Body Surgery

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At Kamol Cosmetic Hospital, we understand that body confidence plays a vital role in your happiness and self-esteem. Our team of expert surgeons provides a wide range of body contouring procedures designed to give you the perfect proportion with safety and precision. Our services include: Post-Bariatric Surgery, Liposuction, and Body Lift. With advanced techniques and personalized care. Our goal is not only to transform your figure but also to help you enjoy your new body with confidence and peace of mind.

Six Pack Surgery

Six Pack Surgery in Bangkok, Thailand

The effect of testosterone hormones on the male body creates a male structure, such as broad shoulders and expanded hairs on the chest and arms, Adam’s apple, a toned voice, and muscle mass. The male body tends to have a proportionally smaller buttock, bigger chest, broader latissimus dorsi, and a small waist for a V-shaped torso. The male body’s prominent muscles include the latissimus dorsi, Trapezius, and Pectoral muscles, as well as the biceps and triceps in the arm.

Body Designed for Male

  • Arm: adjust muscle at the arms and shoulder area
  • Chest zone: enhance the chest (Pectoral surgery)
  • Abdominal area: reform six-pack (Abdominal six-pack)

Six Pack Surgery

Abdominal six-pack surgery is a surgical operation that involves sucking the fat around the abdominal area. Many men and women devote a large portion of their exercises to building abdominal muscles. However, not everybody can achieve that definition of an athletic six-pack, even with exercise. Some people find it challenging to increase the thickness of the abdominal muscles, even with strenuous abdominal activities.

Six-pack surgery or abdominal etching works for people who do not exercise. This procedure can be combined with liposuction of other areas, such as the flanks and lower back.

1. VASER® – Assisted High-Definition Liposculpture (VAHDL) at the abdominal area will create a Sixpack by removing fat from the superficial and deep layers to reform prominent six-pack muscles above the navel.

Intra-abdominal fat is located inside the peritoneal cavity. It is opposed to subcutaneous fat, found underneath the skin and packed between internal organs and the torso. The excess of visceral fat is known as central obesity. The surgeon can etch the abdominal six-pack and reform the shape only the extra abdominal fat; intra-abdominal fat cannot suction. So, the upper abdominal part is more curved.

Female six-pack surgery is the same procedure as males. This procedure helps women have a more attractive, good-looking, and healthy appearance.

The procedure is done under general anesthesia for 3-4 hours.

A Good Candidate for Six-Pack Surgery

  • Men or women with a good tone underlying abdominals can be emphasized by etching.
  • Men or women who have undergone a tummy tuck and liposuction prefer abdominal etching to look a fitter and more firm appearance.
  • A person is concerned with maintaining a proper diet and healthy exercise following abdominal etching surgery.
  • Healthy
  • Realize expectation
  • Non-smoking

Preparation for Six-Pack Surgery

  • Consult with a plastic surgeon who specializes in body sculpting, and then do physical check-ups, lab tests, chest x-rays
  • Stop smoking
  • Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements, as they can increase bleeding

Procedure for Six-Pack Surgery

  1. The operation is performed under general anesthesia.
  2.  the skin will contain fat at different levels and volumes in each body part. For Abdominal six-pack surgery, the operation area starts from under the breast down through the abdomen and thighs, which have two levels of fat: the middle layer (superficial layer) and the deep layer. The lower area contains more fat in the deep layer to compare above and below the navel. The surgeon will design and create the muscle line at the deep layer and make a curve at the superficial layer.
  3. Suture the incision

Post-operative Care for Six-Pack Surgery

  • It is usual for bloody fluid to drain on clothes and sheets for the first 24 to 72 hours after surgery. The liquid is put into the area before liposuction to make fat removal safest for you.
  • An abdominal compression garment should be worn at all times except during showering for at least one month. It can reduce swelling and speed up your recovery.
  • Try to resume your routine activities at home. The garment will also help to keep fluids moving in the body and reduce swelling.
  • You can shower 24-48 hours after surgery but must put the garment back on, which may be difficult. You can run soap and water over the areas without scrubbing. The surgical areas should be gently dry with a clean towel.
  • Avoid still (non-running) water for two weeks after surgery, including baths, swimming pools, hot tubs, lakes, oceans, etc.
  • Routine activity is not prohibited.
  • Exercise should start at around two weeks.
  • Follow up all appointments.
  • Take stitches off for seven days after surgery.

Risks and Complications from Six-Pack Surgery

  • Fibrosis: the thickening and scarring of tissue
  • Cellulite
  • Deformities
  • Asymmetries
  • Poor healing
  • Swelling
  • Pain
  • Bruising

Recovery from Six-Pack Surgery

Most patients return to work in 2-5 days after surgery. An abdominal compression garment has to be worn for 2-3 weeks, followed up each week. The six-pack definition of the abdomen will become more evident until the final results are achieved 2-3 months later.

How to achieve a beautiful Six-Pack surgically?

Here is a general overview of the surgical procedure for abdominal etching:

  1. Consultation: A consultation with a plastic surgeon is the first step in the process. The surgeon will evaluate your current physical condition and discuss your expectations for the surgery.
  2. Liposuction: The surgeon will use liposuction to remove excess fat from the abdominal area.
  3. Sculpting: Once the fat has been removed, the surgeon will use a scalpel to make precise incisions in the muscle to create the appearance of a six-pack.
  4. Recovery: After the surgery, you will need to take time to recover. You will be given specific instructions for post-operative care, including taking medication to manage pain, avoiding certain activities, and wearing a compression garment to help reduce swelling.
  5. Follow-up: You will need to follow up with your surgeon to monitor your recovery and ensure satisfactory results.
Body Lift

Body Lift Surgery in Bangkok, Thailand

Body Lift is a plastic surgery to reduce excess skin, fat, and other tissues that linger after substantial weight loss. Depending on the location of the surplus skin, the lift improves the shape and tone of the underlying tissue that supports skin and fat. Excess sagging skin and fat are removed, and the procedures can improve the dimpled, irregular skin surface.

Body Lift can be performed in these areas

  • Abdominal area – the local or extended area around the sides and into the lower back area
  • Buttocks
  • Thigh – the inner, outer, or posterior thigh or the thigh’s circumference
  • Underarm
          Aging, sun damage, pregnancy, significant fluctuations in weight, and genetic factors may contribute to reduced tissue elasticity, resulting in sagging of the abdomen, buttocks, and thighs.
Body lifts are not intended strictly to remove excess fat. Liposuction alone can remove excess fat deposits, giving the skin good elasticity and conform to new body contours. In cases where skin elasticity is reduced, body lift techniques and liposuction may be recommended.

Truncal Body Lift

Belt lipectomy, or truncal body lift, is the circumferential removal of loose, hanging skin and fat from around an individual’s waist or “belt” line. It could be considered an extensive tummy tuck that continues around the sides to remove the loose “love handle” skin that continues onto the lower back.

A Good Candidate for Body Lift

Those with significant soft tissue looseness in one or multiple body areas include

  • You have undergone bariatric surgery or  too much weight loss
  • You have skin laxity, excess skin, sagging of the bullock and abdominal wall
  • You have to accept a circumferential scar around your waist
  • Your weight has been stable for at least 1 year
  • Healthy
  • You have a realistic expectation and positive attitude for the body lift
  • Nonsmokers
  • You have a healthy diet, such as protein deficiency problems can interfere with healing.

Preparing for Body Lift Surgery

  1. Consult the surgeon and get the lab test to evaluate the physical health of underlying general anesthesia.
  2. Take certain medications or adjust your current medication.
  3. Stop smoking
  4. Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements, as they can increase bleeding.

Body Lift Procedure

  1. Step for under general anesthesia
  2. The surgeon marks the incision site in the area required to remove the excess fat and skin. Many parts of the body involve body lifts, including the abdominal area around the sides and into the lower back area. They will mark the incision by hiding the scar, such as in the bikini line or bra line or in clothing or swimsuits.
  3. The surgeon opens the incision and removes excess fat and skin as much as possible, then repositions, reshapes, and tightens the tissues around the area.
  4. Close the incisions; the deep suture will support the new shape using the absorbable suture, and the skin will be fixed by absorbable sutures. And the incision skin stitches.

Post-operative Care for Body Lift

After the procedure, most patients stay in the hospital for several days.

  • Wearing compression garments after surgery for at least 6-8 weeks to support your body and decrease swelling. In some cases, they will need to wear leg stockings and have heparin injections to prevent DVT
  • Sleep with the torso slightly elevated to control bruising and swelling.
  • During the day following the surgery, you might slightly move your body or get out of bed to walk to prevent DVT.
  • Avoid heavy lifting, strenuous exercise, swimming, and strenuous sports for at least six weeks
  • Wear some comfortable clothes that are easy to remove.
  • You have to follow up on all the appointments.
  • Take stitches off seven days following surgery.
  • Keep clean and dry the incision wound.

Risks and Complications of Body Lift Surgery include

  • Anesthesia risks
  • Bleeding (hematoma)
  • Infection
  • Poor wound healing
  • Fluid accumulation (blood or serum)
  • Numbness or other changes in skin sensation
  • fat necrosis
  • Pain
  • Recurrent looseness of skin
  • Persistent swelling in the legs
  • Asymmetries
  • Deep vein thrombosis, cardiac and pulmonary complications
  • The possible need for revision surgery
  • Skin loss as sutures may spontaneously surface through the skin and become visible or cause irritation. This requires removal
  • Unfavorable scarring

Recovery from Body Lift Surgery

You will feel discomfort for a few weeks, including bruising, swelling, and numbness around the incision. Full circumferential incisions may take four weeks or more. You can return to work for a few weeks and avoid strenuous exercise for at least 6-8 weeks. The scars will be permanent and fade in a year but can be hidden by clothing.

Does Body Lift obliterate the fat?

A body lift is designed to remove excess skin and fat from the lower and middle portions of the body, such as the abdomen, hips, thighs, and buttocks. However, it is not meant to be a weight loss procedure and will not remove all of the fat from these areas. Liposuction, often performed in conjunction with a body lift, can help remove excess fat, but it is not a substitute for weight loss and healthy eating.

It’s important to note that body lift is a procedure to reshape and contour the body by removing excess skin, not to remove all the fat. The best candidates for body lift are those who have lost significant weight and have excess skin that cannot be corrected with diet and exercise alone. It’s important to have realistic expectations and understand that body lift is not a weight loss but a body contouring procedure.

What is a Full 360 Body Lift?

A full 360-degree body lift, also known as a circumferential body lift, is a surgical procedure that involves removing excess skin and fat from the entire circumference of the lower body. This includes the abdomen, hips, thighs, buttocks, and even the upper thighs, back, and waist. This procedure is typically performed after significant weight loss and is designed to remove excess skin and fat and contour the entire body.

The surgery is typically performed under general anesthesia and may take several hours to complete, depending on the extent of the procedure. The incision is typically made around the waistline, removing excess skin and fat. The remaining skin is then tightened and repositioned to create a smoother, more toned appearance.

Recovery time for a full 360 body lift can be longer than for a traditional body lift. Patients should expect to take several weeks off from work to allow time for recovery. They must follow strict post-operative instructions to ensure a safe and successful recovery.

How long does it take to recover from a Body Lift?

Recovery time after a body lift can vary depending on the extent of the procedures performed and the individual’s health and healing abilities. Generally, patients can expect to take a few weeks from work to allow time for recovery.

  • During the first few days following the surgery, patients may experience pain, swelling, and discomfort. They will be given pain medication to help manage these symptoms.
  • Stitches will be removed within 7-10 days after the surgery.
  • It is important to Avoid strenuous activities and keep the incision areas clean and dry for the first few weeks after the surgery is important.
  • Swelling and bruising will gradually subside over the course of several weeks.
  • Most patients can return to work and other normal activities within 2-4 weeks after the surgery.
  • Patients are advised to avoid strenuous physical activity for a few weeks after the surgery and to wear a compression garment to help minimize swelling and support the newly contoured areas of the body.
  • The final result of the surgery can be seen after 6-12 months, as the healing process is complete and the swelling subsides.

Following the surgeon’s post-operative instructions is important to ensure a safe and successful recovery.

What are the procedures included in Body Lift?

A body lift typically includes the following procedures:

  1. Abdominoplasty (Tummy tuck): This procedure involves removing excess skin and fat from the abdomen and tightening the abdominal muscles.
  2. Liposuction: This procedure involves using a hollow stainless steel tube (cannula) and a powerful suction device to remove excess fat from specific body areas.
  3. Belt lipectomy or Lower body lift: This procedure involves removing excess skin and fat from the hips, thighs, and buttocks and tightening the underlying muscles.
  4. Medial thigh lift: This procedure involves removing excess skin and fat from the inner thighs and tightening the underlying muscles.
  5. Arm lift (Brachioplasty): This procedure involves removing excess skin and fat from the upper arms and tightening the underlying muscles.
  6. Breast lift (Mastopexy): This procedure is done to lift and reshape the breasts.

Depending on the patient’s need, these procedures can be done individually or combined.

Body Contouring / Lipectomy

Body Contouring Surgery / Lipectomy in Bangkok, Thailand

Body contouring surgery includes many different body sculpting techniques plastic surgeons use to reshape almost any area of the body. Through body sculpting surgery, patients can effectively eliminate excess fat and skin that is unresponsive to diet and exercise. Read on to learn more about the different types of body contouring plastic surgery procedures currently available.  Body contouring can improve the shape and proportion of your body, enhancing your appearance and boosting your self-confidence. Plastic surgeons employ various body sculpting techniques to help their patients achieve lean, toned figures, including liposuction, tummy tuck, and body lift surgery.

Arms lift (Brachioplasty)

Brachioplasty, commonly referred to as an arm lift, is a procedure used to remove excess skin in the upper arm. Skin commonly loses its elasticity throughout the arms due to natural aging or rapid weight loss. Arm lift surgery tightens and contouring the upper arms can restore a youthful contour. Patients with excess fat on their arms may elect to have liposuction performed in conjunction with other cosmetic procedures for even more dramatic results. Many patients who had previously been fearful of wearing revealing clothing or raising their arms over their heads reported increased self-confidence after the procedure.

Body Lift

Patients with extensive amounts of excess or hanging skin in multiple areas of the body may benefit from a more inclusive and larger-scale body lift procedure. The extensive body lift procedures can target the entire body (a total body lift) or specific regions (upper, mid, or lower body lifts). Total body lifting is helpful in patients who have lost skin elasticity all over their bodies. Although full-body lift surgery is complex and requires an extended recovery period, doctors can often achieve the best overall aesthetic results with this treatment.

Butt Implants

Buttock augmentation involves the insertion of butt implants to enhance the shape, size, and appearance of the rear end. Butt implants can be used to add curves and definition to the buttocks in women and men alike. Some butt implant patients feel their buttocks lack shape, while others want to have a more sensual rear end by making it fuller or more prominent.

Buttocks Lift Surgery

Buttock lift surgery, also called “Brazilian butt lift surgery,” is an increasingly common plastic surgery technique intended to firm and enhance a patient’s rear end. Like other body lifts, butt lift surgery helps remove excess skin while toning and tightening the remaining skin. In the Brazilian butt lift, a patient’s butt is enhanced using purified fat cells from elsewhere in the body. Patients achieve a rounder, fuller, firmer buttock using their own tissue and without the need for butt implants. Butt lift surgery is both safe and effective while providing patients with long-lasting, beautiful results. Many butts lift patients report increased self-confidence after the procedure.

Calf Implants

Calf augmentation through the insertion of implants is an excellent option for patients dissatisfied with the shape or size of their calf muscles. Men and women often choose to undergo calf augmentation for many different reasons. Men, more often than not, want to emphasize bulk and muscle, while women typically seek balance and proportionality.

Liposuction

Liposuction is the most popular method of body contouring surgery because it allows the surgeon to re-sculpt specific body areas. Using only a few tiny incisions, your surgeon can target stubborn fat deposits and permanently remove fat cells from the area. There are many different methods of liposuction. You and your surgeon will discuss which technique is right for you.

Thigh Lift

Thighplasty, or thigh lift surgery, is a popular cosmetic surgery option for patients seeking firmer, more attractive upper legs. Like other area-specific body lifts, Thighplasty helps tone and tighten excess, loose, or hanging skin. Several different types of thigh lift procedures may be performed, depending on the patient’s needs and goals. Surgeons can use a bilateral, medial, or inner thigh lift to remove excess skin safely. Thigh lift surgery is commonly performed with liposuction surgery for even better results.

Tummy Tuck (Abdominoplasty)

The tummy tuck, or abdominoplasty, is a unique body sculpting surgery that combines the removal of excess skin and fat from the midsection with the surgical tightening of the abdominal muscles. Abdominoplasty is typically offered as an individual procedure but may also be performed during full-body lift surgery.

Areas of the body with unwanted fat, excess skin, and cellulite can be effectively treated with various surgical body sculpting techniques and cellulite reduction treatment options. For those who struggle with a combination of excess skin and fat, removal through surgery is an excellent choice. Learn more about plastic surgery procedures and skin treatments that can help tone, slim, and smooth your figure.

Excess Skin

Whether excess skin is the result of pregnancy, dramatic weight loss, or aging, excess skin and fat removal surgery are specifically designed to target your problem areas. Abdominoplasty, or tummy tuck, is a surgical procedure in which excess skin and fat are removed from the midsection, and the underlying abdominal muscles are tightened to slenderize the waistline. Other, more extensive procedures, such as total and lower-body lifts, trim excess skin and fat along the thighs, hips, buttocks, and waist. More localized lift procedures such as an arm lift, thigh lift, butt lift, and breast lift are less intensive procedures that focus on excess skin and fat removal from one specific area of the body.

What are the benefits of Body Contouring?

Body contouring can provide several benefits, including:

  1. Improved body shape and contour: Body contouring procedures can help to reshape and sculpt the body, giving it a more toned and defined appearance.
  2. Increased confidence: Many individuals who undergo body contouring report increased self-confidence and self-esteem due to their improved body shape.
  3. Removal of excess fat and skin: Body contouring procedures can help to remove excess fat and skin from specific areas of the body, such as the stomach, thighs, and arms. This can help to improve the overall appearance of the body and can also help to reduce the risk of certain health conditions associated with excess fat, such as diabetes and heart disease.
  4. Clothes fit better: After contouring, clothes may fit better and look more flattering on the individual as the body’s shape is improved.

Improved posture: Body contouring procedures can help to improve posture by tightening and strengthening the underlying muscles. This can help to reduce pain and discomfort in the back, neck, and shoulders.

What is Body Contouring and what does it mean?

Body contouring refers to a group of cosmetic procedures that aim to reshape and sculpt the body. These procedures can target specific areas of the body, such as the stomach, thighs, arms, and buttocks, and are designed to remove excess fat, tighten loose skin, and enhance the shape of the body.

Plastic surgeons typically perform body contouring procedures, which can be done outpatient. Recovery times vary depending on the procedure, and patients may experience swelling, bruising, and discomfort.

It’s important to note that body contouring procedures are not a substitute for weight loss and are not recommended for individuals who are significantly overweight or obese. It’s also important to consult with a qualified plastic surgeon to ensure that you are a good candidate for the procedure and have realistic expectations of the results.

Liposuction

Liposuction in Bangkok, Thailand

Liposuction is a surgical procedure to remove fat from the fat layer in areas such as the abdomen, arms, thighs, back, buttocks, and face to improve their shape. Liposuction can be done with other cosmetic procedures like a facelift, breast reduction, buttock lift, or tummy tuck.

Liposuction is not a weight-reducing procedure. This surgery will remove some of the fat beneath your skin, but it will not remove the fat inside your abdomen.

Liposuction Technology

There are a few different liposuction techniques depending on the technology of the liposuction machine. The basic liposuction machine has a variety of suction tubes called “cannulas” connected to the vacuum machine.  Kamol Cosmetic Hospital offers a variety of liposuction technologies as follows;

1. Power Assisted Liposuction (PAL)

PAL (Power-Assisted Liposuction) is a machine that uses a liposuction cannula that rapidly vibrates to help break up fatty tissue as it is removed from the body. It allows for a slightly more gentle technique than traditional liposuction, which is especially helpful in dense fatty tissue areas.

PAL Benefits:

Doctors do not need to use as much force during power-assisted liposuction because the vibrating cannula helps release fat cells from the body. In a study led by the Department of Dermatology at Tulane University Health Sciences Center, researchers found that 30 percent more fat was removed with PAL than with manual liposuction while bruising and recovery time were significantly reduced. This technique makes PAL helpful in treating unsuitable areas for sculpting, including the inner thighs, belly button area, and male breasts. Because the power-assisted liposuction procedure takes less time than manual liposuction, patients are less susceptible to complications and safety risks. Patients report many long-term benefits of fat removal with liposuction.

2. Liposuction with VASER ®

Vaser® is a liposuction machine that uses ultrasound to emulsify fat before suction removes it.

3. Another Technology for Liposuction

Laser lipo or intelligent lipo is a laser lipolysis machine that uses a laser to emulsify fat and remove it by suction. Smartlipo can produce some skin tightening from the laser. Radiofrequency-assisted liposuction (RFAL) uses radiofrequency to melt the fat and remove it by vacuum.

Liposuction can be done under general and local anesthesia, depending on the amount of fat needed to remove. It is an effective way to eliminate or reduce unwanted fat. The areas that can be treated with liposuction include:

  • Thigh
  • Buttock
  • Hips
  • Abdomen
  • Neck and jowls
  • Arms
  • Back
  • Waists
  • Calves

A good candidate for Liposuction

  1. Adults within 30% of their ideal weight who have firm, elastic skin and right muscle tone
  2. Healthy
  3. Nonsmokers
  4. A realistic expectation for body contouring
  5. A person who has firm, elastic skin and right muscle tone

Preparation for Liposuction

  • Consult with the surgeon about your goal, then have a physical examination, lab test, and chest X-ray and adjust your current medication to confirm that you are available for surgery.
  • Stop smoking
  • Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements, as they can increase bleeding

Procedures for Liposuction

  1. Step for anesthesia: we offer sedation or general anesthesia.
  2.  After anesthesia, the incision will be around 1 cm. The number of incisions depends on the number of areas being operated. A tumescent solution will be put in the operational areas. Traditional liposuction utilizes a hollow tube to remove the fat, and the Laser and Ultrasonic Technique uses a laser or ultrasonic energy to dissolve that fat before it is removed.
  3. Close the incision by suture.

Post-operative Care for Liposuction

  • It is usual for bloody fluid to drain on clothes and sheets for the first 24 to 72 hours after surgery. The liquid is put into the area before liposuction to make fat removal safest.
  • A compression garment should be worn at all times except during showering. Compression garments reduce swelling and speed up your recovery. Your plastic surgeon will tell you when you can stop wearing the compression garment.
  • Try to resume your routine activities at home. Light activities will also help keep fluids moving in the body and reduce swelling.
  • You can shower 24-48 hours after surgery, but you need to put the garment back on, which may be difficult. Make sure you have someone to help you. When showering, you can run soap and water over the areas without scrubbing. The surgical area should be gently dried with a clean towel.
  •  Avoid still (non-running) water for two weeks after surgery. Don’t let the wound get wet, including baths, swimming pools, hot tubs, lakes, oceans, etc.
  • Postoperative massage to remove the seroma from the lymphatic system.
  • Routine activity is not prohibited.
  • Exercise should start at around two weeks.
  • Follow up all appointments.
  • Take stitches off for seven days after surgery.

Common Complications Found in the Post-operative

Early complications

  • Seroma Treatment: Seroma treatment is a Full-Widthmedical competence
    • Drainage with a syringe,
      – Placement of drain,
      – Placement of substances like tetracycline to induce sclerosis,
      – Revisional surgery to remove the seroma capsule
  • Thromboembolism: Pulmonary Thromboembolism ( PTE ) is a clinical-pathological situation triggered by pulmonary artery obstruction. It is a defect of oxygen in the lungs. It is important to keep track of a patient’s vital signs and oxygen saturation.
  •  Infection: It is detected by fever, chills, pain.
  •  Anemia: This happens in these cases due to loss of blood combined with liposuction fat.
  •  Hematoma: a collection of blood caused by broken blood vessels.
  •  Fat embolism: the blockage of a blood vessel by an embolus fat.
  •  Laceration of the skin

Late Complications for Liposuction

  1. Fibrosis: the thickening and scarring of tissue
  2. Cellulite
  3. Deformities
  4. Asymmetries
  5. Poor healing

Liposuction: Contour Your Shape and Boost Your Confidence

Liposuction, also known as lipoplasty, is a cosmetic procedure that is designed to remove unwanted fat from specific areas of the body. It is a popular procedure for individuals who are looking to contour their shape and boost their confidence.

The procedure is performed under general anesthesia and typically involves making small incisions in the targeted areas. A thin tube, called a cannula, is then inserted through the incisions and used to suction out the unwanted fat. Liposuction can be performed on a variety of areas of the body, including the stomach, hips, thighs, buttocks, arms, and neck.

One of the main benefits of liposuction is that it can help to contour the body and create a more attractive shape. This can be particularly beneficial for individuals who are unhappy with certain areas of their body, such as a “muffin top” or “saddlebags.” Liposuction can also help to boost confidence, as individuals may feel more comfortable and self-assured in their appearance; it can also be used in combination with other cosmetic procedures, such as a tummy tuck or breast reduction. This can help to enhance the overall results further and provide a more comprehensive transformation.

Does Liposuction have side effects, and what are they?

Yes, liposuction does have some potential side effects. Some of the most common side effects include:

  • Bruising and swelling: Bruising and swelling are common after liposuction, as the body heals from the incisions and fat removal. These side effects should subside within a few weeks.
  • Pain and discomfort: Some individuals may experience pain and discomfort in the treated areas, which can usually be managed with over-the-counter pain medications.
  • Numbness and tingling: Numbness and tingling are common after liposuction, as the nerves in the treated areas may be temporarily damaged. This side effect should resolve on its own within a few weeks.
  • Infection: As with any surgical procedure, there is a risk of infection. This risk can be minimized by following the surgeon’s instructions for post-operative care and by keeping the incision sites clean.
  • Asymmetry: In some cases, the results of liposuction may not be symmetrical and might not be as per the expectation.
  • Changes in skin sensation: Some individuals may experience changes in skin sensation, such as itching or burning, in the treated areas. This side effect is usually temporary and should resolve on its own.
  • Reaccumulation of fat: Liposuction is not a weight loss procedure, and if the patient doesn’t maintain a healthy lifestyle, the fat can reaccumulate in the treated areas.

It’s important to remember that these side effects are typically temporary and will resolve on their own over time. It’s also important to follow your surgeon’s post-operative care instructions to minimize the risk of complications and ensure optimal healing.

Bariatric Surgery

Bariatric Surgery in Bangkok, Thailand

Modern lifestyle can be complicated, especially when it comes to eating right and living healthily. More and more we are faced with genetically modified food or fast food with inadequate nutrition and a busy, hectic lifestyle with not enough exercise. The problems that follow, among many health issues, are obesity such as diabetes, hypertension, coronary heart disease, and high cholesterol.
BMI or body mass index is an indication of obesity, calculated from weight and height in order to determine the balance between weight to height. BMI can be calculated by the body weight (kg) divided by the square of their height (m), the results can be interpreted as follows.
– Underweight: less than 18.5 (<18.5).
– Ideal: greater than or equal to 18.5 but less than 25 (≥18.5 but <25).
– Overweight: greater than or equal to 25 but less than 30 (≥25 but <30).
– Obese: greater than or equal to 30 but less than 40 (≥30 but <40).
– Risk: greater than or equal to 40 (≥40).

​(https://en.wikipedia.org/wiki/Body_mass_index)

Guidelines to treat obesity

1. Diet plans and exercise
2. Treatment with medication
3. Treat with medicine
4. Surgery

Diet plans and exercise

To safely and effectively treat obesity, healthy, low-carb and low-sugar diet should be incorporated in the patient’s lifestyle along with exercise sessions no less than 4 times a week. To achieve desirable result, each exercise session should also include at least 30 minutes of cardio workout, i.e. running, cycling or swimming, as it helps burn fat. If your BMI is higher than 30 and you have risk factors, please consult with your doctor.

Treatment with medication

For those with BMI of 30 or higher, treatment with medication can be administered with close supervision of a specialist doctor. This treatment plan is also suitable for those with 27 or higher BMI with risk factors involved.

Bariatric Surgery

1. Gastric Sleeve (Sleeve Gastrectomy)

Procedure:

Today sleeve gastrectomy is the fastest-growing weight-loss surgery option in North America and Asia. In many cases, but not all, sleeve gastrectomy is as effective as gastric bypass surgery, including weight-independent benefits on glucose homeostasis. The precise mechanism(s) that produce these benefits is however not known.

(https://en.wikipedia.org/wiki/Gastric_bypass_surgery)

Advantages:  This is the best way to lose weight. Diabetes, heart disease, high blood pressure and high blood cholesterol could also be cured with this procedure.
Disadvantages:  Calcium, iron and vitamin deficiency might occur. There is a risk of bone erosion and anemia.

At Kamol Cosmetic Hospital, we use the minimal invasive surgery or laparoscopy which only causes small lesions on the abdomen.

(http://www.nuffieldhealth.com/treatments/sleeve-gastrectomy)

Preparations for Bariatric Surgery

A list of specialists to consult with before the surgery

1. Nutritionists
They can set up new diet plans and determine how much food should the patient consume after surgery, and how to lose weight before surgery.
2. Psychologists
Help manage and reduce stress before and after surgery.
3. Physicians specializing in obesity
Doctors of medicine closely monitor health conditions of the patient. They may offer counseling or medication for weight loss before the surgery.
4. Expert surgeons doing surgeries on obese patients
Surgery can be performed in specific cases. However, there are advantages and disadvantages to this surgery and the patient has rights to inquire before deciding to receive the surgery.

For consultation and practice

– The nutritional therapy to explain how much client should eat after surgery. And how to lose weight before surgery.
– Psychologists help in reducing the stress that may be more in the before – after surgery.
– Doctors of Medicine need to monitor health counseling therapy. Counseling or medication to lose some weight before the surgery.
– Medical-surgical alternative for patients that describes the procedures for each type has its advantages. The downside, however, the patient will be considered to have any right to them.

Complications:

– Bleeding
– Infections
– Outflow tract (tears in the bowels
– Follow-up or corrective surgeries

Postoperative complications may include blood clots from pulmonary disease, pneumonia or urinary tract infection, which are similar to any surgery. However, complications may occur less if the surgery is performed in a hospital or a medical center with team of expert doctors, especially anesthesiologists with expertise in handling obese patients. Post-surgery, proper equipment and care must be provided to monitor the patient, including teams of nurses and specially trained caregivers.

Why is weight loss surgery good?

With less weight and obesity, a person has lower health risks that include diabetes, hypertension, heart disease, cancer, sleep apnea among many others. Also, people with less obesity requires less expenses to care for their health

What happens after the surgery?

– Patients must be admitted in a hospital for three days to make sure that there are no complications and can function without taking analgesic.
– Exercise as soon as they feel better with exercise program designed specifically for them.
– Adopt new diet plan designed by nutritionist for at least one month.

2. Gastric Balloon

The gastric balloon is an effective solution to severe obesity. It is recommended for patients that need to lose weight before having a weight-loss operation to reduce their surgical risk.

A deflated balloon is placed through the mouth and esophagus, then filled with liquid, which is designed to partially fill your stomach, giving you a feeling of fullness. This will help you change your eating pattern, reduce the volume of food eaten and making you feel full quicker. The balloon is designed to stay in place for a maximum of six months, after which it must be removed in a similar way it was inserted.

How is the balloon inserted?

In the treatment room, your throat will be sprayed with a numbing spray. It tastes unpleasant but it is very effective and within a few seconds, your throat will feel numb. Although this is quite a strange feeling, it is harmless and will help you tolerate the gastroscopy tube (camera). If you have false teeth, you will need to remove them. You may also be able to have an injection to make you feel sleepy if you wish, but this will be discussed with you.

Once the nurse has made you comfortable on the trolley, a plastic mouth guard will be put between your teeth and gums to keep your mouth slightly open. Throughout the procedure your pulse, blood pressure, breathing, and oxygen levels will be monitored, and a small sponge may be placed into one nostril to provide you with a little oxygen. This is completely routine and there is nothing to worry about.

An endoscope will then be passed through your mouth and down into your stomach. This will not cause you any pain and will not interfere with your breathing. In order to have a clear view of your stomach, it may be necessary to put some air down the endoscope. This may give you the feeling of wanting to belch. Once the endoscope has been removed, the surgeon will pass the deflated balloon through your mouth and down into your stomach. The endoscope will be reintroduced to check that the balloon is in the right position before inflating it with liquid.

Pre-procedure diet for Gastric Balloon

Before insertion of the gastric balloon, you must fast from food and drinks for 12 hours. When the gastric balloon is to be removed, you must start on a fluid-only diet 48 hours beforehand. This means no solid food at all. At this point, it may be helpful to have some fizzy drinks, as they can help cleanse the balloon, making it easier to remove. You must fast 12 hours before the balloon is due to be removed. This means no food or drinks.

What diet will I follow once I have had the balloon inserted?

For the first week, you will need to follow a fluid-only diet. This allows the stomach to get used to the balloon. You need to drink plenty of fluid to prevent dehydration.

The key points are:
•  Drink slowly, sip at drinks
•  Do not drink more than 100ml at once
•  Drink about 2 liters (8 cups) a day.

The best fluids are low-fat or low-sugar varieties. These include semi-skimmed or skimmed milk, low-fat yogurt drinks, and soup with no lumps. Coffee and fizzy drinks must be avoided.

Over the following week, you will progress onto a pureed diet, followed by a soft, mushy diet, building up finally to a normal diet. You will see the dietitian one week after the balloon insertion to discuss the stages. Also, your long-term plan will be discussed at this appointment.

If you suffer from diabetes, you may need to monitor and record your blood sugar levels very closely, as a change in your medication may be required.

What are the benefits of having a Gastric Balloon?

Having a gastric balloon helps you to achieve short-term weight loss. It also helps to reduce health-related problems such as:
•  Diabetes
•  High blood pressure
•  Heart disease
•  Joint pain
•  High cholesterol

Risks and Complications for Gastric Balloon

Most people have a few problems during and after the procedure. However, sometimes there may be complications or difficulties, such as:

• Bleeding or perforation due to injury during insertion or removal of the balloon, requiring surgical correction.
• Low blood oxygen levels or irregular heartbeat (occasionally, this is serious enough to cause a heart attack). Your oxygen level and pulse will be monitored throughout the procedure so that we can watch out for these problems.
• There is a slight risk to crowned teeth or bridgework. The risk can be reduced by telling us if you have either of these.
• Bowel blockage by the balloon, when a partially deflated balloon passes into the small bowel. This is extremely rare, but if it occurs, it needs to be removed during an operation or an endoscopic procedure.
• A blue dye is added to the saline injected into the balloon so that in the rare event that the balloon was to leak, you would know immediately by the change in color of your urine. If this happens, you should contact the hospital immediately so the balloon can be safely removed.
• Stomach discomfort, nausea, and vomiting are common for the first week following the balloon placement, but this rarely continues after this time.
• Feeling of heaviness in the abdomen or abdominal or back pain
• Acid reflux and indigestion (you will be prescribed medication to reduce your stomach acid production while the balloon is in place)
• Very rarely do patients develop a chest infection after the procedure. If you develop a cough, contact your doctor.

The chance of these risks occurring is small, but it is important that you are aware of them and that you have all the information you need before agreeing to the procedure.

What happens before the procedure?

If the gastric balloon procedure is safe and suitable for you, you will be asked to attend the hospital for a pre-procedure assessment. At this appointment, we will ask you questions about your medical history, medication, and any other operations you may have had. You may need to undergo some routine tests, such as a heart trace (ECG), X-ray, and blood tests.

What happens on admission to the hospital?

You will come to the hospital on the morning of your procedure unless told otherwise. On admission, the doctors and nurses will answer any further questions you may have. A nurse will check that there have been no significant changes in your health since your pre-assessment, and your temperature, pulse, blood pressure, and breathing will all be recorded. Before your procedure, you will be asked to wear a gown. You will also be asked to wear compression stockings (anti-embolic). They help blood flow in the deep veins in the legs, reducing the risk of developing blood clots. You will need to wear these for approximately six weeks after your procedure. You will be asked to walk to the procedure room.

Will I be put to sleep?

A numbing throat spray will be used before the procedure. Alternatively, medication may be given through a tube in your arm or hand, making you sleepy. You should still be able to hear what is being said and cooperate with verbal instructions, but later, you may have little or no recall of the procedure.

What can I expect after the procedure?

From the procedure room, you will be transferred to the ward. The nursing staff will check your pulse, blood pressure, temperature, and breathing. You may have a sore throat as a result of the endoscopic equipment. If you have had some sedation, you may feel sleepy for a while, and you may be given oxygen through two little prongs in your nose until you are fully awake. You will be encouraged to get up and move around soon after your procedure. This is to reduce the risk of developing a blood clot.

Will I feel sick?

Many people feel sick and vomit after the procedure and for some time afterward. You will be prescribed anti-sickness medication, which are drugs to help relieve the nausea and vomiting. The sickness should settle once your stomach has become used to the presence of the balloon.

Will I be in pain?

You may feel heaviness in your abdomen and pain in your abdomen and back. You will be prescribed painkillers to help relieve this.

When will I be able to go home?

Depending on how you feel, you can usually go home on the day of or the day after your procedure. However, you must have someone responsible to take you home because you may still be feeling the effects of sedation. We also advise that someone stay with you for 24 hours.

What will follow-up care be?

Approximately one week after going home, you will be sent an appointment to see the outpatient department’s dietitian and nurse specialist. You will also be given the phone numbers of the specialist nurse and dietitian to contact for any advice you may need at other times. Six months after insertion, when your balloon is ready to be removed, the hospital will make arrangements and send you an appointment.

  1. Ref: Doncaster and Bassetlaw Hospitals NHS Foundation Trust. (2012). Gastric Balloon procedures. Bariatric surgery

Why is sleeve gastrectomy considered for weight loss?

Sleeve gastrectomy, also known as a vertical sleeve gastrectomy, is a weight loss surgery that involves removing a large portion of the stomach, leaving a smaller “sleeve” shaped stomach. This smaller stomach can hold less food, so patients feel full more quickly and eat less. The procedure is typically performed laparoscopically, which is less invasive than open surgery and has a faster recovery time.

One key benefit of sleeve gastrectomy is that it can lead to significant weight loss. On average, patients can expect to lose 50-70% of their excess weight within the first year after surgery. Weight loss is also more stable and long-lasting than other weight loss options such as diet and exercise.

Sleeve gastrectomy also leads to hormonal changes that promote weight loss. Ghrelin, known as the “hunger hormone,” is produced in the stomach. Ghrelin levels decrease after sleeve gastrectomy, leading to a reduction in hunger and cravings.

While sleeve gastrectomy is considered less invasive and has a lower risk of complications compared to other weight loss surgeries, such as gastric bypass, it is still a major surgery and should be approached cautiously. As with any surgery, there are risks such as bleeding, infection, and blood clots.

It is important to note that weight loss surgery should be considered as a last resort after all other options have been exhausted. Patients should also be under the close supervision of a medical professional and have a comprehensive evaluation before surgery to ensure they are appropriate candidates. Additionally, patients must make significant lifestyle changes, including regular exercise, healthy eating, and follow-up with their medical team to ensure the best outcome.

Arm Lift

Upper Arm Lift, Arm Lift in Bangkok, Thailand

An Arm Lift is a cosmetic surgical procedure to improve the appearance of the under portion of your upper arms. During an arm lift — also known as Brachioplasty — excess skin and fat are removed from between the armpit and elbow.

A Good Candidate for Upper Arm Lift

  • A person who has significant upper arm skin laxity
  • A person whose weight is relatively stable and who is not significantly overweight
  • Healthy
  • Nonsmokers Individuals with a positive outlook and realistic expectations.

Preparing for Upper Arm Lift Surgery:

  • Consult with the surgeon about your goal
  • Blood test, physical examination, or a medical evaluation
  • Take certain medications or adjust your current medications
  • Stop smoking- Stop taking aspirin, anti-inflammatory drugs, and herbal supplements as they can increase bleeding

Upper Arm Lift procedure includes the following steps

  • The surgery is performed under general anesthesia
  • The incisions are generally placed under the upper arms, depending on the surgeon’s preference, extending from the underarm (axilla) to just above the elbow. Then, underlying supportive tissue is tightened and reshaped with internal sutures. Finally, the skin is smoothed over the new contour of your arm.

Post-operative Care for Arm Lift

During your recovery from arm lift surgery includes.

  • Dressings or bandages may be applied to your incisions, and your arms may be wrapped in an elastic bandage or a compression garment to minimize swelling following surgery.
  • Avoid your arm activities that might stretch the incisions for 1-2 months
  • Keep  the wound clean and dry
  • Take stitches off seven days after surgery
  • Follow all post-operative instruction and attend all the appointments.
  • A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid. Your incisions will be closed either with absorbable sutures, stitches that will be removed within one following your arm lift.

Risks and Complications from Arm Lift

  • Scaring
  • Bleeding
  • Infection
  • Poor wound healing
  • Unsightly scarring
  • Fluid accumulation (seroma)- Damage to deeper structures such as nerves, blood vessels, and muscles
  • The fatty tissue under the skin might die (fat necrosis)
  • Numbness or other changes in skin sensation
  • Pain, which may persist
  • Anesthesia risk
  • The possible need for revision surgery

Recovery from Arm Lift Surgery

During recovery, need bandage support for your upper arm for 4-8 weeks to decrease swelling. You will have bruising, swelling, and numbness that will be gone in several weeks. You can return to work one week after surgery. But don’t lift or make stretch your arms for 4-8 weeks.

Before & After for Arm Lift Surgery

What are the risks associated with the Arm Lift procedure?

An arm lift, like any surgical procedure, carries certain risks. Some possible risks and complications include:

  1. Infection: Any surgical procedure carries a risk of infection. This can be minimized by following your surgeon’s post-operative instructions and by keeping the incision site clean and dry.
  2. Hematoma or seroma: These are collections of blood or fluid that can occur under the skin after surgery. These can be treated with medication or by reopening the incision.
  3. Numbness or tingling: Numbness or tingling in the skin of the arm is a common temporary side effect of an arm lift.
  4. Scarring: Scars will be visible after the procedure, but they will typically fade over time.
  5. Blood clots: Blood clots can occur in the arms or lungs after any surgery, and in rare cases, can be fatal.
  6. Anesthesia risk: As with any surgical procedure that requires anesthesia, there is a risk of complications from the anesthesia
  7. Unsatisfying results: The surgery may not meet the patient’s expectations, either due to the patient’s unrealistic expectations or due to the surgeon’s technical issues.
  8. Asymmetry: Because everyone’s body is unique, it is possible that the final result may not be symmetrical, leading to dissatisfaction with the outcome.

It’s important to discuss these risks with your surgeon in advance, to understand the potential risks and to make an informed decision about whether or not to proceed with the surgery.

Buttock Augmentation

Brazilian Butt Lift (BBL) / Buttock Augmentation Bangkok Thailand

Most women want a perfect body, an hourglass figure with a small waist, large breasts, and a perfect butt. Beautiful buttocks are round and lifted with no stretch marks. For someone that has a little flat butt, buttock augmentation is a popular procedure to increase the volume of the gluteal.

Buttock augmentation is a surgical procedure to increase the volume or enhance the shape of the buttock. The plastic surgeon will enhance the buttocks with the choice of three popular procedures. Buttock augmentation can be performed using silicone implants or fat from another part of the patient’s body, known as fat transfer or fat grafting. These procedures are known to be safe and effective if carried out correctly.

Be aware that if a surgeon suggests that silicone or other materials are injected into the buttock, it is unsafe and illegal. This technique is dangerous for people who are injected with non-sterile appliances or products. The injected substances can move to other areas in your body, and compound to become hard granulomas or cause skin necrosis. This can be a life-threatening complication, as in worse-case scenarios, the materials injected into the blood vessels, like the embolus, will move to the heart and lungs, which can cause death.

The most popular types of Buttock Surgery include

  • Buttock Implants
  • Buttock Lifts
  • Buttock Augmentation

1. Buttock Implants

Implants are the most effective procedure to enhance the shape of the buttocks. The silicone implants are surgically placed into the buttocks and pass through the incision in between the butt cheeks. The buttock implants have been recommended as safe and effective for buttock enhancement. This procedure is most suitable for someone who has too little fat to borrow from another area of their body.

2. Buttock Augmentation

Augmentation by fat grafting is the most popular cosmetic surgery commonly called “Brazilian Butt Lift or BBL for short” The surgeon takes the excess fat from another area of the body, such as the abdomen, flanks, or thighs, and then injects it into the buttock to increase the volume. This method is sometimes combined with silicone implants to achieve the most natural look possible.

3. Buttock Lift

A butt lift is one or multiple surgical procedures to lift sagging buttocks by implants, fat transfer, or removing the excess skin from the buttock. The incision is above the buttock cheeks, which can hide in the bikini backline.

A Good Candidate for Buttock Augmentation

  • A woman who recently lost weight and buttock shape
  • A woman who has too flat or sagging buttock
  • A woman who prefers more curved buttocks to balance her body shape
  • Non-smoke
  • Healthy

Preparation for Buttock Augmentation

  • Consult with a trusted plastic surgeon to achieve your goals, such as a physical examination, blood test, chest x-ray, and EKG if you are over 40 years old.
  • Stop smoking
  • Stop taking Aspirin or anti-inflammatories, herbs, and some vitamins that interfere with blood clotting.

Procedure for Buttock Augmentation

  • The surgeons place the patient on their stomach under general anesthesia
  • They make incisions where the crease of the buttock is. A pocket is created under the muscle of the buttocks, where the doctor shapes the implant to the patient’s body or inserts the fat tissue
  • Suture the incision

The procedure will take two to three hours.

Post-operative Care for Buttock Augmentation

  • Wear a compression garment to support the position of the implants and fat grafting and decrease swelling.
  • Lie on the stomach for at least one week, to keep the wound incision healing well, and prevent rupture. After that, lie on the side, left and right. You can lie on your back for the following two weeks after surgery to avoid incision wound separation from too much stress.
  • Keep clean and dry the wound in the crease of the buttocks.
  • Take a potent painkiller after surgery for at least five days.
  • After surgery, gently move and walk with care for a few days.
  • Eat soft food or jelly to prevent from sitting on the toilet following surgery for one week; when sitting on it, use one side of the buttock.
  • Don’t sit up as you normally would for at least two weeks.
  • Stitches are to be removed seven days after surgery.

Risks and Complications for Buttock Augmentation Surgery

Some of the most common side effects include;

  • Excessive bleeding after surgery
  • Pain: the patients may experience considerable pain during the recovery period.
  • Scarring
  • Skin discoloration
  • Infections are higher when incisions are made near the rectal area.
  • Swelling
  • Bruising
  • Allergic reactions
  • Side effects from anesthesia
  • It is possible for silicone implants to move and make asymmetry, which requires a second surgery to fix it
  • Fat grafting can lead to asymmetry due to fat absorption in the body. This effect from the procedure can be fixed.

Recovery from Buttock Augmentation

Patients must avoid sitting on the buttocks while healing from surgery. With so much stress regularly placed on this area, patients may experience considerable pain during the recovery period. Pain, bruising, and some discomfort may occur. Buttock implant patients cannot lie on their backs for about two weeks. Most surgeons recommend wearing a compression garment to hold down the swelling. Patients can go back to work after two weeks.

Thigh Lift

Thigh Lift Surgery in Bangkok, Thailand

A Thigh lift is a surgical procedure that removes excess skin and fat from the inner or outer thighs. This surgery is often desirable after extensive weight loss and when dieting or exercise fails to firm the loose skin. Liposuction may be used to adjust the contouring of the inner thigh. A thigh lift can help you regain the youthful thigh contours you desire if you are committed to maintaining a healthy lifestyle and moderate weight.

A Good Candidate for Thigh Lift

  • You have sagging or excess skin on your thighs.
  • Healthy
  • Realistic expectations can accept the incision scar of a thigh lift.
  • Nonsmoking

Preparation for Thigh Lift Surgery

  • Consult the surgeon about your goals with a physical examination, lab test, chest x-ray, and medical evaluation
  • Take certain medications or adjust your current medications as instructed by your surgeon
  • Stop smoking before and after surgery two weeks
  • Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements, as they can increase bleeding

Thigh Lift Procedure

  1. The surgery is performed under general anesthesia.
  2.  The surgeon marks the incisions to remove excess skin and fat. Depending on your desired amount, the incision may extend around the thigh or only part of the way around the inner thigh.
  3.  After the incision has been made, the surgeon elevates the skin and fat off the thighs’ underlying muscles, then removes excess skin and fat for reshaping the thighs. Drains may be placed beneath the incision.
  4.  The incisions are carefully closed in multiple layers of strong sutures to minimize your scar. The surgeon uses a technique in which the sutures are beneath the skin and absorbed by your body. The skin will be stitched.

Thigh lift operation takes approximately 4-5 hours.

Post-operative Care for Thigh Lift

  • Wear a compression garment to support the thighs and decrease swelling for at least 6-8 weeks
  • During the healing, you must up your knee between sleeping to reduce swelling.
  • A typical symptom will be experienced after the surgery, such as bruising, swelling, and some pain within a few weeks.
  • Take stitches off after surgery after seven days.
  • Follow up all appointments.
  • Avoid strenuous activity that interferes with the thighs to prevent the wound rupture. At least for six weeks.

Risks and Complications of Thigh Lift

  • Incision scars
  • The incision scar is long, and wound dressings are required daily to prevent infection.
  • Patients must wear compression garments 24 hours a day for at least one month. The compression garment helps support the legs during healing, decrease postoperative swelling, and prevent scarring.
  • Poor wound healing, maybe the wound rupture. The suture will occur again.
  • Fluid accumulation (seroma)
  • Damage the deeper structures such as nerves, blood vessels, and muscles
  • The fat and tissue necrosis.
  •  Numbness or decrease in the skin sensation
  •  Painful will occur after surgery.
  • Asymmetry.

Recovery from Thigh Lift Surgery

A sterile dressing is applied to the incisions every day, and a compression garment is worn on your thighs for at least one month. This compression garment helps support your legs during healing, decreases postoperative swelling, and helps reduce any bruising that may occur. You can return to work after surgery for one week but avoid strenuous activities for six weeks. The scars will be visible but can fade out for one year.

What are the risks associated with the Thigh Lift procedure?

A thigh lift, like any surgical procedure, carries certain risks. Some possible risks and complications include:

  1. Infection: Any surgical procedure carries a risk of infection. This can be minimized by following your surgeon’s post-operative instructions and keeping the incision site clean and dry.
  2. Hematoma or seroma: These are collections of blood or fluid that can occur under the skin after surgery. These can be treated with medication or by reopening the incision.
  3. Numbness or tingling: Numbness or tingling in the skin of the thigh is a common temporary side effect of a thigh lift.
  4. Scarring: Scars will be visible after the procedure but typically fade over time.
  5. Blood clots: Blood clots can occur in the legs or lungs after any surgery and, in rare cases, can be fatal.
  6. Anesthesia risk: As with any surgical procedure that requires anesthesia, there is a risk of complications from the anesthesia
  7. Unsatisfying results: The surgery may not meet the patient’s expectations, either because of the patient’s unrealistic expectations or because of the surgeon’s technical issues.
  8. Asymmetry: Because everyone’s body is unique, the final result may need to be symmetrical, leading to dissatisfaction with the outcome.

It’s important to talk about these risks with your surgeon beforehand, understand the potential risks, and make an informed decision about whether or not to proceed with the surgery.

Tummy Tuck

Abdominoplasty / Tummy Tuck / Abdominal Plastic Surgery in Bangkok Thailand

Abdominoplasty, or tummy tuck, is a procedure that flattens the abdomen by removing extra fat and skin and tightening muscles in your abdominal wall. The procedure benefits those after childbirth, especially women after numerous pregnancies, and helps them get desirable body figures. With an incision along the bikini line, the surgery is performed under general anesthesia, and it takes around 3-4 hours. After the surgery, the patient must be admitted to the hospital for three nights. The surgery usually leaves a scar along the pubic hairline, possibly from the left to right side of the hips, depending on the volume of fat and excess skin.

We offer two types of Abdominoplasty / Tummy Tuck

1. Abdominoplasty / Tummy Tuck with umbilical transposition and repairing the sagging abdominal muscles

This procedure is suitable for a person with a lot of excess fat and skin or stretch marks from childbirth. This procedure must be performed under general anesthesia.

1. The surgeon will examine the muscles’ sagging for surgical planning, as shown in Figure 1.

2. The surgeon marks the incision on the bikini line and then opens the wound through the layer of the skin to the muscle, as shown in Figure 2.

3. Fibrosis between the layer of the skin and the muscle is released from the pubic to the sub-mammary area. The surgeon will then see the sagging muscles.

4. The surgeon then repairs the sagging abdominal muscles from the sub-mammary to the pubic, tightening the abdominal muscles, as shown in Figure 4.

5. The skin and fat layer is pulled down, with the excess from the former umbilical to the pubic removed. The surgeon then sutures the fat layer with the dissolvable stitches and carefully creates and retouches the new umbilical to prevent the scar, as shown in Figure 5.

6. The surgeon cuts and sutures the excess skin on the pubic area.

**The operation time is around 3-4 hours**

2. Mini Abdominal Lipectomy

This procedure is suitable for a person who has moderate excess fat but with stretch marks. This procedure aims to correct the stretch marks and can be performed under local or general anesthesia. The patient can perform by-day surgery.

1. The surgeon will check the sagging of the muscles for surgical planning, as shown in Figure 1.

2. The surgeon opens the wound on the pubic and releases the fibrosis between the skin layer and the muscle from the pubic to the below umbilical area.

3. The layer of the skin and fat is then pulled down. The surgeon then cuts and sutures the excess
skin on the pubic area.

Preparing for Abdominoplasty / Tummy tuck

  1. Consult with the surgeon about your goals, lab test, and medical evaluation
  2. Get a lab test or a medical evaluation
  3. Take certain medications or adjust your current medication
  4. Stop smoking before and after surgery 2 weeks
  5. Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements as they can increase bleeding

Procedure for Abdominoplasty / Tummy Tuck

  1. Step for Anesthesia: we offer general anesthesia.
  2. The surgeon marks the area for an incision at the bikini line and then opens the incision; if the patient requires the Tummy tuck to reposition the umbilical and repair the sagging muscle, the patient has to open the tissue above the abdominal muscle pass through the lower breast (submammary area), and then fix the muscle to tighten at the midline of the abdomen. Pull down the skin and cut the excess. If patients require a mini tummy tuck, the surgeon will open the incision and cut the excess skin.
  3. Close the incision by suture

Post-operative Care for Tummy Tuck

  1. During the first 2-3 days after the surgery, the patient must wear the full-length compression garment daily to tighten the muscle and reduce swelling. After one month, the patient can continue to wear it at night to support the muscle.
  2. The stitches will be removed six days after the surgery.
  3. The patient can start exercising about two months after the surgery.
  4. The swelling will reduce, and the wound will be healed three to four months after the surgery.

Forewarning for Post-operative Care

  1. Refrain from showering until two to three days after the surgery. Dress the wound according to the doctor’s recommendation.
  2. Wear the compression garment all the time during the first month. After one month, the patient should continue wearing it to support the muscle and prevent the wound from tearing.
  3. Bruises might be visible but should be gone in two to three weeks. If there is pain, swelling, or redness, please come to see the doctor immediately.

Risks and Complications for Tummy Tuck

  • Bleeding
  • Infection
  • Fluid accumulation (seroma)
  • Poor wound healing
  • Skin loss
  • Numbness
  • Skin discoloration and prolonged swelling
  • Scarring
  • Anesthesia risks
  • Recurrent looseness of skin
  • Fat necrosis
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Asymmetry
  • Persistent pain

Recovery from Tummy Tuck

The recovery of Abdominoplasty / Tummy tuck varies depending on the surgical technique performed. Your drains will be left in for a few days after the surgery. You must take an antibiotic and an anticoagulant while your drains are in place. You need to wear an abdominal binder for about six weeks. It will help you avoid fluid buildup and support your abdomen. Mini Abdominoplasty / Mini tummy tuck usually uses a shorter period of recovery. You need to avoid strenuous activity for at least six weeks and can return to work after surgery for 2-6 weeks.

How long does it take for Tummy Tuck scars to go away?

The recovery time for a tummy tuck can vary depending on the individual and the extent of the surgery. Typically, the initial healing process can take several weeks. Generally, it can take several months for the incision lines to fully heal and for the scars to fade. However, the final appearance of the wounds can take up to a year or more. Additionally, after the surgery, it’s important to follow the care instructions provided by your surgeon to ensure proper healing and to minimize the visibility of scars.

What are the steps to follow to treat Tummy Tuck scars?

The best way to treat tummy tuck scars is to follow the care instructions provided by your surgeon. Here are a few general steps that may be recommended:

  1. Keep the incision clean and dry: Your surgeon will give instructions on how to care for it, which may involve cleaning it with an antiseptic solution and keeping it covered with a bandage for the first few days.
  2. Avoid strenuous activities: You’ll need to avoid strenuous activities that can cause strain on the abdominal area, such as heavy lifting or intense exercise, for several weeks after surgery.
  3. Wear compression garments: Your surgeon may recommend wearing a compression garment or elastic bandage to help support the abdominal area and reduce swelling.
  4. Massage the scars: After the incision has healed, your surgeon may recommend that you massage the wounds to help soften and flatten them.
  5. Avoid sun exposure: It is important to protect scars from the sun to prevent darkening or hyperpigmentation
  6. Use topical treatments: Your surgeon may recommend using topical treatments such as silicone gel or scar cream to help improve the appearance of the scars.

It’s important to note that scarring is a natural part of the healing process, and not all scars can be completely eliminated. However, following these steps can help minimize the scars’ visibility and promote healing.

How can Tummy Tuck scars be prevented, and how can they be controlled?

While it is impossible to completely prevent scars from forming after a tummy tuck, you can take steps to minimize their appearance and help them heal well.

  • Choose a qualified surgeon: Selecting a skilled and experienced plastic surgeon can help minimize the risk of complications and ensure that the incision is made in a way that minimizes scarring.
  • Follow post-operative instructions: Following your surgeon’s post-operative instructions carefully, such as keeping the incision clean and dry, avoiding strenuous activities, and wearing compression garments as advised, can help to minimize the risk of complications and promote healing.
  • Avoid sun exposure: It is important to protect the scars from the sun to prevent darkening or hyperpigmentation.
  • Massage the scars: After the incision has healed, your surgeon may recommend that you massage the wounds to help soften and flatten them.
  • Use topical treatments: Your surgeon may recommend using topical treatments such as silicone gel or scar cream to help improve the appearance of the scars.
Body Sculpting / Liposuction

Body Sculpting Surgery / Liposuction in Bangkok, Thailand

Body sculpting surgery is an aesthetic surgical procedure to reshape bodies through liposuction. The overfat areas, such as the flank, thighs, abdominals, arms, buttocks, and back, include fat grafting in some areas that need more volume. The surgeon will design and create a new body shape to balance with their structure.

We are born with different body proportions and different ways of fat distribution.  In females, we can categorize them into four groups:

  1. I or Ruler shape: the breast, hip, and waist have almost the same proportion. The body line is more like a straight line. The fat is distributed throughout the body.
  2. V or Cone Shape: this body type has a broad shoulder with a small hip. Fat distribution for this type of body concentrates on the breast, shoulder, and face
  3. A or Spoon Shape: This body shape has small breasts and fat deposits at the waist, buttock, and thigh.
  4. X or Hourglass Shape: The breast and hip are the same width, but the waist is more than 9 inches smaller than the two.

In Males, there are three types of body proportions:

  1. Ectomorph: small bone, muscle, and shoulder.  A small amount of fat.
  2. Endomorph: large bone, muscle, and a large amount of fat, but muscle was hard to visualize.
  3. Mesomorph: a good proportion of bone, muscle, and fat. Muscle is prominent in this body figure.

A good candidate for Body Sculpting Surgery

  • Man or woman who has not too much but prefers a perfect shape
  • Healthy
  • Nonsmokers
  • A realistic expectation for body sculpting
  • A person who has firm, elastic skin and the right muscle tone

Preparation for Body Sculpting Surgery

  • Consult with the surgeon about your goal, then have a physical examination, lab test, and chest X-ray and adjust your current medication to confirm that you are available for surgery.
  • Stop smoking
  • Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements, as they can increase bleeding
  • Adjust some medication before surgery

Procedures for Body Sculpting Surgery

  • Step for anesthesia: we offer sedation or general anesthesia.
  • After anesthesia, the incision will be around 1 cm. The number of incisions depends on the number of areas to operate. A tumescent solution will be put in the operational areas. Traditional liposuction utilizes a hollow tube to remove the fat, and the Laser and Ultrasonic Technique uses a laser or ultrasonic energy to dissolve that fat before it is removed. Some areas need fat transfer to make more volume, and the body shape needs to be designed and created to balance the proportions.
  • Close the incision by suture.

Post-operative Care for Body Sculpting Surgery

  • It is usual for bloody fluid to drain on clothes and sheets for the first 24 to 72 hours after surgery. The liquid is put into the area before liposuction to make fat removal safest for you.
  • A compression garment should be worn at all times except during showering. Compression garments reduce swelling and speed up your recovery. Your plastic surgeon will let you know when you can stop wearing the compression garment.
  • Try to resume your routine activities at home. Light activities will also help keep fluids moving in the body and reduce swelling.
  • You can shower 24-48 hours after surgery, but you need to put the garment back on, which may be difficult. Make sure you have someone to help you. When you shower, you can run soap and water over the areas without scrubbing. The surgical area should be gently dried with a clean towel.
  •  Avoid still (non-running) water for two weeks after surgery. Don’t let the wound wet, including baths, swimming pools, hot tubs, lakes, oceans, etc.
  • Postoperative massage to remove the seroma from the lymphatic system
  • Routine activity is not prohibited.
  • Exercise should start at around two weeks.
  • Follow up on all appointments.
  • Take stitches off for seven days after surgery.

Risks and Complications for Body Sculpting Surgery

  • Seroma Treatment: Seroma treatment is a medical competence
    • Drainage with a syringe,
      – Placement of drain,
      – Placement of substances like tetracycline to induce sclerosis,
      – Revisional surgery to remove the seroma capsule
  • Thromboembolism: Pulmonary Thromboembolism ( PTE ) is a clinical-pathological situation triggered by pulmonary artery obstruction. It is a defect of oxygen in the lungs. It is necessary to monitor a patient’s vital signs and oxygen saturation.
  • Infection: It detects by fever, chills, and pain.
  • Anemia: This happens in these cases due to loss of blood combined with liposuction fat.
  • Hematoma: a collection of blood caused by broken blood vessels.
  • Fat embolism: the blockage of a blood vessel by an embolus fat.
  • Laceration of the skin
  • Fibrosis: the thickening and scarring of tissue
  • Deformities
  • Asymmetries
  • Poor healing

What are the differences between Body Contouring and Body Sculpting?

Body contouring and body sculpting are often used interchangeably, but there are some subtle differences between the two terms.

Body contouring refers to a group of cosmetic procedures that aim to reshape and sculpt the body. These procedures can target specific areas of the body, such as the stomach, thighs, arms, and buttocks, and are designed to remove excess fat, tighten loose skin, and enhance the shape of the body. Examples of body contouring are liposuction, tummy tuck, and other body lift procedures.

On the other hand, body sculpting typically refers to using non-surgical techniques to shape and sculpt the body. These techniques may include cool sculpting, radiofrequency, ultrasound, and other non-invasive technologies to target and reduce fat deposits in specific areas of the body, such as the stomach, thighs, and arms.

Body Contouring refers to surgical procedures that reshape and sculpt the body. In contrast, Body Sculpting refers to non-surgical procedures that use technology to shape and sculpt the body. Both are used to improve the shape and appearance of the body, but they use different methods to achieve their goals.

What is the difference between Lipectomy and Liposuction?

Lipectomy and liposuction are surgical procedures used to remove unwanted fat from the body, but they are different procedures with distinct characteristics.

Liposuction, also known as lipoplasty, is a cosmetic procedure that uses a cannula (a thin tube) to suction out unwanted fat from specific areas of the body. Liposuction can be performed on a variety of areas, including the stomach, hips, thighs, buttocks, arms, and neck. It’s performed under general anesthesia and usually requires small incisions in the targeted areas.

Lipectomy, also known as excisional liposuction, is a surgical procedure that removes large amounts of fat and skin. It’s generally used in cases of significant weight loss, where there is excess skin and fat that cannot be removed by liposuction alone. This procedure is typically performed under general anesthesia and involves making larger incisions to remove the excess fat and skin. Lipectomy is often used to remove the excess skin and fat from the stomach, thighs, and buttocks and is a more invasive procedure than liposuction.

In summary, liposuction uses suction to remove unwanted fat from specific areas, while lipectomy removes excess skin and fat from the body, typically in cases of significant weight loss. Lipectomy is more invasive than liposuction.

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September 5, 2016March 10, 2026
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Services, Services, Surgery