If you’ve been considering breast augmentation, chances are you’ve spent plenty of time researching, talking to friends, and scrolling through online forums. While this can provide a general sense of what to expect, much of the information you’ll find is either outdated, overly generalized, or, in some cases, completely inaccurate. The only way to truly determine whether breast augmentation is right for you is to consult with a skilled, board-certified plastic surgeon. During this consultation, asking the right questions is crucial. Here are five important topics to bring up to ensure you’re making the best decision for your body and goals.
Are you board-certified and experienced in breast augmentation?
Your surgeon’s qualifications are the foundation of a safe and successful procedure. Always confirm that your plastic surgeon is certified by the American Board of Plastic Surgery. This certification guarantees that they’ve undergone extensive training in aesthetic and reconstructive surgery. Additionally, inquire about their specific experience with breast augmentation. How long have they been performing this procedure? What percentage of their practice focuses on breast augmentation? These details can give you insight into their level of expertise.
It’s also worth discussing the types of implants they typically use—saline versus silicone—and why. An experienced surgeon can guide you toward the best option based on your anatomy and desired outcome.
What are common complications, and how often do they occur?
While breast augmentation is generally safe, complications can occur. One of the most talked-about issues is capsular contracture, which happens when scar tissue tightens around the implant, causing discomfort or an unnatural appearance. Ask your surgeon about their rate of capsular contracture and how they address this and other potential complications. Knowing their reoperation rate—how often patients return for revisions—can also be telling.
Finally, ensure you understand the steps to take if you’re unhappy with your results or experience complications. A good surgeon will have a clear protocol in place and will be transparent about their approach.
Am I a good candidate, and what implant size or type do you recommend?
Every patient is unique, and a thorough consultation should include a physical examination and a discussion about your medical history, aesthetic goals, and lifestyle. Your surgeon should explain whether you’re a good candidate for breast augmentation at this time and, if so, recommend an implant size and type that aligns with your desired results.
Many surgeons provide implant sizers that you can try on during your consultation. This hands-on approach allows you to visualize how different sizes and shapes will look under your clothing, helping you make a confident decision.
What implant placement and incision site are best for me?
Implants can be placed either above or below the chest muscle, and the best choice depends on your anatomy and the type of implant you select. Similarly, incision locations vary, with common options including along the breast crease (inframammary), around the nipple (periareolar), or under the arm (axillary). Each option has its pros and cons, particularly regarding scarring and recovery.
Your surgeon should explain why they recommend a specific placement and incision site for you. They should also provide realistic expectations about scarring and how it may fade over time.
What can I expect long-term?
Breast implants are durable and designed to withstand life’s changes, including pregnancy and breastfeeding. However, it’s essential to understand their longevity. Modern implants can last 10 years or more, but they are not considered lifetime devices. Regular check-ups and occasional maintenance, such as replacing implants or addressing sagging, may be necessary.
Discuss how factors like aging, weight changes, and pregnancy might affect your results over time. If you’re concerned about future sagging, your surgeon can explain how procedures like a breast lift might complement or maintain your augmentation results.
Preparing for Your Consultation
When you meet with your plastic surgeon, don’t hesitate to ask questions or bring up concerns. Write down your questions ahead of time to ensure you don’t forget anything. Resources from trusted organizations like the American Society of Plastic Surgeons or the FDA can provide additional guidance on what to ask during your consultation.
Choosing the right surgeon is the most critical step in your breast augmentation journey. By asking these five essential questions, you’ll be well on your way to making an informed decision and achieving the results you’ve always envisioned.
