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Looking your best can boost your self-confidence.

Plastic Surgery Center at Vejthani features a team of highly qualified plastic surgeons certified by The Medical Council of Thailand and the American Board. They provide expert consultations, address your concerns, and recommend the most suitable procedures.

The center utilizes advanced technology in a safe and secure environment. Committed to the highest standards, we ensure patient satisfaction through quality care and outcome.

Your Destination for Total Rejuvenation

 

Plastic Surgery

 

Reconstructive Surgery

Skin grafting is a surgical procedure that involves transferring healthy skin from one area of the body to another to cover damaged or missing skin. This technique supports healing and is often recommended for individuals with burns, injuries, infections, or after skin cancer removal. Within a few days, the grafted skin begins to connect with surrounding tissue and develop new blood vessels, helping the area heal effectively

Types of Skin Grafts

There are several types of skin grafts, depending on the source of the skin and the medical need:

  • Autograft: Skin taken from the patient’s own body.
  • Allograft: Skin from a human donor (cadaver), used temporarily.
  • Xenograft: Skin from an animal (typically pig), used temporarily until a permanent graft is possible.

Skin Graft Techniques

  • Split-Thickness Skin Graft (STSG): Transfers the outer layer and part of the second layer of skin. Commonly used for large wounds, with donor skin often taken from the thigh, buttocks, or back. The donor area usually heals in 1–2 weeks.
  • Full-Thickness Skin Graft (FTSG): Transfers both skin layers and is ideal for visible areas like the face. Donor skin is often taken from the groin, arm, or collarbone.
  • Composite Graft: Used for areas like the nose, ear, or fingertips, this graft includes skin and additional tissue such as cartilage.

The Procedure

Before Surgery
Your doctor will assess your condition, plan the surgery, and select a donor site that matches the tone and texture of the graft area. You may be asked to stop certain medications, such as blood thinners. If you smoke, quitting beforehand is strongly advised to support proper healing.

During Surgery
Skin grafting is usually done in a hospital. Most procedures use general anesthesia, but smaller grafts may use local anesthesia. Healthy skin is removed from the donor site, sometimes with a meshing technique (small cuts that allow the skin to be stretched to cover more area). The graft is placed on the wound, secured with stitches or staples, and covered with a dressing.

After Surgery
Recovery involves care for both the donor and graft sites. You may stay in the hospital for up to two weeks, depending on your condition. After discharge, you’ll receive clear instructions on wound care, medications, and activity restrictions. Doctors may recommend creams or dressings and will schedule follow-ups to monitor healing and, if needed, suggest physical therapy to maintain flexibility and reduce scarring.

Benefits of Skin Grafting

Skin grafting helps restore the protective layer of skin, reduces the risk of infection, and improves the appearance and function of damaged areas. It supports faster healing in wounds that would otherwise take a long time to recover and plays a crucial role in post-surgical recovery, especially after skin cancer removal. Grafts also help reduce discomfort, cover exposed tissues, and promote better cosmetic outcomes—especially in visible areas like the face or hands.

Recovery and Results

After surgery, most patients experience strong healing outcomes and improved skin condition in the treated area. The grafted skin integrates well with surrounding tissue, protecting the site and helping it recover. Recovery time depends on your health, the location and size of the graft, and the technique used. Many patients can return to normal activities within a few weeks. With proper care and medical follow-up, skin grafting offers long-term benefits and supports your overall healing journey.

Reconstructive surgery focuses on restoring function and appearance after birth defects, disease, or injury. Unlike cosmetic surgery, which is elective and aesthetic, reconstructive procedures are medically necessary—for example, breast reconstruction after a mastectomy or hand surgery for congenital conditions like webbed fingers. These surgeries aim to improve quality of life by repairing areas of the body affected by physical trauma or medical treatment.

Types of Reconstructive Surgery

Reconstructive surgery covers a wide range of medical needs, including:

  • Breast Procedures
    • Breast Reconstruction: Common after mastectomy (full or partial).
    • Breast Reduction: Alleviates discomfort, rashes, or back pain caused by overly large breasts.
  • Limb Salvage
    • Used when amputation is a risk, replacing missing tissue to preserve the limb.
  • Facial Reconstruction
    • Post-trauma or post-tumor removal, including jaw straightening (orthognathic surgery).
  • Hand Surgery
    • Improves strength, flexibility, and function.
    • Corrects webbed fingers, treats carpal tunnel syndrome, arthritis, and trauma.
  • Other Common Procedures
    • Cleft lip and palate repair
    • Craniosynostosis surgery (head reshaping)
    • Gender confirmation surgery
    • Lymphedema treatment
    • Migraine surgery
    • Panniculectomy (body contouring)
    • Septoplasty (deviated septum correction)

This list represents just a portion of the many conditions reconstructive surgery can address. These procedures also support recovery from cancer, infection, and traumatic injuries.

The Procedure

Personalized Planning
Each case is assessed individually. Your surgeon will review your medical history and goals to recommend a suitable approach. For example, if you have a burn that limits mobility or have undergone cancer-related surgeries, your treatment plan will be tailored to restore function and appearance as effectively as possible.

Before Surgery
If you’re undergoing breast reconstruction, your doctor will explain all the options—including possible scarring and changes in sensation. The goal is to restore your physical form, balance the chest, eliminate the need for prosthetics, and support self-confidence. Surgeons aim for natural-looking results and will guide you through the preparation process.

During Surgery
Breast reconstruction, as an example, may involve:

  • Flap surgery (using your own tissue) from the back, thighs, or abdomen. This technique often provides more natural results and may reduce the need for future surgeries.
  • Implant-based reconstruction, which may offer a faster recovery and can often be done as an outpatient procedure. However, some implant techniques may require future maintenance surgeries.

Procedure times vary, from one hour to several hours, depending on the method and complexity.

After Surgery
Once surgery is complete, you’ll be monitored as anesthesia wears off. Pain medication may be needed. Follow-up care is crucial for healing, and you’ll receive specific guidance on wound care, activity levels, and appointments. Staying on top of your post-surgical routine supports better healing and long-term results.

Benefits of Reconstructive Surgery

  • Restores body structure and function after trauma, disease, or congenital conditions
  • Improves physical comfort, such as relieving pain or mobility restrictions
  • Enhances self-image and emotional well-being by rebuilding body areas that affect confidence
  • Supports daily functionality, such as improved hand use or breathing (in septoplasty)
  • Customizable to each patient’s unique condition, with options that match their medical needs and personal goals

Recovery and Long-Term Results

Reconstructive surgery helps patients regain physical ability and emotional confidence. Whether it’s restoring symmetry after breast cancer, improving hand function, or correcting birth defects, the long-term outcomes can be life-enhancing. Results depend on your condition and the surgical technique used.

Recovery includes both physical and emotional healing. It’s normal to face challenges during this adjustment period. Ongoing communication with your surgeon and, if needed, support from a counselor can help ensure your recovery is as smooth as possible—both mentally and physically.

Breast reconstruction is a surgical procedure to recreate the shape of one or both breasts after a mastectomy or lumpectomy. It can be done immediately after cancer surgery (immediate reconstruction) or delayed until months or years later. Techniques include using breast implants (saline or silicone) or tissue from other areas of the body, such as the abdomen, back, thighs, or buttocks.

The reconstruction process may involve a single operation or multiple surgeries over time. While some patients choose reconstruction for one breast, others require both. Not everyone opts for breast reconstruction after surgery—it is a personal decision influenced by individual goals, preferences, and medical factors.

Types of Breast Reconstruction Surgery

Flap Reconstruction
This method uses the patient’s own tissue (autologous tissue) to form a new breast. Common tissue donor sites include the lower abdomen, back, buttocks, and thighs. The flap may remain connected to its original blood supply (pedicled flap) or be detached and reconnected to chest blood vessels (free flap).

Types of flap procedures include:

  • Latissimus Dorsi (LD) flap – tissue from the back
  • DIEP flap – fat and skin from the lower abdomen (no muscle removed)
  • TRAM flap – muscle, fat, and skin from the lower abdomen
  • PAP flap – tissue from the inner thigh (no muscle)
  • TUG flap – tissue and muscle from the thigh
  • SIEA/SIEP flap – similar to DIEP, with different blood vessels
  • IGAP and SGAP flaps – tissue from the buttocks (no muscle)

Implant Reconstruction
This approach uses silicone or saline implants to rebuild breast shape. Implants can be placed:

  • Under the chest muscle
  • Above the chest muscle (less healing time in some cases)
  • With a tissue expander – gradually stretches the skin before implant placement

Oncoplastic Reconstruction (Post-Lumpectomy)
Combines lumpectomy with breast lift or reduction techniques. Surgeons reshape the breast to fill the area where the tumor was removed and may operate on the opposite breast for symmetry. Some mastectomies preserve the nipple (nipple-sparing mastectomy), or a new nipple can be created using skin grafts. Patients can also choose 3D areola tattooing for a more natural appearance.

The Procedure

Before Surgery
Your doctor will review your medical history, medications, and goals. They’ll conduct an examination and may take measurements and photos. If you have breast cancer, chemotherapy or radiation might be required before reconstruction. Your surgical plan will be personalized, and certain medications may need to be paused before the operation.

During Surgery
Breast reconstruction is performed under general anesthesia. It may take several hours, depending on the chosen technique. In implant reconstruction, the surgeon places the implant in the chest. In flap procedures, tissue is removed from another area and shaped into a new breast. Drains may be placed under the skin to remove fluids during healing.

After Surgery
Hospital stays can last up to a week. A surgical bra may be worn to minimize swelling and support healing. Your doctor will provide detailed aftercare instructions. Pain will be managed with prescription or over-the-counter medication.

If only one breast is reconstructed, additional procedures like augmentation or reduction may be needed to ensure symmetry.

Benefits of Breast Reconstruction

  • Restores breast shape after mastectomy or lumpectomy
  • Helps improve self-image and emotional recovery
  • Offers natural-looking results, especially with flap techniques
  • Enhances comfort in clothing and daily life
  • Rebuilds balance and symmetry in cases involving one breast

Many women report that breast reconstruction helps them move forward emotionally after cancer treatment by restoring a sense of wholeness.

Recovery and Long-Term Results

Healing time varies based on your health and the type of surgery performed. During recovery, avoid heavy lifting or strenuous activity until your doctor confirms it’s safe. Be vigilant for signs of recurrence and maintain regular checkups with your healthcare provider.

Routine mammograms on the non-reconstructed breast are still recommended. Recovery is not only physical—it can also be emotional. Support from your care team, family, or counselors can make a positive difference as you adjust to changes and embrace healing.

Cleft lip and cleft palate are congenital conditions where an infant is born with a separation in the upper lip or the roof of the mouth. These gaps occur due to incomplete tissue fusion during pregnancy.

  • A cleft lip is a split between the two sides of the upper lip and may extend to the gums, palate, or nostrils.
  • A cleft palate is an opening in the roof of the mouth, which can affect both the soft and hard parts.
  • In some cases, a submucous cleft palate may be hidden and only detected later when symptoms appear.

These conditions can occur together or separately and may vary in severity.

Types of Surgery

Cleft Lip Surgery

  • The surgeon reshapes the lip by making incisions around the cleft and stitching the tissues together.
  • The goal is to restore function and appearance by reconstructing the lip and nose area.
  • This surgery is usually performed when the baby is between 3 and 6 months old.

Cleft Palate Surgery

  • The surgeon adjusts and joins tissue layers in the roof of the mouth to close the opening.
  • The goal is to allow proper eating, breathing, and speech development.
  • Cleft palate repair typically takes place around 12 months of age, with some children requiring multiple surgeries over time.

Nasal and Jaw Procedures

  • Some children may need additional surgeries for the nose or jaw, especially as they grow.
  • Gum and jaw repair may be delayed until 10 years old or later.

Procedure Details

Before Surgery

  • Your child’s care team may include surgeons, speech therapists, ENT doctors, and pediatricians.
  • You’ll discuss feeding guidelines and medication instructions before surgery.
  • Pre-op rules include stopping food or milk a few hours before anesthesia.

During Surgery

  • Surgery is performed under general anesthesia.
  • Cleft lip repair usually takes less than 2 hours.
  • Cleft palate surgery can take 2 to 3 hours or longer, depending on complexity.
  • Absorbable stitches are used, and drains may be placed temporarily.

After Surgery

  • Cleft lip: Your child may stay in the hospital overnight. They may wear soft arm splints to prevent touching the lip. Feeding can resume soon after surgery.
  • Cleft palate: Hospital stay is usually 1–2 days. Children can only have clear liquids from a cup—no straws or utensils. Swelling, mild bleeding, and soreness are expected.
  • Pain is managed with medications, and follow-up care is important.

Benefits of Surgery

Surgical correction of cleft lip and/or palate helps your child:

  • Speak more clearly
  • Eat and drink without difficulty
  • Hear better (by reducing risks of ear infections)
  • Breathe more comfortably
  • Improve appearance and confidence

Early intervention supports healthier physical and emotional development as your child grows.

Recovery and Home Care

Eating & Drinking

  • Your doctor will guide you on what and how to feed your child after surgery.
  • A soft or blended diet, spoon-feeding, or special bottles may be recommended.

Scar and Incision Care

  • Keep the incision clean and dry with gentle cleaning using warm water.
  • Stitches dissolve in 1–2 weeks.
  • A pink or red scar may remain but will smooth over time. Sunscreen is recommended outdoors.

Pain Management

  • Use over-the-counter pain relievers as directed by your doctor.
  • If pain persists, consult your child’s healthcare provider.

Most children return to their usual activities within about one week, but follow all doctor-specific guidance for best results.

Skin cancer is the abnormal and rapid growth of skin cells. The most common cause is overexposure to ultraviolet (UV) radiation from sunlight or tanning beds. However, not all cases are related to UV exposure.

There are three main types of skin cancer:

  • Basal Cell Carcinoma (BCC): The most common type, often found on sun-exposed areas like the head, neck, and arms.
  • Squamous Cell Carcinoma (SCC): Begins in the squamous cells, usually due to long-term UV exposure.
  • Melanoma: The most aggressive type, originating in the pigment-producing melanocytes. Melanoma can develop anywhere on the body and spread to other organs if left untreated.

Reducing sun exposure and using sunscreen can help lower the risk. Early detection increases the chance of successful treatment.

Symptoms

Basal Cell Carcinoma

  • Shiny, pearl-like or waxy bump
  • Skin-colored or brown scar-like lesion
  • White, waxy, scar-like patch with unclear borders
  • Bleeding or scabbing sores that do not heal

Squamous Cell Carcinoma

  • Firm, red nodule
  • Flat, scaly, or crusted lesion
  • Open sore
  • Wart-like thickened skin
    Note: SCC can also appear in areas not frequently exposed to the sun, especially in people with darker skin tones.

Melanoma

  • Brownish spot with darker patches
  • Painful, itchy, or burning lesions
  • Changes in an existing mole, including color, size, or bleeding

If you notice any of these signs or changes in your skin, it is important to consult a doctor.

Diagnosis

If there are changes in a mole or a new abnormal spot appears, a doctor may perform the following:

  • Skin Examination: The doctor checks for suspicious skin changes.
  • Skin Biopsy: A sample of the abnormal area is removed and sent to a lab to determine if it is cancerous and to identify the type.
  • Imaging Tests (PET, CT, MRI): These may be used to determine the stage of cancer if it has spread.

Cancer staging is indicated using Roman numerals from I to IV.

  • Stage I means the cancer is small and limited.
  • Stage IV means the cancer has spread and is more advanced.

Causes and Risk Factors

Causes
Skin cancer is caused by changes in the DNA of skin cells. The most common trigger is UV light from the sun or tanning beds, which damages DNA and leads to abnormal cell growth. Other contributing factors include exposure to toxic substances and having a weakened immune system.

Risk Factors

  • Family history of skin cancer
  • Overexposure to UV radiation from the sun or tanning beds
  • Frequent or severe sunburns, especially with blistering
  • Living in tropical or high-altitude areas with more intense UV exposure
  • Fair skin, which provides less protection against UV radiation
  • Multiple or irregular moles, including dysplastic nevi
  • Weakened immune system or use of immunosuppressant medication

Treatment

Treatment depends on the type, size, depth, and location of the cancer, as well as its stage. In some cases, especially when the cancer is small and on the surface, a biopsy may remove all of it.

Surgical Treatments

  • Cryosurgery: Freezing the cancer cells with liquid nitrogen, often for early-stage cancers.
  • Excisional Surgery: Removing the cancer and a margin of healthy skin.
  • Mohs Surgery: Removing cancerous tissue layer-by-layer while preserving healthy tissue; used for larger or recurrent basal and squamous cell carcinomas.
  • Curettage and Electrodesiccation: Scraping the cancer cells followed by electric current to destroy remaining cells.

Other Treatments

  • Topical Chemotherapy: Creams or lotions with anti-cancer medication applied directly to the skin.
  • Systemic Chemotherapy: Used when the cancer has spread beyond the skin.
  • Radiation Therapy: Recommended when surgery cannot completely remove the cancer.
  • Photodynamic Therapy: Combines laser light and medication to destroy cancer cells while sparing healthy tissue.

Recovery and Outlook

Skin cancer is most likely to be successfully treated when diagnosed at an early stage. After treatment, regular skin checks and follow-up care are essential. To help reduce the risk of recurrence, it’s important to protect your skin by minimizing UV exposure and using sunscreen. If you notice any new or changing skin spots, make an appointment with your doctor for evaluation.

Saliva is produced by salivary glands to assist with chewing and digestion. There are three major pairs of salivary glands: the parotid, submandibular, and sublingual glands. Additionally, many minor salivary glands are found in the lips, cheeks, mouth, and throat.Tumors can form in any of these glands, but most salivary gland tumors are found in the parotid gland. These are called parotid tumors, which involve abnormal cell growth. While some tumors can become cancerous, the majority are noncancerous (benign). Treatment options for cancerous tumors include surgery, radiation therapy, and chemotherapy.

Signs and Symptoms

The common signs and symptoms of parotid gland tumors include:

  • A lump in the jaw, neck, or mouth
  • Swelling or fullness in the face
  • Facial numbness
  • Burning or prickling sensations in the face
  • Loss of facial movement or paralysis

Parotid gland tumors are rare, and their exact causes are not fully understood. They begin when DNA mutations in the salivary gland cells cause the cells to grow and divide rapidly. These abnormal cells accumulate and form a tumor. Most tumors are noncancerous at first, but with additional changes in the DNA, they can become cancerous and invade nearby tissues or spread to other parts of the body.

Types of Tumors

Noncancerous (Benign) Tumors

  • Basal Cell Adenoma
  • Canalicular Adenoma
  • Oncocytoma
  • Pleomorphic Adenoma
  • Warthin Tumor

Cancerous (Malignant) Tumors

  • Acinic Cell Carcinoma
  • Adenocarcinoma
  • Adenoid Cystic Carcinoma
  • Clear Cell Carcinoma
  • Malignant Mixed Tumor
  • Mucoepidermoid Carcinoma
  • Oncocytic Carcinoma
  • Polymorphous Low-Grade Adenocarcinoma
  • Salivary Duct Carcinoma
  • Squamous Cell Carcinoma

Risk Factors

Factors that may increase the risk of developing salivary gland tumors include:

  • Older age – While these tumors can appear at any age, most occur in older adults.
  • Workplace exposure – Exposure to substances found in asbestos mining, rubber manufacturing, and plumbing may increase the risk.
  • Radiation exposure – Receiving radiation treatments to the head or neck can elevate the risk of salivary gland cancers.

Diagnosis

If there are any signs or symptoms of a parotid gland tumor, the following diagnostic procedures may be performed:

  • Physical Examination: The specialist examines the head and neck for lumps or swelling. If symptoms are present, further testing is recommended.
  • Imaging Tests: CT scans, MRIs, and ultrasound are used to visualize abnormal masses, determine tumor size, shape, and location, and assess whether the cancer has spread.
  • Tissue Biopsy: A fine-needle aspiration or core needle biopsy may be used to take a sample of cells or fluid from the suspected tumor. This is sent to a lab to determine the cell type and check for cancer.

Treatment

Surgery

Surgical removal is the primary treatment for most parotid tumors. The approach depends on the size and spread of the tumor:

  • Superficial Parotidectomy – Removes the tumor and part of the parotid gland.
  • Total Parotidectomy – Removes the entire parotid gland, usually for larger or more extensive tumors.
  • More Extensive Surgery – If cancer has spread to surrounding tissues like bone or muscle, additional tissue is removed. Reconstructive surgery may follow to restore facial movement, speech, and swallowing.

Radiation Therapy

High-energy beams (e.g., X-rays, protons, or neutrons) are used to destroy cancer cells. Radiation may be recommended:

  • After surgery to remove remaining cancer cells
  • As the primary treatment when surgery is not possible

Chemotherapy

Chemotherapy uses medication to kill cancer cells. Though rarely used alone for parotid tumors, it may be recommended:

  • In combination with radiation therapy for high-risk tumors
  • For advanced cases where the cancer has spread and cannot be fully removed surgically

Recovery and Outlook

Surgical removal is usually used to treat parotid tumors. If the tumor is cancerous, additional treatment such as chemotherapy or radiation therapy may be recommended.

Parotid gland tumors are rare, but early diagnosis can support effective treatment and better outcomes. If you have any of the signs or symptoms of a salivary gland tumor—such as a lump in the jaw, neck, or mouth—it is important to make an appointment at the Life Cancer Center at Vejthani Hospital to have a diagnostic examination.

Moles, also known as nevi, are common skin growths that typically appear as small, dark brown spots. They form when melanocytes (pigment-producing cells) grow in clusters. Most people develop 10 to 45 moles during childhood and adolescence. Over time, moles may change in appearance or even fade.While the majority of moles are benign and harmless, it’s important to be aware of changes in moles or other pigmented spots, as these may be early signs of skin cancer, especially malignant melanoma.

Symptoms

Typical Characteristics of Moles:

  • Color and texture: Moles can be brown, black, tan, pink, red, or even blue. They may be smooth, wrinkled, flat, or raised, and some may have hair.
  • Shape: Most moles are round or oval.
  • Size: Typically, less than 1/4 inch (about the size of a pencil eraser). However, congenital nevi present at birth can be larger and may appear on the face, trunk, or limbs.

Moles can develop anywhere on the body, including the scalp, armpits, under the nails, and between fingers or toes. Hormonal changes, such as those during adolescence or pregnancy, can cause moles to become darker or larger.

Dermatosis Papulosa Nigra

This condition involves clusters of brown or black spots (seborrheic keratoses) around the eyes, cheeks, and nose. These growths are not moles and are not related to melanoma, but may be treated for cosmetic reasons. It occurs more frequently in Black women.

Abnormal Moles and Melanoma Risk

A mole may be suspicious or cancerous if it:

  • Has irregular borders
  • Is asymmetrical
  • Changes in color, shape, size, or height

Use the ABCDE rule to watch for warning signs:

  • A – Asymmetry: One half doesn’t match the other
  • B – Border: Irregular, notched, or scalloped edges
  • C – Color: Uneven color or multiple shades
  • D – Diameter: Larger than 1/4 inch (6 mm)
  • E – Evolving: Changes in shape, size, color, or new symptoms like itching or bleeding

Not all cancerous moles exhibit every change. Some may show only one or two concerning features. If a mole looks unusual or changes in any way, consult a doctor.

Causes

Moles form when melanocytes, which normally distribute pigment throughout the skin, grow in clusters. These pigment-producing cells are responsible for skin color and the development of moles.

Diagnosis

Most moles can be identified through a visual skin examination by a doctor.
If a mole appears suspicious, your doctor may:

  • Remove the mole and send it for biopsy (lab analysis under a microscope)

Regular skin checks, either self-exams or performed by a healthcare provider, are recommended as part of preventive care. Discuss how often you should have these exams based on your personal risk factors.

Treatment

In most cases, no treatment is necessary for moles. If desired for cosmetic reasons, makeup may be used to cover them. If the mole has hair, it can be clipped or plucked carefully. If irritation or cutting occurs, keep the area clean and seek medical advice if it doesn’t heal.

If a mole becomes bothersome or suspicious, a dermatologist may recommend surgical removal:

  • The procedure is done under local anesthesia
  • The mole, and possibly some surrounding tissue, is removed
  • A scar may form after healing

Individuals with Black skin may be more prone to post-surgical effects like pigment changes or keloid scarring.

If a mole grows back after removal, consult your doctor immediately.

Aesthetic Surgery

A facelift, or rhytidectomy, is a surgical procedure that removes excess fat, tightens underlying muscles, and redrapes the skin of the face and neck. This treatment is designed to address visible signs of aging, helping patients look younger and more refreshed.

Facelift surgery is ideal for individuals whose facial and neck skin has started to sag, but who still retain some skin elasticity and have a well-defined bone structure.

Ideal Candidates

  • Typically between the ages of 40 and 60, though the procedure is also effective for healthy patients in their 70s or 80s
  • Experiencing moderate to severe sagging in the face and/or neck
  • In good overall health, with realistic expectations

Pre-Surgical Considerations

Before the procedure, your surgeon will evaluate your medical history to identify any risks. Conditions that may complicate surgery include:

  • Uncontrolled high blood pressure
  • Blood clotting disorders
  • Tendency to form excessive scars

You should inform your surgeon if you smoke or take any medications, particularly aspirin or blood-thinning drugs, as these can affect healing.

The Surgical Procedure

Facelift surgery is usually performed under general anesthesia and may take several hours, especially if combined with other procedures. In some cases, multiple sessions may be scheduled.

Incision Placement

  • Begins above the hairline at the temples
  • Extends in front of the ear (or just inside the cartilage)
  • Continues behind the earlobe to the lower scalp
  • If neck correction is required, a small incision under the chin may be added

Surgical Steps

  • The skin is separated from the underlying fat and muscle
  • Fat may be trimmed or suctioned from around the neck and chin
  • The underlying muscle and membrane are tightened
  • The skin is pulled back, excess removed, and incisions closed
  • A drainage tube may be placed behind the ear to remove fluid
  • The head is loosely wrapped in bandages to minimize bruising and swelling

Mild numbness in the skin is common and typically fades within a few weeks or months.

Recovery and Results

  • Patients who undergo general anesthesia may require a 1-day hospital stay
  • Individuals with diabetes or high blood pressure may require additional monitoring or inpatient care
  • Most patients look and feel significantly better after three weeks
  • Return to work is common within 10 to 14 days post-surgery

Your final result will offer a smoother, firmer, and more youthful appearance, especially in the lower face and neck area.

Rhinoplasty, commonly known as a nose job, has evolved from a discreet procedure to one of the most sought-after surgical options in Thailand today. While many people undergo rhinoplasty for cosmetic reasons, others seek it for medical purposes—such as correcting breathing difficulties or repairing trauma from injuries.There are two primary surgical techniques: open and closed rhinoplasty. Open rhinoplasty is often the preferred method when significant changes are needed or when structural defects must be addressed with precision.

What is Open Rhinoplasty?

Open rhinoplasty involves making a small incision in the columella, the strip of tissue between the nostrils. This technique allows the surgeon to lift the skin and gain full access to the underlying nasal structure, providing a clear view and more precise control during surgery.

This method is especially recommended for patients with:

  • Crooked or broken noses
  • Deformed nasal tips
  • Cases where accurate reshaping is essential

Because the surgeon can view the entire nasal framework, defect elimination is more effective, and the risk of asymmetry is reduced compared to the closed technique.

Procedure Details and Duration

Open rhinoplasty is generally performed under general anesthesia, meaning the patient will be asleep or heavily sedated during the surgery.

Key characteristics of the procedure:

  • Duration: Typically takes 2 to 3 hours, longer than closed rhinoplasty
  • Precision: Offers improved visibility for more complex nasal reshaping
  • Incision Site: Located on the columella; scarring is minimal and usually fades over time

Recovery Expectations

Recovery from open rhinoplasty requires more time than the closed method due to the more extensive access and tissue manipulation.

What to expect:

  • Swelling and bruising: Typically lasts 4 to 6 weeks
  • Visible incision: May leave a small scar at the base of the nose, which generally fades
  • Follow-up care: Includes wearing a nasal splint, keeping the head elevated while sleeping, and applying cold compresses to reduce swelling

Your doctor will provide specific instructions on postoperative care, including how to manage discharges, when to change gauze, and when you can safely return to your regular routine.

Abdominoplasty, commonly known as a tummy tuck, is a cosmetic surgical procedure that aims to create a smoother and flatter abdominal profile. This is done by tightening the abdominal wall muscles and removing excess skin and fat.Whether due to aging, pregnancy, or significant weight loss, many people find it difficult to achieve a flat stomach through diet and exercise alone. A tummy tuck can restore abdominal firmness and contour.

Types of Tummy Tuck Procedures

The technique used will depend on the patient’s condition, the extent of excess skin and fat, and surgeon–patient preferences. All procedures are performed under general anesthesia.

Full Tummy Tuck (Complete Abdominoplasty)

  • A horizontal incision is made from hip to hip, just above the pubic area
  • A second incision is made around the navel to release surrounding skin
  • The skin is separated from the abdominal wall, and the muscles and fascia are tightened
  • Excess skin is removed, and the navel is repositioned in a natural location
  • Ideal for patients with significant loose skin and muscle separation

Mini Tummy Tuck (Partial Abdominoplasty)

  • A smaller incision is made in the lower abdomen
  • Skin and fat are detached and pulled downward
  • Excess skin is removed, and the belly button may remain in place or be slightly repositioned
  • Best suited for individuals with mild lower abdominal skin excess and minimal muscle laxity

After the Surgery

Recovery involves several steps to ensure healing and optimal results:

  • A small drainage tube may be placed to remove fluid and is usually removed within 2–3 days
  • A compression garment or abdominal binder is worn to reduce swelling and bruising and to support the abdominal tissues
  • Keeping hips gently flexed during rest helps reduce tension on the sutures
  • Stitches are removed during follow-up consultations

Patients should avoid strenuous activity for about 1 month

Liposuction is a cosmetic surgical procedure that removes unwanted fat deposits from specific areas of the body. It is commonly used to target stubborn fat in areas such as the abdomen, thighs, buttocks, arms, neck, and back—areas that are often resistant to diet and exercise.This procedure helps sculpt and refine body contours, creating a more toned and proportionate appearance.

Before the Surgery

Prior to the procedure, your surgeon will provide personalized instructions to ensure a safe operation and smooth recovery. These may include:

  • Guidelines on eating and drinking
  • Recommendations to stop smoking
  • Instructions regarding the use or avoidance of medications and supplements, especially those affecting blood clotting

The Procedure

Liposuction is performed using a small incision, through which a narrow tube called a cannula is inserted. The cannula is moved back and forth to break up the fat layer beneath the skin, which is then suctioned out.

Depending on the extent of fat removal:

  • Local anesthesia is used for small areas
  • Regional anesthesia is ideal for more extensive fat removal
  • General anesthesia may be preferred by patients undergoing large-volume liposuction

Throughout the procedure, patients are carefully monitored and given IV fluids to compensate for fluid loss that occurs alongside fat removal.

After the Surgery

  • A small drainage tube may be placed under the skin to prevent fluid buildup
  • A compression garment is worn for several weeks to reduce swelling and help the skin adapt to its new shape
  • Stitches will be removed during your follow-up appointment
  • Strenuous activity should be avoided for about a month to support optimal healing

Potential Risks and Side Effects

While liposuction is generally safe, like all surgical procedures, it carries some risks. These may include:

  • Bruising – temporary and usually fades within a few weeks
  • Swelling – subsides gradually over a month
  • Scarring – size and healing vary per patient and technique
  • Pain – typically temporary and manageable with medication

Numbness – may persist for a few weeks in treated areas

Breast lift also known as mastopexy is a surgical procedure designed to elevate and reshape sagging breasts, restoring a youthful appearance. This procedure addresses issues such as loss of firmness, volume, and breast contour due to factors like aging, pregnancy, weight fluctuations, and genetics. Breast lifts come in various types, designed to address different levels of sagging and cater to people’s aesthetic preferences.

Types of Breast Lifts:

We understand that neurological concerns can arise at any time. That’s why we offer comprehensive 24/7 support for patients seeking top neurological care. We are available to receive critical cases regardless of the time.

  • Crescent Lift is the least invasive type of breast lift, involving a small incision made along the upper half of the areola. It is suitable for women with minimal sagging who desire a slight lift. The incision in this technique will be hidden on the line of the areola.
  • Peri-Areolar Lift or Donut Lift involves a circular incision around the entire areola. It is effective for mild to moderate sagging and can improve nipple position. The cut will be hidden entirely on the edge of the areola.
  • Vertical Lift or Lollipop Lift uses two incisions: one around the areola and another extending vertically down to the breast crease. It allows for more extensive reshaping for women with notably sagging breasts. It also improves nipple positions.
  • Anchor Lift or Inverted T Lift is the most invasive technique, involving three incisions: around the areola, vertically down to the breast crease, and horizontally along the crease. This approach allows for significant reshaping and improves nipple symmetry.

Benefits of Breast Lift:

We understand that neurological concerns can arise at any time. That’s why we offer comprehensive 24/7 support for patients seeking top neurological care. We are available to receive critical cases regardless of the time.

  • Restores youthful breast shape with a fuller appearance
  • Improves breast symmetry and proportion
  • Short recovery time and minimal scarring

Immediate and Long-Term Results

The patient will notice an immediate improvement in their breast appearance. Over the next few months, their breasts will continue to shape and settle into their final form. It’s common for patients to experience a slight decrease in bra size after a breast lift, even without a simultaneous reduction. This is due to the increased firmness and lift.

Breast Augmentation is a surgery that enhances the size and shape of the breasts using two primary methods: breast implants and fat transfer. Both techniques provide distinct advantages and are chosen based on individual goals and body type.

Types of Breast Augmentation

We understand that neurological concerns can arise at any time. That’s why we offer comprehensive 24/7 support for patients seeking top neurological care. We are available to receive critical cases regardless of the time.

  • Breast Implants: Saline Implants: These are silicone shells filled with sterile saltwater. Implants can be pre-filled with saline or silicone gel, or they can be filled during surgery. This allows for adjustable volume.
  • Silicone Gel Implants: These implants are filled with a cohesive silicone gel for a natural feel and appearance. They are available in various shapes (round or teardrop) and textures (smooth or textured).
  • Placement Options: Whether placed under the breast tissue or the chest muscle, implants can be customized to your specific needs.
  • Fat Transfer Augmentation: This technique, known as fat transfer, involves liposuction to remove excess fat from the abdomen or thighs, then purified and injected into the breasts. It is commonly chosen by individuals looking for a more natural appearance and feel, as it utilizes the patient’s own body fat.
  • Benefits: Fat transfer typically results in less visible scarring and a more natural appearance compared to implants, though it may require multiple sessions to achieve the desired volume.

Aside from the methods of transplantations, there are shapes of breast that you could choose. The popular shapes are Teardrop and Round shaped breasts.

  • Teardrop Silicone Breast Implants are shaped like a teardrop, with the tip facing upwards. These implants are ideal for individuals with some natural breast tissue who prefer a more natural appearance. After the procedure, they will naturally sag in a teardrop shape, with more volume at the lower part of the breast, which helps enhance nipple projection. They are particularly well-suited for those with narrower shoulders and taller frames, providing a more proportionate and harmonious look to the body.
  • Round silicone implants, shaped like a wide-based bun, are ideal for individuals with little breast tissue who desire a fuller, more projected appearance. These implants can also help to lift sagging breasts, providing a firmer and more defined shape.

Selecting between breast implants and fat transfer requires careful consideration of factors such as desired outcomes, body composition, and potential risks. A board-certified plastic surgeon can help you evaluate your options and construct a personalized treatment plan.

Breast reduction surgery, or reduction mammoplasty, is a procedure to reduce the size of excessively large breasts. Breast reduction is often done to improve physical discomfort, such as back and neck pain, improve body proportions, and enhance self-confidence. Common reasons why women consider breast reduction include difficulty in physical activities, skin irritation, and postural issues.

Types of Breast Reduction Surgery

  • Traditional Breast Reduction involves cutting around the areola, extending vertically down to the breast crease and making another incision horizontally along the crease. This can help remove significant amounts of breast tissue, fat, and skin. This method is best suited for women with large breasts needing substantial reduction and reshaping.
  • Vertical Reduction or Lollipop Technique involves two incisions: a round incision around the areola and a vertical incision extending downward. It is a less invasive approach that is ideal for women with moderately sized breasts who prefer to have a smaller size and better shape.
  • Liposuction is a minimally invasive approach to remove fats from the breast. Small incisions are made on the skin to insert a cannula (thin tube) connected to a vacuum device that removes excess fats from the breasts. This method is ideal for patients with good skin elasticity and less sagging.

Benefits of Breast Reduction Surgery

  • Many patients have experienced significant relief from back pain, neck pain, and skin irritation after the surgery.
  • A smaller breast size can improve body image and confidence depending on people’s preference. It also improves posture by relieving the weight from the front of the body.

Nipple reduction surgery is a cosmetic procedure designed to reduce the size, shape, and projection of the nipples, achieving a more balanced and aesthetically pleasing look. Many women feel self-conscious about having large or prominent nipples, which can affect their physical comfort and confidence. Whether the issue is caused by genetics, hormonal changes, or other factors, nipple reduction surgery provides a solution that helps patients feel more comfortable and confident in their appearance.

Types of Nipple Reduction Techniques

  • Flap Technique: This method involves making an incision at the base of the nipple to remove excess tissue, effectively reducing nipple projection. After the tissue is removed, the nipple is repositioned to ensure a natural appearance.
  • Wedge Technique excises a section of tissue from the nipple. The remaining edges are then reattached, which helps minimize the size and asymmetrical effect.
  • Donut or Peri-Areolar Technique is done through a round cut around the areola to remove the issue and reshape the nipple. The approach effectively minimizes the diameter of the nipple and the projection.

The nipple reduction procedure is performed under local anesthesia. With various techniques available at Vejthani Plastic Center, patients can work closely with their surgeons to select the most suitable method for their needs. The expertise of surgeons in breast aesthetic surgery is essential for achieving satisfactory results.

Breast revision surgery is a cosmetic procedure that enhances or rectifies the outcomes of a prior breast surgery, such as augmentation, lift, or reduction. It is often sought by individuals who are dissatisfied with their original results, have experienced complications such as implant rupture or capsular contracture, or wish to fix the changes in breast appearance caused by aging, weight changes, or pregnancy.

Revision augmentation involves replacing existing implants due to issues like rupture or dissatisfaction with size. Mastopexy with reduction combines a breast lift and reduction to address sagging, often caused by pregnancy, weight loss, or aging. Breast reconstruction restores breast shape after a mastectomy or trauma, using either implants or tissue from another part of the body. Implant removal (explant) is an option for women who wish to remove their implants, either due to health concerns or personal preference.

Breast revision surgery needs greater attention and precision than the previous surgery. Vejthani Hospital offers highly skilled plastic surgeons combined with the latest technology that ensures patient safety and satisfactory outcomes.

 

Specialized Plastic Surgery Team

Dr. SIWAT SERIRODOM

  • UB, LB
  • Subbrow lift
  • Facelift
  • Endobrow lift

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DR. PATCHARASAK CHUTIPUNYAPORN

  • Tummy tuck
  • Liposuction
  • Mastopexy

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DR.CHANIKARN WONGRAVEEKUL

  • Top surgery
  • Liposuction
  • Hair Transplantation

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DR. RAPEEPAT SUPRUANGTHONG

  • Fat transfer
  • Breast Augmentation
  • Breast lift

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DR.SINEENARD THANAPURIRAT

  • Close Rhinoplasty
  • Semi open – Rhinoplasty

 

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DR. PHATWIRA PATTARAJIERAPAN

  • Open Rhinoplasty
  • Sex affirmation surgery (Male to Female)

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DR. SARUT CHAISRISAWADISUK

  • Cleft Lip and Cleft Palate

 

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DR. NITI CHUYSAKUL

  • Face And Neck Lift
  • Endoscopic Brow Lift
  • Breast Augmentation

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ASST. PROF. DR. WARANGKANA TONAREE

  • Face And Neck Lift
  • Endoscopic Brow Lift
  • Breast Augmentation

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Consult a doctor

For more information or to book a consultation with our specialists, please don’t hesitate to contact us. Our team is here to support you every step of the way.

In case of emergency, kindly call us at

English Hotline: (+66)85-223-8888

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