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Breast Reduction

Surgical Name:

Reduction Mammoplasty

Hospital Admission:

2 nights

Duration of Operation:

3-5 hour


General Anesthesia

Recommended stay in Bangkok:

10 - 14 days


Reduction mammoplasty (also breast reduction and reduction mammaplasty) is the plastic surgery procedure for reducing the size of large breasts. The goal of breast reduction surgery is to reduce the size of your breasts and reshape them so that they are proportionate to the rest of your body and are no longer a source of physical discomfort.

This commonly requested, predictable procedure has the dual benefits of improving your appearance while relieving the physical and emotional burden of overly large breasts.

Breast reduction surgery is meant for women who have large breasts and want to resolve issues such as:

  • Chronic back, neck and shoulder pain
  • Chronic rash or skin irritation under the breasts
  • Difficulty in breathing and deep grooves in your shoulders from your bra straps
  • Restricted activity
  • Psychological distress, such as low self-esteem or depression
  • Difficulty fitting into bras and clothing
  • Difficulty sleeping
  • Stretched areolas and/or large nipples
  • Inability to exercise or take part in sports

Preparation for your operation

You will usually have your breast reduction under a general anaesthetic. This means you will be asleep during the procedure. No food is allowed at least 8 hours prior to any surgery, this includes any sweet like chewing gum. If there is no fasting instructions given, you must not consume any food or drink from midnight before your scheduled surgery. Clients who do not comply with this requirement risk having their surgery delayed or risk being denied surgery.

DO NOT take any Aspirin and NSAIDS drugs for at least 2 weeks prior to surgery. (Aspirin may be re commenced after 48hrs post op.) If you take Aspirin or any other form of blood thinning medication for a medical condition, please discuss this with Dr. Thanakom.

Smoking must be stopped at least 3-4 weeks. If you cannot quit, cut back as much as possible. Smoking constrict the blood vessels, which can delay wound healing. While drinking alcohol must be stopped at least a day or two prior to surgery.

The procedure usually takes 4-5 hours and you are required to stay in hospital overnight.

Do not wear contact lenses, makeup, nail polish, jewelry, including any body piercings, hair accessories containing metal (such as barrettes or clips with metal springs, etc.) on the day of your surgery.

The procedure

Step 1 – Anesthesia
Medications are administered. The choices include intravenous sedation or general anesthesia.
Step 2 – Skin Incision
The specific technique used to reduce the size of your breasts may vary. Your incision pattern will depend on the size of your breasts, how much your breasts sag and where your nipple-areola complex is positioned. With each technique the areolas can be made smaller if they’re too large. An areolatome, more commonly known as a “cookie cutter,” is used as a circular template to make the new areola size. The cookie cutter diameter ranges from thirty-eight to forty-five millimeters. Here are some commonly used incision patterns:

  • A keyhole incision, also known as a lollipop incision or vertical incision, is made around the border of the areolas and vertically down from the areolas to the breast crease.
  • An anchor incision or also known as Inverted-T incision, that extends vertically down the middle of the breast and horizontally along the underside of the breast, or a keyhole or racquet-shaped pattern with an incision around the areola and vertically down to the breast crease. This type of breast reduction procedure elevates the nipple to a more normal location, reduces volume and improves contour while usually preserving breast sensation.
Step 3 –Breast Tissue Removal
Dr Thanakom will remove excess breast skin and fat with a scalpel and/or cautery instrument based on the size breast you desire. If your breasts are asymmetrical (or uneven), Dr Thanakom may remove more tissue from one breast than the other. He will then reshape the remaining skin and fat to create a more youthful breast shape and move the nipple-areola complex to a higher position. In most cases, drains will be placed in the breasts to collect excess fluid.
Step 4- Closing the incisions
Breast incisions are then closed with sutures that go from the deep tissue layers to the more superficial layers (the skin).


Dr Thanakom will provide set of medications such as pain killers, antibiotics, anti-inflammatory etc. These will be provided following breast lift with implants surgery.

A gauze dressing (bandage) will be wrapped around your breasts and chest. Or, you will wear a surgical bra. Wear the surgical bra or a soft supportive bra for as long as your surgeon tells you to. This will likely be for several weeks.

Even though you may not feel like it, Dr Thanakom will probably advise you to walk and move around as soon as you can to prevent blood clots and swelling. You will be instructed not to exercise or engage in strenuous activities for at least 6 weeks. Don’t lift anything over five pounds and try not to raise anything over your head until your surgeon releases you for activity. Take your time in healing so that you give yourself the best healing environment possible. Your full range of motion should return between six to ten weeks, depending on how well you have healed. Within six months, you should be able to do all those things you wanted to do but couldn’t because of your over-sized chest.

The stitches are taken out after 10-14 days. If you have dissolvable stitches, the amount of time they will take to disappear depends on the type of stitches. However, for this procedure, they should usually disappear in about six weeks.

Physical activity is limited for the first several weeks, with most patients able to return to work and their normal activities within two to three weeks.

Within a few weeks, the swelling and bruising around your incisions should disappear. You may have a temporary loss of sensation in your breast skin and nipples after surgery. Sensation may return over time.


What are the risks involved with breast reduction surgery?
Very rarely, some loss of breast tissue may occur as a result of inadequate blood flow to the remaining breast tissue. This occurs more frequently in women who smoke. Occasionally, the reduced breasts are slightly uneven in size. Occasionally, surgical scars remain dark and raised after complete healing has occurred.
When will I be able to see the results?
You should notice the difference in breast volume immediately. If the procedure was due to back pain associated with very large breasts, pain relief is usually immediate. After the swelling subsides, you will begin to notice a difference in the compact appearance of your breasts.
What is the long-term outcome like for most people who have breast reduction?
No discomfort, a more active lifestyle, and a more youthful appearance.
Is breast reduction permanent?
Yes, breast reduction surgery should be considered permanent, although the remaining fat cells will swell and enlarge if you gain weight. Likewise, in the event of a pregnancy, the tissues swell or take on fluid and store milk. Natural or synthetic hormones may also cause breast tissue to swell and be tender to the touch. If you take hormonal supplements, it is quite possible to gain small amounts of breast tissue back. The exception is in virginal hyperplasia/hypertrophy, where the estrogen levels are high and the development of the breast may be ongoing.
What kind of results can i expect?
Your figure should look more proportionate, with your breasts sitting higher on the chest. Your nipples will be centered and your areolae will be resized if needed. Most women also notice that their breasts feel firmer and look perkier and more youthful following their breast reduction.
What is a free nipple graft?
How It’s Done

Free nipple grafting is performed by temporarily removing the nipple from the breast. The nipple is then repositioned and sutured in a higher, more aesthetically pleasing position after the excess breast tissue has been removed.

Breastfeeding and Scarring

When the nipple is removed from the breast it is also separated from the milk ducts. Unfortunately, milk ducts cannot repair themselves after such separation, so a women who has had a free nipple graft will not be able to breastfeed after the operation. A scar along the circumference of the nipple will be present, but often heals nicely.

Possible Risks and Complications

Because the nipple is separated from the breast there is a slight chance of necrosis of the nipple. After breast reduction, some women will experience changes in areola pigmentation and most have a permanent loss of nipple sensation.

Can my breasts begin to grow again after the breast reduction?
This is possible. Hormones increase breast size, so if you become pregnant or gain weight in the future, the breasts can become larger again.

Breast Reduction Prices

Prices include all hospital, operating room, anaesthetists' and doctors' fees, a single private room, standard meals, medications and medical supplies. Generally patients will only pay an additional amount for telephone calls and additional meals extra to the standard hospital supplied meals.

Procedure Price  
Breast Reduction (GA)
Op. Time: 3 hours, Hospital: 2 nights, Stay: 7 – 10 days
THB180,000 Free Quote

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