เจาะลึกการศัลยกรรมเพิ่มขนาดหน้าอกจากแพทย์ผู้เชี่ยวชาญ

Breast Surgery (Breast Augmentation) is a very popular surgery among women, especially Thai and Asian women, due to the fact that Thai women generally have smaller breast tissue. Breast augmentation surgery increases breast size, boosting confidence and enhancing attractiveness, as well as improving body proportions. Overall, breast surgery makes you look more beautiful. But the question is, how can breast surgery be done to achieve beauty along with safety? The skilled doctor, Dr. Dulyanat Aranyapal, a specialist in plastic surgery at Phyathai Sriracha Hospital, will discuss this topic&#8230;
<h2>Getting to Know Breast Surgery 
</h2>
Breast augmentation surgery involves inserting silicone to increase breast size, creating a more beautiful shape. The goal is to achieve a shape closest to the Perfect Beautiful Breast, which has slightly less upper breast tissue than lower (45%:55%) and nipples that point slightly upward, about 10-20 degrees. The distribution of breast tissue should be even, not too close to create a &#8220;double breast&#8221; look. The upper slope should gradually descend, and the side breast tissue should not overflow excessively. The breasts should look beautiful both with and without a bra.
To achieve breasts shaped close to the Perfect Beautiful Breast, proper planning is necessary to select the silicone size suitable for each individual&#8217;s body and preferences. It is essential to plan the surgery in advance, allowing women to try on silicone simulators before surgery to find the most preferred and appropriate size, and to plan the surgery together with the specialist doctor every time.
<h2>Teardrop Silicone vs. Round Silicone: Which is Suitable? 
</h2>
There are two types of silicone shapes: round and teardrop. Teardrop silicone has a natural slope on the breast mound, suitable for those who do not want a prominent breast mound or visible silicone edges. Round silicone emphasizes a more prominent breast mound, ideal for those who prefer a clearly defined breast shape.
<h2>Important Steps of “Surgical Operation” 
</h2>
After choosing the size and type of silicone, the surgery follows. The surgical and anesthesia steps are the most crucial to ensure the best and safest results. Pain management planning, preoperative physical examination, blood tests, lung function, ECG, and consultations with cardiologists and anesthesiologists are required to ensure no complications occur. The operating room and surgical instruments must meet standards, be sterile, and have good ventilation systems.
To reduce swelling and bruising after surgery, minimize blood loss, and allow patients to resume daily activities quickly, the surgeon uses hemostatic tools and electrocautery to carefully separate muscle layers to create a pocket for the silicone. Then, the silicone is inserted using a silicone insertion bag (Keller funnel). After opening the silicone package, the silicone is immediately placed into the insertion bag and squeezed into the surgical incision to minimize contact with the external environment, including the surgeon’s hands. This reduces infection risk and effectively decreases swelling and bruising of the surgical wound.
<h2>Silicone Placement Position is Also Important 
</h2>
There are three silicone placement positions: under the muscle, over the muscle, and dual plane. The dual plane is considered the best layer for breast augmentation to achieve the most beautiful breasts. The upper breast is under the muscle, while the lower breast is under the breast tissue. When the chest muscle contracts, it compresses the silicone on the upper side, lifting the lower breast and causing the nipple to point upward. Additionally, surgery in this layer has a very low risk of capsular contracture. In summary, dual plane surgery is usually the first choice for surgeons performing breast augmentation.
<h2>What is Capsular Contracture? 
</h2>
Excessive capsular contracture is the body&#8217;s response to a foreign object. Normally, the body forms a capsule around the implant, but problems arise when the capsule becomes too thick and tight, causing the breast to contract and deform. This results in breast pain and visible abnormal breast shape. The causes are divided into primary and secondary factors. The primary factor is bacterial contamination around the silicone, where bacteria form a biofilm that the body cannot eliminate, leading to chronic inflammation and capsular contracture. Secondary factors include poor surgical technique, inexperienced surgeons, excessive tissue trauma, significant bleeding during surgery, contamination during surgery, and the use of cheap, substandard silicone.
“Therefore, the best prevention of capsular contracture is to choose surgery at a certified, safe facility performed by expert surgeons&#8230;” 
&nbsp;
Dr. Dulyanat Aranyapal 
Specialist in Plastic Surgery and Maxillofacial Surgery 
Plastic Surgery Center, Phyathai Sriracha Hospital

Breast augmentation boosts confidence for women. Besides looking better and feeling more confident, it also allows for wearing clothes beautifully, enhances charm, and helps improve body proportions.

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