Dr. Piya’s Signature 3D Breast Augmentation

INTRODUCTION

Combining 3 ultimate breast augmentation techniques
to create close cleavage and defined contours with minimal scarring and less pain.

UPDATE BEAUTY TRENDS

With ‘Dr. Piya’ – Thailand’s No.1 breast augmentation surgeon, renowned by the title…
“Flawless, Natural, Customizable Breasts—Just the Way You Want”
“When the finest quality meets exquisite beauty, it becomes the luxury of breast augmentation—
like the Hermes of the aesthetic surgery world.”

WHAT’S THE EXPERT SAY?

Dr. Piya Rungruxsiri – A board-certified plastic and reconstructive surgeon, member of ISAPS and ASPS, and CEO & Co-Founder of Nida Esth’ International, an internationally recognized laser and cosmetic surgery center. With over 25 years of experience, his expertise is backed by numerous prestigious awards, including the Hello Beauty Award 2022, The Most Innovative Cosmetic Clinic of the Year in Asia Pacific 2023, and most recently, in 2024, The Most Innovative Breast Augmentation Clinic of the Year from Global Health Asia-Pacific—reflecting his commitment to innovation and patient-centered care.

Today, we’re highlighting Dr. Piya’s Signature 3D Breast Augmentation, a procedure trusted by Thai celebrities and elites, known for its flawless, customizable results. This signature technique uniquely combines three advanced innovations:

  1. Triple Plane Mini-Lifting Technique (Advanced Dual Plane Subfascial)
    A specialized technique developed by Dr. Piya himself to create a defined, natural-looking cleavage and contour.
  2. Muscle-Relaxant-assisted Breast Augmentation
    Minimizes post-op pain, reduces the risk of capsular contracture, and helps implants settle faster for a more natural result—without the long waiting time.
  3. Insertion Sleeve Technique
    Focuses on a smaller incision with less tissue trauma, promoting faster recovery and minimal scarring.

Together, these innovations form a premium, tailor-made solution for patients seeking beauty, comfort, and safety in one.

BEFORE and AFTER GALLERY

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What is Triple Plane Mini-Lifting Technique?

The Triple Plane Mini-Lifting Technique (Advanced Dual Plane Subfascial) is a semi-sub muscular implant placement method that combines the advantages of both sub glandular and sub-muscular breast augmentation. This specialized technique, developed by Dr. Piya, is an evolution of the traditional Dual Plane method. In this approach, the implant is placed partially under the muscle to create a smooth, natural appearance at the upper pole of the breast, while the lower portion of the implant is positioned above the muscle to enhance natural curvature and volume. The outcome is a beautifully contoured breast with close cleavage, smooth texture, and no visible implant edges. It also allows for natural movement, reduces the risk of capsular contracture, and helps prevent future sagging.

Triple Plane Mini-Lifting Technique

The Triple Plane Mini-Lifting Technique (Advanced Dual Plane Subfascial) breast augmentation not only enhances cleavage and volume but also lifts the breasts in cases of mild sagging, without the need for additional lifting surgery. The advantages of this technique include:

  • Enhances volume and creates a more defined breast contour
  • Achieves aesthetically pleasing breast positioning without sagging
  • Produces clear cleavage and a naturally shaped breast appearance
  • Smaller incisions with less scarring compared to traditional augmentation
  • Provides strong support for breast weight, reducing the risk of future sagging

Who is Suitable for Triple Plane Mini-Lifting Technique

The Triple Plane Mini-Lifting Technique (Advanced Dual Plane Subfascial) is suitable for standard breast augmentation and can also address sagging caused by childbirth, breastfeeding, weight loss, or natural aging. It helps position the implant appropriately, enhancing the lower part of the breast for a fuller and more natural look. While it cannot replace a full breast lift in cases of severe sagging, it delivers noticeable results for those with mild to moderate sagging.

What is Muscle Relaxant for Breast Augmentation?

Breast augmentation with Muscle Relaxant is a special technique that enhances natural-looking results, creates a defined cleavage, and reduces post-operative pain. The procedure involves injecting a muscle relaxant into the chest muscle before placing the implant, to inhibit muscle contractions that may cause implant displacement. This helps the implant settle more quickly and eases discomfort during the recovery period. This technique is often combined with the Dual Plane Mini-Lifting Technique (Subfascial) for beautiful, natural results. It also helps minimize the risk of implant shifting and boosts long-term confidence for patients.

Benefits of Muscle Relaxant for Breast Augmentation

Muscle Relaxant is a substance commonly used in aesthetic medicine to relax muscles and reduce wrinkles. Dr. Piya has applied this property to enhance breast augmentation procedures by using Muscle Relaxant to relax muscle contractions during surgery, resulting in:

  • Reduced pain and discomfort after surgery
  • Decreased need for pain medication
  • Accelerated recovery time, allowing patients to return to daily life more quickly
  • Faster implant settling with natural-looking results
  • Enhanced aesthetic outcomes with a more natural appearance
  • Lower risk of capsular contracture (scar tissue formation around the implant)

What is Insertion Sleeve Technique?

The Insertion Sleeve breast augmentation technique is an innovative approach that uses a sterile, soft, and flexible funnel to reduce incision size, minimize tissue trauma, and lower the risk of infection. The silicone implant does not come into direct contact with the skin, allowing for precise placement and natural-looking results, while also promoting faster recovery.

How is the Insertion Sleeve Breast Augmentation Technique Performed?

The procedure begins with the surgeon making an incision at one of several possible entry points for inserting the silicone implant. These include:

  • Inframammary fold (under the breast): This may leave a small scar along the fold beneath the breast, but the scar is usually well-hidden due to the natural downward slope of the breast caused by gravity.
  • Areolar incision (around the nipple): This approach may result in minimal or barely noticeable scarring, but it requires greater surgical precision and is technically more challenging.
  • Transaxillary incision (under the armpit): A suitable option for patients who prefer not to have scars under the breast. However, this method demands a high level of surgical expertise and involves more complex post-operative care than the inframammary approach.

After the incision is made, the surgeon inserts the sterile funnel into the incision site. An assistant then places the silicone implant into the wide end of the funnel. The surgeon gently squeezes the funnel to insert the implant directly into the desired position without it coming into contact with the skin.

Advantages of the Insertion Sleeve Breast Augmentation Technique’

  1. Smaller incisions: The use of the funnel allows for a reduced incision size, resulting in less visible scarring.
  2. Lower risk of infection: Since the surgeon does not directly touch the implant and each funnel is used only once per procedure, the risk of contamination is significantly reduced. This helps minimize infection and the potential for future capsular contracture.
  3. Minimized implant exposure: The silicone implant is not exposed to air for long, reducing the chance of contamination.
  4. Reduced friction: The funnel minimizes friction between the implant and the incision, helping to preserve tissue integrity.
  5. Less trauma, faster recovery: Smaller incisions mean less tissue damage, which leads to quicker healing and reduced inflammation.
  6. Shorter operation time: The use of the insertion funnel speeds up the implant placement process, reducing overall surgical time and minimizing the duration of anesthesia.
  7. Extended implant longevity: The funnel allows the implant to be inserted without direct compression, lowering the risk of damage to the implant surface and contributing to its longevity.

Position and area for Triple -advanced breast augmentation surgery

Breast augmentation surgery using the Botox®-assisted Breast Augmentation technique can currently be performed in 2 main areas, depending on the size of the implant. The recipient’s original breast size. The surgeon will advise on the appropriate position with the following options:

  1. Inframammary Technique: There may be a slight scar as the incision, but this is a location that is rarely noticed. Because of the nature of the breast, it will sag slightly due to gravity, causing the scar to be covered
  2. Transaxillary Technique: It is another option for people who do not want to have a scar under the breast, but the surgery requires a lot of expertise and endoscopy is required during breast augmentation. Also, it is more difficult to take care of than the inframammary technique.
  3. Periareolar Technique: There is a slight scar or may not be noticed at all, but it is more subtle. Surgery is more difficult because an endoscope may be required to assist in the surgery.

Dr.Piya’s Triple-Advanced Technique Breast Augmentation Package

  • Premium implants for breast augmentation
  • Expenses for operating rooms and recovery rooms in Platinum / Gold A Prestige wards in Samitivej and Phayathai group hospitals.
    Medical equipment and supplies
  • Medicines taken before surgery, anesthesia, and other medically related medicines
  • Professional fees (surgeons, anesthesiologists and nurses)
  • Post-surgery care includes chest compressions and Soft Laser treatment to reduce swelling and help wound healing.
  • The physical examination program in the laboratory before surgery includes:
  • Chest x-ray
  • Check the completeness of blood count (CBC)
  • Renal function test (BUN,Creatinine)
  • Blood test regarding to surgeon’s prescription and patients”health condition
  • Anti HIV Test
  • EKG Test

Protocol for Dr. Piya’s Signature 3D Breast Augmentation

Before Procedure

  • Stop taking aspirin, ibuprofen, vitamins, herbal supplements, and fish oil for at least 2 weeks before surgery, as they may increase bleeding risk.
  • Avoid smoking and alcohol for at least 2 weeks prior to surgery to promote better healing.
  • Shower thoroughly on the day of surgery and wear loose, easy-to-remove clothing.
  • No food or drink for at least 8 hours before the operation.

After Procedure

  • Wear a support bra continuously for 4–5 days after surgery.
  • Take all medications and apply ointments as prescribed by your doctor.
  • Wear loose-fitting clothing that doesn’t put pressure on the chest.
  • Breast massage at Nida Esth’ can begin 10–14 days after surgery.
  • Undergo Soft Laser treatments to reduce swelling and promote healing.
  • Avoid strenuous activity or pressure on the chest area.
  • Eat nutritious foods and continue to avoid smoking and alcohol.
  • Stitches will be removed within 7–10 days.

Ideal Candidates

  • Desire a natural-looking breast enhancement with added volume and softness.
  • Have minimal natural breast tissue but want a less “implant-like” appearance.
  • Wish to conceal implant edges or rippling.
  • Seek to address breast asymmetry or irregularities.
  • Prefer dual benefits, enhancing both breast contours and donor areas through liposuction.

FAQ

It depends on the patient’s physical condition. A typical estimate is 1 night in the hospital and 5-7 days at home after leaving the hospital.

Because it is surgery that requires general anesthesia and is considered major surgery. After surgery, the patient should stay in bed to recuperate for at least 1 night.

Related Article

Why Dr. Piya’s Signature 3D Breast Augmentation is Truly Premium at Nida Esth’ International?

Natural cleavage, defined curves, tiny scars, less pain, & maximum safety—all in one procedure.
At Nida Esth’ International, awarded The Most Innovative Breast Augmentation Clinic of the Year in Asia Pacific 2024 by Global Health Asia-Pacific and recognized by HELLO! Magazine Thailand, this premium technique combines:

  • Dual Plane Mini-Lifting for natural contour and lift
  • Muscle Relaxant to reduce pain and help implants settle faster
  • Insertion Sleeve for just 2 cm incisions and minimal tissue trauma

Paired with Microchip-enabled implants for enhanced safety and longevity, this technique offers faster recovery and nearly invisible scars—making Dr. Piya’s Signature 3D Breast Augmentation the gold standard over conventional methods.

VECTRA 3D: Advanced US FDA-Cleared Scanner Technology for Designing Naturally Beautiful Breasts

VECTRA 3D Simulator is the only 3D simulation technology in Thailand that allows patients to clearly visualize their expected results after breast augmentation. It enables real-time adjustments to implant size and shape based on individual preferences, significantly reducing concerns about unsatisfactory outcomes. With nearly 100% accuracy, the system captures three images to create a 3D simulation viewable from multiple angles, helping to plan the treatment in line with the patient’s goals. However, achieving the most beautiful and satisfying results also depends on the expertise of the surgeon using the VECTRA 3D system.