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

Create Well-Positioned & Fuller Breasts with Tiny Wounds & Less Pain

Less Pain with Naturally Beautiful in every degree of movement with special technique at the Premium level 

With 'Dr. Piya', Thailand's No. 1 Breast Augmentation Surgeon
‘precise and perfect, as one wishes’

"When the best of quality and advanced technique come together, it is like a luxurious beauty like Hermes in the world of breast augmentation surgery." 

Behind Cosmetic Surgery By Dr. Piya

'Dr. Piya Rungruxsiri,MD’ or 'Dr. Piya' is a plastic surgeon with Boarded-certification in Plastic and Reconstructive Surgery from Thai Medical Council and a member of  the International Society of Aesthetic  Plastic Surgery (ISAPS) & American Society of Plastic Surgeons (ASPS) . Dr.Piya also holds the position of CEO & Co-Founder of Nida Esth' International: Premium Laser & Cosmetic Surgery Institute where is globally accepted and guaranteed with the most recently  the 'Editor's Choice for ‘The most trusted cosmetic surgery center & leader in aesthetic laser technology' from Hello Beauty Award 2022'. And, The Most Innovative Cosmetic Clinic of the Year in Asia Pacific 2023 by Global Health Asia Pacific and lastly 'the Honorary People of Hello Magazine Thailand' in 2023 from our determination in finding the best technology to answer every problem and concern of every patient throughout his past work.

What does the Expert say?

From over 25 years of experience working as a board-certified plastic surgeon and expert in breast surgery, including having had Contacted with tens of thousands of patients, I found that the purpose or ultimate dream of most patients, whether they are Thai, Asian, or even Western patients, is “Well-Positioned and Fuller Breasts with Tiny Wounds and Less Pain, and Naturally Beautiful." These qualities are always the patient's dream. Therefore, over the past years, I have developed a unique technique to cater to the special needs of each patient. This is because all patients who consult with me come with the hope and belief that they will achieve the desired breast results. As a result, I have created a special technique called "Triple-advanced Technique," in which I combine three of my own special techniques. The dual-plane Subfascial technique for breast augmentation can effectively address issues with well-positioned and fuller breasts. Another technique that I have developed is combining  botox-assisted breast augmentation, which is known to alleviate pain and the breasts will be naturally formed faster after surgery. My technique also help reduce incidence of capsular contracture, so post -operative breast under my special technique will give soft and natural touch. And, finally, the Insertion Sleeve technique which addresses the issue of smaller wounds.

Therefore, today we are going to talk about Dr.Piya’s  Triple-Advanced  Technique Breast Augmentation which include  Advanced Dual Plane technique ( Dual Plane SubFascia),  Botox®-assisted Breast Augmentation Technique and Insertion Sleeve Technique with 'Dr. Piya' who is known as the most favorite surgeon of superstars, ellite and celebrities all over Thailand and Asia due to his outstanding performance of the art of surgery which is "precise and perfect, as one wishes" with customization techniques in every case, causing many patients to be intrigued and come to consult with him from both Thailand and other countries.

What is the Advanced Dual Plane Subfascial Breast Augmentation?

Advanced Dual-plane Subfascial breast augmentation involves positioning a breast implant in a precise anatomical location, which is partially behind the pectoralis muscle and partially behind the fascia of breast tissue. The breast is composed of several layers, arranged from outermost to innermost, including the skin, breast tissue, pectoralis muscle, and ribs The resulting pocket places the breast implant in an optimal position for the individual patient and a more natural outcome. Moreover, Dual-plane Subfascial technique also generates teardrop-shaped breasts in every position and constantly maintain them naturally beautiful in every movement, breasts are still in a naturally exquisite shape whether sitting or lying down.  

What are the benefits of Advanced dual plane Subfascial breast augmentation?

Dual plane breast augmentation not only increases the volume of the breasts but also provides some degree of “internal breast lift" by utilizing an implant. This can assist certain patients in avoiding a traditional breast lift procedure if they only have mild sagging. Dual plane Subfascial  breast augmentation typically provides the following benefits:

  • Enhanced volume and fullness
  • More youthful positioning in the breasts with reduced sag
  • Greater cleavage and more sensual breast contours
  • Reduced scarring and shorter incisions when compared to breast augmentation
  • Natural-looking breast shape
  • Greater support for the lower breasts, reducing the risk of recurrent sag in the future

Who is suitable for dual-plane Subfascial breast augmentation?

This technique is highly beneficial for addressing breast deflation accompanied by sagging, which may arise as a result of childbirth, breastfeeding, weight loss, or natural aging. A dual plane technique enables the implant to be positioned slightly lower, thereby enhancing the lower portion of the breast and producing a lifted aesthetic outcome in breast augmentation procedures. While this method may not completely eliminate the necessity of breast lifting in moderate to severe cases, it can sometimes reduce the need for lifting in mild degree cases.

What is the Botox®-assisted Breast Augmentation?

It is a breast augmentation surgery with a special technique called Botox®-assisted Breast Augmentation that produces more natural-looking results of well-positioned and fuller breast using a unique breast enhancement technique that combines premium-level expertise in the science of beauty and the art of design with Botox, injecting into the specific areas of  pectoralis major muscles behind a woman's breasts which can effectively inhibit muscular cramps following the surgery. By using this approach, patients get less discomfort and expedited recuperation.

Following a standard breast augmentation procedure, the majority of women have intense muscular contractions in their chest area throughout the recovery process. And, unfortunately, temporary muscle contractions usually result in the implant being positioned higher in the breast than intended. Therefore, I have developed my own technique  using Botox® to speed up the process of implants settling after breast augmentation in combination with advanced dual plane subfascial technique to prevent this unsatisfied results.

In order to limit and prevent temporary muscle contractions, I’d administer Botox® injections into the patient's pectoralis muscles in specific areas with my specially designed procedure just before placing the breast implants beneath them. Just like how these injections work on the facial muscle, Botox® disrupts the nerve activity and stops the pectoralis muscles from contracting. By restricting the contractions, we have effectively relieve the pain. The reduction of muscle contraction enables the implants to reposition themselves far faster than they would otherwise. According to my previous cases for breast surgery, my patients are achieving the expected outcomes within a just six weeks instead of the usual waiting period of three to four months for the implants to stabilize.

Benefits of Botox®-assisted Breast Augmentation

Botox®, technically referred to as botulinum toxin, is primarily employed to diminish facial wrinkles and creases by inducing temporary relaxation of the facial muscles. It is evident that Botox® treatments are widely accepted and extensively researched, which is a significant factor that led Dr. Piya to develop a unique Botox-assisted breast augmentation procedure. He is utilizing his expertise in Botox® to apply its widely recognized advantages to …

  • Reduce muscular discomfort
  • Lower postoperative discomfort
  • Minimize or eliminate the necessity for painkiller medications
  • Reduce the duration required to resume regular activities
  • Deliver expedited and improved ultimate aesthetic outcomes
  • Reduce incidence of capsular contracture 

What is the Insertion Sleeve Breast Augmentation?

The Insertion Sleeve Breast Augmentation technique is an advanced and innovative method for breast augmentation. It involves the use of a specialized device to improve the insertion process of breast implants, while minimizing contact with the surrounding tissues. This soft, sterile, and flexible cone-shaped funnel enhances the surgical procedure by increasing accuracy and minimizing potential hazards.The Insertion Sleeve Breast Augmentation technique aims to streamline the process of inserting breast implants and enhance the final results.

How Does It Work?

A specialized surgeon initiates the procedure by creating an incision on the patient's body. Multiple incision options available for the insertion of a breast implant are …

  • The Under the Breast approach requires making an incision in the anatomical fold where the breast and chest wall converge. Typically, it leads to a discreet scar that is concealed within the natural crease beneath the breast.
  • In the area surrounding the areola: This procedure entails creating a cut along the perimeter of the areola, which refers to the pigmented regions encircling the nipple.
  • The axilla, also known as the armpit, can be accessed through a transaxillary incision. This procedure involves making a small cut in the natural fold of the armpit. Subsequently, the surgeon constructs a passageway to the breast tissue in order to insert the implant.

After the cut, the surgeon inserts the slim and flexible tip of the insertion sleeve into the wound. The nurse then inserts the implant into the sleeve through an opening on the upper part. The implant is removed aseptically from its packing with no physical touch. Continue by gradually squeezing the implant through the funnel before placing it into the breast pocket. The next step is to carefully squeeze the implant down the funnel and into the breast pocket.

What are the benefits of Insertion Sleeve Breast Augmentation technique?

The surgeon derives advantages from employing the Insertion Sleeve Breast Augmentation technique:

  • Enhanced Implant Placement: it enables accurate placement of breast implants into the surgical pocket, reducing the likelihood of distortion or harm during insertion. The regulated and effective environment allows the surgeon to attain ideal symmetry, size, and placement, leading to outcomes that are more visually appealing and appear more natural.
  • Minimized Surgical Trauma: the soft and flexible nature of the material decreases the amount of force needed to insert the implant. By employing this gentle technique, it is possible to reduce tissue damage, leading to decreased post-operative pain and quicker recovery periods. Patients may encounter less bruising and swelling, facilitating a more seamless healing process.
  • Ensuring Sterility and Safety: It ensures the maintenance of a sterile surgical environment. This technique guarantees that every patient is provided with a fresh, uncontaminated sleeve, thereby reducing the likelihood of infection or cross-contamination. Adhering strictly to sterility protocols also guarantees the utmost level of safety for patient

Why Dr.Piyas Triple-Advanced Technique Breast Augmentation is more Premium?

Less Pain + Tiny wounds + Safety standard + Well-Positioned + Natural Fuller results

In order to provide such beauty at a premium level, Nida Esth International incorporates the special technique using a combination of Dual-plane Subfascial  Technique, Botox® Injection Technique, the Insertion Sleeve Breast Augmentation Technique and implants that have been developed with more advancing technology. We offer the safety standard of an operating room, resulting in the natural outcome with higher flexibility. No matter which postures, the breasts are still stunningly elegant. It also comes with greater security thanks to the unique technology of implants that is made from more durable materials. With the specific technique of the surgeon and the flexibility of the implants, there is no need to be worried about scars and bruising since the surgical wound is much smaller than old surgical techniques. Plus, the recovery period is also shorter.

Dr.Piyas Triple-Advanced Technique Breast Augmentation is a combination of his finest breast augmentation techniques that meets the need for natural beauty and almost 100% of perfection for those who seek for the natural breasts with small wounds, regardless of any movement in motion. It also provides the highest safety. Therefore, Dr.Piyas Triple-Advanced Technique Breast Augmentation is the key to a problem of breast implant malposition from conventional breast augmentation.

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VECTRA 3D State-of-the-art technology that plays a role in the design of the breast augmentation plan

The Vectra 3D Simulator is Thailand's only 3-dimensional technology that I usually use to discuss with my patients. This technology allows patients to view what their breasts will look like following surgery, causing patients to determine whether or not to use this approach or implants, but if they are not pleased, we can experiment with the patient's needs. Whether it is a question of the nature of the shape and the form of breasts, Vectra 3D can aid in the design of the treatment plan, offering highly exact results for almost 100% of the time.

The technology will capture and record 3 images to build 3-dimensional photos. The computerized AI system then processes and creates images which can be seen in multiple perspectives as a tool to help plan the treatment to meet the needs of patients. Vectra 3D technology is a technology that allows us to visualize after surgery such as breast augmentation surgery, nose surgery, or even liposuction. However, the processing of Vectra 3D technology should also rely on the experiences of professional and well-trained surgeons as well in order to assess the aesthetic techniques and needs of patients.

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. 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.

Precautions for the Dr.Piyas Triple-Advanced Technique Breast Augmentation 


  • Refrain from taking blood clot-dissolving drugs (Aspirin and Ibuprofen), vitamins A, E, C, herbs, ginseng, ginkgo biloba leaves and fish oil 2 weeks before surgery.
  • Refrain from smoking and drinking alcohol at least 2 weeks before surgery.
  • Take a shower, wash your hair, and clean your body thoroughly before surgery.
  • Prepare to wear loose, comfortable clothing and easy to put on and take off such as a shirt with front buttons
  • Abstain from food and drink for at least 8 hours before surgery.
  • Take a shower and clean yourself thoroughly before surgery.


  • During the first 4-5 days, your breast should be wrapped by elastic bandage  to help support the shape of your breasts and reduce movement to decrease chances of pain and swelling Then wearing support bras afterwards is recommended for 1-2 months.
  • Apply medicine regularly. Your doctor may give you medicine, cream, or ointment to apply to the wound periodically to prevent infection. It's important to ask your doctor how many hours you need to take your pain medication and what types of medicines are prohibited from taking.
  • You should wear comfortable clothes by choosing loose clothing, not tight, it will help you feel more comfortable. No need to twist your body back and forth when you want to move.
  • Your surgeon may recommend that you come and receive a breast massage at Nida Esth' International with a specialist 14-21 days after surgery to prevent hardening of the membrane around the implants. This step should be done with caution because it may affect the wound.
  • Receive Soft Laser treatment to help heal wounds and reduce swelling and bruising.
  • Reduce activities that involve a lot of movement in the chest or armpits, such as running, lifting things up high, etc.
  • Eat nutritious food that is high in protein, along with vegetables and fruits because protein helps repair various parts of the body.
  • Refrain from smoking and drinking alcohol until your surgeon gives you permission.
  • Stitch removal period: 7-10 days after surgery

Dr.Piyas 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 suppliesMedicines 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

Why Dr.Piyas Triple-Advanced Technique Breast Augmentation at Nida Esth’ International ?

  • A well-known ,highly-experienced ,board-certified plastic surgeon, Dr. Piya Rungruxsiri,MD with special techniques to perform breast surgery.
  • The professional anesthesiologist and specialized nurses with experiences in  inpatient care which are well-accepted in both Thailand and other countries.
  • There are modern equipment and tools such as the Vectra 3D that can simulate three-dimensional images of the shape of breasts and the results after the procedure.
  • Utilize the breast implants which are standardized by US FDA, CE MARK. Breast implants are selected only for each individual with a serial number.
  • After breast augmentation, patients shall receive ultimate care from a professional nursing team, including breast massage instructions and post-operative wound care after breast augmentation for the wound to heal even faster.

A committed surgeon described as the most attentive and meticulous surgeon in every step

I'm a plastic surgeon who has always pay attention to my patients' overall beauty, especially when it comes to breast surgery to make it appear as natural as possible. In every case, as I put in my full efforts and dedication, it is possible to say that I'm one of the most attentive and meticulous surgeon thorough in every stage of enhancing my patients' beauty.

I constantly remind my patients that everyone is beautiful in their own unique way and that everything is a work of art. Each patient has a unique body type, shape, and size. Furthermore, needs vary; therefore, it is my responsibility to plan and design the correct treatment to produce the artwork on the patient's body that is to be "tailor-made", following the Personalized Beauty Concept, which alters each person's appearance so that it appears natural and beautiful.

As a result, when performing the operation, I will take into account each patient individually, offer consultation, and give the patient the opportunity to ask questions and thoroughly explain what the patient wants and what can be done. With my experience in cosmetic surgery, I am able to select the best techniques that are secure and as suited to the patient's preferences as possible.”

In order to appear beautiful in our best version, everybody who is interested in treating breast problems whether they have issues with breasts that are too tiny, too big, drooping, or have uneven breasts and in order to construct and create a customized treatment plan, you can come in for an evaluation with the specialized surgeon - Dr. Piya - who will use VECTRA 3D to evaluate the body and breast. So, Personalized Beauty Plan is properly created to address each unique issues.


1. After breast augmentation using Dr.Piya’s Triple-Advanced Technique Breast Augmentation, can I breastfeed?
Answer: You can breastfeed normally.

2. After breast augmentation using Dr.Piya’s Triple-Advanced Technique Breast Augmentation, how many recovery days are required?
Answer: 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.

3. After breast augmentation, is it necessary to stay in the hospital to recuperate?
Answer: 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.

4. Can breast implants using Dr.Piya’s Triple-Advanced Technique Breast Augmentation last for a long time?
Answer: About 10 – 15 years or more.

Principles of Dr. Piya who offers the best to all patients

To ensure that the patients who come to consult receive the best care possible, I have always worked under the guiding principle that I am a beauty consultant, design artist, and expert plastic surgeon all rolled into one. To do this, I have to consider what the patient wants, what the patient's physiology is, and how we can meet the patient's needs based on possibility and natural beautiful outcomes.

Each process I've always considered myself to be both an artist and a medical professional. In other words, I may utilize this surgery for creating art on a patient, making them seem as attractive, natural, and gorgeous as they choose. These are my work-related principles at all times.

The final significant point I'd want to make is that "Beauty must always come with safety" No matter what we do to our bodies, especially breast augmentation and other procedures, we should put safety first in terms of the setting, the tools utilized, and all of the medical professionals who will be looking after us. As a result, I always remind my patients that safety and beauty must coexist.


Dr. Piya Rungruxsiri, MD, or Dr. Piya at Nida Esth' International
Best Plastic Surgeons in Thailand

A Board-certified Plastic  & Reconstructive Surgeon  graduated from Faculty of Medicine, Chulalongkorn University Hospital, Bangkok,Thailand


  • Member of Thai Society of Plastic and Reconstructive Surgeons of Thailand
  • Member of Thai Society of Aesthetic Plastic Surgeons of Thailand
  • Member of International Society of Aesthetic Plastic Surgery (ISAPS )
  • Member of American Society of Plastic Surgeons 


  • Doctor of Medicine, Chulalongkorn University
  • Board of General Surgery, Chulalongkorn University Hospital
  • Board of Plastic & Reconstructive Surgery, Chulalongkorn University Hospital

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