Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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The consultation begins with a comprehensive assessment using a bio-dimensional planning system. This method moves beyond simply asking a patient what cup size they want. Instead, the surgeon measures the specific dimensions of the patient’s chest and breast tissue to determine the optimal implant range.
Key measurements include the breast base width, the distance from the sternal notch to the nipple, and the degree of skin stretch or laxity. The base width is the most critical factor; the implant must fit within the natural borders of the breast to avoid complications like symmastia (implants touching in the middle) or lateral displacement.
This mathematical approach ensures that the chosen implant respects the patient’s anatomy. It helps the surgeon recommend a size that provides the desired fullness without compromising the long-term health of the tissues or causing thinning or rippling.
Modern consultations often feature advanced 3D imaging technology, such as Vectra or Crisalix. This technology enables the surgeon to scan the patient’s torso and create a 3D digital model. On this model, the surgeon can simulate different implant sizes, shapes, and profiles.
This visualization tool is invaluable for communication. Patients can see a realistic approximation of how they will look with a 300cc implant versus a 400cc implant. It helps bridge the gap between abstract volume numbers and the actual visual outcome on the patient’s body.
The simulation also helps manage expectations regarding asymmetry. Most women have some degree of natural asymmetry, and the 3D model highlights this, allowing the surgeon to plan for different implant sizes if necessary to achieve better balance.
A thorough medical history is taken to ensure the patient is a safe candidate for surgery. The surgeon reviews any history of breast disease, family history of breast cancer, and previous surgeries. Conditions like autoimmune disorders or bleeding tendencies are evaluated.
Smoking status is a critical factor. Nicotine is a vasoconstrictor that impairs healing and increases the risk of complications such as infection and skin necrosis. Patients are typically required to stop smoking and using all nicotine products for a specific period before and after surgery.
Medications such as aspirin, anti-inflammatories, and herbal supplements that increase bleeding must be paused. The surgeon coordinates with the patient’s primary care physician, as needed, to manage chronic conditions during the perioperative period.
Breast health is prioritized during the preparation phase. The surgeon performs a clinical breast exam to check for lumps or abnormalities. For women over a certain age (usually 35 or 40) or those with a strong family history, a preoperative mammogram or ultrasound may be required.
This baseline imaging ensures that there are no suspicious lesions that need to be addressed before the cosmetic procedure. It establishes a healthy baseline for future screenings and ensures that the surgery is performed on healthy tissue.
While measurements provide the scientific range, the patient’s aesthetic goals dictate the final choice within that range. Patients are often encouraged to bring “wish pics” to show the look they desire. However, sizing sizers (sample implants placed in a bra) allow the patient to feel the weight and see the projection in clothing.
The surgeon explains the trade-offs of different sizes. Larger implants may offer more “wow” factor but come with increased risks of sagging, stretch marks, and back pain over time. The goal is to find the “Goldilocks” size that satisfies the patient’s desire for volume while maintaining proportion.
The discussion also covers the implant profile. A patient with a narrow chest who wants a significant volume will need a high-profile implant to project forward without being too wide. A patient with a broader chest may achieve a fuller look with a moderate-profile implant.
Elective surgery requires emotional stability and realistic expectations. The surgeon assesses the patient’s motivation for surgery. It should be a personal decision for self-improvement, not driven by external pressure from a partner or society.
Patients must understand that while surgery can improve body contour, it will not solve personal life problems. The consultation ensures the patient has a healthy body image and understands the recovery process and potential limitations.
In the weeks leading up to surgery, patients receive detailed instructions to optimize their recovery. This includes maintaining a healthy diet high in protein to support healing, staying hydrated, and arranging postoperative care.
Logistical preparations are confirmed, such as having a responsible adult to drive the patient home and stay with them for the first 24 hours. Prescriptions for pain management and antibiotics are often provided in advance to be filled before the surgery day.
Patients are instructed to shower with an antibacterial soap (like Hibiclens) the night before and the morning of surgery to reduce the bacterial load on the skin. This simple step significantly lowers the risk of infection.
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Cancer is a group of diseases characterized by abnormal cells growing out of control and spreading to other body parts. An oncologist is a doctor who specializes in diagnosing, treating, and caring for people with cancer, leading their overall treatment plan.
If you are over 40 or have a family history of breast cancer, yes. It is crucial to ensure your breasts are healthy before surgery. The implant will not prevent future mammograms, but a baseline is medically responsible.
No. Nicotine constricts blood vessels, preventing oxygen from reaching healing tissues. This can cause the skin to die (necrosis), terrible scarring, and infection. You must stop completely for weeks before and after.
Implants do not prevent pregnancy or breastfeeding. However, pregnancy will change the shape and size of your breasts. Your skin may stretch, and you might need a lift later to restore the aesthetic after you finish having children.
Changes in sensation are a risk with any breast surgery. Most women experience temporary changes (numbness or hypersensitivity) that resolve in a few months. Permanent loss of sensation is rare but possible, depending on the incision and implant size.
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