Revealed! On the program On the way with Chom, anyone who is going to have breast surgery must know . “Dr. Louis Pondech” warns! Use low-quality silicone, be careful that it may rupture into the bloodstream without knowing. The end result is lymphoma. Upsizing too big risks breast perforation? Along with how to check the place and the doctor that is safe and up to standard.
At what age can breast augmentation be performed?
Dr. Louis: The ones I’ve done have a lot of variety. The youngest I’ve ever had done was when I was 16.
At 16, is he fully grown?
Dr. Louis: Not yet. And the oldest I’ve ever had it done was 68 years old. That’s a wide range of ages, but if you ask according to medical principles, it should be when the body has fully grown and the breast tissue is stable, which is around 20 years old or more. If it’s younger than that, there’s a chance that the breast tissue is still growing and will push against it, making it look ugly and deformed. And if you’re too old, it will sag. When you add more, the shape won’t be beautiful. You might have to have a lift instead.
What type do women like to ask about?
Dr. Louis: This depends on the case. It varies according to the time period. If we go back about 5 or 10 years ago, patients who came for consultation wanted something big, beautiful, and big. They wanted something that I had to know I had had surgery. But now that the trend has changed, they want something nice and smooth that fits the body. It doesn’t have to be too big. When wearing an outfit, they don’t know. They don’t want anyone to know. Just wearing an evening gown, a swimsuit, or whatever, they want their body shape to be better.
And what shape is it? Previously, there were round and teardrop shapes?
Dr. Louis: Everyone understands that the teardrop shape is beautiful, but some people don’t know what it is. A teardrop is a teardrop shape, but when we do breast implants, we cut it in half. Half of it is a teardrop shape. In the past, silicone was a clear teardrop shape, so it was fixed. But the human body is not like that. When we stand, we may be a teardrop shape, but when we lie down, our breasts will bounce back into a round shape. Nowadays, there is a round shape that when you stand, it becomes a teardrop shape. When you lie down, it bounces back according to the anatomy of the body.
There are two types of surgery, right?
Dr. Louis: Yes, there are two types of surgery: above-the-muscle and below-the-muscle. To put it simply, below-the-muscle is located deep in the body. It will be smoother. The muscles and breast tissue will help to cover the silicone. Above-the-muscle, the silicone will be more bouncy. When you wear a swimsuit or a bra, wow, it’s big, sexy, and beautiful. It depends on what each person likes.
I heard that Dr. Louis’s cases are mostly about solving problems. What are the most common problems encountered?
Dr. Louis: Yes, there are many types of breast corrections that I have seen, but the most common type is hardness. The breasts are tight and deformed. This is corrected because scar tissue has formed.
It cannot be solved by any other method than surgery?
Dr. Louis: No, I have to say. Sometimes when we search the internet, we find that massage can fix scar tissue, break up scar tissue, but in reality, it’s not like that. Massage to break up scar tissue does not really exist in this world because if you look at pictures of scar tissue, it is very tough and hard. Massage cannot break it up. What you did and it turned out that your breasts became softer is because the silicone has ruptured.
So what causes scar tissue?
Dr. Louis: When we have a foreign object, silicone is a foreign object in our body, whether it is silicone for the nose, silicone for the forehead, silicone for the chin, or anything else. When it is inserted into the body, our body will wrap it with our own tissue. But if that tissue has a problem, wraps too much, it can be called scar tissue in the chest area. The occurrence of scar tissue depends on 3 factors. The first factor is the surgeon. He may have performed the surgery poorly, severely, with a lot of blood clots and inflammation. The second factor is using inappropriate silicone, not using standard silicone. The third factor is taking care of yourself. If after the procedure we do not take care of ourselves, party a lot, smoke a lot, do not rest, the body will become tired, causing scar tissue in the long term.
Is it true that they say that if you have breast augmentation for 10 years, you will need to change it?
Dr. Louis: This is true and not true. I look at the time period. If the surgery was performed before 2010, the silicone that came into Thailand or from abroad would be a type that is not very good. The skin will not be very good. If we look at the data, we will find that it can easily cause scar tissue, which is also a source of a type of cancer. So they have to say that in 10 years you have to change it. But nowadays, silicone is of much better quality and can last a lifetime.
How can I prevent scar tissue?
Dr. Louis: Take care of yourself. After the procedure, you may need to avoid parties or avoid things that stimulate the body to weaken it. For example, we need to maintain good health and get enough sleep. Sleeping also plays a part. If we are someone who sleeps on our sides a lot, it will press on our chest. If it presses continuously, it will become tight. Sometimes it is injured. Not wearing a bra like this can stimulate the body to be injured all the time. It can also cause scar tissue to come.
Should I wear a bra?
Dr. Louis: You should wear a bra. I tell all my patients who have had breast augmentation to wear a bra when they sleep. It’s not difficult. Just keep doing it and you’ll get used to it.
Does it have to be an underwire bra or does it not have to be underwired?
Dr. Louis: Actually, everything is fine. But nowadays, underwire bras have better technology. They are more beautiful to wear and are softer. I would recommend wearing underwire bras.
When you first start, do you ask your patients to wear a bra when sleeping?
Dr. Louis: Yes, that means wearing a bra at all times.
And for normal people who have not had breast augmentation or have had it done for a long time, is it necessary to wear it to sleep?
Doctor Louis: If you want to have a good figure, wearing a bra is one way to help because the breasts have weight, especially during pregnancy or breastfeeding. The breasts will expand. If you don’t wear a bra, the flesh will sag. Practice wearing it. When you practice, you will get used to it and it will make your figure beautiful. Some cases are 60-70 years old who have always worn a bra, their breasts are still beautiful. But some cases are 40 years old, have had children and don’t wear anything, their breasts sag a lot. If you want to enhance it alone, it won’t be beautiful. You have to have a lift surgery as well, which costs more, has more scars, and takes longer to heal.
The problem of scar tissue that needs to be treated by the doctor, how can it be distorted and out of position? Did the doctor put it crooked? Is that impossible?
Dr. Louis: It is possible. The surgery can be done under the breast or through the armpit. Most of the patients who I have done to correct unevenness did it through the armpit in the past, before there was a camera. That is, the surgery was done and the entire length was cut from the armpit to the base of the breast. There is a high percentage of unevenness.
I heard that there is a silicone case that has holes in it?
Dr. Louis : Yes, it was very scary. This was an implant that was too big, beyond the patient’s body. The doctor was kind and indulged the patient. After the surgery, they couldn’t stitch the wound, so they forced it in. In the beginning, the first week or two, it might have been fine, but as time passed, the flesh couldn’t take it anymore. We had to do activities and work, so there was constant movement.
What causes breasts to be far apart and have deformed breasts?
Dr. Louis: For breasts that are far apart, I must first say that our bones are not the same size. When augmenting, there must be a gap between the bones in the middle. If done correctly, it will be within the limits of our body. However, for some people, the gap is very large. When augmenting and then pulling in silicone that is too pointed, it will create a lot of space in the middle.
Is it true that silicone can break? Because we hear advertisements that even a 10-wheeler truck can run over it and it won’t break?
Dr. Louis: It can break. It can break on its own, meaning it leaks, or break from impact. If time passes and poor-quality silicone is left in the body for a long time, it will become brittle. We might exercise or play sports, and it can break from impact.
When silicone enters the body, it goes through the bloodstream to other places. Is it dangerous?
Dr. Louis: It can be absorbed. At first, the chest is hard with scar tissue. When it ruptures, it will soften for a while, and then it will become hard again because what comes out will stimulate more scar tissue, and it is also dangerous. The more it is absorbed into the body, the more silicone syndrome will occur, causing fatigue and body aches.
How do we know if the silicone we are using meets the standards?
Dr. Louis: What I do now is give a card, a box with a clear number indicating what the patient is wearing. The patient must know what they are wearing. But what I often encounter is that the patient cannot remember what brand or size they are wearing. Sometimes when they take it off, it does not match what they told me.
I would like to know what are the main problems in breast augmentation?
Dr. Louis: What I think is wrong is that even if you save money and insert another silicone without telling the patient the truth, there will be problems afterwards, such as scar tissue or other damages, which will be detrimental to the patient without his choice.
Does this mean that if the price is too low, we should be suspicious?
Dr. Louis: Yes, if the price is too low, be careful.
Is there a big difference between standard silicone and silicone that comes from nowhere?
Dr. Louis: Actually, the shape is not different. Sometimes the touch is not different. But the surface material or gel inside is definitely different.
We are not familiar with it, we are not in the industry, so we might not know?
Dr. Louis: I don’t know because in the end, it’s inside us. We can’t open it up later to see what we put in. The X-ray can’t see what brand it is because we don’t know. It’s like a ticking time bomb inside our body. Many people come to me to fix it because they just want it to be bigger, they want it to look better. But when they take it out, it leaks.
Then will there be something like this? Show it before you do it. This is the box. This is the holographic sticker?
Dr. Louis: Yes, I heard that when the time comes, I don’t want to say that there are fake boxes. This is quite difficult, but we can check with the company. The silicone company can still check.
The doctor has ever encountered a very severe case. How severe was it?
Dr. Louis: The most severe I’ve ever seen. As I said, it’s rare to find a cancer case. Even if it’s BIA-ALCL, it can be treated. But what I’ve actually seen is scar tissue with inflammation, which means it’s hard, inflamed, and the flesh is very swollen. The treatment is that you might have to take it off and rest for 6 months to 1 year. Take it off and rest for a long time. But I haven’t seen it to the point where a lot of things need to be cut off yet.
Which cases are the most difficult to solve?
Dr. Louis : The hardest to fix is grade 4 scar tissue. This is as hard as a rock. This is very difficult to remove. But we have to do everything to keep him safe. We use common surgical tools. But it might take a while because we don’t want to be too aggressive. We have to do it gradually.
For women who have had breast augmentation surgery, do they have to go for a mammogram when they reach a certain age? Some people say that the examination may cause the silicone to rupture. Is this true?
Dr. Louis: It’s possible. I’ve seen it before. For breast augmentation, mammography and ultrasound can be used. The paper says that both can be used. However, the problem lies with the technicians performing the examination. Some are experienced, some are recent graduates. They may not know the appropriate method of squeezing for people with silicone. They must do it gently. If you are worried, I recommend getting an MRI. In addition to looking at the breast tissue, you can also see the silicone surface clearly. Or if you want to get a mammogram, you must tell the technician that you have had breast augmentation and have him squeeze gently.
From your experience, do you have any advice for those who are thinking about breast surgery?
Dr. Louis : First of all, you have to understand your purpose and why you want to do it. Study information and reviews as much as possible. You should consult with the doctor directly, not just a salesperson. You have to talk to the doctor about what he will do for you and tell him your needs. Choose a place that is ready to provide care. Don’t choose it just because it’s cheap.
The anesthesiologist is also important, right?
Dr. Louis: Yes, sometimes the doctor administers the anesthesia himself or has an assistant who is not knowledgeable about it. Sometimes, only local anesthesia is used, which is done in cases where the patient is at high risk of being anesthetized. However, if the patient is physically fit, general anesthesia is better.
Are there cases where the doctor has to refuse to perform surgery?
Dr. Louis: Yes, we have to understand the patient’s needs first. If they want a size that is too big for their body, they have to refuse for safety reasons. Or in cases where there is a risk, such as having very hard scar tissue or being old, they may have to send for a biopsy. It is recommended to do it in a hospital, which is safer.
