Breast Augmentation

Breast Surgery

Breast Augmentation in Bangkok, Thailand — By Dr. Jaray Krainam, MD

Overview of the Surgery
Breast Augmentation, also known as Augmentation Mammoplasty, is one of the most sought-after cosmetic procedures in Thailand, designed to enhance the size, shape, and contour of the breasts for a more balanced and feminine figure.
At Dr. Jaray Cosmetic Surgery in Bangkok, Dr. Jaray Krainam, MD, a board-certified plastic and aesthetic surgeon with over two decades of experience, offers implant-based, fat-transfer, and hybrid breast augmentation — all tailored to each patient’s body proportions and aesthetic goals.

The procedure provides natural-looking results, boosting confidence and body harmony, whether for feminization, post-pregnancy enhancement, or correction of asymmetry.


🩺 Preparation Before Surgery

Before undergoing breast augmentation, patients go through a detailed consultation and health evaluation to ensure safety and optimal results.
Preparation steps include:

  • 1. Medical Consultation and Evaluation
    Your initial consultation with the surgeon is the most important step before breast augmentation.
    During the consultation, the surgeon will:
    ✔ Evaluate your medical history
    ✔ Examine your breast anatomy and skin elasticity
    ✔ Discuss your desired size and shape
    ✔ Recommend the appropriate implant type
    ✔ Explain the surgical technique and incision options
    Information you must share with your surgeon
    Be honest and transparent about:
    Previous surgeries
    Existing medical conditions
    Allergies
    Medications and supplements
    Smoking habits
    Previous breast procedures or injections
    Pregnancy or breastfeeding history
    Implant planning
    You and your surgeon will decide:
    Implant size (cc)
    Implant type (silicone or saline)
    Implant profile
    Implant placement (above or below muscle)
    Incision type (under breast, armpit, or around areola)
    This planning stage ensures that the results match your body proportions and expectations.

    2. Medical Tests Before Surgery
    Most clinics require preoperative medical tests to ensure your body is ready for anesthesia and surgery.
    Common tests include:
    Blood tests (CBC)
    HIV test
    Hepatitis B and C screening
    Chest X-ray
    ECG (heart test) for patients over 35
    Pregnancy test (if applicable)
    These tests help detect any hidden health conditions that may increase surgical risks.

    3. Medications to Avoid Before Surgery
    Certain medications can increase bleeding risk during surgery.
    You should stop taking the following at least 7–14 days before surgery (only after consulting your doctor):
    ❌ Aspirin
    ❌ Ibuprofen
    ❌ Anti-inflammatory drugs
    ❌ Vitamin E
    ❌ Fish oil
    ❌ Herbal supplements (ginkgo, ginseng, garlic supplements)
    Always inform your surgeon about any medications you are currently taking.

    4. Smoking and Alcohol Restrictions
    Smoking and alcohol can slow healing and increase complications.
    Smoking
    You should stop smoking at least 2–4 weeks before surgery because nicotine:
    Reduces blood circulation
    Slows wound healing
    Increases risk of infection
    Increases risk of implant complications
    Alcohol
    Avoid alcohol at least 48–72 hours before surgery because it can interfere with anesthesia and increase bleeding risk.

    5. Preparing Your Body for Surgery
    Maintaining good health before surgery helps your body recover faster.
    Healthy lifestyle tips
    ✔ Eat nutritious foods (protein, vegetables, fruits)
    ✔ Drink plenty of water
    ✔ Maintain stable weight
    ✔ Get enough sleep
    ✔ Avoid crash dieting before surgery
    Protein is especially important because it helps with tissue repair and healing.

    6. Preparing Your Home for Recovery
    You will need time to rest and recover after breast augmentation.
    Prepare your home with:
    ✔ Extra pillows for elevated sleeping position
    ✔ Loose comfortable clothing
    ✔ Easy-to-prepare meals
    ✔ Prescribed medications ready
    ✔ Ice packs (if recommended by surgeon)
    You should also arrange for:
    Someone to drive you home after surgery
    Someone to assist you during the first 24–48 hours

    7. Clothing and Items to Bring on Surgery Day
    On the day of surgery, bring only the essentials.
    Wear comfortable clothing
    ✔ Loose shirt or button-down top
    ✔ Comfortable pants
    ✔ Slip-on shoes
    Avoid:
    ❌ Tight clothing
    ❌ Jewelry
    ❌ Makeup
    ❌ Contact lenses
    Items to bring
    Passport or ID
    Medical documents
    Surgery consent forms
    Payment confirmation
    Surgical bra (if provided by clinic)

    8. Fasting Before Surgery
    Breast augmentation is usually performed under general anesthesia.
    For safety reasons:
    Do not eat or drink for 6–8 hours before surgery
    Avoid chewing gum or drinking water
    This reduces the risk of aspiration during anesthesia.

    9. Mental Preparation and Expectations
    Having realistic expectations is important for patient satisfaction.
    Breast augmentation can improve:
    ✔ Breast volume
    ✔ Breast symmetry
    ✔ Body proportions
    ✔ Confidence and self-image
    However, results depend on:
    Your natural anatomy
    Skin quality
    Implant choice
    Healing process
    Your surgeon will guide you to select the most suitable implant size and shape for natural and long-lasting results.

    10. Final Checklist Before Surgery
    Before going to the hospital, confirm the following:
    ✔ Completed medical tests
    ✔ Stopped restricted medications
    ✔ Stopped smoking and alcohol
    ✔ Arranged transportation after surgery
    ✔ Prepared recovery space at home
    ✔ Followed fasting instructions
    Being fully prepared helps ensure a smooth surgical experience and faster recovery.

🔪 Surgical Procedure

Breast Augmentation is performed under general anesthesia and typically takes 1.5–2 hours.

Surgical steps include:

  1. Incision Placement — Dr. Jaray commonly uses an inframammary (under the breast crease) or areolar (around the nipple) incision for minimal scarring.
  2. Implant or Fat Placement — The implant (or purified fat) is inserted beneath the muscle (submuscular) or above the muscle (subglandular) depending on anatomy and aesthetic goals.
  3. Symmetry Adjustment — Careful shaping ensures both breasts are balanced and natural-looking.
  4. Closure & Dressing — Fine sutures are used for smooth healing, and a compression garment is applied.

Dr. Jaray’s technique focuses on natural contour, minimal trauma, and precise proportioning, ensuring both comfort and beautiful outcomes.


💆 Post-Operative Care

Recovery is generally smooth with proper post-care guidance.
Aftercare instructions:

  • Wear compression/support bra for 4–6 weeks to support the new shape.
  • Avoid lifting heavy objects or strenuous activities for at least 3 weeks.
  • Mild discomfort and swelling subside within 1–2 weeks.
  • Sutures removal usually after 7 days (if non-absorbable).
  • Return to light work within 5–7 days depending on the patient.

Dr. Jaray’s team provides detailed post-surgery follow-up to ensure optimal healing and natural, lasting results.


⚠️ Possible Risks and Complications

Though rare when performed by an expert, possible risks include:

  • Temporary swelling or bruising
  • Minor asymmetry
  • Capsular contracture (scar tissue around implant)
  • Implant shifting or rupture (rare with modern silicone implants)
  • Infection or delayed healing

By using premium-quality implants and refined surgical techniques, Dr. Jaray minimizes risks and ensures safe, lasting outcomes.


🌟 Why Choose Dr. Jaray Krainam, MD

With advanced training in France, Korea, Germany, and the Netherlands, Dr. Jaray Krainam is recognized as one of Thailand’s leading plastic surgeons for breast and facial surgery.
He combines technical expertise, aesthetic precision, and personalized care, offering every patient natural, symmetrical, and long-lasting beauty enhancement.
Whether for female, MTF, or reconstructive augmentation, his approach ensures results that are elegant, balanced, and confidence-boosting.


📍 Clinic: Dr. Jaray Cosmetic Surgery, Silom Soi 1, Bangkok, Thailand
📲 WhatsApp: +66 86 345 7030
🌐 Website: www.drjaraycosmeticsurgery.com

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