particularly soft gel (Cohesive Gel Technology) and a wide range of sizes and profiles.
Allergan Natrelle: Focuses on durability and various textures. Physicians can choose shell textures and profiles that provide excellent shape stability, suitable for creating a distinct breast base.
Each brand has unique characteristics (softness, elasticity, surface recovery). I use my experience to select the implant that achieves the best balance between the patient's desire and anatomical limitations for the most beautiful and safest result.
II. The Heart of Surgery: Breast Augmentation Techniques and Implant Placement
This section is the most critical in determining the final result of the new breasts. Softness, natural movement, and the risk of capsular contracture all depend on the breast augmentation surgical technique and the correct implant placement (submuscular / subglandular) based on each patient's anatomy.
2.1. The Pathway to Beauty: Surgical Incisions that Subtly Hide Scars
The breast augmentation surgical technique I choose is primarily based on the patient's skin, body structure, and scar concerns. The goal is to make the scar fade as quickly as possible and hide it within the body's folds.
Inframammary Fold Approach (Under the Breast Fold): The safest and most precise access.
Surgical Advantage: Provides the Plastic Surgeon with the clearest view of the internal anatomy, allowing for high precision in creating the implant pocket and easy, fast hemostasis. This reduces the risk of post-operative hematoma, which is fundamental to our Aura Hybrid Technique.
Aesthetic Advantage: The scar is hidden in the Inframammary Fold, a natural crease, making the scar completely concealed when standing or wearing a bra.
Periareolar Approach (Around the Nipple): When the Areola size allows.
Aesthetic Advantage: The scar blends with the dark border of the areola, making it less noticeable.
Surgical Limitation: This technique has limitations on the size of the breast implant that can be inserted and may slightly impact the milk ducts. The Plastic Surgeon must evaluate carefully, especially for those planning future breastfeeding.
Axillary Approach (Armpit): 100% Scar Concealment on the Breast.
Aesthetic Advantage: No direct scar on the breast, ideal for those extremely concerned about scarring.
Surgical Limitation: Accessing the breast pocket requires an Endoscope or specialized instruments, making pocket creation more complex and time-consuming. There is a risk of less accurate implant placement compared to the Inframammary approach if the surgeon lacks experience.
2.2. Key to Sustainable Results: Implant Placement (Submuscular / Subglandular)
This is a major point to understand because implant placement determines softness, natural breast augmentation, and the long-term chance of capsular contracture. The decision must come from a thorough analysis of the existing tissue.
Subglandular Placement (Above the Muscle):
Principle: Breast implant is placed beneath the glandular tissue but above the Pectoralis Major muscle.
Suitability: Ideal for those with a significant amount of existing breast tissue or sufficient tissue thickness to completely cover the implant edges.
Long-term Limitation: If the existing tissue is thin, it may lead to Rippling (visible waves of the implant) and has a higher chance of Capsular Contracture than Submuscular Augmentation.
Submuscular Placement (Under the Muscle):
Principle: Breast implant is placed completely under the Pectoralis Major muscle, which helps cradle the implant.
Suitability: The best option for those with very little existing breast tissue or thin skin, as the muscle layer provides good coverage of the implant edges, making the resulting breast softer and more natural.
Recovery: May involve more initial pain than Subglandular Augmentation due to muscle dissection or separation.
The Perfect Technique: Dual Plane Technique - The Perfect Combination
As a Plastic Surgeon, I consider the Dual Plane Technique to be the ultimate breast implant placement today because it effectively overcomes the limitations of older techniques.
Working Principle:
Upper Pole: Placed Submuscularly so the muscle helps mask the implant edge in the upper breast, giving a naturally sloped upper contour and reducing the visibility of the implant edge.
Lower Pole: Placed Subglandularly by releasing the muscle from the original breast base. This allows the lower part of the implant to expand freely, achieving a beautiful curve without muscle compression.
Key Advantage: The Dual Plane Technique provides the most natural breast augmentation result and better reduces implant movement when flexing the chest muscle than full Submuscular Augmentation. It also excellently reduces the rate of capsular contracture.
Implant placement, especially using the Dual Plane Technique, requires high skill and practice from the Plastic Surgeon to accurately measure and dissect the muscle, which is the main technique I use at Aurora Clinic.
III. Aurora Clinic's Signature Innovation: Aura Hybrid Technique (Small Incision, Minimal Pain, Bloodless)
Safety and attention to detail are what clearly set Aurora Clinic apart. We believe that good surgery must create the most beautiful result with the most comfortable and quickest recovery possible. The Aura Hybrid Technique is the answer we provide to patients in both the Surat Thani Aesthetic Clinic and the Koh Samui Aesthetic Clinic.
3.1. Deep Dive into the Aura Hybrid Technique: Fusing the Best for Your Dream Breasts
The name Aura Hybrid comes from combining globally proven techniques with our specific innovations to achieve a natural breast augmentation result with the lowest complication rate.
Hybrid Placement: Dual Plane and Aura Technique Integration: Aura Hybrid combines the advantages of the Inframammary Fold incision (providing the most accurate access) with the Dual Plane Technique (semi-submuscular breast implant placement), which gives the softest result and best reduces the chance of capsular contracture. The Aura Technique Focus emphasizes meticulous handling of tissue and muscle, using precise instruments for pocket dissection to ensure the pocket size fits the implant exactly, allowing the implant to settle stably and minimizing internal bleeding.
Minimal Incision: The Core of "Small Incision"
Reducing Scar Size: Standard breast augmentation may require a 5-7 cm incision, but with the Aura Hybrid Technique, I use a special instrument (Funnel/Sleeve Technique) to insert the breast implant through the smallest possible incision (approx. 3-4 cm).
Long-term Result: A smaller incision means a less visible scar, which is perfectly hidden in the Inframammary Fold and fades faster.
3.2. Comfort Focused Surgery: "Minimal Pain, Bloodless" Strategy for Fastest Recovery
The post-operative experience is what we care about most, as we don't want patients to suffer unnecessary pain. We implement specially strict pain and bleeding control measures.
Pain Management Protocol: Towards "Minimal Pain" Surgery
100% Anesthesiologist Supervision: Every breast augmentation case at Aurora Clinic must be under general anesthesia by an expert Anesthesiologist for patient comfort, safety, and complete vital sign control.
Regional Nerve Block: This is the key to "minimal pain" after surgery. I perform a local anesthetic injection to block major sensory nerves in the breast area (Pecs Block or Serratus Block) before closing the incision. This relieves pain for up to 12-24 hours post-operation, allowing patients to walk and perform light activities immediately.
Hemostasis Control: "Bloodless" Strategy for Rapid Recovery
Meticulous Hemostasis: We use high-precision surgical instruments and special electrocautery to control blood loss to a minimum. This is crucial for preventing post-operative Hematoma.
Reduced Bruising: "Bloodless" surgery directly results in reduced post-operative swelling and Bruising, allowing patients to recover faster and the breast shape to settle quicker.
Drainless Surgery: Due to the meticulous technique and perfect hemostasis, most patients using the Aura Hybrid Technique do not require a surgical drain, reducing discomfort and potential infection risk.
3.3. Post-Operative Experience: Perfect Recovery
Fast and comfortable recovery is what Aurora Clinic offers every patient choosing services at the Koh Samui Aesthetic Clinic.
Fast Recovery Protocol: With precise surgery and superior pain control, most patients can return to light daily activities within 2-3 days and can safely travel home or begin exploring the beauty of Koh Samui after medical evaluation.
Sustainable Results: The Aura Hybrid Technique is an investment in long-term results, as it reduces the risk of capsular contracture and allows the breast implant to settle beautifully and naturally.
IV. Must-Ask Questions Before Deciding: Safety and Care from a Plastic Surgeon
Deciding on Breast Augmentation is not about choosing the cheapest clinic; it's an investment in safety and long-term quality of life. Therefore, you must ask the right questions and ensure all treatment is genuinely supervised by an expert Plastic Surgeon.
4.1. The Highest Responsibility: Why Must a Board-Certified Plastic Surgeon Perform the Surgery?
The difference between safe surgery and a flawed result often lies in the practitioner's experience and expertise. Being a Plastic Surgeon means undergoing intensive, multi-year training to thoroughly understand human Anatomy.
Advanced Anatomical Understanding:
Managing Muscle Layers and Nerves: Submuscular Augmentation or the Dual Plane Technique requires deep understanding of the Pectoralis Major muscle's position and function and the nerves controlling nipple and breast sensation. Surgery by an inexperienced practitioner may cause nerve injury, leading to permanent numbness or altered sensation.
Precise Pocket Dissection: Creating the pocket for the breast implant must be meticulous, fitting the implant size in the correct position for a natural breast augmentation look. An overly large pocket can lead to easy implant movement (Malposition), while a too-small pocket can compress the implant and increase the risk of capsular contracture.
Managing Potential Complications:
Preventing and Correcting Hematoma: A Plastic Surgeon has the skill for delicate and quick hemostasis, which is the heart of the Aura Hybrid Technique. If a post-operative hematoma occurs, a specialist can diagnose and resolve it promptly.
Managing Capsular Contracture: Though rare, correct pocket preparation, appropriate implant placement, and techniques to reduce bacterial contamination are the best ways to minimize this risk.
4.2. Highest Safety Standards: Surgery in a Controlled Environment
Surgical safety depends not only on the doctor but also on the facility and team. At Aurora Clinic, in both the Surat Thani Aesthetic Clinic and the Koh Samui Aesthetic Clinic, we adhere strictly to standards equivalent to a large hospital.
Operating Room and Anesthesiologist 100%:
Sterile Operating Rooms: Our operating rooms are designed based on Sterile Technique principles and fully equipped with emergency life-support equipment.
Specialist Anesthesiologist Supervision: Breast Augmentation must be performed under general anesthesia administered by an Anesthesiologist only, ensuring the patient is fully asleep, pain-free, and all vital signs are safely controlled.
Quality Assurance for Breast Implants: Every breast implant used has a manufacturer's warranty and a serial number traceable to its origin and standards (Motiva, Mentor, Allergan Natrelle), guaranteeing long-term material safety.
4.3. Delicate Post-Operative Care: For Soft and Sustainable Results
Surgery is just the beginning. Proper self-care under the Plastic Surgeon's guidance determines the long-term beauty and softness of the breasts.
Post-Operative Management and Massage:
Correct Breast Massage: Massage is necessary in the early post-operative phase, especially with certain breast implant types, to help the implant settle, reduce capsular contraction, and increase tissue elasticity. The Aurora Clinic team will teach you the most appropriate massage technique for your case.
Activity Restriction: Avoiding heavy lifting and excessive chest muscle exercises during the first 4-6 weeks is crucial to prevent implant movement, especially in Dual Plane Technique cases.
Long-term Follow-up: A Sign of Care:
Regular Follow-up Appointments: I schedule regular check-ups (e.g., 1 week, 1 month, 3 months, 6 months, and 1 year) to assess softness, shape, and wound healing. This follow-up is vital for early detection and correction of potential issues.
Breast Cancer Screening (Mammogram/Ultrasound): The Plastic Surgeon will advise on appropriate breast cancer screening methods for those with breast augmentation to ensure complete breast health care.
V. Conclusion: The Journey to Lasting Confidence
Breast Augmentation is a major decision affecting your quality of life and confidence forever. I hope all the in-depth information—from selecting breast implants to using our Dual Plane and Aura Hybrid techniques—has increased your understanding and confidence in the process.
At Aurora Clinic, we don't view this as just surgery; it's a partnership with you to create the most beautiful and safest piece of art.
5.1. The Core of Aurora Clinic: Safe, Confident, Sustainable
Safety First: We enforce the highest standards with 100% surgery performed by a Plastic Surgeon (Dr. Apirak Wongsawasup) and Anesthesiologist, along with internationally standard operating rooms in both the Surat Thani Aesthetic Clinic and the Koh Samui Aesthetic Clinic.
Natural Breast Augmentation Results: We use advanced techniques—the Aura Hybrid Technique (small incision, minimal pain, bloodless) combined with the Dual Plane Technique—to ensure the resulting breasts are soft, beautifully shaped, and perfectly harmonious with your proportions.
Superior Care: With our "minimal pain, bloodless" protocol and Regional Nerve Blocks (Pecs/Serratus Block), you recover quickly and can return to daily life with confidence.
5.2. The Beauty Vacation Experience in the South
Choosing the Koh Samui Aesthetic Clinic or the Surat Thani Aesthetic Clinic means starting your transformation in a perfect vacation atmosphere. You can use the short recovery period to relax by the beach or enjoy other skin treatments at our clinic, allowing your body and mind to rejuvenate simultaneously.
5.3. A Pledge from the Plastic Surgeon
I pledge that every step of the treatment will be filled with care, precision, and responsibility in every detail—from selecting premium breast implant brands (Motiva, Mentor, Allergan Natrelle) to long-term follow-up—to ensure you achieve a truly beautiful and safe result.
If you are ready to start this significant journey and desire beautiful, safe breasts that represent your best self, my team and I at Aurora Clinic welcome you and are ready to provide the most detailed consultation. Let's build lasting confidence together!
Aurora Clinic, Samui Branch ✨
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Aurora Clinic, Surat Thani Branch ✨
FACEBOOK: facebook.com/auroraclinicsurat
Tel: 096-652-0899
Line: @auroraclinic
Opening Hours: Open daily from 10:00 AM to 8:00 PM N.
We warmly welcome you and are ready to help you achieve your desired beauty and confidence.
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