Composite Breast Augmentation

Overview of the surgery: 

Composite breast augmentation a breast augmentation surgery that combines the core volume projection of breast implants with the natural look and feel of overlying fat. 

Breast augmentation with simultaneous implants and fat affords a more powerful and versatile approach, and achieves a synergistic outcome. Composite breast augmentation should be added to the list of applications where fat grafting to the breasts may have clinical utility beyond simple core volume enhancement. 

Preparation Prior To Surgery: 

 Medical history assessment (any allergies, serious medical condition and all 

medications taken both prescribed and non-prescribed), physical 

examination, and laboratory tests will be performed during consultation. 

 Avoid smoking   for about 3-4 weeks prior to surgery, as nicotine interferes 

with circulation and will greatly affect healing process. 

 Stop drinking alcohol, a week before the surgery and throughout your 

recovery period. 

 Taking any medications should be avoided such as hormones, anticoagulants, 

anabolic steroids and supplements at least 4-6 weeks to prevent complicating 

medical factors prior to surgery, and also avoid taking aspirin, anti- 

inflammatory drugs and herbal supplements as they can increase bleeding. 

During the procedure:  

The implant is placed in front of the pectoral muscle mostly through a incision at the inframammary crease. This type of incision will allow easy revision if necessary in a later phase. It also allows perfect control of the creation of the pocket in which the implant is positioned. 
Lipofilling is performed in the deeper layers just above the implant and in a superficial plane at the level of the medial and upper border of the implant, hereby camouflaging the implant border and providing a natural-looking décolleté or enchance the cleavage. 

Lipofilling can also be performed over the entire breast in the subcutaneous layer. This will create an even more natural result. Sufficient fat needs to be available for this variant. 
This will also will allow the use of even smaller implants, favouring the balance of patient’s own tissues over implant volume. This will provide better long-term results. 

Advantages of Composite Breast Augmentation include: 

  • improvement of breast volume and skin quality: in contrast to “lipofilling-only” augmentations, full cup size(s) increases can be easily achieved 
  • specific shape adjustments are possible to perform, improving the aesthetic outcome with regards to symmetry 
  • pre-pectoral pocket dissection is easier to perform and better to control compared to retro-pectoral pockets 
  • minimal pain, what translates in faster rehabilitation 
  • no implant animation with pectoral contraction 
  • Precise control of inter-mammary distance and filling of décolleté 
  • very natural result  
  • liposuction at the donor site will improve body contours 

Operation time: 

It takes 2-3 hours 

Type of Anesthesia use: 

This surgery is usually done under general anesthesia 

Hospital/clinic stay: 

1 night stay in the hospital for free 

Days to stay in Thailand: 

At least 7-14 days. 

Risks and Complications: 

Risk and complications include:  infections and hematoma, malrotation