FAQ

⌵ What Is Breast Massage After Breast Augmentation?

Breast massage after surgery is a gentle, structured technique that supports the proper healing and positioning of your implants. By applying consistent, controlled pressure to the implants and surrounding tissue, you can help:

• Minimize scar tissue formation.
• Encourage natural implant placement.
• Maintain tissue elasticity and softness.

This routine is specifically designed to prevent a common complication known as capsular contracture, where the scar tissue around the implant hardens and tightens.​

⌵ Your Step-by-Step Breast Massage Guide

💡 Important: Only begin these exercises once your surgeon has given you explicit approval. Starting too early can cause harm.

Step 1: Start with Clean Hands

Before you begin, wash your hands thoroughly with soap and water. This simple step is crucial to preventing any potential infection.

Step 2: Gentle Warm-Up

Find a comfortable position, either sitting or lying down. Gently support your breast with your hand. This helps to relax the muscle and tissue, preparing it for the massage.

Step 3: Upward Push

Place your palm flat under your breast. Slowly and gently push the implant upward towards your collarbone. Hold this position for 10–15 seconds, then release.

Step 4: Inward & Outward Push

First, place your hand on the outer side of your breast. Gently push the implant inward toward the center of your chest (your cleavage). Hold for 10–15 seconds. Next, place your hand on the inner side of your breast and push outward.

Step 5: Downward Push

Place your palm on the top of your breast. Gently and firmly press the implant downward. Hold for 10–15 seconds, then release.

Step 6: Repeat Regularly

Repeat this entire sequence for each breast. Aim to perform the massage 3–4 times per day, or as instructed by your surgeon. Each session should last approximately 5–10 minutes.

⌵ Why Breast Massage Is Crucial for Your Recovery

Prevents Capsular Contracture: This is the most significant benefit. Regular massage helps prevent the formation of a rigid scar capsule around the implant, keeping your breasts feeling soft and natural.

Maintains Natural Shape and Symmetry: Consistent massage encourages the implant to settle into its desired position, contributing to a more symmetrical and aesthetically pleasing result.

Enhances Long-Term Results: By supporting tissue flexibility and implant positioning, breast massage helps protect your investment and maintain the beautiful outcome of your surgery for years to come.

⌵ Important Tips for a Safe and Effective Massage

Listen to the Surgeon: Always follow the exact instructions provided by the surgeon. They know your specific case and can offer the best advice.

Discomfort is Normal, Pain is Not: It’s common to feel some mild discomfort or tightness during the massage, especially in the beginning. However, it should never be painful.

Stop Immediately if Something Feels Wrong: If you experience any sharp pain, unusual swelling, or other concerning changes, stop the massage and contact the surgeon right away to avoid complications.

Consistency is Key: Just like any exercise, consistency is what delivers results. Make breast massage a regular part of your daily routine.

FAQ

⌵What Is Bowel Preparation?

Bowel preparation is a pre-surgical cleansing process designed to remove stool and bacteria from the intestines. It typically involves dietary adjustments, laxative medications, and enemas. The aim is to minimize the risk of infection, prevent complications, and provide the surgeon with a clear surgical field, especially important for procedures involving the pelvic area.

⌵1. Bowel Preparation for Skin Graft Vaginoplasty

For skin graft vaginoplasty, bowel preparation may not always be as extensive as for intestinal surgeries, but it remains important for maintaining a sterile surgical environment.

Step-by-Step Skin Graft Bowel Preparation

📅 Three Days Before Surgery

• Begin a low-fiber diet to reduce bowel content.

📅 Two Day Before Surgery

• Take 4 pills of Senolax (Sennoside 7.5 mg)
• Use U-Enema(suppository only):
  Gently insert the enema tip into the rectum with a slight side-to-side movement, pointing toward the navel. Do not force the tip. Squeeze the bottle to release the full amount of solution into the rectum, then remove the tip. Hold your position until the urge to evacuate becomes strong (usually 1–5 minutes).

📅 One Day Before Surgery

• Take the first bottle of Xubil (45 cc)at the indicated time.
• Take the second bottle of Xubil (45 cc)at the indicated time.
• If bowel is not clear by late evening:
  Use U-Enema again
  Note: Additional enema may have an extra cost.

💧 Hydration Tips:

• Drink plenty of fluids throughout the preparation period to stay hydrated.
• If diarrhea occurs, continue to sip water and electrolyte solutions regularly to maintain hydration and electrolyte balance.

How it works

Medications and enemas work by loosening stool and flushing the bowel, ensuring no obstruction or bacterial buildup remains.

⌵2. Bowel Preparation for Laparoscopic Colon Vaginoplasty

For laparoscopic colon vaginoplasty, bowel preparation is more intensive because part of the colon will be used to create the vaginal canal.

Laparoscopic Bowel preparation includes

📅 Four Days Before Surgery

• Dietary changes:Begin a low-fiber diet to reduce bowel content.

📅 Two Day Before Surgery –

• Bisacodyl 5 mg (Laxative pills): Take two pills at the indicated time.
• U-Enema rectal solution:

1. 1. Insert the nozzle into the anus and fully compress the bulb syringe in one motion so the entire solution enters your bowel.
   2. Hold the bulb compressed for 10–15 seconds before removing the nozzle.

📅 One Day Before Surgery 

• Xubil (45cc): Drink the full bottle at the indicated time.
• Niflec (powder for oral liquid):
  1. Dissolve one sachet of Niflec in cold water to make 2 liters (2000 mL).
  2. Drink the first 1000 mL in the first hour (about 200 mL every 10 minutes).
  3. Drink the remaining 1000 mL in the second hour.
  4. Complete the entire 2 liters within 2 hours.

💧 Hydration & Electrolyte Replacement:

• While experiencing diarrhea from Niflec, drink at least 5–6 bottles of water throughout the day.
• Dissolve 1 sachet of electrolyte powder (T.O.S) into 250 mL of drinking water and sip regularly to maintain hydration and electrolyte balance.

How it works

PEG solutions draw water into the bowel, softening and flushing stool, while enemas clear the rectum—creating a sterile and unobstructed surgical field.

⌵3. Bowel Preparation for Laparoscopic PPV Vaginoplasty

Peritoneal Pull-Through Vaginoplasty (PPV) uses peritoneal tissue from the abdominal cavity. While bowel involvement is less than with colon vaginoplasty, preparation is still crucial to avoid contamination.

PPV Bowel Preparation Guideline

📅 Two Days Before Surgery

• Dissolve one sachet of Niflecpowder in about 2 liters (2000 mL) of cold water.
  Drink the first 1000 mL within the first hour (about 200 mL every 10 minutes).
  Finish the remaining 1000 mL in the second hour.
  Please complete the entire 2 liters within 2 hours.

📅 One Day Before Surgery 

• Take the first dose of Xubil solution (45 cc)at the indicated time.
• Use U-Enema(external use):
  Gently insert the enema tip into the rectum with a slight side-to-side movement, pointing toward the navel.
  Do not force the tip to avoid injury. Squeeze the bottle to release the full solution inside, then remove the tip.
  Maintain position until you feel a strong urge to evacuate (usually 1 to 5 minutes).
• Take the second dose of Xubil solution (45 cc)at the indicated time.

💧 Hydration & Electrolyte Replacement

• While experiencing diarrhea from the Xubil solution, stay hydrated by drinking plenty of water, at least 5 to 6 bottles throughout the day.
• Dissolve 1 sachet of electrolyte powder (Ora-saline)into 250 mL of drinking water and sip regularly to maintain hydration and electrolyte balance.

🔔 Important

• If your bowel is still not clear, you will need to use U-Enema
• Additional enema use will incur a cost of 1,000 THB.

How it works

The process ensures the bowel is minimally filled, reducing pressure on surrounding tissues during surgery and minimizing infection risks.

⌵Why Is Bowel Preparation Important Before Vaginoplasty?

Reduces infection risk by removing bacteria and stool from the intestines.

Improves surgical visibility for precise and safe tissue handling.

Prevents complications such as leakage, inflammation, or delayed healing.

Supports faster recovery and reduces hospital stay duration.

⌵Benefits of Proper Bowel Preparation

Enhances surgical safety and outcomes.

Decreases the risk of post-operative infections.

Improves patient comfort post-surgery.

Allows for smoother anesthesia management.

⌵Considerations Before Bowel Preparation

Always follow the exact instructions provided by our WIH surgeon.

Inform the nursing team about any allergies or reactions to laxatives.

Stay hydrated to avoid electrolyte imbalance.

Avoid solid foods when instructed to follow a liquid diet.

FAQ

⌵Why Professional Skin Treatments Matter

While at-home skincare routines are essential, they can only do so much. Professional skin treatments offer medically supervised solutions that go far beyond what creams and serums can achieve. Our dermatology specialists conduct a thorough skin assessment to create a customized plan tailored to your individual needs and goals. These professional treatments provide deep-level rejuvenation, addressing the root causes of skin issues with precision and safety, ultimately delivering more dramatic and lasting results than at-home remedies.

⌵Popular Skin Treatments at WIH International Hospital

Our hospital is equipped with the latest technology and expert staff to provide a range of highly sought-after skin treatments.

Botulinum Toxin: This treatment uses a purified protein to temporarily relax the facial muscles that cause dynamic wrinkles, such as frown lines between the eyebrows, crow’s feet, and forehead lines. It offers a smooth, refreshed, and youthful appearance without the need for surgery or downtime. The full effects are visible within a few days and can last for several months.

Fillers: Dermal fillers are injectable gels, often made from hyaluronic acid, that restore volume and fullness to the face. They can be used to smooth out deep wrinkles and folds, enhance lips, contour cheeks, and fill in hollow areas under the eyes. Fillers provide immediate results, creating a more youthful and defined facial structure.

Ulthera: This non-invasive lifting and tightening procedure uses micro-focused ultrasound energy to stimulate the body’s natural collagen and elastin production deep within the skin. Ulthera targets the foundational layers of the skin, leading to a gradual lifting and tightening effect on the face, neck, and décolletage over several months.

PRP (Platelet-Rich Plasma): This treatment harnesses the body’s natural healing powers. A small amount of your blood is drawn, processed to concentrate the platelets and growth factors, and then injected into the skin. PRP stimulates collagen production, improves skin texture and tone, and can effectively reduce fine lines, acne scars, and signs of aging.

⌵IV Skin Boosters – Hydration and Glow from Within

For those seeking a rapid and holistic boost, IV Skin Boosters are an excellent option. This treatment involves an intravenous infusion of essential vitamins, minerals, and antioxidants directly into the bloodstream. By bypassing the digestive system, the nutrients are fully absorbed, instantly hydrating the skin and improving its elasticity, tone, and overall radiance. It’s an ideal treatment for patients with dull, tired-looking skin or those who simply want a refreshed glow, with no recovery time needed.

⌵NAD Therapy – Cellular Rejuvenation for Youthful Skin

NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme vital for cellular energy production and DNA repair. As we age, our natural NAD+ levels decline, leading to signs of aging. NAD Therapy works at a cellular level to replenish these levels, offering profound anti-aging effects such as reduced fine lines, improved skin firmness, and enhanced overall vitality. Beyond skin benefits, NAD therapy can boost immunity and mental clarity, providing a holistic rejuvenation that works in synergy with other skin treatments for enhanced, long-lasting results.

⌵Combining Treatments for Maximum Results

Our specialists often recommend combining different treatments to achieve superior, synergistic outcomes. For instance, pairing a collagen-boosting treatment like Ulthera with IV Skin Boosters can provide an immediate glow while the Ulthera works over time. Similarly, NAD Therapy can enhance the efficacy of treatments by improving cellular health from within. Our experts will design a long-term maintenance strategy that combines these cutting-edge therapies to ensure your skin remains radiant and youthful for years to come.

⌵WIH’s Patient-Centered Approach to Skin Care

Your safety and satisfaction are our top priorities. At WIH International Hospital, every patient receives a personalized, patient-centered experience.

Comprehensive Skin Assessment: Your journey begins with a thorough skin assessment by our certified dermatology specialists, who will create a bespoke treatment plan based on your unique needs.

Safe, Clinically Proven Technologies: We use only safe, clinically proven technologies and products, ensuring every procedure is performed to the highest medical standards.

Comfort-Focused Environment: We provide a comfortable and luxurious environment, from our consultation rooms to our personalized post-treatment care instructions, ensuring your experience is positive and stress-free.

⌵ Your Journey to Radiant Skin Starts Here

Are you ready to unlock the secret to radiant, youthful skin? The first step is to book a consultation with our expert team. They will perform a detailed skin analysis and create a tailored treatment plan designed just for you. Experience the WIH standard of excellence in every procedure and take the first step toward the beautiful, confident you.