Asst. Prof. Nutthawut Akaranuchat

Asst. Prof. Nutthawut Akaranuchat, M.D., Ph.D. (in Thai, ผศ.นพ.ดร. ณัฐวุฒิ อัครานุชาต) practises plastic surgery in Bangkok. The specialty recorded for him by Bumrungrad International Hospital is Plastic Cosmetic & Reconstructive Surgery. Both his medical degree and his plastic surgery residency were earned at Siriraj, the Mahidol University faculty formally named Faculty of Medicine Siriraj Hospital. He gained the Thai board qualification in plastic and reconstructive surgery in 2017, and in 2025 completed a Ph.D. in Medical and Dental Sciences at the Institute of Science Tokyo, a doctorate he began in April 2021.

Each of three Bangkok hospitals publishes a profile of him as one of its plastic surgeons:

• [Bumrungrad International Hospital](/hospital/bumrungrad-international-hospital/), in Watthana, on Soi Nana Nua (Sukhumvit 3): he consults in the Plastic Surgery Center, which occupies the 16th floor of Building A
• [Siriraj Piyamaharajkarun Hospital](/hospital/siriraj-piyamaharajkarun-hospital/), usually shortened to SiPH, on Wang Lang Road in Bangkok Noi: Skin and Plastic Surgery Center
• [Piyavate Hospital](/hospital/piyavate-hospital/), on Rim Khlong Samsen Road (Rama 9) in Huai Khwang: Plastic & Reconstructive Surgery Center

A fourth connection runs to Siriraj Hospital itself. Siriraj Hospital's Wang Lang Road address is the one on his membership entry with the plastic surgeons' society ThPRS; separately, his PubMed papers from 2019 to 2025 carry the affiliation of Siriraj's plastic surgery division within its Department of Surgery. No Siriraj staff page could be opened during our research, so his present clinical role at Siriraj is unconfirmed.

Bumrungrad sets out his special clinical interests in five groups. Three are reconstructive, one is aesthetic and one spans both:

• microsurgery, including super-microsurgery
• wound healing, wound reconstruction and the management of chronic wounds
• lymphedema surgery and management with lymphatic reconstruction, where the profile names LVA, lymph node transfer and liposuction
• facial aesthetic (cosmetic) surgery
• breast aesthetic surgery and breast reconstruction, where the profile names breast augmentation, mastopexy and reduction mammoplasty

On this site he is linked to three procedure guides, each named in that breast line: breast augmentation, breast lift and breast reduction. We have no guide yet for lymphedema, chronic wounds or microsurgical reconstruction, and his facial interest does not name any individual operation, so none of those areas is tied to a procedure page.

His Bumrungrad profile records Thai and English as his consultation languages. Anyone wanting to see Asst. Prof. Akaranuchat can route a request through our patient team and name whichever of the three hospitals suits their plans; the team checks his availability there, and the slot counts as booked only after that hospital says yes.

Medical school, 2009. He completed the Thai M.D. degree (แพทยศาสตรบัณฑิต) in 2009 at Siriraj, one of Mahidol University's medical faculties. For the same year, his SiPH profile records a Certificate of Practitioner in Medicine issued by the Medical Council of Thailand.

Postgraduate years, 2013 to 2017. SiPH lists a Higher Graduate Diploma Program in Clinical Medical Sciences, completed at Siriraj in 2013. The Thai version of his Piyavate profile records his plastic surgery residency (แพทย์ประจำบ้าน สาขาศัลยศาสตร์ตกแต่ง) at the Faculty of Medicine Siriraj Hospital, with the year 2017. That year also appears on the Bumrungrad, SiPH and Piyavate profiles for his board qualification. SiPH names the awarding body, the Medical Council of Thailand, and describes the award as a วุฒิบัตร (diploma) covering plastic and reconstructive surgery. On Bumrungrad the same award appears as a Thai Board of Plastic Surgery diploma. The Thai-language pages give these dates in Buddhist-era years: 2552 for his medical degree and 2560 for the board.

Seoul and Houston. Two study visits (ศึกษาดูงาน) are listed on SiPH: ASAN Medical Center's plastic surgery department in Seoul, South Korea, in 2016, and MD Anderson Cancer Center's plastic surgery department in Houston, Texas, in 2017. A study visit of this kind involves observing a department at work rather than holding a formal fellowship post, and the profile does not describe what either visit focused on.

Tokyo, 2021 to 2025. Bumrungrad lists observership training in plastic and reconstructive surgery at Tokyo Medical and Dental University from April to September 2024. The hospital files it under the heading 'Fellowships', but its own description is an observership, and that is how we present it here. The same page dates his doctorate, a Ph.D. in Medical and Dental Sciences from the Institute of Science Tokyo, from April 2021 to May 2025. Bumrungrad and SiPH both add Ph.D. to his English name and the prefix ดร. to his Thai name.

Assistant Professor. Bumrungrad and SiPH use the academic title ผศ. (Assistant Professor). None of the pages we reviewed says which university granted it. Piyavate presents him without an academic title, as Nutthawut Akaranuchat, M.D.

Licence check. No licence number appears on this page. His ThPRS entry leaves the licence field empty; the licence can be looked up on the Medical Council of Thailand's public register at checkmd.tmc.or.th. Before committing to surgery, it is worth searching the register yourself under his Thai name, ณัฐวุฒิ อัครานุชาต, or asking the hospital to confirm his licence. Our research methodology page describes how every fact on this profile was checked.

Hospital sessions. Profiles published by three hospitals on 27 September 2026 show him as current plastic surgery staff, and two of them post his clinic hours:

• Bumrungrad, where he sits in the Plastic Surgery Center (Building A, 16A): one session on Sunday, 10:00 to 12:00.
• SiPH (Siriraj Piyamaharajkarun Hospital), at its Skin and Plastic Surgery Center: Monday 10:00 to 12:00, Wednesday 13:30 to 16:30 and Saturday 13:00 to 17:00.
• Piyavate Hospital, Plastic & Reconstructive Surgery Center: listed as a plastic surgeon, with no clinic hours shown.

Bangkok hospitals revise clinic hours from time to time. Treat these as a guide only; our patient team rechecks them against the hospital's current timetable when your request arrives.

The Siriraj connection. A PubMed author search for Akaranuchat returns five papers dated 2019 to 2025. Four give his affiliation as Siriraj's Division of Plastic Surgery (in some papers, Plastic and Reconstructive Surgery) within its Department of Surgery. The fifth prints the division and department without the faculty name, next to co-authors from the Faculty of Medicine Siriraj Hospital. His ThPRS entry also uses the Siriraj Hospital address on Wang Lang Road. Ask our patient team what post he holds at Siriraj now.

Professional bodies.

• ThPRS (formal title: Society of Plastic and Reconstructive Surgeons, Thailand), verified on the society's own website: his entry dated 27 November 2019 reads นพ.ณัฐวุฒิ อัครนุชาต / Nutthawut Akaranuchat. That entry spells the Thai surname อัครนุชาต, whereas his hospital profiles use อัครานุชาต.
• ThSAPS (formal title: Society of Aesthetic Plastic Surgeons, Thailand), in an archived listing: a snapshot of the society's former aesthetic-surgeon list, once hosted at surgery.or.th and saved by the Internet Archive on 22 February 2020, shows him as นพ. ณัฐวุฒิ อัครานุชาต with member ID 394. The society has since taken that listing down, and no present-day public ThSAPS list turned up in our searches, so the membership rests on the 2020 snapshot and on his SiPH profile, which names the society.
• Royal College of Surgeons of Thailand: named on his SiPH profile; we have not seen a record from the college itself.

Research papers. The five PubMed items are:

• 2025, PLoS One: an experimental study in mice testing whether mononuclear cells grown in a quality-and-quantity culture medium help injured peripheral nerves regenerate
• 2024, JPRAS Open: a case report from Thailand on the surgery needed after a bear mauled a patient in a forest, leaving extensive, complicated injuries of the face and jaw bones
• 2024, Plastic and Reconstructive Surgery Global Open: an anatomical examination of the perforator branch that matters when thinning the medial sural artery perforator flap, a flap of skin and fat raised from the calf
• 2022, The Journal of Craniofacial Surgery: a cadaver study of the fibular free flap, a bone flap taken from the lower leg, focusing on the ligament system that binds the lower ends of the tibia and fibula, together with a case series using prefabricated 3-dimensional cutting guides
• 2019, JPRAS Open: a case report of Touraine-Solente-Gole syndrome in a patient with true drooping of both eyelids

Most of these papers concern flaps, nerve regeneration or the repair of facial injuries, which fits the microsurgery and reconstructive interests on his Bumrungrad profile. Laboratory work and case reports address research questions; they are not a measure of results for cosmetic patients.

Not published. We found no figures from his hospitals for years in practice, number of operations performed, complication rates, fees or patient reviews, and we have not estimated any. If such numbers matter to your decision, raise them with him directly at the consultation.

Bumrungrad files his breast work under 'breast aesthetic surgery / reconstruction' and names augmentation, mastopexy and reduction mammoplasty within that heading; those three operations are the procedures tied to his profile here. Where the text below moves from his documented interests to how an operation generally works, the detail is taken from our own procedure guides and is not specific to him. Only his own assessment of you can settle whether surgery, and which technique, is appropriate.

Breast augmentation. In general, augmentation enlarges or reshapes the breast using an implant filled with silicone gel or saline, or with fat transferred by liposuction from elsewhere on the body. Points to settle with him include the implant filling, its shape (round or anatomical/teardrop), whether the shell is smooth or textured, and where the scar goes: along the under-breast fold, along the lower margin of the areola, or tucked into the armpit. He will also advise on the pocket: in front of the pectoral muscle, or partly under it. BIA-ALCL, a rare lymphoma, has been tied mainly to certain textured shells, so ask him which surface he recommends for you and why. Budget for the possibility of later surgery too: implants do not last indefinitely, and many patients eventually have further operations to replace or remove them. An implant on its own does not raise a low nipple; since his profile covers both augmentation and mastopexy, he can tell you which of the two your breasts need, or whether they need both. As general guidance, our breast augmentation guide gives about 7 to 10 days in Thailand for most international patients and roughly six weeks before strenuous exercise resumes.

Breast lift (mastopexy). In general, mastopexy tightens the skin of the breast, reshapes the tissue and moves the nipple and areola upward. Surgeons usually suggest it once the nipple has dropped level with, or beneath, the crease under the breast. Scar patterns grow with the degree of lift: for mild sagging, a ring around the areola; for moderate sagging, a vertical 'lollipop' line; and when more lift is required, an anchor shape that adds a scar along the crease. If you would also like more fullness in the upper breast, ask him whether he would place an implant during the lift or at a second operation; our guide notes that doing both in one sitting adds complexity and raises the chance of needing a revision. The breast lift guide suggests budgeting 10 to 14 days in Thailand, with scars fading over 12 to 18 months, and notes that ageing, pregnancy or weight change can bring some sagging back.

Breast reduction (reduction mammaplasty). In general, a reduction takes away breast tissue, fat and skin, reshapes what remains and lifts the nipple. People often seek it because heavy breasts cause physical discomfort, such as aching in the neck, back or shoulders, as well as for appearance. Our guide describes vertical ('lollipop') and anchor-pattern techniques, liposuction alone for breasts made up mostly of fat, and free nipple grafting in some very large reductions. The breast reduction guide gives a usual hospital stay of one to two nights and 10 to 14 days in Thailand, and warns that breastfeeding may not be possible afterwards, so tell him about any pregnancy plans before a date is set.

Breast reconstruction. Reconstruction sits in the same Bumrungrad interest line as his aesthetic breast work and overlaps with his microsurgery interest. There is no reconstruction guide on this site yet, so no procedure page is linked. Among hospital services, breast reconstruction and post-cancer reconstruction both appear on the service list of Bumrungrad's Plastic Surgery Center, and SiPH's Skin and Plastic Surgery Center names breast reconstruction too. Broadly, a breast can be rebuilt after cancer surgery using implants, tissue borrowed from elsewhere on the patient's body, or the two together; when tissue is moved together with its artery and vein, those vessels are rejoined under a microscope, which is where microsurgery comes in. Timing and technique depend on the rest of your cancer treatment, radiotherapy in particular, so bring your oncology records.

Lymphedema. Lymphedema surgery with lymphatic reconstruction is one of the more specialised lines on his profile, which names three techniques: LVA, lymph node transfer and liposuction. In general terms, LVA (lymphaticovenous anastomosis) connects tiny lymph vessels to neighbouring small veins under high magnification, giving trapped fluid a new drainage route; lymph node transfer moves a cluster of lymph nodes, with their own blood supply, into the swollen region; and liposuction removes the fatty tissue that long-standing lymphedema can leave behind. SiPH also lists lymphedema surgery among its plastic surgery services. Because this liposuction treats lymphedema rather than reshaping the body for cosmetic reasons, he is not linked to our liposuction guide. At the consultation, ask which option suits the stage of your swelling and whether compression garments will still be needed afterwards.

Microsurgery and wound care. Bumrungrad lists microsurgery and super-microsurgery (joining extremely small vessels), wound healing, wound reconstruction and the management of chronic wounds. A wound that will not heal usually has an underlying cause, such as poor circulation or infection, that needs treating before a skin graft or flap can close it, and care often stretches over several appointments. If you live abroad, an online first consultation can establish which records and photos he needs before you travel.

Facial aesthetic surgery. His list includes facial aesthetic surgery but stops short of naming operations, so we have not linked him to eyelid, nose, facelift or other facial guides. If you have a particular facial procedure in mind, our patient team can find out from the hospital if he accepts that kind of case. The hospital profiles on this site show which facial operations each hospital offers, though a hospital's list does not tell you which surgeon carries out each one.

Outside his documented areas. No official profile of his mentions gender-affirming surgery, tummy tuck or other cosmetic body contouring, or hair transplantation. Bumrungrad and Piyavate both provide gender-affirming surgery; Bumrungrad's Pride Clinic names its own team of transgender plastic surgeons, and he is not among them.

At a first consultation Asst. Prof. Akaranuchat examines you, reviews your medical history and advises whether surgery is appropriate at all. The questions below follow the areas documented on his profile; choose the ones relevant to you and write them down before the appointment.

Breast augmentation, lift or reduction

• Looking at my breasts, do I need added volume, a lift, a reduction, or some combination?
• Which implant filling, shape and shell surface would you choose for me, and from which manufacturer?
• Where would my scars be, and should the implant go over or partly under the chest muscle?
• I would like both a lift and more fullness: would you plan one operation or two for me, and why?
• For a reduction, which pattern would you use, will drains be placed, and what could change in nipple sensation or the ability to breastfeed?
• What length of hospital stay do you expect, and on which day is my final wound check before I fly home?

Reconstruction, lymphedema or chronic wounds

• Which reconstructive or lymphatic operation fits my case, and which scans or tests do you want first?
• At which of your hospitals would you operate, and what makes it the right place for this procedure?
• How long must I stay in Bangkok, and how many follow-up appointments come before I can fly?
• What dressings, garments or therapy will I need at home, and whom should I contact there if a problem appears?

Any procedure

• Bumrungrad, SiPH and Piyavate are separate hospitals with their own fees, rooms and international services: at which one would my operation take place?
• Who will give the anaesthetic, and what type of anaesthesia do you plan?
• If a complication needs extra treatment or a longer stay, how is that arranged and charged?
• Can I have the plan, an itemised price showing what it includes, and the follow-up arrangements in writing?
• If a revision is needed later, what is the policy and who covers the cost?

Bring a translated summary of your medical history and a list of every medicine you take. His Bumrungrad profile lists Thai and English only; if a third language would suit you better, ask the hospital well before the appointment whether an interpreter can attend.

His three hospitals are in separate districts: Bumrungrad in Watthana, SiPH in Bangkok Noi and Piyavate in Huai Khwang. They also vary widely in what they publish for patients coming from abroad, so it makes sense to settle on the hospital before booking a hotel near it.

Bumrungrad International Hospital publishes considerably more on international services than the other two:

• a free Medical Coordination Office (Building A, floor 10) whose coordinating doctors and nurses go through records, estimate costs and arrange appointments or telemedicine ahead of arrival, then handle medical reports, fit-to-fly paperwork and after-discharge follow-up
• an interpreter pool of more than 130, with Cultural Support Officers assigned to patients who would rather not use English
• a hospital counter at Suvarnabhumi Airport's arrival area; free vans also leave the airport hourly for the hospital and hotels close to it, subject to passenger numbers
• free vans to the hospital from two BTS stations, Nana and Phrom Phong
• visa extensions arranged with Bangkok Immigration through the hospital's Business Center, which can also book hotels and flights
• at the Plastic Surgery Center, doctor consultations by appointment only, with tele-consultation on offer

For accreditation, Bumrungrad is shown as accredited in the online directory of Joint Commission International (JCI), and a search of HA Thailand's accreditation status shows its Advanced Hospital Accreditation running until 22 May 2029.

Piyavate Hospital. Our Piyavate record shows an international patient desk; the hospital's listed languages are Thai and English. Its Plastic and Reconstructive Surgery Center is on the 4th floor of the Main Building.

Siriraj Piyamaharajkarun Hospital. Our records for SiPH do not include international-patient services, so ask our patient team to check language support and overseas-patient arrangements with SiPH before you travel.

Siriraj Hospital. The faculty's contact page describes a Thai-only phone line for clinical enquiries and walk-in registration for new patients, with no advance appointments, which makes it impractical for planning a visit from overseas.

We show accreditation only after confirming it in the accrediting body's own database or a dated official statement, which is why none is listed here for SiPH or Piyavate.

Planning your stay. Our procedure guides, as general guidance, put augmentation at around 7 to 10 days in Thailand, and a lift or a reduction at 10 to 14 days; your own schedule depends on his assessment and how you heal. Keep your return flight flexible, because Asst. Prof. Akaranuchat, not the airline schedule, determines when you are fit to fly. Arrange help with heavy bags, bring tops that open at the front, and if implants are placed, keep the implant card listing brand, size, type and lot numbers with your medical records.

Good information in advance helps his hospital team decide whether an online consultation is a sensible first step or whether he needs to examine you in person. Photos should travel only by secure routes: our patient team, or the official channels of his hospital. Your face does not need to appear in them.

Breast augmentation, lift or reduction

• Well-lit photos against a plain wall: front view, each side and each three-quarter angle, with your arms relaxed
• Height, weight and current bra size, plus a description of the result you would like (size and shape)
• Pregnancy and breastfeeding history, any recent weight change, and whether you plan more pregnancies
• Operation notes from any earlier breast operation and, if implants are already in place, the implant card
• Reports from any mammogram, ultrasound or MRI of the breasts
• If you are asking about a reduction, a note of the physical problems heavy breasts cause you, such as aching, strap marks or rashes

Reconstruction or lymphedema

• An outline of your cancer care with dates: operations, lymph node removal, chemotherapy and radiotherapy
• When the swelling began, which part of the body it affects, any limb measurements, and past skin infections in that area
• The compression garments and decongestive therapy you use at present
• Any lymphatic imaging or scan reports of the affected limb

Chronic wounds

• Up-to-date photos of the wound, with a ruler or coin in the picture for size
• How long it has been open and which treatments have been tried
• Health conditions that slow healing, for example diabetes or poor circulation

Everyone

• Every diagnosis you have, each medicine or supplement you take (mark blood thinners clearly), known allergies and how you reacted to earlier anaesthetics
• Smoking or vaping habits
• Preferred hospital, travel dates and consultation language

Our patient team will tell you which of these the hospital actually wants for your case, so there is no need to gather everything before first contact.