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Breast Surgery

Breast Surgery : Breast Augmentation

Breast Augmentation

Surgery Overview:

Breast Augmentation is an operation to increase the size of the breasts using implants. The implants have a silicone shell that can contain either sterile saline/water or silicone liquid/gel. Incisions are made in inconspicuous areas to minimize visible scarring. Incision options include: Infra-mammary incisionTrans-axillary incisionPeri-areolar incision. Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference. After the incision is made, a breast implant is inserted into a pocket either: Under the pectoral muscle (a sub-muscular placement), or directly behind the breast tissue, over the pectoral muscle (a sub-mammary placement). The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon’s recommendations. Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin. Over time the incision lines will fade.


Operation time:
The surgery requires 2 hours to complete.

Care after surgery:
  • Move slowly and get some rest. Avoid activities that tend to wear you out. Recline your had slightly elevated above lower body.
  • Early ambulation is required to speed up healing process and improve circulation.
  • Eat a light diet at the day of surgery. Begin with liquids and progress to soup initially then advancing your diet to regular foods.
  • You may take shower 24 hours after the surgery. Gently rinse the breast area with water and pat dry. When showering remove the gauze dressing but leave the steri strips in place.
  • Avoid strenuous activities that can cause pain and discomfort.
  •  The incision will be covered with steri-strips and a small gauze dressing. It is normal to feel tired and sore for the next 2-3 days. It is normal to feel that the breast implants are not part of your body.  It takes 2-3 weeks for your beast implants to soften and feel more natural.
  • Bra: You do not need to wear a bra or may wear a loose fitting comfortable bra if desired.  Do not wear a push up bra for 6weeks.
  • Wound Care: Remove the gauze dressing before showering at least 24 hours after surgery. Steri strips will remain for the next 6 weeks. Avoid direct sunlight to the incision for 1 year. Use a sunscreen with zinc oxide with SPF 20 or greater.
  • Medications: Take all medications as prescribed.  Follow all instructions which may accompany the medications such as: Taking with food, avoid alcohol and driving restrictions.
  • Follow up appointment: Your first visit will be scheduled to see Dr.  Tanongsak in the next 3-4 days.
  • Call Dr. Tanongsak office immediately for: Sudden onset of pain, fever, nausea, and vomiting, bleeding, dizziness, shortness of breath, rash, rapid heart beat or rapid breathing.

Recovery period:
You may go back to work in 2-5 days depending on how you feel.

Results:
We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision.
Please see before and after photos of Dr. Tanongsak patients in the Photo Gallery (photographs showed are with patient’s consent).

Risks and complications:
The risks of breast implants and complications after breast augmentation include: unfavorable scarring, bleeding (hematoma), infection, poor healing of incisions, changes in nipple or breast sensation, may be temporary or permanent, capsular contracture, which is the formation of firm scar tissue around the implant, implant leakage or rupture, wrinkling of the skin over the implant, anesthesia risks, fluid accumulation, blood clots, pain, deep vein thrombosis, cardiac and pulmonary complications, possibility of revisional surgery.

Types of anesthesia use:
General anesthesia

Hospital admission:
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis.

Preparation prior to Surgery:
One month before surgery:
·  Stop smoking: smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
·  Stop drinking alcohol:  a week before the surgery and throughout your recovery period.
·  Avoid taking any medications: such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
· Good nutrition: Eat well during the weeks prior to surgery. A healthy and balanced diet is essential for overall health and well being.
· Healthy lifestyle: maintain proper hygiene in weeks prior to surgery. Colds, cough, sore throat, virus or other illness will result in rescheduling of surgery. Make sure to address any illness immediately.
· Exercise: Proper fitness and body stretching can help enhance posture and gives you more strength for the up coming surgery.
· Get lab testing or medical evaluation: : Make certain all test ordered (CBC, EKG, X-ray) by your surgeon MUST be completed at least 5 days before surgery and no more than 30 days before surgery.  Test results should be received by Dr. Tanongsak for clearance. If medical clearance is not yet received at the expected date of completion, surgery maybe delayed or cancelled.
· Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue.
· Vital information: A preoperative visit or call is essential to review your health, your goals and any vital information including allergies and health considerations.

One week before the surgery:
· Confirm your day of surgery: Review all orders and instructions and put your schedule together a few days before the surgery
· Continue to practice healthy habits: No smoking, no drinking alcohol and stop taking medications to ensure safety.
· Relax: Get plenty of rest.  Anxiety is common over the thought of surgery, so don’t hesitate to contact our office.  We are here to support you and answer all of your concerns regarding surgery.
· Shop for your post surgery bra: elastic cotton or other unpadded fabric with good full- cup coverage and support. Wide, well- balanced shoulder straps and wide supportive band across the back and beneath the breast with no under wires.

One day before surgery:
· Pack your personal belongings for the day of surgery.
· Arrival: You will arrive at Bangkok International Airport. You will be accompanied by Dr. Tanongsak staff going to the hospital.
Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
· Nothing by mouth. No candy, gum or mints. Anything more than a small amount of water as needed for brushing teeth or swallowing medication may result in the need to cancel surgery.
· Dress appropriately:  do not wear jewelry, hair clips, body piercing, cosmetics.  (If there is something you cannot remove, let the admitting nurse know right away)
· Wear comfortable, clean, loose- fitting clothing: Do not wear jeans or any tight fitting bottom; rather have a pair of loose, drawstring sweatpants to wear home. You may wear a robe. Wear slip on, flat shoes with a slip proof sole; no heels. Wear clean cotton socks as the operating room can feel cool.
·  Shower as directed: use an antibacterial, fragrance free soap. Shampoo your hair. Do not use deodorant or perfume.
· Do not wear cosmetics, jewelry of any kind, contact lens, hair clips body piercing: ( if there is something you cannot remove , let the admitting nurse know right away)
·  Relax: Rest and avoid unnecessary stress.

Payment: 
Surgical fees are fully paid prior to your surgery. Costs may vary and depend upon the complexity of the operation, where the surgery takes place and what anesthetic agent is administered. The payment can be in the form of US dollars, Euro, Japanese Yen, Singapore Dollars, and Australian Dollars. We also accept credit card (Visa, MasterCard) for your convenience but we usually charge additional 5% surcharge.

Booking and reservation:

Booking will be confirmed as soon as you deposit 10% of the total cost for major surgery and 200 US Dollars for minor surgery. Please send us the copy of your wire transfer receipt. Please inform us your flight itinerary one week prior to the surgery.

Appointment with the surgeon:
Consultation will be scheduled upon request. We will arrange it once you have already booked for the surgery.

Cancellation Policy:
If ever you want to cancel your surgery, you must inform us 2 weeks in advance. Deposits will not be refunded because we already locked the reservation for you but you can reschedule your surgery whenever you are ready.

Breast Surgery : Breast Lift

Breast Lift

Surgery Overview:

Breast Lift surgery  is also called Mastopexy, a type of cosmetic surgery use to removes excess breast skin to raise, reshape and firm your breasts.The incision of breast lift is placed around the areola, vertically down from the areola to the breast crease and horizontally along the breast crease. The surgeon raises and reshapes the breasts. The excess skin will be cut and the nipple and areola are repositioned to a natural, more youthful height. Breast lift can be done in conjunction with breast implant to increase breast volume.

Operation time:
The surgery takes about 2-3 hours to perform.

Care after surgery:
The patient needs to avoid lifting over head for 3-4 weeks. The patient should not resume strenuous activities till about 1 month after the surgery. A brassiere can be normally worn, but do not use brassieres with metal support during the first month

Recovery period:
After breast lift surgery, patients may experience discomfort, swelling, and bruising, which typically lasts from two to three weeks. Pain medications may be prescribed during the first week of recovery. Patients are required to avoid sleeping on their stomachs for the first two weeks, and are advised to sponge bathe until the sutures are removed. During breast lift recovery, patients are required to wear a surgical bra for the first few days following surgery. This bra is then replaced with a support bandage or sports bra which is to be worn at all times for several weeks. The sutures are removed from the breasts after a week or two. Patients are normally able to return to work and light activities after about a week. However, during the first week, it is important to avoid bending over or performing any strenuous activities that put unnecessary pressure on the chest. Such activities can slow healing and lead to excess swelling and bleeding. Underwire bras should not be worn for the first month after surgery and instead a supportive bandage or bra should be worn at all times. There tends to be some numbness in the nipples and skin after breast lift surgery, which usually disappears in six weeks or so. Patients should not try lifting anything over their head for three to four weeks following surgery, and should avoid lifting anything heavy for four to six weeks.

Results:
We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision. Please see before and after photos of Dr. Tanongsak patients in the Photo Gallery (photographs showed are with patient’s consent).

Risks and complications:
The possible main risks are swelling, bruising, bleeding, infection, scarring and numbness, or change in sensation. Following the surgeon’s advice will reduce risks and complications.

Types of anesthesia use:
Breast lifted performed under general anesthesia.

Hospital admission:
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis

Preparation prior to  Surgery
Your surgeon will examine your breasts, taking measurements and perhaps photographs for your medical record. The size and shape of your breasts, the quality of your skin and the placement of the nipples and areolas will be carefully evaluated. Information about any medical conditions, drug allergies treatments you received, previous surgeries including breast biopsies and medications that you currently take. It is important for you to provide complete information.
  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
  • Blood and urine samples will be collected for routine preoperative laboratory tests.
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.


Payment: 
Surgical fees are fully paid prior to your surgery. Costs may vary and depend upon the complexity of the operation, where the surgery takes place and what anesthetic agent is administered. The payment can be in the form of US dollars, Euro, Japanese Yen, Singapore Dollars, and Australian Dollars. We also accept credit card (Visa, MasterCard) for your convenience but we usually charge additional 5% surcharge.

Booking and reservation:

Booking will be confirmed as soon as you deposit 10% of the total cost for major surgery and 200 US Dollars for minor surgery. Please send us the copy of your wire transfer receipt. Please inform us your flight itinerary one week prior to the surgery.

Appointment with the surgeon:
Consultation will be scheduled upon request. We will arrange it once you have already booked for the surgery.

Cancellation Policy:
If ever you want to cancel your surgery, you must inform us 2 weeks in advance. Deposits will not be refunded because we already locked the reservation for you but you can reschedule your surgery whenever you are ready.

Breast Surgery : Nipple Reduction

Nipple Reduction

Surgery Overview:

Nipple Reduction is a type of plastic surgery procedure used to reduce nipple size in a relatively simple procedure. Nipples that droop down or project too far out will be shortened. This is done by removing the tip of the nipple and then closing the new tip with stitches. Sometimes the skin around the neck of the nipple is removed and the tip is stitched to the bottom of the nipple.If the nipple is too wide or thick, but not too long, a pie-shaped wedge will be removed from underneath the nipple. This allows the nipple to be “taken in” and the circumference reduced. Dissolving sutures are used.

Operation:
Often, this can be combined with liposuction, tummy tuck, nipple reduction and other facial surgeries. The surgery takes 2 to 3 hours under general anesthesia with hospital confinement.

Care after surgery:
You may need to return in about a week to have the stitches taken out, but usually this is not necessary as dissolvable stitches are often used. You will be able to shower the following day. Most patients can return to work and resume their normal activities within a day.

Recovery period:
Recovery time will depend on the patient, but most patients can resume their normal activity within a day or two. Patients can shower the day after surgery. Dissolving sutures are used.

Results:
We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision. Please see before and after photos of Dr. Tanongsak patients in the Photo Gallery (photographs showed are with patient’s consent).

Risks and complications:
Risks are inherent to any surgical procedure. The most common risks are swelling, bruising, bleeding, infection, fluid, numbness, or a change in sensation to the nipple; however they are rare and almost always temporary. The most common risks particular to this surgery are minimal pain and swelling. Your surgeon will administer painkillers and anti – inflammatory medication so that any soreness and swelling will usually disappear by the second or third day. This treatment does not normally affect the ability to breastfeed.

Types of anesthesia use:
Nipple reduction technique can be performed under local anesthetic and is normally very effective.

Hospital admission:
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis

Preparation prior to Surgery
  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
  • Blood and urine samples will be collected for routine preoperative laboratory tests.
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.


Payment: 
Surgical fees are fully paid prior to your surgery. Costs may vary and depend upon the complexity of the operation, where the surgery takes place and what anesthetic agent is administered. The payment can be in the form of US dollars, Euro, Japanese Yen, Singapore Dollars, and Australian Dollars. We also accept credit card (Visa, MasterCard) for your convenience but we usually charge additional 5% surcharge.

Booking and reservation:

Booking will be confirmed as soon as you deposit 10% of the total cost for major surgery and 200 US Dollars for minor surgery. Please send us the copy of your wire transfer receipt. Please inform us your flight itinerary one week prior to the surgery.

Appointment with the surgeon:
Consultation will be scheduled upon request. We will arrange it once you have already booked for the surgery.

Cancellation Policy:
If ever you want to cancel your surgery, you must inform us 2 weeks in advance. Deposits will not be refunded because we already locked the reservation for you but you can reschedule your surgery whenever you are ready.

Breast Surgery : Areola Reduction

Areola Reduction

Surgery Overview:

Areola Reduction is a type of plastic surgery procedure use to removes the excess areola tissue and improves the overall cosmetic appearance of your areola. Incisions are made in two concentric circles around the edges of the areola. Next, your surgeon removes a donut of tissue and skin, taking care to leave the area around the nipple intact. (The nipple is still attached to its blood supply and the milk ducts.) The surgeon then closes the incision with sutures around the areola that are pulled in to tighten the skin around the areola. The scar is hidden around the edge of the areola and will likely fade with time.

Operation time:
The length of surgery is about an hour.

Care after surgery:
Dressings and a light gauze bandage must be worn for several days. You will be able to shower the following day but as long as the sutures are not yet removed from the surgical site, you should avoid dirty water and sweat to get inside the wound by applying antibacterial ointment before showering. Extra- sensitivity to pain and touch may be felt and will subside in a couple of weeks. Recovery time will depend on the patient, but most patients can return to work and resume their normal activities within a day or two.

Recovery period:
A minimal discomfort is expected but can go back to work a day after surgery. Recovery time will depend on the patient, but most patients can return to work and resume their normal activities within a day or two.

Results:
We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision. Please see before and after photos of Dr. Tanongsak patients in the Photo Gallery (photographs showed are with patient’s consent).

Risks and complications:
All surgeries have risks, including areola reduction surgery. Risks may include: Anesthesia complications, infection hematoma (a break in a blood vessel, causing localized blood-filled area or blood clot), seroma (collection of fluid under the skin), tissue death, permanent numbness, or loss of sensation, scarring asymmetry or unsatisfactory cosmetic results.

Types of anesthesia use:
Under local anesthesia

Hospital admission:
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis

Preparation prior to Surgery
  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
  • Blood and urine samples will be collected for routine preoperative laboratory tests.
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.


Payment: 
Surgical fees are fully paid prior to your surgery. Costs may vary and depend upon the complexity of the operation, where the surgery takes place and what anesthetic agent is administered. The payment can be in the form of US dollars, Euro, Japanese Yen, Singapore Dollars, and Australian Dollars. We also accept credit card (Visa, MasterCard) for your convenience but we usually charge additional 5% surcharge.

Booking and reservation:

Booking will be confirmed as soon as you deposit 10% of the total cost for major surgery and 200 US Dollars for minor surgery. Please send us the copy of your wire transfer receipt. Please inform us your flight itinerary one week prior to the surgery.

Appointment with the surgeon:
Consultation will be scheduled upon request. We will arrange it once you have already booked for the surgery.

Cancellation Policy:
If ever you want to cancel your surgery, you must inform us 2 weeks in advance. Deposits will not be refunded because we already locked the reservation for you but you can reschedule your surgery whenever you are ready.

Breast Surgery : Breast Capsulectomy

Breast Capsulectomy

Surgery Overview:

Breast Capsulectomy is a plastic surgery procedure use to remove capsules which have formed around breast implants. These capsules can thicken and so squeeze the implants which will distort the appearance of the breasts. This surgery can be done on one of both breasts and depends on the position of the capsule and the level of irritation caused by its presence.  Your surgeon will open the scar tissue of the capsule which releases the tension, and remove this.  He will then make an incision on either the crease underneath the breast, the armpit or the edge of the areola. This is where the new implant will be inserted. The incisions are then closed with fine stitches which are either dissolvable or non-dissolvable ones. He will place tapes over the stitches for additional support. A light dressing will also be put in place.

Operation time:
This surgery takes around 1.5 hours to 3 hours to perform

Care after surgery:
Vital signs will be checked. Surgical drains may still be in place. Early ambulation is advised to prevent formation of blood clots. Breasts will feel sore and bruised and will disappear gradually. A general anesthetic can make you feel groggy, nauseous and disorientated for up to 48 hours. You will have some pain but this can be controlled with pain medication. You will have to wear a special bra for a couple of weeks. You will also have to keep the dressings in place for that time. Make sure they do not get wet. Avoid any unnecessary bending, stretching or physical activity. You should get plenty of rest although you may be able to do some light activities after a couple of days.

Recovery period:
This will depend on the individual patient however most patients are able to go back to work after a couple of days. Do not undertake any sports or other physical activities for at least 7 to 10 days.The average recovery time is between 1-2 weeks.

Results:
We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision.

Please see before and after photos of Dr. Tanongsak patients in the Photo Gallery (photographs showed are with patient’s consent).

Risks and complications:
This procedure is safe but complications do happen. The risks include: infection, bleeding, a loss of or reduced nipple sensitivity, ability to breastfeed is lost or affected, capsular contracture could re-occur, blood clots, nerve injury, breast asymmetry, etc.

Types of anesthesia use:
Usually done under general anesthetic.

Hospital admission:
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis

Preparation prior to surgery
  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
  • Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue.
  • Blood and urine samples will be collected for routine preoperative laboratory tests.
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.


Payment: 
Surgical fees are fully paid prior to your surgery. Costs may vary and depend upon the complexity of the operation, where the surgery takes place and what anesthetic agent is administered. The payment can be in the form of US dollars, Euro, Japanese Yen, Singapore Dollars, and Australian Dollars. We also accept credit card (Visa, MasterCard) for your convenience but we usually charge additional 5% surcharge.

Booking and reservation:

Booking will be confirmed as soon as you deposit 10% of the total cost for major surgery and 200 US Dollars for minor surgery. Please send us the copy of your wire transfer receipt. Please inform us your flight itinerary one week prior to the surgery.

Appointment with the surgeon:
Consultation will be scheduled upon request. We will arrange it once you have already booked for the surgery.

Cancellation Policy:
If ever you want to cancel your surgery, you must inform us 2 weeks in advance. Deposits will not be refunded because we already locked the reservation for you but you can reschedule your surgery whenever you are ready.

Breast Surgery : Mastectomy

Mastectomy

Surgery Overview:

Mastectomy is a type of  cosmetic procedure used  to remove all breast tissue from a breast. An incision is made into the breast. The breast tissue is removed from the overlying skin and the underlying muscle. When an axillary dissection is done, it is typically via the same incision.

Operation time:
1-3 hours duration

Care after surgery:
One or two small plastic drains are usually left in place to prevent fluid from collecting in the space where the breast tissue used to be.Your surgeon will decide when these drains are removed, typically when the amount of fluid draining decreases to an acceptable volume. This may take a few days to a week or more.

Recovery period:
The patient is taken to a recovery room to be monitored after the surgery. After the blood pressure, pulse and breathing become stable, the patient is shifted outside the recovery room. Pain medication may be given to reduce severe pain. The patient needs to stay in the hospital for some days depending on the method of mastectomy and reconstruction. The result after the mastectomy is given in about one week.

Results:
We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision. Please see before and after photos of Dr. Tanongsak patients in the Photo Gallery (photographs showed are with patient’s consent).

Risks and complications:
Mastectomy is very safe surgery, and most patients recover well with no complications. As with any surgery, however, there are risks. Possible complications are listed here, but keep in mind that unless stated otherwise, they usually do not happen.

The risks of any surgery are bleeding, infection, and injury to nearby tissues. Some post-operative pain and soreness is expected, but can be effectively treated with pain medication. There will also be a scar on the chest wall. Scarring occurs with all surgery, and is unavoidable.

Type of anesthesia use:
The procedure uses General anesthesia

Hospital admission:
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis.

Preparation prior to Surgery
  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
  • Blood and urine samples will be collected for routine preoperative laboratory tests.
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

Payment: 
Surgical fees are fully paid prior to your surgery. Costs may vary and depend upon the complexity of the operation, where the surgery takes place and what anesthetic agent is administered. The payment can be in the form of US dollars, Euro, Japanese Yen, Singapore Dollars, and Australian Dollars. We also accept credit card (Visa, MasterCard) for your convenience but we usually charge additional 5% surcharge.

Booking and reservation:

Booking will be confirmed as soon as you deposit 10% of the total cost for major surgery and 200 US Dollars for minor surgery. Please send us the copy of your wire transfer receipt. Please inform us your flight itinerary one week prior to the surgery.

Appointment with the surgeon:
Consultation will be scheduled upon request. We will arrange it once you have already booked for the surgery.

Cancellation Policy:
If ever you want to cancel your surgery, you must inform us 2 weeks in advance. Deposits will not be refunded because we already locked the reservation for you but you can reschedule your surgery whenever you are ready.

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