At-a-Glance

Dr Saran Wannachamras is a Plastic and Reconstructive Surgeon at Wansiri Hospital in Bangkok. He graduated from Chulalongkorn University with a medical degree in 1980, completed postgraduate clinical surgery studies in 1993, and obtained his specialist diploma in Plastic and Reconstructive Surgery from the Medical Council of Thailand in 1995. In addition, he undertook additional training

Dr Saran’s clinical expertise includes primary breast augmentation, breast implant revision, rhinoplasty, and sex reassignment surgery. Specifically, his breast surgery practice covers both first-time augmentation and corrective procedures for patients seeking to address concerns related to previous breast implants.

Breast surgery planning at Wansiri Hospital involves evaluating individual anatomy, implant options, surgical techniques, and potential complications. Patients should discuss their medical history, desired results, and expectations during consultation. The specific surgical plan and aftercare arrangements should be confirmed directly with Dr Saran.

Breast augmentation may be considered by patients wishing to increase breast volume, improve symmetry, or restore breast proportions following pregnancy or weight changes. Suitability depends on overall health, breast tissue, skin elasticity, anatomical measurements, and personal goals. A consultation with a qualified plastic surgeon is necessary to assess the available options and potential risks.

Implant selection involves evaluating chest width, existing breast tissue, skin characteristics, and body proportions. Round and anatomical implants offer different shape characteristics, while implant placement influences the final appearance. The surgeon should explain the available options, associated risks, and expected outcomes before treatment.

Wansiri Hospital describes several breast augmentation approaches, including inframammary incisions, endoscopic transaxillary incisions, and periareolar incisions. Implant placement may be planned above or beneath the chest muscle.

For revision surgery, treatment may involve implant replacement, adjustment of implant positioning, or correction of complications from previous surgery. The most appropriate technique depends on the patient’s anatomy, existing implants, scar tissue, and clinical assessment. Patients should confirm which techniques Dr Saran recommends for their individual case.

Potential risks include infection, bleeding, changes in breast or nipple sensation, implant displacement, capsular contracture, implant rupture, and dissatisfaction with the surgical result. Revision procedures can be more complex because of existing scar tissue and changes resulting from previous surgery. Patients should discuss surgical risks, implant-related complications, and possible future procedures before making a decision.

Recovery depends on the surgical approach, the complexity of the procedure, and individual healing. Patients may need approximately one to two weeks for initial recovery, while strenuous activities and heavy lifting often require a longer restriction period. Revision surgery may involve additional recovery considerations. Patients should follow their surgeon’s individual aftercare instructions and attend scheduled reviews.

Yes. In some cases, breast augmentation may be combined with a breast lift to address both reduced volume and sagging. Revision surgery may also involve implant replacement, repositioning, or additional breast reshaping. Whether procedures can safely be combined depends on existing breast anatomy, tissue condition, previous surgery, and the patient’s medical assessment.

Breast implants are not lifetime devices, although they do not automatically require replacement after a fixed number of years. Follow-up is important to monitor implant condition and identify possible complications.

For silicone gel-filled breast implants, the US FDA recommends an initial ultrasound or MRI screening five to six years after surgery, followed by screening every two to three years. Patients should seek medical assessment if they experience unusual swelling, pain, changes in breast shape, or other concerns.