ID Clinic Bangkok
ID Clinic Bangkok
Thailand, Bangkok
Dr Phatcharasak Kraisornphongsakul Md
34 years of experience • 20000+ treatments performed
Surgeon's portfolio
Clinic is certified :
A mommy makeover combines several cosmetic procedures to address areas that may have changed after pregnancy or weight loss. For patients considering treatment in Thailand, the key factors are the experience of the plastic surgeon, the hospital where surgery is performed, and the care available during recovery.
Research on Combined Procedures
Combining a tummy tuck, breast lift, and liposuction in one operation has been studied extensively for its short-term outcomes. In large studies, more than 90% of patients came through the first 30 days without a complication. Similar short-term results have been reported when these procedures are combined or staged.
Combined vs. separate surgery outcomes
Some patients have several areas they want to address at once, while others prefer to divide the procedures into separate operations. Research comparing these approaches has found similar short-term outcomes in several key areas.
A single-surgeon series of 726 patients found no meaningful difference in bleeding, fluid buildup, wound healing, or repeat operations. The same study even recorded a lower wound-infection rate when two areas were treated together. Spreading the work across two sites keeps tension off a single healing wound. A combined makeover is a planned operation under one anesthetic, with an overnight hospital stay rather than a same-day visit.
What large studies found
In an analysis of 26,771 cases from the TOPS (Tracking Operations and Outcomes for Plastic Surgeons) database, combining abdominoplasty or mastopexy with other cosmetic procedures showed no statistically significant increase in 30-day complication rates compared to doing those procedures on their own.
One studied approach pairs local tumescent anesthesia with a spinal block instead of full general anesthesia. In a retrospective review, that combination was linked to less airway strain, less nausea, and less pain afterward. Ask your surgeon whether this anesthesia approach suits you.
Planning Combined or Staged Surgery
Whether to combine everything or stage it depends on your overall health. Before your consultation, surgeons can use a simple 7-point score to assess factors that may influence the surgical plan.
How the point system works
The score adds up a few risk factors:
- Diabetes: 1 point
- Age over 53: 1 point
- A BMI of 30 or more: 2 points
- A higher anesthetic-risk grade, ASA 3 or above: 3 points
The total score is linked to 30-day outcomes. About 90% of patients with 0 points had no complications, compared with around 83% of those scoring 1–3 points and about 61% of those scoring 4–7 points.
When the score falls in the higher range, surgeons may stage the procedures. The tummy tuck comes first, with breast surgery a few months later. The final approach depends on your individual health and surgical plan.
Weight, blood sugar and nicotine
Body weight is the biggest single factor. A BMI above 35 is a firm reason to postpone. Many surgeons want a stable BMI under 28–30 first, because higher weight slows wound healing. Surgeons also check your blood sugar control. They ask you to stay completely nicotine-free for 4–6 weeks before and after, which protects the healing skin.
When to Schedule Surgery After Birth and Breastfeeding
The wait after pregnancy has a medical purpose. It lets your body settle so the repair holds and the results last.
After childbirth
After a vaginal birth, surgeons generally advise waiting at least 6–12 months. That gives the womb time to shrink back, postpartum swelling to clear, and the abdominal wall to firm up. By then, the tissues have had time to settle before the surgeon reshapes and tightens the area.
After a C-section, some Thai hospitals ask for a full 12 months, letting the internal scar mature first.
After breastfeeding
Stop breastfeeding completely 3–6 months before breast surgery. Milk ducts need time to dry out and breast volume to settle. The reason is biological. Recently active ducts still contain bacteria. Operating too soon raises the risk of infection around an implant. It can also harden the scar tissue, a problem called capsular contracture. Hormones after nursing also keep breast size shifting, so waiting makes implant sizing and lift results far more predictable.
How to Choose a Board-Certified Plastic Surgeon in Thailand
A Medical Council of Thailand license shows someone is a registered doctor, but it doesn't prove they trained as a plastic surgeon. Confirming the specialty is the key step.
What board certification to look for
The credential to look for is board certification in plastic and reconstructive surgery. In Thailand, the Society of Plastic and Reconstructive Surgeons awards it. It follows about six years of plastic surgery residency plus a specialty exam. International memberships such as ISAPS or the American Society of Plastic Surgeons add further assurance. For surgery abroad, the standard advice is to verify board certification, specialty training, and the facility. Also confirm the surgeon holds operating privileges at an accredited hospital. A board-certified anesthesiologist should provide the anesthesia.
Surgeons in Bookimed's Thailand network with plastic-surgery specialty credentials include Dr. Rushapol Sdawat, certified by the Thai Board of Plastic and Reconstructive Surgery and a member of ISAPS and ASPS. Dr. Tanongsak Panyawirunroj belongs to the Royal College of Surgeons of Thailand and ISAPS, with more than 15,000 operations performed. Dr. Saran Wannachamras is a member of the Society of Plastic Aesthetic Surgeons of Thailand and the country's Royal College of Surgeons.
A quick verification checklist
A quick way to verify your surgeon's credentials:
- Ask to see the board-certification document.
- Check that the surgeon appears on the hospital's official physician list.
- Confirm which specialty body issued the certificate.
Why Your Surgery Belongs in a Full Hospital
A combined mommy makeover takes 3–6 hours under general anesthesia. Private hospitals in Thailand that offer a mommy makeover provide intensive-care backup, a blood bank, and a 24/7 emergency team. For surgery abroad, choose a facility whose emergency provision and aftercare meet international benchmarks.
Why a hospital setting matters
The first 24–72 hours are best spent under continuous inpatient nursing. During this period, the team can monitor fluid balance, drains, and early swelling while you recover from a multi-hour operation under general anesthesia.
JCI, HA Thailand and GHA explained
JCI accreditation means a hospital meets more than 1,200 patient-safety standards. Those cover infection control, HEPA-filtered operating rooms, and the WHO surgical safety checklist. Thailand leads Southeast Asia for accredited hospitals. JCI accredits the hospital's systems, not the individual surgeon, which is why you check the surgeon's credentials separately.
HA Thailand and GHA are two additional accreditation frameworks to know. HA Thailand is the national hospital-accreditation standard. GHA audits how a hospital cares for international patients, including translation, documents, and transfer home.
When comparing hospitals, you may see these accreditations alongside other certifications and facility standards. For example, Asia Cosmetic Hospital holds JCI accreditation alongside ISO and HA Thailand. Sikarin Hospital is a JCI- and ISO-accredited tertiary hospital. Phuket Plastic Surgery Institute has operating rooms with HEPA filters, laminar airflow, and positive-pressure systems.
How Long Before You Can Fly Home
Plan to stay in Thailand for a while after surgery before flying. Shorter flights may require around 14–21 days of recovery. For long-haul routes to the US, the UK, or Australia, you may need 21–28 days, and sometimes up to three months.
How long to stay before flying
Repairing the separated stomach muscles raises pressure inside the abdomen, which slows blood flow back from the legs. A long flight then adds hours of sitting still, dry cabin air, and low pressure. Together, these make blood clots more likely. Staying on the ground lets the highest-risk early window pass under the clinic's care. Plan your travel dates around it.
Preventing clots on the flight
Top hospitals plan clot prevention with a Caprini risk score, a tool that assesses a patient's risk of developing blood clots after surgery. The score helps the medical team decide which measures are appropriate for you. Good prevention combines compression with medication where it's needed.
For the flight home:
- Wear fitted graduated compression stockings.
- Take any prescribed blood thinner, such as enoxaparin, according to your doctor’s instructions.
- Walk the aisle for about five minutes every hour.
- Do seated ankle pumps.
- Drink plenty of water.