It’s important to conduct your own research prior to your consultation. This way, you’ll know what to expect and be able to ask any important questions you may have.
It’s important for you to be honest with me as far as your medical history, chronic medications and expectations of the procedure are concerned.
I will do a physical examination, take measurements, and if necessary photographs to assess your breasts for surgery. I will take into account the size and shape of your breasts, skin quality, and the placement of the nipple and areola. In addition, I will need to be told of your plans (if applicable) to lose a significant amount of weight in the future. Many women find their breasts sag or shrink with weight loss. In this instance, I may recommend that you schedule surgery for once your target weight has been achieved.
Using breast sizers, we will make a decision on the correct size and shape implant for your body. Depending on your breasts and skin tone, I may also recommend a breast lift in conjunction with an augmentation. Be sure to discuss your expectations frankly so you and I are both on the same page.
What Types of Implants Can I Choose From?
There are many choices and I am now able to advise on the correct “designer implant” shape that will fit perfectly with your specific breast and chest wall shape.
The choices range from silicone to saline and from rough to smooth textures. Round and anatomically (tear drop) shaped implants are also an option. I have experience in inserting all the type of implants, and will take your body type into account before assisting you in the final implant decision.
Is the Implant Placed Under or Above the Muscle?
My aim in most patients is to give them the most natural result. Small-breasted women who are very thin are usually advised to have the implant inserted under the muscle to cover the implant. In my view, the advantage of a prepectoral implant (in front of the muscle) is to give the breast tissue a mild lift and is therefore the procedure of choice in patients with more sagging breasts. Medical evidence does however show that by placing the implants behind the muscle, the potential for development of capsular contracture is reduced. It is also easier to perform a breast examination and mammography in patients with implants placed behind the muscle. The disadvantage of lifting the chest wall muscle, however is a longer recovery period. It is therefore of extreme importance that you discuss these pros and cons with me before the procedure.
Once a shape and size has been decided, you’ll book in a surgery date.