Thai plastic surgeons use Vaser liposuction alone if the breast enlargement consists predominantly of fat. If dense glandular tissue is present or skin is loose, they combine Vaser with surgical excision. This dual approach ensures a flat, masculine chest contour by removing tissue the ultrasound energy cannot liquefy.
- Tissue composition: Vaser melts fat while surgical excision removes firmer, non-fatty glandular breast tissue.
- Skin elasticity: Vaser alone helps mild sagging, but significant excess skin requires surgical excision.
- Chest contouring: Doctors use Vaser first for debulking then excise the gland for precision.
- Scar management: Many Thai experts perform excision through the same tiny Vaser incision points.
Bookimed Expert Insight: Data shows that top Thai specialists, such as Assistant Professor Ajchariya Sarovath at Bumrungrad International Hospital and Dr. Thanakom Laisakul at Asia Cosmetic Hospital, often utilize fellowship-trained microsurgical and reconstructive skills to refine these results. Because Vaser cannot fully dissolve dense glands, these board-certified surgeons frequently pair it with minimalist excision techniques to prevent 'puffy nipple' recurrence and achieve natural chest definition.
Patient Consensus: Patients note that combining Vaser with excision was necessary for a truly flat result. They found that Vaser handled the bulk of the volume, while the gland removal fixed the firmness behind the nipple. Many were surprised by how small the incisions remained even when both methods were used together.
