Today we look at Dr. Piya’s Signature 3D Breast Augmentation by Dr. Piya, a surgeon popular with Thai celebrities, known for results that are “precise and beautiful, as you want them” through customisation in every case. The technique combines 3 innovations:
1. Triple Plane Mini-Lifting Technique (Advanced Dual Plane Subfascial) – a signature technique for closer cleavage and a clearly defined shape
2. Muscle-Relaxant-assisted Breast Augmentation – less pain after surgery, natural results, a lower chance of capsular contracture, and implants that settle faster
3. Insertion Sleeve Technique – small incisions and less tissue trauma
What is the Triple Plane Mini-Lifting Technique?
The Triple Plane Mini-Lifting Technique (Advanced Dual Plane Subfascial), or partial sub-muscular implant placement, combines the advantages of placing implants both over and under the muscle. It is a signature technique Dr. Piya developed from dual plane placement: part of the implant sits under the muscle so the upper breast looks smooth, while the lower part sits over the muscle for natural curves. The result is close, smooth breasts with no visible implant edges, natural movement, and a lower risk of capsular contracture and future sagging.
Breast augmentation with the Triple Plane Mini-Lifting Technique
The Triple Plane Mini-Lifting Technique (Advanced Dual Plane Subfascial) not only gives closer cleavage and volume, but can also lift mildly sagging breasts without a separate lift. Its advantages include:
• More volume and clearly defined upper fullness
• A beautiful breast position without sagging
• Clear cleavage and a natural breast shape
• Smaller incisions and less scarring than standard augmentation
• Good support for breast weight, reducing the risk of future sagging
Who is the Triple Plane Mini-Lifting Technique suitable for?
The Triple Plane Mini-Lifting Technique (Advanced Dual Plane Subfascial) suits general breast augmentation and can also address sagging after childbirth, breastfeeding, weight loss or natural ageing, by placing the implant in the right position and filling the lower breast for a full, natural look. It cannot replace a breast lift for severe sagging, but gives clear results for mild to moderate sagging.
What is breast augmentation with a muscle relaxant?
Breast augmentation with a muscle relaxant is a special technique for natural results, defined upper fullness and less pain after surgery. A muscle relaxant is injected into the chest muscle before the implant is placed, to prevent muscle contractions that could move the implant. This helps the implant settle faster and reduces pain during recovery. The technique is often combined with the Triple Plane Mini-Lifting Technique (Advanced Dual Plane Subfascial) for beautiful, natural results, and helps reduce implant displacement for long-term confidence.
Benefits of breast augmentation with a muscle relaxant
A muscle relaxant is widely used in aesthetic medicine to relax muscles and reduce wrinkles. Dr. Piya applied this property to breast augmentation, using it to relax muscle contraction after surgery, which helps:
• Reduce pain and discomfort after surgery
• Reduce the need for painkillers
• Shorten recovery, so you return to normal life sooner
• Help the implant settle faster for beautiful, natural results
• Give more beautiful, natural results
• Lower the chance of capsular contracture
What is the Insertion Sleeve technique?
The Insertion Sleeve technique uses a sterile, soft, flexible funnel that helps reduce incision size, tissue trauma and the risk of infection. The implant does not touch the skin directly, so it can be placed precisely for natural-looking results and faster recovery.
How does the Insertion Sleeve technique work?
The surgeon first makes an incision to insert the implant. There are several options:
- Under the breast fold: there may be a small scar in the breast fold, but it is rarely noticed because the natural drape of the breast covers it
- Around the areola: the scar is small or barely visible, but the procedure is more delicate and difficult
- Under the armpit: an option for people who do not want a scar under the breast, but it requires high surgical skill and aftercare is more complex than with the breast fold approach
The surgeon then places the funnel at the incision in the right position, and an assistant places the implant into the top of the funnel. The surgeon gently squeezes the implant through the funnel into the desired position.
Advantages of the Insertion Sleeve technique
- Smaller incisions
- Lower infection rates, because the surgeon does not touch the implant and each funnel is used only once per surgery, reducing contamination of the implant and the risk of future capsular contracture
- Less handling of the implant and less exposure to air
- Less friction between the implant and the wound
- Less trauma and faster recovery, because the smaller incision causes less tissue injury and inflammation
- Shorter surgery time, as inserting the implant through the funnel is quicker, so you spend less time under general anaesthesia
- Longer implant life, because the surgeon does not need to squeeze the implant directly, reducing the chance of damage to its shell
