overview

Breast lift with augmentation is a cosmetic surgery designed for women who have sagging breasts, excess skin tissue, or a loss of breast volume due to aging, pregnancy, weight loss, or genetics. These conditions can sometimes cause physical discomfort, restrict daily activities, or lead to feelings of self-consciousness. The procedure helps correct breast asymmetry and improve overall breast shape and balance.

A breast lift with augmentation combines two procedures – a breast lift (mastopexy) and breast augmentation using implants. The breast lift repositions and reshapes sagging breasts by removing excess skin and tightening the surrounding tissue. The augmentation adds volume and fullness with an implant to achieve a firmer, more youthful appearance.

Benefits and Goals: The goal of breast lift with augmentation is to Lift and reshape sagging breasts, Remove excess skin tissue, Restore lost volume with implants, Improve firmness, projection, symmetry and Enhance overall body proportions

If a patient only needs lifting without added volume, a breast lift alone may be recommended. However, when both lift and volume enhancement are desired, a combined breast lift with augmentation offers the best results.

Techniques and Surgical Methods

At Preecha Aesthetic Institute (PAI), several techniques are available depending on the degree of breast sagging (ptosis) and patient anatomy. These include:

  • Inverted-T incision technique
  • Circumareolar (donut) technique

Each technique is carefully selected by our expert surgeons:
Dr. Preecha Tiewtranon, M.D.,
Dr. Burin Wangjiraniran, M.D., FRCST
Dr. Sutin Khobunsongserm, M.D.

(All are Board-Certified in Plastic and Reconstructive Surgery.)

Your surgeon will determine the most suitable incision type, implant size, and shape based on your anatomy and desired outcome.

Consultation and Realistic Expectations

It’s important for patients to have realistic expectations about what cosmetic surgery can and cannot achieve. During consultation, your doctor will discuss your goals, review possible outcomes, and explain the recovery process in detail. Open and honest communication helps ensure that you and your surgeon share the same vision for your results.

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Suitable Candidate Breast Lift with Augmentation

  • Women who have sagging breasts that restrict activities and cause physical discomfort
  • Women who have saggy breasts due to excessive skin tissue or lose of volume occur after pregnancy or aging
  • Women who want to correct imbalance or asymmetry in breast size or reconstructive purpose
  • Women feel excessively flat or lengthen breasts
  • Women who wish to tighten and more firm breasts tissue
  • Must be good health condition

Breast Lift with Augmentation's package inclusive

  • Accommodation for 2 nights in an international hospital private room after surgery (JCI accredited) 
  • Operating room charges : OR room use, recovery room, scrub & circulate nurse
  • Regular menu food charged
  • Laboratory testing: necessary for the procedure as CBC, EKG, UA, Anti HIV, Chest X-Ray (If age over 45 need to check Cardiology.  An extra charge is 100 US Dollar + -)
  • Medical equipment and medical supplies
  • General anesthesia - Pre anesthetic drugs, anesthesia and medical gas (Oxygen, nitrous Oxide)
  • Medical treatments
  • Breast implants by cohesive gel implant / xtragel Mentor's brand (FDA) up to 200 cc - 400 cc. If larger implant, an extra charge may be applied.
  • Doctor fees
  • Anesthesia fees
  • Nursing services
  • Take home medication and supplies
  • Post op cares
  • Transportation pick up (optional)

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 Lift with Augmentation is performed under general anesthesia, requiring two nights 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 treatment journey.
International Standard Hospital (JCI accredited)

Affiliated Hospital

Affiliated Hospital

Preecha Aesthetic Institute (PAI) bangkok thailand cosmetic and reconstructive surgery center and best cosmetic surgery thailand all board of cosmetic and reconstrutive surgery

Preecha Aesthetic Institute

Risks of Breast Lift with Augmentation

All surgeries carry some degree of risk. However, the risks associated with breast lift with augmentation can be minimized by carefully following your surgeon’s post-operative instructions and attending all scheduled follow-up appointments during the healing process.

Minor complications such as temporary swelling, bruising, or mild discomfort may occur but usually do not affect the final outcome.
Major complications are rare, especially when the procedure is performed by an experienced, board-certified plastic surgeon.

Your doctor will discuss all potential risks, as well as how to best prepare and care for yourself after surgery, to ensure a safe and successful recovery.

Questions, Appointments, and Scheduling for Breast Lift with Augmentation

Breast Lift with Augmentation is performed by Dr.Sutin Khobunsongserm MD, Dr.Burin Wangjiraniran MD FRCST and Dr.Preecha Tiewtranon MD (Board of Plastic & Reconstructive surgery).

Dr.Preecha Tiewtranon MD, Dr.Burin Wangjiraniran MD and Dr.Sutin Khobunsongserm MDAsk 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 breast. 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

sample result

Breast Lift with Augmentation before and after ten days

Before and After 10 days (Breast Lift with Augmentation)

sample result

Breast Lift with Augmentation Before and After two weeks

Before and After 14 days (Breast Lift with Augmentation)

sample result

 

Breast Lift with Augmentation Before and After

Before and After 14 days (Breast Lift with Augmentation)

sample result

Breast Lift before and after ten days surgery

Before and After 7 days and After 10 days (Breast Lift with Augmentation)

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 Lift with Augmentation Surgery

Proper preparation is essential to ensure a safe procedure and a smooth recovery after your breast lift with augmentation. Following your surgeon’s instructions carefully helps achieve the best possible results and minimize risks.

Before Surgery

  • Medical Information: Inform your surgeon of any allergies, serious medical conditions, or medications you are currently taking, including prescription, over-the-counter, and herbal supplements.
  • Medications: Stop taking aspirin or other blood-thinning medications at least 2 days before surgery.
  • Vitamin E Products: Discontinue using vitamin E oil or supplements 1 day before surgery.
  • Smoking: Stop smoking at least 2 days before surgery and continue to avoid smoking for at least 1 month after to support proper healing.
  • Fasting: Do not eat or drink anything (including water) after midnight before your surgery day.
  • Clothing: Wear a loose-fitting, button-front shirt on the day of surgery for comfort and ease after the procedure.
  • Consultation: Your surgeon will explain the procedure details, surgical technique, expected recovery, and realistic outcomes in advance.
  • Travel and Recovery: Patients coming from abroad should plan to stay in Thailand for at least 12 days after surgery to allow for post-operative care and follow-up appointments.
  • Packing: Prepare comfortable clothing to wear after hospital discharge. A medical gown will be provided before entering the operating room.

What to Bring for Your Breast Lift with Augmentation Surgery

Preparing your personal items in advance will help make your stay and recovery more comfortable. We recommend bringing the following essentials from home:

  • Button-up shirts (loose and large size): Easy to wear and remove after surgery without raising your arms.
  • Loose, elasticated trousers: Comfortable for resting and moving around post-surgery.
  • Slip-on shoes or slippers: Convenient and comfortable during recovery.
  • Phone charger (with a long cable): Allows you to charge your phone easily from your hospital bed.
  • Wet wipes, moisturizer, and lip balm: Keep your skin and lips hydrated during your stay.
  • Books or magazines: Light entertainment to help you relax during recovery.
  • Travel neck pillow: Provides neck and shoulder support while resting or sleeping upright.

 

Tips to Minimize Breast Lift with Implant Complications During Recovery

Following your surgeon’s post-operative care instructions is the best way to ensure a safe and smooth recovery after your breast lift with augmentation. Here are some essential tips to help minimize complications and promote healing:

  • Wear your post-operative bra or compression garment as instructed by your surgeon. This helps support the breasts, reduce swelling, and maintain their new shape.
  • Avoid heavy lifting or strenuous activities for at least 3 weeks after surgery to prevent tension on your incisions.
  • Stay well-hydrated and maintain a balanced diet to support tissue healing and overall recovery.
  • Sleep in an upright or slightly elevated position for the first few weeks to reduce swelling and improve comfort.
  • Follow all post-operative instructions provided by your surgeon and medical team, including attending follow-up appointments and taking prescribed medications.

By carefully following these recovery guidelines, you can help achieve the best possible results from your breast lift with implants.

Preecha Aesthetic Institute the Pioneer Sex Reassignment Surgery Thailand

There are a lot of available surgical techniques based on the degree of ptosis, the areola, nipple position, breast volume, and the volume of excessive skin.

During (mastopexy) breastlift with augmentation, the surgeon makes an incision which is usually in a keyhole pattern: a circle around the areola and two incisions down the breast which will be closed to make one line. The surgeon after that repositions the nipple and areola to a higher placement and eliminates excessive skin from beneath the breast.

Closing the rest of the skin lifts the breast mound to a higher placement and reshapes the breast. No breast tissue is removed. Breast implants being position at the same time. Sutures close the incisions.

Type of breast implant (source from Mentor’s breast implant)

By MemoryGel® Xtra give woman all the benefits of MemoryGel® implants, but with additional benefits in two profile options – Moderate Plus and High Profile.
Increased Projection - provide more projection by base with other.
Increased Fullness - softer feeling, thinner shell and fullness (as measured by Strain Energy testing) similar to higher cohesive gel filled implants.1*
Increased Firmness - increased firmness over MemoryGel® Breast Implants.4#

Memory Cohesive Gel® Breast Implants uniquely formulated cohesive gel found within MENTOR® MemoryGel® Breast Implants creates a soft, natural feel chosen by many women.

  • After 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 days 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 noticeable 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.

The objective of breast lift with augmentation is to reposition of breasts combine cup size, shape of implant. Most women undergoing breast lift with augmentation will experience some breast or chest pain during post operative. While pain is normally subsides in most women as heal after surgery.

After breast lift with augmentation pain that is easily controlled by medication usually will subside within a week. If dressings have been applied, they will be replaced by a surgical bra in a few days.

Recommend be prepare to wear loose shirt with buttons before sutures remove. Sutures will be removed within ten days of surgery. Although the surgeon has made every effort to keep scars as inconspicuous as possible, they are the inevitable result of surgery. Minimal swelling and discoloration of the breasts will disappear rapidly.

Healing process, some degree of firmness of the breasts may occur after two months following surgery. In some instances, the surgeon may recommend a program of breast massage to promote softness.

There may be a loss of sensitivity in the nipples following the operation but in most cases a degree of sensitivity will return. The decision on when to return to work and normal activities depends on how fast you heal and how you feel. To permit proper healing, you should avoid over activity and refrain from overhead lifting 45 days.

Recovery Timeline Breast lift with Augmentation

You are required to stay in hospital private room two nights and wear a compression bandage or a special surgical support bra. If a drain is introduced during the surgery, it is removed within 24 hours or before discharge from hospital. The stitches are removed in 7-10 days after the surgery.

While you are recovery in hotel a few days you can shower. Every two to three days, you will come to follow up by appointments at Preecha Aesthetic Institute. All transportation services are included from package breast lift with augmentation. But hotels must be within driving distance or within 2 KM from PAI’s.

You will be able to resume everyday activities after ten days but must avoid lifting objects over the head or making fast movements during 6 weeks. If you have small children who require a lot of lifting. You need to plan an additional help during the initial recovery period.

For local’s patient - You may resume to work after ten days but must avoid heavy lifting object over the head or fast movement during 6- 8 weeks after surgery date.

For international patient - Please plan to be in Bangkok at least 12 days. Stitches will remove ten days after surgery date. You may resume to work within a few days after depart from Thailand. But must avoid heavy lifting object over the head or fast movement during 6 - 8 weeks after surgery date.

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

Preecha Aesthetic Institute (PAI) bangkok thailand cosmetic and reconstructive surgery center and best cosmetic surgery thailand all board of cosmetic and reconstrutive surgery

Treatment after surgery
during the first 7 days

  • PAI's doctor will visit during recovery at private ward hospital.
  • Removing incisions will appoint seven to ten days after surgery date.
  • No heavy exercise 6 weeks after surgery
  • To permit proper healing, avoid excessive exercise and refrain from overhead lifting during 6 to 8 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

6 weeks +

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FADING OF SCARS

several months to a year

Bruising & Swollen

2 - 3 months

Logo Preecha Aesthetic Institute
Breast lift with augmentation

is a combine in two surgical at the same time breast lift + implant.

Surgery Schedule

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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: Not so sure. If I am good with breast lift or combine implants

A: By reviewing with pictures via email, the doctor is only recommendation. But finalize need direct consultation again between you and doctor for clears.

Q: Can I stay shorter times than advised ?

A: No, you can't. Because this is one of a major procedure. You should plan to be in Bangkok or with us at least 10 days.

Q: How do I booking surgery ?

A: First step is email all questions you wish to answer by our doctors and then we will get back to you. Second is fill out medical form + front/left/right taking breast images (no zooming pictures) and email to us. All answers will be direct to the surgeon to be perform to us and we will start the process for booking date.

Q: . I underwent breast augmentation with Dr Preecha 20 years ago. It was a great experience and results were perfect..! Time marches on and need another breasts (with implants) reduced and lifted. Most likely will need new smaller implants

A: This is possible due with aging. You should attach front and side breast pictures to us via email and then the doctor will follow thru all details.

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Set up an appointment with us.

Write your question, interest at consult us in program form

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