The "Dream Breast": How to Choose Silicone Safely and Proportionately by Dr. Daeng, an Expert Surgeon at Aurora Clinic
- SPARK IDEA
- Jul 18
- 31 min read
Hello everyone! I'm Dr. Apirak Wongsawasuph (Dr. Teng), License No. W.35777, the owner of Aurora Clinic, a beauty clinic that provides services in both Surat Thani and Koh Samui. Throughout my career as a plastic surgeon, I've met and spoken with countless women who all share dreams of their ideal "breasts." This desire isn't just about external physique; it's also a part of each woman's confidence, sense of completeness, and self-love.
In this article, I want to take you on a deep dive into every aspect of breast augmentation, especially the selection of breast implants, which is considered the heart of achieving safe, beautifully proportioned, and natural-looking breast enhancements under the care of a truly expert breast surgeon.
Why Are "Breasts" More Than Just Beauty? Defining the "Dream Breast" from a Surgeon's Perspective
Hello everyone, I'm Dr. Apirak Wongsawasuph (Dr. Teng), the owner of Aurora Clinic. Throughout my career as a plastic surgeon, I'm often asked, "Doctor, what kind of breasts are considered beautiful?" This question is like the downstream expression of many women's complex desires. For me, the word "beautiful" isn't limited to external appearance but also encompasses emotional and psychological dimensions.
Breasts are not merely a part of the body; they are also a symbol of femininity, completeness, and self-confidence. The decision to undergo breast augmentation or a breast enhancement procedure is thus not just about fashion or social trends, but an investment to fulfill something missing or to regain a positive feeling about oneself.
More Than Just Size: The Psychological and Social Dimensions of "Breasts"
Many women feel insecure about the size or shape of their breasts since adolescence. Some may have very small breasts, making them feel less feminine, leading to a lack of confidence in dressing, reluctance to wear revealing clothing, or avoidance of certain activities that expose their figure. Breast changes can also occur at various stages of life, such as:
After pregnancy and breastfeeding: Breasts that were once full may decrease in size, sag, or become asymmetrical, causing many mothers to lose confidence and feel their bodies are no longer the same.
Significant weight loss: When body weight decreases rapidly, the fatty tissue in the breasts also reduces, leading to flattened and sagging breasts.
Natural breast asymmetry: Some individuals may have noticeably uneven breasts, which can affect their confidence in daily life.
These are all genuine concerns that significantly impact women's psychological well-being and quality of life. When breasts are not as desired, these feelings can undermine confidence in self-expression, social interaction, or even personal relationships. Therefore, breast augmentation becomes a solution that goes deeper than mere physical aesthetics; it's about building confidence, restoring happiness, and enhancing a positive self-image.
The "Dream Breast": The True Definition from a Surgeon's Perspective
As a breast surgeon, I don't just look for breasts that are "large" or "projecting." Instead, I look for "proportion" and "naturalness" that complement each patient's body structure. That is what we truly call the "dream breast."
For me, the "dream breast" is one that is:
Proportional to Your Body: The most beautiful breasts are not the largest, but those that fit your overall physique. Imagine a petite woman with excessively large breasts, or a tall, large-framed woman with very small breasts—it might not look harmonious, right? Assessing your height, shoulder width, rib cage size, and hips is crucial in selecting the size and shape of breast implants that will make your overall appearance look most balanced and appealing.
Example: If you have a narrow breast base, choosing an implant with too wide a base might make your breasts look unnatural. Opting for a high-profile implant with a less wide base might be more suitable.
Natural Look and Feel: Naturalness is the key to breast enhancement in the current era. It's not just about a shape that resembles real breasts but also about the tactile sensation. Choosing breast implants with soft gel or a texture that blends seamlessly with body tissues, as well as submuscular or Dual Plane placement techniques, will make the breasts appear more natural when moving or lying down, ensuring no one notices you've had breast augmentation.
What I consider: I will assess your existing breast tissue volume and skin elasticity to recommend the type of breast implant and placement technique that will yield the most natural-looking results.
Boosts Your Confidence: Ultimately, the "dream breast" is one that makes you feel best about yourself. When you wear clothes and feel confident, or even when you are alone, beautiful, proportionate, and natural-looking breasts will boost your confidence, empowering you to be your best self. I believe that lasting beauty begins with positive feelings about oneself.
Motiva Ergonomix Left 300cc Right 275cc Breast Augmentation by Dr.Apiruk, Plastic Surgeon
The Role of the Surgeon in Crafting the "Dream Breast"
As a breast surgeon at Aurora Clinic, in both Surat Thani and Koh Samui, I see my role not just as performing surgery, but as being your "advisor" and "guide" from the very first step to the final result.
I will begin by thoroughly understanding your needs, meticulously assessing your physique, and providing comprehensive and accurate information about the various types of breast implants, suitable surgical techniques, and post-operative care. All your questions and concerns will be answered frankly and kindly, so you can feel confident and comfortable in your decision.
Choosing an expert surgeon like Dr. Apirak Wongsawasuph (Dr. Teng), License No. W.35777, a board-certified plastic surgeon and surgical specialist, is therefore the most important first step on your journey to your "dream breast." This is because a deep understanding of anatomy, accumulated experience, and attention to detail are what lead to truly safe, beautiful, and natural results.
Before Stepping Towards the "Dream Breast": The Most Important First Step is "Consultation"
From my experience conversing with many women who wish to undergo breast augmentation or a breast enhancement, one thing I consistently observe and want to emphasize is the importance of "consultation." Many might think consultation is merely an initial step, but for me, it is the most crucial first step and the foundation for the success and safety of the surgery.
The journey to the perfect "dream breast" doesn't begin in the operating room; it starts with an open conversation with an expert breast surgeon. A good consultation will help me, as a plastic surgeon, understand your true desires, and simultaneously, you will receive accurate, complete information to make the most confident and safe decision.
Why is "Consulting a Specialist Physician" the Most Important Step?
Choosing a breast surgeon with board certification and genuine experience is the top priority. I, Dr. Apirak Wongsawasuph (Dr. Teng), License No. W.35777, as a board-certified plastic surgeon and surgical specialist recognized by the Medical Council, will explain why you absolutely should not overlook this step:
Accurate Anatomical Knowledge is the Foundation of Safety: Plastic surgeons don't just learn surgical techniques; we undergo intensive training on the anatomical structures of every part of the human body, including the breasts. A detailed understanding of the position of muscles, blood vessels, nerves, and various tissues allows me to precisely plan the surgery, reduce the risk of complications, and ensure that the breast implants are placed in the most correct and appropriate position. This is the crucial foundation for achieving maximum safety in breast enhancement.
Expertise in Various Surgical Techniques: Breast augmentation is not a one-size-fits-all surgery. There are various breast implant placement techniques, whether submuscular, overmuscular, or Dual Plane, as well as different incision locations such as inframammary, periareolar, or axillary. As a board-certified plastic surgeon, I possess the knowledge and experience to select the most suitable technique for your unique physique and needs. Choosing the "right" technique significantly impacts the naturalness of the results and the recovery time.
In-depth and Comprehensive Problem Assessment: Often, breast concerns go beyond just size. Some may have slight breast ptosis, breast asymmetry, or different chest wall structures, all of which require meticulous assessment and planning. An experienced breast surgeon can comprehensively identify and evaluate these issues, not just focusing on increasing size but correcting the breasts to look as perfect as possible.
Effective Complication Management: Although current breast augmentation surgeries are very safe, every surgery carries potential risks, such as bleeding, infection, or capsular contracture. Board-certified plastic surgeons are trained to prevent, manage, and correct these complications quickly and correctly, which is crucial for your health after surgery.
Creating Natural and Lasting Results: My ultimate goal is to create "breasts" that are beautiful, natural, and long-lasting. A detailed consultation helps me thoroughly understand your goals and recommend what is possible and most suitable according to medical and aesthetic principles. We don't just "enhance breasts"; we are creating art on your body.
What You Should Disclose and What I Will Assess in the Consultation Room
At Aurora Clinic, beauty clinic in Surat Thani and Koh Samui, I place special emphasis on consultation. We will take ample time for a high-quality and open discussion.
What I want you to disclose openly:
Expectations for Results: What is your vision of a "dream breast"? What size do you desire? What shape? (e.g., prominent upper pole or natural look) Clearly communicating your expectations will help me better understand your goals. However, I will assess feasibility and recommend what is most suitable for your physique to achieve beautiful and realistic results.
Daily Lifestyle: How much do you use your chest muscles in your daily activities? For example, are you an athlete, do you lift weights, do yoga, or perform physically demanding work? Your lifestyle plays a significant role in choosing the breast implant placement position. Placing the implant under the muscle can affect muscle movement in certain activities.
Overall Body Structure: How tall are you? How wide are your shoulders? What is your rib cage size? What are your hip measurements? This information is crucial for selecting the size and shape of breast implants that will make your overall proportions look most balanced and beautiful. Choosing an excessively large size might make the breasts look disproportionate and become a burden on the body in the long term.
Medical History and Medications: Please inform me of all your existing medical conditions, such as diabetes, high blood pressure, heart disease, or blood-related disorders, drug allergies, regular medications (e.g., blood thinners, NSAIDs, hormones), or supplements, as well as any other surgical history and breast health screening history. This information is extremely important for me to consider when planning the safest surgery with the least risk for you.
What I will assess during the consultation:
Original Breast Size and Shape: I will assess your existing breast tissue volume, the elasticity of the skin in the breast area, and the size of your breast base to determine if there is enough tissue to support the desired breast implant size and which type of implant should be used to achieve the smoothest results.
Nipple and Areola Position: Assessing the symmetry of the nipples and areolas is important to plan surgery that will make the breasts appear more symmetrical and beautiful after breast enhancement.
Overall Physical Condition: I will conduct a preliminary physical examination to ensure you are medically prepared for surgery. If necessary, further health check-ups may be recommended before the day of surgery.
Sizer Trial: At Aurora Clinic, we have a variety of implant sizers in different sizes and shapes for you to try on under your clothes. This allows you to get an initial visual idea of your breast size after augmentation. Trying them on and seeing a realistic image will help you confidently choose the "right" breast implants for you. I will help recommend the size and shape that best suit your physique to achieve the most beautiful and naturally harmonious results.
Consultation is an Investment in Confidence
Consulting with a board-certified plastic surgeon like myself, Dr. Apirak Wongsawasuph, at Aurora Clinic is not just a conversation; it's the most significant "investment" for confidence in the results and safety of breast augmentation.
I believe that true beauty must come with safety and transparent communication. Understanding each other in the consultation room will be the strongest starting point for creating your "dream breasts" that are not only externally beautiful but also fulfill good feelings from within you outwards.
If you have a dream about the "right" breasts and desire advice from an expert breast surgeon, do not hesitate to consult us at Aurora Clinic, a beauty clinic in Surat Thani and Koh Samui.
Demystifying "Breast Implants": How to Choose Safely and Proportionately
Hello, I'm Dr. Apirak Wongsawasuph (Dr. Teng), the owner of Aurora Clinic, a beauty clinic with locations in both Surat Thani and Koh Samui. After discussing the importance of consulting a board-certified plastic surgeon, today I will take you on a deep dive into the heart of breast enhancement: "breast implants."
Many may have numerous concerns or questions about breast implants, whether it's about safety, type, shape, or appropriate size. I understand that choosing the correct breast implant is complex, but don't worry. As a breast surgeon, I will provide detailed and straightforward information to help you feel confident in your decision and truly step towards safe and beautifully proportioned "dream breasts."
Understanding "Breast Implants": What Are They?
Breast implants, or medically known as breast prostheses, are sacs with an outer shell made of medical-grade silicone elastomer. Inside, they are filled with silicone gel of varying viscosity. The silicone gel used is medical-grade silicone gel that has been extensively tested and certified as safe for long-term use in the human body, whether in plastic surgery or other medical devices.
The history of silicone use in medicine dates back decades. This material is highly flexible, durable, and biocompatible with human body tissues, making it widely accepted and used in cosmetic surgery worldwide.
Safety and Standards of Breast Implants: A Crucial Check
The most important thing when choosing breast implants is to ensure they meet "safety standards" certified by reliable international organizations. Selecting substandard breast implants can lead to long-term problems and undesirable complications.
At Aurora Clinic, I always prioritize safety. Therefore, we exclusively use breast implants that are certified by global authorities such as:
U.S. Food and Drug Administration (FDA Approved): This is the highest globally recognized standard. For a breast implant to be FDA-approved means it has undergone stringent quality, safety, and efficacy testing in both laboratories and thorough clinical studies.
CE Mark (Conformité Européenne): This certification indicates that the product complies with the European Union's health, safety, and environmental protection standards.
ISO (International Organization for Standardization) Standard: This is an international standard that certifies the quality management system of the manufacturing process.
When a breast surgeon chooses to use breast implants with these certifications, it confirms our commitment to providing the highest quality and safest products to all patients undergoing breast enhancement at Aurora Clinic.
Types of "Breast Implants": How to Choose What's "Right" for You
Choosing the most suitable breast implants requires considering multiple dimensions, not just size, but also shape, surface texture, and gel softness. Each type has its pros and cons and is suited for different body types and needs.
1. Implants by Shape:
This is the first factor that affects the breast shape after breast enhancement.
Round Implants:
Characteristics: As the name suggests, round implants have a circular base and are uniformly full throughout. Regardless of how the implant rotates, it maintains its original shape.
Pros:
Provides a full upper pole: Ideal for those seeking increased fullness in the upper part of the breast (Upper Pole Fullness), making the breasts appear firm and voluptuous.
No worries about rotation: Due to their symmetrical shape, implant rotation after surgery does not affect breast shape.
More accessible price: Generally more affordable than anatomical (teardrop) implants.
Cons:
May appear less natural than teardrop implants in some individuals, especially those with very little existing breast tissue, as the implant's edges might be more noticeable at the upper pole.
Suitable for:
Individuals who desire a full, voluptuous breast appearance with a clear upper pole.
Those with minimal or flat existing breast tissue.
Individuals seeking a more sensual result.
Anatomical / Teardrop Implants:
Characteristics: Shaped like a natural teardrop or breast, meaning the upper part is tapered and gradually becomes fuller towards the bottom, giving the breast a natural slope.
Pros:
High naturalness: Provides the most natural-looking results, closely mimicking the natural breast shape.
Suitable for specific shapes: Helps correct minor breast sagging or breasts with a wide base but lacking projection.
Cons:
Risk of rotation: If the implant rotates or flips, it can cause breast distortion and may require correction.
Higher cost: Generally more expensive than round implants.
May feel firmer: Since the shape is pre-formed, if a gel with high cohesiveness is chosen, it might feel firmer.
Suitable for:
Individuals who desire the most natural-looking breasts and do not want a prominently rounded upper pole.
Those with very little existing breast tissue or no upper pole fullness.
Individuals seeking to correct breast asymmetry.
2. Implants by Surface Texture
The implant's surface texture affects its adherence to body tissue and the risk of certain complications.
Smooth Implants:
Characteristics: The implant surface is smooth and slippery, with no discernible texture.
Pros:
Provides the softest tactile feel: Due to minimal friction with surrounding tissues, the breast feels soft and natural to the touch.
Easier for revision surgery: If future revision or implant exchange is necessary, smooth implants are easier to remove.
Cons:
May have a slightly higher chance of developing capsular contracture compared to textured implants in older studies (though this difference has significantly decreased in newer generation implants).
Slightly more prone to movement or rotation, especially if placed subglandularly.
Suitable for: Those who prioritize the softest possible feel and have a relatively ample amount of existing breast tissue.
Textured Implants:
Characteristics: The implant surface has a rough texture, similar to sand particles of varying degrees (from coarse texture to very fine nano-texture), designed to allow body tissue to adhere better.
Pros:
Reduces the chance of implant rotation: Especially ideal for teardrop-shaped implants that require shape stability.
Reduces the chance of capsular contracture: It's believed that tissue adherence to the implant surface helps reduce the formation of scar tissue that can constrict the implant (especially with nano/micro-textured surfaces).
Cons:
May feel slightly firmer or harder compared to smooth implants.
Historically (especially certain brands of very coarse textured implants) linked to BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma), a very rare type of blood cancer. However, plastic surgeons like myself are well-informed about this condition and choose newer generation implants that significantly reduce this risk.
Suitable for: Those who desire implant shape stability (especially for teardrop shapes) and want to reduce the risk of capsular contracture.
Micro/Nano-Textured Implants:
Characteristics: A newly developed innovation where the implant surface is so fine it feels almost smooth to the touch, yet has a nano-level structure that allows tissue cells to adhere well, enabling the implant to seamlessly integrate with the tissue.
Pros: Combines the advantages of both smooth and textured surfaces: provides a soft feel similar to smooth implants while also helping to reduce the chance of capsular contracture and excellent reduction of rotation (highly popular implants currently).
Suitable for: Those who desire maximum safety, natural results in both shape and feel, and want to reduce the risk of various complications.
3. Implants by Gel Cohesivity (Softness/Firmness):
The viscosity of the silicone gel inside the implant shell affects its tactile feel and its ability to maintain its shape.
Soft Gel (Low Cohesivity): The gel is very fluid and soft, providing the most natural, pliable feel, similar to real breast tissue. However, it may offer less shape retention.
Medium Gel (Moderate Cohesivity): This is the most commonly used viscosity level, offering a good balance between softness and shape retention.
Firm Gel (High Cohesivity): The gel has very high viscosity, allowing the implant to maintain its shape excellently and resist deformation. It is ideal for anatomical (teardrop) implants that require clear structural preservation, but the feel may be firmer than soft gel.
Popular "Breast Implant" Brands and What Aurora Clinic Uses
As a breast surgeon, I exclusively choose breast implants of the highest quality, internationally certified, and backed by research for their safety and effectiveness. This ensures that every patient who undergoes breast enhancement at Aurora Clinic receives the best possible outcome.
Motiva
Highlights: Considered one of the leading innovations today, Motiva implants feature Ergonomix technology. This highly elastic gel can change shape with gravity; when standing, it appears similar to a teardrop, and when lying down, it becomes beautifully round, resulting in a very natural look in various positions.
Surface: Comes with a Nano-Textured surface that is so fine it's almost invisible to the naked eye. This significantly reduces the chance of capsular contracture and BIA-ALCL (based on research and statistics).
Gel: Available in multiple levels of viscosity (ProgressiveGel Plus) to provide the softest and most natural feel.
Additional Safety: Some models include an embedded Qid chip that can be scanned to verify implant information, allowing for lifetime tracking of the implant.
Suitable for: Those who desire maximum naturalness in both shape and feel, prioritize safety from the latest technology, and want flexibility in movement.
Mentor
Highlights: An established and globally recognized brand with over 30 years in the plastic surgery field. It has a proven safety record supported by extensive clinical research.
Gel: Uses a proprietary MemoryGel silicone gel that is highly cohesive yet retains softness.
Variety: Offers a wide range of shapes (round, anatomical/teardrop) and profiles (implant projection), such as Moderate Plus, High Profile, Ultra High Profile, including the Xtra series which provides more projection and fullness without significantly increasing the base size.
Suitable for: Those who desire implants from a reputable brand with a long history and wish for a wide variety of size and shape options.
Sebbin
Highlights: A high-quality silicone implant from France, holding the European standard (CE Mark) and popular in many countries worldwide.
Variety: Offers a wide range of both round and anatomical (teardrop) implants in various sizes and profiles, catering to diverse needs.
Surface: Available in both smooth and textured (Micro-Textured) surfaces.
Suitable for: Those who desire quality European implants and a wide variety of teardrop shape options.
Choosing the Right "Size": Not Just CCs, But "Proportion"
This is the most crucial part of many patients' decisions, yet often the most easily misunderstood. "Bigger is always better" isn't necessarily true for beauty. As a plastic surgeon, I emphasize that "proportion" is the key to selecting breast implant size.
Factors I Consider When Choosing Your Implant Size:
Original Breast Base Width:
This is the horizontal width of your chest, which determines how wide a breast implant base can be accommodated. Choosing an implant base that is too wide will cause the implant to extend towards your armpit or sit too close together, leading to an unnatural look. I will meticulously measure your breast base to select an implant that fits your body perfectly.
Projection/Profile:
This refers to how much the breast implant projects from the chest wall. It's categorized as Low (flat), Moderate (medium), High (high), and Ultra-High (very high). Choosing the right profile depends on your desired fullness, cleavage, and lifestyle. For instance, if you want a prominent breast look with clear cleavage, a high profile might be suitable. However, if you prefer a natural look for everyday wear, a moderate profile might be more appropriate. This assessment must also consider your overall shoulder and torso width to ensure a harmonious appearance.
Implant Volume (CCs):
This is the amount of silicone gel inside the implant, measured in cubic centimeters (CCs). This number correlates with bra cup size but is not always a direct conversion. What to be aware of: Choosing an excessively high CC volume that doesn't correspond to your original breast base and skin can lead to an unnatural appearance, excessive tightness, and increased risk of complications such as thinning skin or visible implant rippling. Estimation: I will help estimate the appropriate CC volume for your body structure and goals.
Skin Elasticity & Tissue Coverage:
Skin with good elasticity can better accommodate larger breast implants without excessive tension. Individuals with very little existing breast tissue will need careful consideration of implant type and placement technique to prevent the implant edges from being visible. I will assess this factor to recommend whether the implant should be placed under or over the muscle and which implant surface type to choose.
Lifestyle and Personal Expectations:
If you are a woman who engages in vigorous exercise or has a physically demanding profession, choosing the appropriate size and technique will help minimize the impact on your activities. Expectations regarding naturalness, feel, or prominence all influence the decision on implant size and type.
Experiencing Sizer Trials at Aurora Clinic:
At Aurora Clinic, I believe the best communication is allowing you to "see" and "feel" for yourself. We provide a set of sizer implants for you to try on under your own clothes. This gives you an initial visual idea of what your breasts will look and feel like after breast enhancement. I will guide you throughout this process, providing advice and answering all your questions, to ensure you feel utterly confident in choosing the right breast implants for your "dream breasts." The goal is for you to achieve beautiful, well-proportioned results that contribute to your overall confidence.
"Breast Enhancement" Techniques by an Expert Surgeon: The "Path" to Lasting Beauty
After discussing the importance of consultation and choosing the appropriate breast implants, today I will take you deep into the heart of breast enhancement: "surgical techniques."
Breast augmentation surgery does not have a single technique that works for everyone. As a breast surgeon, I will select the "right" and most suitable technique for each patient's physique, needs, and lifestyle to achieve the most beautiful, natural, and lasting results. The decision to choose these techniques truly requires the expertise and experience of a plastic surgeon.
Implant Placement Position: Key Factors Affecting Naturalness and Recovery
Choosing the position for breast implant placement is one of the most crucial factors in breast augmentation surgery, as it directly impacts the naturalness of the augmented breasts, their tactile feel, and the recovery period. I will explain the main techniques widely used.
Submuscular / Dual Plane Implant Placement:
Technique: This involves placing the breast implant entirely under the major pectoral muscle (Pectoralis Major), or in some cases, only the upper part is covered by the muscle, while the lower part lies beneath the breast tissue and fat (known as the Dual Plane technique). This technique is very popular today.
Pros:
High Naturalness: The muscle helps support and conceal the edges of the breast implant, especially in the upper pole, making it appear smoother and more natural, particularly in individuals with minimal existing breast tissue.
Reduced Risk of Capsular Contracture: Numerous studies indicate that submuscular placement may reduce the body's tendency to form scar tissue around the implant more effectively than subglandular placement.
Reduced Visibility of Implant Edges (Rippling): The muscle helps conceal any wrinkles or waves of the implant that might occur, especially in patients with thin skin or minimal existing breast tissue.
Easier for Breast Cancer Screening: Submuscular implant placement allows for clearer visualization of existing breast tissue during mammograms or other examinations.
Cons:
More Post-Operative Pain: Due to the muscle dissection involved, there is more pain, tightness, or soreness in the first 2-3 days compared to subglandular placement.
Slightly Longer Recovery Time: It takes longer to recover from pain and swelling.
Potential for Implant Movement with Muscle Contraction: In some individuals, particularly those who engage in intense exercise, the implant might be seen moving when the pectoral muscles are contracted. However, current techniques and advanced implants have significantly reduced this issue.
Suitable for: Individuals seeking the most natural-looking breasts, those with minimal existing breast tissue, thin skin, and those who can tolerate a certain level of post-operative pain.
Subglandular Implant Placement (Over the Muscle):
Technique: This involves placing the breast implant beneath the breast tissue but still above the pectoral muscle. It is a traditional technique that has been used for a long time.
Pros:
Less Post-Operative Pain: As it involves less manipulation of the muscle.
Shorter Recovery Time: Patients can return to their daily activities more quickly.
No Worries About Implant Movement with Muscle Contraction: Suitable for individuals who exercise frequently or often use their chest muscles.
Cons:
Less Natural Appearance in Some Cases: Especially in those with very little existing breast tissue, the edges of the breast implant or rippling might be more visible at the upper pole.
Higher Chance of Capsular Contracture: In some studies (though newer implant generations and advanced surgical techniques have significantly reduced this risk).
Suitable for: Individuals who have some existing breast tissue, desire a quick recovery, and prefer minimal post-operative pain.
As a breast surgeon, I will meticulously assess your body and discuss your expectations to recommend the most suitable breast implant placement for you.
Incision Locations: Discreet Paths to Beauty
Choosing the incision location is another important factor that I, as a plastic surgeon, must consider in detail to ensure the scar is concealed as discreetly as possible.
Inframammary Fold Incision:
Location: This is the most popular incision site. The surgical incision is located in the fold beneath the breast, approximately 3-5 centimeters long.
Pros:
Most accessible and precise: It provides a direct path to the pocket where the breast implant will be placed, allowing the breast surgeon clear visibility of internal structures, good bleeding control, and precise implant placement.
Predictable results: As it is a widely used and familiar technique for surgeons, the results are highly predictable.
Well-concealed scar: The scar will be hidden in the fold beneath the breast, making it difficult to see when wearing a bra or swimwear.
Cons:
There may be a visible scar when not wearing clothes initially, but over time, the scar will fade and be well-hidden.
Suitable for: Those who desire surgical precision and want to conceal the scar in an easily hidden location.
Periareolar Incision:
Location: The surgical incision is located around the edge of the areola, which is often the transition point between darker and lighter skin, allowing the scar to blend in with the skin tone.
Pros:
Very discreet scar: The scar will be hidden within the edge of the areola, making it very difficult to see.
Cons:
Limited implant size: May limit the size of the breast implant that can be inserted due to the limited size of the areola opening.
May affect nipple sensation: Some individuals may experience temporary numbness or altered sensation in the nipple area.
Not suitable for everyone: Individuals with very small areolas may not be able to use this method.
Suitable for: Those with relatively large areolas and who desire the most discreet scar concealment.
Transaxillary Incision (Armpit Incision):
Location: The surgical incision is located in the armpit area, approximately 3-5 centimeters long. From there, the plastic surgeon inserts instruments and the breast implant through a created tunnel to the breast area.
Pros:
No scar on the breast: This is a key advantage that leads many to choose this technique.
Cons:
Technically challenging and requires high expertise: Since the surgical specialist cannot directly visualize the surgical area, it requires immense experience and precision, often necessitating the use of an endoscope to view internally.
More difficult to control bleeding: Due to the longer access pathway, there may be more swelling and bruising.
Implant positioning may be more difficult: The chance of the implant not being perfectly positioned may be slightly higher.
Suitable for: Those who wish to completely avoid breast scars and are willing to undergo surgery with a plastic surgeon highly experienced in this technique.
The "Breast Enhancement" Surgical Process by an Expert Surgeon at Aurora Clinic:
Once you have decided to undergo breast enhancement at Aurora Clinic with the appropriate technique and breast implants, the surgical procedure will proceed with the utmost safety under the close supervision of myself, Dr. Apirak Wongsawasuph, and our professional team.
Comprehensive Pre-Surgical Preparation: Before the day of surgery, you will undergo a thorough physical examination, blood tests, an electrocardiogram, and meet with an expert anesthesiologist to assess your body's readiness for general anesthesia. The anesthesiologist will explain the anesthesia process and answer all your questions to ensure you feel as comfortable and safe as possible.
Anesthesia by an Anesthesiologist: Breast augmentation surgery will be performed under general anesthesia administered by an expert anesthesiologist throughout the entire procedure, ensuring you feel no pain and are as comfortable as possible during the surgery. The anesthesiologist will closely monitor your vital signs and physical condition at all times.
Surgical Precision by the Breast Surgeon: Once you are ready, I, Dr. Apirak Wongsawasuph, as a surgical specialist, will perform the surgery with high precision, creating a pocket for the breast implant that is the perfect size and in the most appropriate position as planned. The use of modern instruments and meticulous surgical techniques will help minimize tissue damage, reduce blood loss, and lessen post-operative swelling and bruising, which will result in a quick recovery and beautiful results. I will meticulously check to ensure that both breast implants are symmetrically and beautifully positioned.
Bleeding Control and Risk Reduction: During the surgery, I will prioritize bleeding control and minimize the occurrence of complications such as hemorrhage. The use of appropriate techniques and collaboration with a professional team ensures a smooth and safe surgical process.
Meticulous Wound Closure: Once the breast implants are properly placed, I will meticulously close the incisions with dissolvable sutures (in the subcutaneous layer) and use suturing techniques that help the scar fade and blend into the skin as much as possible. You will have surgical tape applied and wear a support bra immediately after surgery.
Why Entrust Your Journey to Your "Dream Breasts" to an "Expert Surgeon"?
Breast augmentation is a major surgery requiring extensive knowledge, expertise, and experience. Choosing a breast surgeon who is a board-certified plastic surgeon like myself, Dr. Apirak Wongsawasuph, is crucial for the following reasons:
Understanding of Anatomy and Aesthetics: A plastic surgeon doesn't just perform surgery; they also possess a deep understanding of proportion, symmetry, and aesthetic beauty. This ensures the resulting breasts are truly beautiful and harmonious with your body shape.
Correct Decision-Making in Various Situations: Unforeseen situations can arise during surgery. The experience of a surgical specialist enables quick and accurate problem-solving, ensuring the highest safety for the patient.
Comprehensive Post-Operative Care: A plastic surgeon will care for you from before, during, and after the surgery. Providing advice on wound care, breast massage (if necessary), and follow-up examinations helps ensure long-lasting results and minimizes complications.
At Aurora Clinic, in both Surat Thani and Koh Samui, we prioritize every detail in your breast augmentation "journey." This ensures you confidently and safely achieve your beautiful and lasting "dream breasts."
Post-Breast Augmentation Care: A Crucial Step Towards Complete and Lasting Results
Hello everyone! I'm Dr. Apirak Wongsawasuph (Dr. Teng), the owner of Aurora Clinic, a beauty clinic with locations in both Surat Thani and Koh Samui. We've now reached the most vital stage of breast augmentation: "post-operative care."
Many might think that once breast enhancement surgery is completed, the process is over. However, in reality, this is only halfway to achieving your perfect "dream breasts." Proper self-care after surgery is incredibly important for the beauty of the results, safety, and the longevity of the breasts you desire. I will explain the details so you can understand and confidently care for yourself.
Post-Operative Recovery Period: Understanding Symptoms and Basic Care
After breast augmentation surgery, your body will be in a recovery phase, a process that requires time and discipline in self-care.
Common symptoms you may experience:
Swelling and Bruising: It's very normal to experience swelling and bruising in the breast area, which may even extend slightly to the abdomen. Swelling will be most noticeable during the first 2-3 days post-surgery and will gradually decrease within 2-4 weeks. Bruising may take 1-2 weeks to fade.
Pain and Tightness: You will feel pain and tightness in the breast area, especially during the first 2-3 days. The severity of pain depends on the breast implant placement (submuscular placement tends to be slightly more painful) and individual pain tolerance. I will prescribe appropriate pain medication to alleviate your discomfort.
Numbness or Altered Sensation: The nipple area or breast skin may experience numbness or feel different initially. These symptoms usually gradually improve and return to normal within a few weeks or months, depending on individual nerve recovery.
Proper wound care:
Keep Clean and Dry: The surgical wound will be covered with gauze or a waterproof dressing. You must always keep the wound clean and dry. Generally, you can shower as usual, but be careful not to get the wound wet in the initial stages and avoid scrubbing the wound area.
Change Gauze/Dressings: Follow the nurse's instructions for changing gauze or cleaning the wound. If there are any abnormal symptoms, such as redness, pus, or a high fever, you should see a doctor immediately.
Attend Follow-up Appointments: Appointments for wound checks and stitch removal (if non-dissolvable sutures are used) are crucial and should not be missed. This allows me, your breast surgeon, to assess wound healing and provide further recommendations.
Wearing a Support Bra:
After surgery, you will need to wear a support bra (or Surgical Bra) 24 hours a day (only removable for showering) as per my instructions.
Benefits: The support bra helps stabilize the breast implant in the correct position, reduces swelling and bruising, and helps the implant settle better. It should be worn continuously for at least 1-3 months, or until I advise you to remove it.
Movement and Activity Restrictions:
Avoid Heavy Lifting: During the first 4-6 weeks after surgery, you should avoid heavy lifting, pushing, pulling, or vigorous arm and chest movements to prevent the breast implant from shifting or causing complications.
Avoid Strenuous Exercise: You should refrain from activities that involve chest muscles or raise your heart rate, such as running, aerobics, weightlifting, or contact sports. I will advise on the appropriate time to gradually resume exercise.
Sleeping Position: You should primarily sleep on your back for the first 2-4 weeks to reduce pressure on the breasts and help the implant settle.
Breast Massage: Is It Necessary and How to Do It?
The question of "breast massage" is something many patients wonder about. The necessity of breast massage depends on several factors, such as the type of breast implant used, the implant placement technique, and the advice of your breast surgeon.
When massage might be necessary:
Smooth Implants: Historically, breast massage was very important for smooth breast implants to help reduce the chance of capsular contracture (which can make the breast feel hard).
As per Doctor's Recommendation: Regardless of the implant type, I will assess each individual case and advise whether you need to massage and how often and by what method.
Correct Massage Technique:
If massage is necessary, I will teach you the correct and appropriate method for your specific case during your post-operative follow-up appointments. Incorrect massage can be harmful to the breast implant and tissues, so never perform massage without your doctor's guidance.
Correct massage typically involves gentle kneading to allow the implant to move and help reduce scar tissue formation around the implant.
Precautions and Potential Complications: Knowledge for Prevention
While breast augmentation surgery is now very safe, as a plastic surgeon, I must provide information about potential complications so you have the knowledge to recognize unusual symptoms and seek timely treatment (though these conditions are very rare).
Potential Complications:
What it is: A condition where the body forms excessive scar tissue around the breast implant, causing the breast to feel hard, distorted, painful, or uncomfortable.
Prevention: Choosing the right breast implant type (e.g., nano-textured implants), submuscular implant placement, and breast massage (in some cases) can help reduce this risk.
Treatment: If severe capsular contracture occurs, surgical correction to remove the scar tissue may be necessary.
Implant Displacement/Rotation:
What it is: The breast implant shifts from its original position, or an anatomical (teardrop) implant rotates (very rare with round implants), leading to breast distortion.
Prevention: Selecting an appropriate breast implant size, creating a perfectly sized pocket for the implant, strict adherence to wearing a support bra, and limiting activities after surgery.
Treatment: Surgical correction to reposition the implant may be required.
Infection:
What it is: An infection occurs in the surgical area, possibly causing swelling, redness, warmth, pain, and fever.
Prevention: Surgery in a sterile, standard operating room, proper wound care, and taking antibiotics as prescribed by the doctor.
Treatment: If an infection occurs, antibiotics are usually necessary, and in some cases, the breast implant may need to be temporarily removed to treat the infection.
Hematoma (Blood Clot):
What it is: An accumulation of blood in the pocket where the implant is placed, causing significant swelling, bruising, and pain in the breast.
Prevention: The plastic surgeon will use meticulous surgical techniques and optimize bleeding control.
Treatment: If there is significant bleeding, surgical drainage may be necessary.
Hypertrophic Scar/Keloid:
What it is: A scar that is raised, red, itchy, or extends beyond the original wound boundaries.
Prevention: Genetic factors play a significant role, but the risk can be reduced with meticulous suturing techniques and post-operative wound care, such as applying scar-reducing creams or keloid injections.
Treatment: Can be treated with steroid injections, lasers, or surgical revision in some cases.
Annual Breast Health Check-ups: A Crucial Ongoing Practice
For those who have undergone breast augmentation or breast enhancement, annual breast health check-ups remain extremely important.
Breast Cancer Screening: Having breast implants does not increase the risk of breast cancer, nor does it prevent it. Breast cancer screening is still necessary according to your age and risk factors.
Implant Assessment: You should undergo breast ultrasound or breast MRI (as advised by your doctor) to check the condition of your breast implants—whether they are still in good condition, or if there is leakage, rupture, or capsular contracture. This is especially important 10 years after surgery and should be done regularly thereafter.
Conclusion: Care is an Investment in Lasting Beauty
Post-breast augmentation care is the most important investment for complete and lasting results. I, Dr. Apirak Wongsawasuph (Dr. Teng), and the Aurora Clinic team in Surat Thani and Koh Samui will provide close guidance and care throughout every step of your recovery.
Remember that patience, discipline, and strict adherence to your breast surgeon's advice are the key to achieving beautiful, safe, and long-lasting "dream breasts." If you have any questions or concerns, please don't hesitate to contact us. We are always ready to care for you.
Your "Dream Breasts" at Aurora Clinic: The Destination for Lasting Confidence
Throughout the previous articles, we've discussed every aspect of breast augmentation, including the importance of consultation, choosing the right breast implants, surgical techniques, and post-breast enhancement care—all crucial elements leading to your "dream breasts."
Today, I want to help you understand why Aurora Clinic is the "destination" for your lasting confidence when you decide to entrust us with your breast augmentation. Here, we don't just see surgery as increasing size, but as "crafting" true beauty, stemming from an understanding of anatomy, precise techniques, and meticulous care in every detail.
Why is Aurora Clinic the Best Choice for Your "Dream Breasts"?
At Aurora Clinic, located in both Surat Thani and Koh Samui, we are committed to providing services that exceed standards, ensuring you receive the best experience and the most satisfying results.
The Expertise of Dr. Apirak Wongsawasuph (Dr. Teng): The Foundation of Superior Safety and Results This is the core strength we are proud to offer.
A True Plastic Surgeon: I, Dr. Apirak Wongsawasuph (License No. W.35777), am a board-certified plastic surgeon certified by the Thai Medical Council. This means I have undergone intensive, direct specialized training in plastic surgery, not merely short-term additional training for general practitioners. A deep understanding of anatomy, physiology, and complex surgical techniques is what you gain when choosing a breast surgeon who is a direct plastic surgeon.
Extensive Accumulated Experience: Throughout my career as a surgical specialist, I have accumulated countless experiences in breast enhancement surgeries. I have met diverse patients with various body types and needs, allowing me to precisely assess and plan the most suitable surgery for each individual. This includes choosing the right breast implant, the perfect placement technique, or addressing specific issues.
Work Philosophy Emphasizing Safety and Naturalness: My philosophy is to create beauty that is "safe," "natural," "proportional," and "sustainable." I believe the most beautiful breasts are those that look natural, blend harmoniously with the overall body shape, and make the owner feel confident from within, not just the largest size.
Superior Clinic Standards: A Safe and Hygienic Environment Patient safety is our highest priority at Aurora Clinic. Therefore, we are designed and operated under strict standards:
Hospital-Standard Operating Rooms: We have operating rooms built and controlled according to the standards of major hospital operating rooms, in terms of sterile air systems, sterilization systems, and temperature control, to prevent infection and provide the safest environment for breast augmentation surgery.
Modern Equipment and Instruments: We invest in modern, standardized medical equipment and instruments that undergo strict sterilization. This ensures smooth operations, reduced risks, and enhanced result efficacy.
Use of Certified High-Quality Implants: As mentioned, we exclusively use breast implants from leading global brands certified by the U.S. Food and Drug Administration (FDA Approved) and other international standards for your utmost safety.
Holistic and Personalized Consultation: Deep Understanding Communication is the heart of successful surgery:
Sufficient Consultation Time: I will spend ample time consulting with you, without rush, to thoroughly understand your needs, concerns, and expectations, as well as conducting a comprehensive assessment of your physique.
Complete and Transparent Information: I will clearly explain every step of the breast enhancement process, including advantages, disadvantages, and potential complications, so you have complete information to make a confident decision.
Sizer Trial: We provide sizer implants for you to try on, allowing you to visualize and feel the breast size after augmentation with your own eyes before making a final decision. This helps ensure that your breast implant selection aligns as closely as possible with your expectations.
Close Post-Operative Care: Towards Lasting Results Surgery is not the end of care. At Aurora Clinic, we believe post-operative care is equally important:
Continuous Follow-up Appointments: We schedule continuous follow-up appointments after surgery so I can assess wound healing, breast implant settling, and answer your questions.
Self-Care Instructions: You will receive detailed instructions on wound care, breast massage (if necessary), wearing a support bra, and other necessary practices to ensure a smooth recovery and the best possible results.
Professional Team Ready to Care: Aurora Clinic's nursing and staff team is well-trained, knowledgeable in surgical patient care, and ready to provide caring assistance at every step.
Convenient Location and Private Service:
Whether you live in Surat Thani or are looking for a beauty clinic in Koh Samui, Aurora Clinic is ready to serve you in a relaxed, clean, and private atmosphere.
Convenient travel makes it easy to access high-quality plastic surgery services.
For those from other provinces or countries, Koh Samui also offers a relaxing experience combined with beauty enhancement amidst beautiful nature, making your journey more than just a medical service.
Conclusion: Confident at Every Step with Aurora Clinic
The "dream breast" is not just about beautiful size or shape; it's a symbol of self-confidence, a sense of completeness, and self-love for your body. The journey to true "dream breasts" should begin and proceed under the care of an expert plastic surgeon and a professional team in a standardized medical facility.
I, Dr. Apirak Wongsawasuph (Dr. Teng), and the Aurora Clinic team are ready to be your "journey companion" and the "destination" for your lasting confidence. We are committed to providing a safe breast enhancement experience that yields beautiful, natural results and makes you feel your best.
If you are considering breast augmentation or have any questions, do not hesitate to consult us at Aurora Clinic, a beauty clinic in Surat Thani and Koh Samui. We are ready to listen and help you discover the true "dream breasts" for you.
Aurora Clinic Surat Thani
Tel: 096-652-0899
Line: @auroraclinic
Location: https://maps.app.goo.gl/MfSBczSYdXZ2xctr9...
Opening Hours: Open daily from 10:00 AM - 8:00 PM
Aurora Clinic Samui
Add Line to Book Promotions: https://lin.ee/PJSVPOv6 (@aurorasamui)
TEL: 083-629-1446
Location: https://maps.app.goo.gl/y1a4H3wX5reeJU989?
Opening Hours: Open daily from 10:00 AM - 8:00 PM
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