The surgeon who is going to do my breast augmentation never discussed implant volume and only recommended silicone under the muscle. What to do?

I had a consultation 1 week ago. He was kind and knowledgeable, but I felt extremely rushed. He's done beautiful work on two of my friends—their recovery was quick and without complications. I paid $1000 down for the $6200 surgery and have it scheduled for January 14. Looking back, my surgeon never had me try on sizers and didn't discuss profile. I told him I wanted a full C/small D, but he never suggested a cc volume. He said my only option was silicone under the muscle. What should I do?

Answers from doctors (2)


More About Doctor Michelle Roughton, MD

Published on Nov 21, 2019

Silicone under the muscle is a common way of doing breast augmentation and my preferred technique also for several reasons. You SHOULD get to choose your size. Please call back to the office and ask for another conversation either with him or a patient care coordinator or a nurse. You'll want to bring some 'wish pictures' preferably of women without a bra or bikini top on and see if they have rice sizers or anatomic sizers. I would feel VERY uncomfortable going to surgery without this conversation. Full stop. Good luck!

Answered by Michelle Roughton, MD (View Profile)

Silicone under the muscle is a common way of doing breast augmentation and my preferred technique also for several reasons. You SHOULD get to choose your size. Please call back to the office and ask for another conversation either with him or a patient care coordinator or a nurse. You'll want to bring some 'wish pictures' preferably of women without a bra or bikini top on and see if they have rice sizers or anatomic sizers. I would feel VERY uncomfortable going to surgery without this conversation. Full stop. Good luck!

Published on Jul 11, 2012


There are many options regarding implant choice when considering breast augmentation (type, shape/profile, volume). This decision is best made by the patient and surgeon, along with special consideration given both to the patient's unique chest dimensions as well as the goal for the procedure.

I would recommend a second consultation with your surgeon pre-operatively if there is any question of implant choice. There a number of ways to guide patients in making these decisions—sizers and 3D imaging being just two devices. It is best to have a very narrow range of options at the time of surgery (all of which are acceptable) in order to ensure a satisfactory outcome.

As always, consult with a board-certified plastic surgeon (ABPS).

Answered by The Institute of Aesthetic Surgery (View Profile)

There are many options regarding implant choice when considering breast augmentation (type, shape/profile, volume). This decision is best made by the patient and surgeon, along with special consideration given both to the patient's unique chest dimensions as well as the goal for the procedure.

I would recommend a second consultation with your surgeon pre-operatively if there is any question of implant choice. There a number of ways to guide patients in making these decisions—sizers and 3D imaging being just two devices. It is best to have a very narrow range of options at the time of surgery (all of which are acceptable) in order to ensure a satisfactory outcome.

As always, consult with a board-certified plastic surgeon (ABPS).

Published on Jul 11, 2012


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