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On 24

Jun

2025

| By

Christopher Hess, MD, FACS, Board Certified Plastic Surgeon

Breast Implants

If you're considering breast augmentation, you're not alone. It's one of the most popular cosmetic procedures in the world, known for enhancing confidence and helping women feel more comfortable in their bodies. But before scheduling surgery, your first — and arguably most important — step is the consultation.

Your consultation is more than a meet-and-greet with your plastic surgeon. It’s your opportunity to ask questions, gather information, and make sure you feel informed and confident in your decision. Whether you're exploring implants for the first time or considering a revision, here's a comprehensive list of smart questions to ask during your breast augmentation consultation.

1. Are You Board Certified in Plastic Surgery?

Start by verifying your surgeon's qualifications. Ask if they are board-certified by the American Board of Plastic Surgery (ABPS). Board certification ensures your surgeon has completed specialized training and adheres to high ethical and safety standards. It's also worth asking how many breast augmentations they perform annually and how many years they’ve been in practice.

2. Am I a Good Candidate for Breast Augmentation?

Everybody is unique, and your consultation should be personalized. A qualified plastic surgeon will evaluate your medical history, lifestyle, and aesthetic goals to determine whether breast augmentation is appropriate for you. Ask about factors like weight stability, future pregnancy plans, and overall health to better understand your candidacy.

3. What Size and Type of Implant Do You Recommend — and Why?

Choosing the right implant isn't just about cup size. Ask about the differences between saline vs. silicone, smooth vs. textured, and round vs. anatomical (teardrop-shaped) implants. Your surgeon should explain the pros and cons of each option and how your anatomy, lifestyle, and desired outcome influence the recommendation. Don’t be afraid to try on sizers or use 3D imaging tools if available.

4. Where Will My Incision Be Located?

There are several incision options — inframammary (under the breast crease), periareolar (around the nipple), and transaxillary (in the armpit). Each has its own benefits and considerations for visibility and healing. Ask your surgeon which incision approach they recommend for you and how it may affect scarring.

5. Will the Implants Be Placed Above or Below the Muscle?

Breast implants can be placed above (subglandular) or below (submuscular) the chest muscle. Placement can impact your final look, recovery, and risk of complications like rippling or animation deformities. Ask why your surgeon recommends a certain placement and how it aligns with your goals.

6. What Results Can I Expect?

Bring inspiration photos to help communicate the look you're going for. Your surgeon should set realistic expectations about size, shape, and symmetry. Ask about how your natural breast tissue, chest width, and skin elasticity may impact the final result. It’s also helpful to ask to see before-and-after photos of previous patients with similar body types.

7. What Are the Risks and Possible Complications?

Like any surgical procedure, breast augmentation comes with some considerations. The good news is that a skilled, reputable surgeon will walk you through these potential risks and explain the proactive steps they take to ensure your safety and minimize complications, so you can feel confident and informed every step of the way.

8. What Is the Recovery Process Like?

Understanding what to expect after surgery helps you prepare physically and mentally. Ask how long recovery typically takes, when you can return to work and exercise, and what limitations you'll have. Inquire about pain management, post-operative garments, and follow-up appointments. Knowing this ahead of time can make your recovery smoother and less stressful.

9. How Long Do Implants Last? Will I Need Another Surgery?

Breast implants are not lifetime devices. Ask your surgeon about the typical lifespan of implants and whether you'll need replacement or revision in the future. Understanding the long-term commitment will help you make an informed choice.

10. What Is the Total Cost of the Procedure?

Breast augmentation pricing can vary depending on location, surgeon expertise, and what’s included. Ask for a detailed quote that outlines the surgeon’s fee, anesthesia, facility charges, implants, and any post-operative visits or garments. Also inquire about financing options, if available. Avoid choosing a provider based solely on cost—your safety and results should always come first.

A breast augmentation consultation is your chance to gather the information you need to make an empowered, informed decision. By asking the right questions, you'll not only learn more about the procedure, you’ll also gain insight into your surgeon’s expertise, communication style, and commitment to your safety and satisfaction.

Take your time, don’t rush the process, and don’t hesitate to seek a second opinion if anything feels off. The right surgeon will welcome your questions, listen carefully, and guide you toward the results you envision.

Thinking about scheduling your breast augmentation consultation? Be prepared, bring a list of your top questions, and remember: there’s no such thing as asking too much when it comes to your health and happiness.


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