What is Breast reduction ? – Breast reduction surgery (reduction mammaplasty) involved removes fat, glandular tissue and excessive skin as resulting smaller, lighter, firmer better shaped.

Breast reduction or Reduction Mammaplasty is a common surgical procedure which involves the reduction size of breasts, excising fat, drooping breasts skin, glandular tissue to achieve a breast size more in proportion with body and also alleviate the discomfort associated with excessively large breasts (macromastia). Women who are not happy with the size of breasts can consider breast reduction surgery to pursue as an aesthetic improvement. Breast reduction can address with patients symptoms such as macromastia (abnormal large breasts).

Therefore, women who are choosing to undergo breast reduction surgery for cosmetic reasons. To sought to relieve the physical and painful strain on neck, shoulder and back, which are cased by excessively heavy breasts and many factors included social stigmas. Breast reduction surgery is typically performed for woman surgical. But for men who are concern large breast tissue also known in afflicted surgical by Gynecomastia.

Following breast reduction surgery and technique to be perform at Preecha Aesthetic Institute’s by Board of Plastic & Reconstructive surgery PREECHA Tiewtranon MD, BURIN Wangjiraniran MD FRCST and SUTIN Khobunsongserm MD. The surgeon is in the best position to address these issues and open dialogue is recommended to avoid any misunderstanding. It is important that the patient should be in a realistic about what cosmetic surgery can and cannot do.

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  • Women troubled very large, sagging breasts that restrict activities
  • Large breasts may cause serious physical discomfort, self-image issue, weight of excess breasts too large
  • Feel awkward with the enormity of breasts in proportion to the rest of smaller bodies
  • Breasts are fully develop
  • Experience back, neck and shoulder pain caused by the weight of breasts
  • Realistic expectations
  • Fully 18 years old with good health condition

THE PACKAGE is included Breast Reduction

  • Accommodation for 1 nightin hospital private room after surgery
  • Operating room charges: OR room use, recovery room, scrub & circulate nurses
  • Regular menu food charges
  • 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 Equipments and Medical Supplies
  • General anesthesia - Pre anesthetic drugs, anesthesia and medical gas (oxygen, nitrous oxide)
  • Medical Treatments
  • Doctor fees
  • General anesthesia
  • Nursing services
  • Post op cares


  • Transportation pick up from airport –hotel-hospital-clinic-airport as well as follow up period within 2 km  from clinic
  • Hotel’s reservation nearby Preecha Aesthetic Institute (PAI)
  • Interpreter services  with any language


Preecha Aesthetic Institute (PAI) is the first multidisciplinary Aesthetic and Reconstructive center located Bangkok, Thailand since 1980. The center has the most advanced 10 consultation rooms, 6 operation rooms (local anesthesia), equipment to any leading Aesthetic Plastic Surgery completed with recovery rooms and the internationally accepted standard of hygienic system.

  • Breast Reduction surgery is performed under General Anesthesia and required one night in hospital. 

All cases under general anesthesia, PAI's using two major private International Standard Hospitals affiliated - JCI accredited for healthcare promoting center located in Bangkok under the philosophy of "World class quality with Thai hospitality", private patient rooms, 230 beds, modern medical technology, equipment and hospital receiving accreditation for high-quality. All direct consultations and follow up appointments are set at Preecha Aesthetic Institute.

  • Consultation, Medical checks and Follow up will be appoints at Preecha Aesthetic Institute
  • Surgical will perform at affiliated hospitals ⇒ General Anesthesia ⇒ International Standard Hospital 
  • Two international standard hospitals - JCI accredited International Hospitals 
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

RISK of breast reduction

All surgery carries risks but can minimize by closely following your surgeon’s advice on follow up care during the healing process. The decision to have breast reduction surgery is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks of breast reduction surgery and potential complications are acceptable.

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


Breast Reduction is performed by 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.

All your questions will be direct answers from PAI's doctor.

  1. Write your question, interest
  2. List your expectations or procedure that you are interest and give us your detail as possible
  3. Email to us at consult@pai.co.th
  4. We will get back to you shortly after receive your question
Set up an appointment with us

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


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:

  • Inform us about any allergies, any serious medical condition(s), and all medications you are 
    taking (both prescription and non-prescription). 
  • Prepare question(s) for surgeon.
  • No Aspirin 2 days before surgery.
  • Stop vitamin E Oil 1 day before surgery.
  • Stop smoking 2 days and a month after surgery.
  • Tell doctor if you have any serious medical condition(s). 
  • Surgeon will conduct a routine breast examination, age, family history, mammograms, and x-ray
  • Surgeon will discuss other variables that influence the decision involved in the procedure
  • If patient considering breast-feeding should discuss the matter with the plastic surgeon at this time
  • Surgeon will explain the specific details, technique to be used, where the operation will be performed and what realistically can accomplish
  • Stop meal and water starting from midnight before surgery.
  • Plan to be in Thailand at least 10 days after surgery.
  • Bring a loose fitting button or zipper type dress or blouse that is easily take off during recovery.

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.





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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2 - 3 hours

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General Anesthesia

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10 days

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3-4 weeks

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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


useful information


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


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)]


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.


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


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


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


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.


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.


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.


Set up an appointment with us.

Write your question, interest at consult us in program form