overview

What Is Breast Reduction Surgery?

Breast reduction surgery (also known as reduction mammaplasty) is a cosmetic surgical procedure that removes excess fat, glandular tissue, and skin from the breasts. The result is smaller, lighter, firmer, and better-shaped breasts that are more proportionate to the body.

Purpose of Breast Reduction

Breast reduction is a common plastic surgery procedure performed to reduce the size and weight of the breasts. It involves removing excess fat, sagging skin, and glandular tissue to achieve a breast size that complements the patient’s body shape.
This procedure can also help relieve discomfort associated with excessively large breasts (a condition known as macromastia), such as chronic neck, shoulder, and back pain, as well as skin irritation and posture problems.

Women who are unhappy with the size or heaviness of their breasts often choose breast reduction surgery for both aesthetic improvement and physical relief. The procedure can also help improve self-confidence and ease social discomfort caused by overly large breasts.

Breast Reduction for Men

Although breast reduction surgery is most commonly performed on women, it can also be performed on men who have enlarged breast tissue, a condition known as gynecomastia. Male breast reduction surgery helps create a flatter, firmer, and more masculine chest contour.

Breast Reduction Surgery at Preecha Aesthetic Institute

At Preecha Aesthetic Institute, breast reduction procedures are performed by our experienced Board-Certified Plastic and Reconstructive SurgeonsPreecha Tiewtranon (MD), Burin Wangjiraniran (MD, FRCST), and Sutin Khobunsongserm (MD).

Our surgeons are dedicated to delivering natural-looking results while prioritizing patient safety and satisfaction. Open communication between patient and surgeon is essential to ensure clear expectations and understanding.

It’s also important to maintain realistic expectations – while cosmetic surgery can greatly improve physical appearance and comfort, it has its limitations.

For more information about cosmetic surgery and facial feminization surgery, explore the services offered by Preecha Aesthetic Institute, Bangkok.

Suitable Candidates for Breast Reduction Surgery

Breast reduction surgery (reduction mammaplasty) is ideal for women who experience physical discomfort or emotional distress due to overly large breasts. You may be a suitable candidate if you meet the following criteria:

  • You have very large or sagging breasts that restrict your physical activity.
  • The size and weight of your breasts cause neck, shoulder, or back pain.
  • You experience skin irritation or indentations from bra straps due to heavy breasts.
  • You feel self-conscious or unhappy with the appearance of your breasts in proportion to your body.
  • Your breasts are fully developed and their size has remained stable.
  • You are in good overall health and at least 18 years old.
  • You have realistic expectations about the results of cosmetic surgery.

Women who undergo breast reduction often report significant relief from physical pain and improved self-confidence after the procedure.

Breast Reduction Package Details

Our breast reduction package at Preecha Aesthetic Institute (PAI) includes comprehensive medical care and personalized service to ensure your comfort and safety throughout your surgical journey.

Package Inclusions:

  • Accommodation: 1 night stay in a private hospital room (JCI-accredited facility).
  • Operating Room Charges: Includes use of the operating roomrecovery room, and scrub & circulating nurses.
  • Meals: Regular menu (breakfast, lunch, and dinner).
  • Laboratory Tests: Pre-surgical lab work such as CBC, EKG, UA, Anti-HIV test, and chest X-ray.
    • Patients over 45 years old require cardiology clearance, with an additional charge of approximately USD 100.
  • Medical Equipment & Supplies: All necessary materials for the procedure.
  • Anesthesia: Includes general anesthesiapre-anesthetic medications, and medical gases (oxygen, nitrous oxide).
  • Medical Treatments: All necessary in-hospital medical care related to the procedure.
  • Post-Surgery Support Bra: One medical support bra for breast augmentation recovery.
  • Professional Fees: Surgeonanesthesiologist, and nursing services.
  • Medications: Take-home medications and post-operative supplies.
  • Post-Operative Care: Follow-up monitoring and wound care instructions.
  • Transportation (Optional): Airport-hotel-hospital transfers and follow-up transport within 2 km of the clinic.

Service & Accommodation

To ensure a comfortable and convenient experience, Preecha Aesthetic Institute (PAI) offers complete service support for all international and local patients.

Included & Optional Services:

  • Transportation Service:
    Airport-hotel-hospital-clinic–airport transfers, as well as transportation during the follow-up period within a 2 km radius of the clinic.
  • Hotel Reservation Assistance:
    Support with hotel bookings near Preecha Aesthetic Institute (PAI) for your convenience during consultation, surgery and recovery.
  • Interpreter Services:
    Professional interpreters are available for any language to help ensure smooth communication throughout your medical journey.

Preecha Aesthetic Institute and Affiliated Hospitals

Preecha Aesthetic Institute and Affiliated Hospitals

JCI-Accredited International Hospitals in Bangkok

Preecha Aesthetic Institute (PAI) is Thailand’s first multidisciplinary aesthetic and reconstructive surgery center, and is widely recognized as a pioneer in Sex Reassignment Surgery (Male-to-Female and Female-to-Male) since 1980.

PAI features 10 state-of-the-art consultation rooms6 operating rooms (for local anesthesia), and modern recovery facilities, all designed to meet international standards of hygiene and patient safety. The institute is fully equipped with advanced medical technology comparable to leading global aesthetic centers.

Affiliated JCI-Accredited Hospitals

Breast Reduction surgery is performed under general anesthesia, requiring one night of hospital stay at one of PAI’s affiliated JCI-accredited international hospitals in Bangkok.

These partner hospitals are world-class private facilities with:

  • Over 230 private patient rooms
  • Modern medical technology and advanced surgical equipment
  • A focus on international healthcare standards and patient safety
  • A commitment to the philosophy of “World-Class Quality with Thai Hospitality.”

Pre- and Post-Surgical Care at PAI

  • Consultationsmedical health checks, and follow-up care are conducted directly at Preecha Aesthetic Institute.
  • The surgical procedure is performed at one of the affiliated international hospitals under general anesthesia.
  • Patients receive continuous care and monitoring from PAI’s professional surgical team throughout every stage of their
Preecha Aesthetic Institute (PAI) bangkok thailand cosmetic and reconstructive surgery center and best cosmetic surgery thailand

Preecha Aesthetic Institute

Affiliated Hospital

International Standard Hospital (JCI accredited)

Affiliated Hospital

Risks of Breast Reduction Surgery

Like all surgical procedures, breast reduction surgery carries some risks. However, these risks can be minimized by carefully following your surgeon’s instructions during the preoperative and postoperative care process.

Choosing to undergo breast reduction is a highly personal decision. It’s important to weigh the potential benefits-such as relief from physical discomfort, improved body proportion, and enhanced self-confidence-against the possible risks and complications of surgery.

A thorough consultation with your board-certified plastic surgeon will help you understand:

  • The types of risks associated with breast reduction.
  • How to reduce complications and support proper healing.
  • What results are realistic for your individual case.

Open communication with your surgeon ensures that your expectations align with the outcomes of the procedure, helping you make an informed, confident decision.

Sample drawing incision breast reduction

sample incision breast reduction

sample drawing incision

Incision breast reduction sample drawing

sample drawing incision

sample drawing breast reduction incision

sample drawing incision

Sample result breast reduction [Before & After 2 weeks]

Breast reduction before and after 14 days l Preecha Aesthetic Institute

Questions, Appointments, and Scheduling for Breast Reduction

Breast reduction surgery at Preecha Aesthetic Institute (PAI) is performed by experienced surgeons: Doctor Preecha Tiewtranon MD, Doctor Burin Wangjiraniran MD FRCST and Doctor Sutin Khobunsongserm MD (Board of Plastic & Reconstructive surgery Thailand)

Dr.Preecha Tiewtranon MD, Dr.Burin Wangjiraniran MD FRCST and Dr.Sutin Khobunsongserm MD, all Board of Plastic and Reconstructive surgery Thailand.

Ask Our Doctors Directly

All your questions will be personally reviewed and answered by PAI’s experienced surgeons.

To help us understand your goals better, please include the following details in your message:

  • Your questions or areas of interest
  • A list of the procedures you are interested in
  • Your expectations and any relevant personal details (such as age, gender, medical history, or photos if applicable)

Consultation Process for International Patients

  • Video consultations are not available due to time zone differences.
  • Please email high-quality, unaltered frontal and lateral photographs of your face. Ensure the images are well-lit and not zoomed in.
  • After receiving your photos, the attending physician will review them and provide a thorough medical evaluation along with professional recommendations.
  • 📧 Email us: consult@pai.co.th
  • Our team will review your inquiry and get back to you promptly after receiving your message.
  • Contact Preecha Aesthetic Institute (PAI) today to schedule your personalized consultation.
  • 📍 Address: 898/1 Sukhumvit 55 (Thonglor), Bangkok, Thailand
    📞 Tel: +66 2 715 0111
Set up an appointment with us

1. Write your question, interest at consult us in program form

enquiry

2. Via email consult@pai.co.th

2.1 list your expectations or procedure that you are interest and give us your detail as possible
2.2 email to us
2.3 We will get back to you shortly after receive your question with recommendation from specialize surgeon

Once you know your planning date for surgery. Here is the next step:

1. Consultation with us via email for details and procedure
2. Plan your available date to be surgery and departure from Bangkok
3. We will confirm you for surgery date
4. You may start to book your airline ticket
5. We will confirm you all detail and hotel booking, if require
6. For transportation to be pick up from the airport, we can do for you as optional

surgical details:

Preparation for Breast Reduction Surgery

Proper preparation is key to ensure a safe procedure and smooth recovery after breast reduction.

Before Surgery:

  • Inform your surgeon about any allergies, serious medical conditions, and all medications you are taking (both prescription and non-prescription).
  • Stop taking aspirin at least 2 days before surgery.
  • Stop using vitamin E oil 1 day before surgery.
  • Stop smoking at least 2 days before surgery and continue to avoid for 1 month after surgery.
  • Plan to fast (no food or water) from midnight before surgery.
  • Wear a shirt with front buttons on the day of surgery for comfort during recovery.
  • The surgeon will explain the procedure details, surgical technique, location of operation, and realistic outcomes.
  • Plan to stay in Thailand for at least 10 days after surgery.

Prepare comfortable clothing to wear after hospital discharge. A medical gown will be provided before entering the operating theater.

Things to Bring from Home:

  • Button-up shirts (large size, easy to put on and take off)
  • Loose, elasticated trousers
  • Slip-on shoes or slippers
  • Phone charger (long cable recommended)
  • Wet wipes, moisturizer, and lip balm
  • Books or magazines for entertainment
  • Travel neck pillow
  • Two sizes of post-op sport bras (zipper front) - e.g., if you are currently Cup E, bring Cups C and B for post-surgery use.

 

Tips to Minimize Complications During Recovery:

  • Wear your post-op bra, sport bra, or compression bra as instructed.
  • Avoid heavy lifting for at least 4 weeks.
  • Stay well-hydrated.
  • Sleep upright or in a slightly elevated position.
  • Follow all instructions provided by your surgeon and medical team.

Breast Reduction mammoplasty typically is performed to reduce disproportionately large, sagging breasts.It also can reduce the size of the areola (the dark pink skin surrounding the nipple), which frequently becomes enlarged as the breast develops. Extend of procedure depends on what changes are desired and what your surgeon deems appropriate.

The most commonly employed breast reduction technique is called brassiere pattern skin reduction, involves both horizontal and vertical incisions that follow the contour of the breast.  The vertical incision creates a key-hole-shaped pattern above the areola.

Working through the incision, the surgeon excises excess tissue, fat and skin on the side of the breast.  Skin is removed from the area within the vertical incision and around the areola.  The nipple, areola and underlying tissue are moved through this space to a new higher location.

Another technique involves completely detaching the nipple from the breast before relocating it.  Since a transplanted nipple loses all sensitivity, this approach is performed only when deemed necessary for patients with extremely large breasts.

After the nipple is repositioned, skin on both sides of the breast is moved down and around the areola and then bought together to re-contour the breast.

Sutures close the wounds under the breast and around the nipple area.  Following surgery, a gauze dressing may be applies to the breasts, or the patient may be placed in a surgical brassiere.

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After breast reduction surgery, there is some soreness and discomfort which is easily controlled by medication. Swelling and skin discoloration around the incisions generally will subside in a few days. 

After surgery, there may be a temporary loss of sensation in the nipples and breast skin.  This condition will improve with time. Sutures will be removed within ten day of surgery.

Scars remain highly visible for a year following surgery, then fade to some degree.  Since incisions were made around and below the nipples, scars should not be notice able even in low-cut-clothing.

Since no two breasts are the same size and shape before surgery, usually a slight variation will exist after surgery.

  • Bandage will be removed and you can take a shower after that towel the incision two days after surgery date.
  • Try to keep arm extension to a minimum after removing bandage for at least three to five days.
  • Wear a support bra all time for a month after removed the bandage.
  • You should limit strenuous activities such as jogging, bending, heavy housework, sex or any activity that increases your blood pressure at least four weeks.
  • Cold pack may be used over the incision.
  • Take daily medicines and strictly follow the doctor’s instructions.
  • Visit the doctor by appointments and follow up checks.
  • Do not place ice or cold compress directly on skin.
  • Drink plenty of water.
  • No lifting objects over five to seven pounds. These are also include children and pets.
  • Avoid smoking at all time during the first 3 weeks.
  • Avoid alcoholic beverages when taking the medications.
  • Sleep upright at least five days following surgery.
  • Suture must keep dry several days all times before stitches removal.

Breast Reduction Surgery's recovery timeline.

The day after surgery, PAI doctor will visit you in hospital to discharge to hotel.

  • Removing Incisions will appoint with 10 days after surgery
  • No heavy exercise 4 weeks after surgery

 

  • Sleep upright for five days following surgery
  • After surgery 2 days surgery, the bandage will be removed by yourself and you can take a shower after that towel the incision
  • Several days after surgery the suture area must be kept dry at all times
  • Take your medicines and strictly follow the doctor’s instructions. Visit the doctor as scheduled to remove stitches and follow up check
  • Do not place ice or cold compress directly on skin
  • Drink plenty of water
  • Try to keep arm extension to a minimum after removing bandage for at least three to five days
  • Wear a support bra all time for 1 month after removed the bandage
  • No lifting objects over 5 to 7 pounds. This includes children and pets
  • Avoid smoking at all time during the first 3 weeks
  • Avoid alcoholic beverages when taking the medications
  • For at least 1 month you should limit strenuous activities such as jogging, bending, heavy housework, sex or any activity that increases your blood pressure

For local’s patient – You may resume to work after a week but must avoid heavy lifting object over the head or fast movement during 4-8 weeks after surgery date.

For international patient – Please plan to be in Bangkok at least 10 days after breast reduction. Stitches will remove within 7 to 10 days after surgery date. After departure from Thailand, you may resume to work within a few days but must avoid heavy lifting object over the head or fast movement during 4-8 weeks after surgery date.

◊ Any bruising and swelling will usually dissipate within 2 - 3 months.

Treatment after surgery
during the first 7 days

  • The day after surgery. PAI doctor team will visit you in a hospital.
  • Removing stitches will appoint ten days after surgery.
  • No heavy exercise 4 weeks after surgery

To permit proper healing, you should avoid excessive exercise and refrain from overhead lifting for there to four weeks.  The decision on when to return to work and normal activities depends on how fast you heal and how you feel.

surgery info:

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TIME REQUIRED

2 - 3 hours

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ANESTHESIA

General Anesthesia

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BACK TO WORK

10 days

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STRENUOUS ACTIVITY

3-4 weeks

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FADING OF SCARS

several months to a year

Bruise & Swollen

4 - 8 weeks

logo preecha aesthetic bangkok
Breast reduction

is procedure involves reduction breasts, excising fat, drooping breasts skin, glandular tissue to achieve a breast size in proportion.

Surgery Schedule

Question/Schedule Appointment Consultation / Surgery / Breast reduction surgery at Preecha Aesthetic Institute.

Once you know your planning date for surgery

(Require at least 10 days after surgery in Thailand)

  • Day 0 - Arrival Bangkok
  • Day 1 - Consultation and Prepare for Laboratory Testing
  • Day 2- Surgery and one night in hospital private room after surgery
  • Day 3 - Discharge from Hospital
  • Day 3 to Day 12 – Stay in hotel for recovery period and follow up on doctor appointments
  • Day 12 - Stitches removal and final check up
  • Day 12 - Safe to fly

testimonials

useful information

ADDRESS

PAI (Preecha Aesthetic Institute)
898/1 Sukumvit 55 Wattana, Bangkok
10110 Thailand

Tel: +662-715-0111

Fax: +662-715-0113

Email: consult@pai.co.th

MEETING POINT (AIRPORT)

The driver will be waiting for you at door number 4 (Meeting point) after exit from customs. The driver will stand by with your name and PAI  logo. [Suvarnabhumi International Airport (BKK)]

HOTEL

Hotels are under cooperate and nearby PAI, starting from 50 USD to 100 USD. Rates are quoted in THB, USD/net/included of taxes and service charges. All non-commissionable rate. VISA/Master card is accepted.

  • Special apartment 68 sq.m-131 sq.m with one to two bedroom/1 queen/master size bed, 1 bathroom (shower and bathtub), pantry and dining area, 2 Bottled water – complimentary for daily contract, bathroom (separated shower & bath tub), cable / Satellite TV, free wifi, dining Table/Chairs, Internet Access (wireless), kettle, LCD TV, refrigerator, slipper, toaster, air Conditioner, bath amenities - complimentary for daily, electronic Door Lock, iron & Ironing Board (on request), kitchenette - Full Equipment, microwave, safety box.

 

  • Hotel - studio room 46 - 58 sq.m - Features & Amenities: 40-in LED, sofa, in-room safe, minibar refrigerator, refillable tea/coffee/water, blackout curtain, free wifi, slippers, bathroom with rain shower, 100% natural therapeutic spa toiletries Mt. Sapola, hair Dryer, toothbrush and toothpaste, shower cap as well as a washing machine.

LANGUAGE

Thai, Chinese, Japanese, Italian, Spanish, French, German, Turkish and other languages upon request.

PASSPORT AND VISA

PAI can issue the letter to clarify with your local Embassy or Passport.

COST OF MEAL

Cost of living meal per day is 15-20 USD.

PAYMENT

The payment can be prepared in Cash by US dollar, Euro, Japanese Yen, Hong Kong Dollar, Singapore Dollar, Australia dollar. If using credit cards (VISA/Master card), the hospital will charged 3% for international transaction fee. This is only for surgery fees. Hotels are not charged for international transaction fee. An extra charged for HIV is 50% from total cost.

TOURIST VISA EXEMPTION (30 DAYS WITHOUT VISA)

Australia, Austria, Belgium ,Brazil ,Bahrain , Brunei Darussalam ,Canada, Denmark ,Finland ,France, Germany ,Greece ,Hong Kong ,Iceland ,Indonesia ,Ireland ,Israel ,Italy ,Japan ,South Korea ,Kuwait ,Luxembourg , Malaysia ,Monaco ,Netherlands ,New Zealand ,Norway ,Oman ,Peru ,Philippines ,Portugal , Qatar , Singapore ,Spain ,South Africa ,Sweden ,Switzerland ,Turkey ,United Arab Emirates, United Kingdom ,United States of America ,Vietnam.

AIRPORT IMMIGRATION AND CUSTOMS

Please present the supporting documents confirming the scheduled operation upon request. Please do not carry any unnecessary drugs or dangerous objects in your luggage.

Frequently Asked Questions (FAQs)

Q: 1. Are you certified by the Board of Plastic Surgery?

A: Yes. Our surgeons are certified and member by Society of Plastic and Reconstructive Thailand

Q: 2. Where will perform breast reduction?

A: Breast Reduction surgery will performed in an accredited International hospital (JCI/HA)

Q: 3. How long do I have to stay in Bangkok include before surgery?

A: We are recommend to be in Bangkok at least 12 days include before and after surgery.

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Write your question, interest at consult us in program form

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