A BREAST AUGMENTATION consultation is not really about choosing an implant size, it is about working out what will look right on your body. Your surgeon first needs to understand what you want to change, what you want to keep natural, and how your existing breast shape and chest structure may influence the result. That conversation sets the direction for everything that follows.
You may arrive with a preferred implant size, a photograph of a result you like, or simply the feeling that your breasts no longer look the way you want them to. Your consultation is where those ideas are translated into realistic surgical options. You will discuss your goals, have your anatomy assessed, review implant choices, and learn what different techniques could mean for your result and recovery.
Rather than beginning with a catalogue of implant sizes, your surgeon will want to understand why you are considering breast augmentation in the first place.
Perhaps you want to restore volume lost after pregnancy or weight changes. Maybe you feel your breasts are uneven, lack fullness at the top, or simply look disproportionate to your frame. Being specific about what bothers you gives your surgeon a much better starting point.
Reference photos can also be useful. They can show the type of shape, fullness, or overall proportion you have in mind, even if the exact result is not achievable for your anatomy.
Two patients can ask for the same implant size and receive completely different recommendations. Your existing breast tissue, chest width, breast shape, skin quality, and symmetry all influence what can realistically be achieved.
During the examination, your surgeon will assess these factors and explain how they affect implant selection and placement. This is an important part of the consultation because the implant that looks appropriate on someone else may not produce the same result on your body.
The aim is to develop a plan around your anatomy rather than force your body to fit a predetermined implant choice.
Implant selection involves more than deciding how many additional cup sizes you want. You may discuss the implant’s volume, shape, filling material, and dimensions, along with how those characteristics could affect the final appearance.
Your surgeon may explain the differences between saline and silicone implants and why one option may be more suitable for your goals and anatomy.
This is the time to ask practical questions:
Implant placement is another decision that should be based on your individual anatomy.
Depending on your body and the result you want, your surgeon may discuss placement above or below the pectoral muscle. You can also discuss the incision location and why a particular approach is being recommended.
These choices are not simply technical details. They can influence the appearance of the breasts, the amount of existing tissue covering the implant, recovery, and the overall surgical plan.
If your concern is not only breast volume but also breast position or sagging, augmentation alone may not address everything you want to change.
In some cases, a breast lift with augmentation may be discussed. The lift addresses the position and shape of the breast, while the implant adds volume.
This does not mean that everyone considering augmentation needs a lift. It is simply something your surgeon may raise if your anatomy and desired result make it relevant.
A consultation should not be a sales presentation. You should leave knowing not only what could be achieved, but also what could go wrong and what living with implants may involve.
Breast implants can have complications, including infection, changes in sensation, rupture, capsular contracture, pain, asymmetry, and the possibility of additional surgery. Health Canada also recommends discussing longer-term considerations, including implant monitoring, breast screening, and the fact that implants are not lifetime devices.
This conversation gives you the information needed to weigh the potential benefits against the responsibilities and risks of having implants.
Your surgeon will need more than an idea of your preferred breast size. Be prepared to discuss previous surgeries, medical conditions, medications, allergies, pregnancy and breastfeeding history, and other relevant aspects of your health.
Do not leave out information because it seems unrelated to breast surgery. Your medical history can affect surgical planning, anaesthesia, recovery, and whether the procedure is appropriate for you.
Health Canada recommends discussing your medical history, medications, allergies, previous surgeries, and other relevant health information with your surgeon before breast implant surgery.
The consultation should give you a realistic picture of recovery, not just the finished result.
Ask how long you may need to take off work, when you can drive, how exercise will be restricted, what discomfort is expected, and when you can return to normal activities. You should also understand how follow-up appointments will work and what ongoing implant monitoring may involve.
Knowing these details beforehand can help you decide whether the timing of surgery fits your work, family responsibilities, travel plans, and lifestyle.
Before making a decision, it is worth reading information from an independent Canadian health authority. Health Canada’s guidance on breast implants covers questions patients should discuss with their surgeon, including implant types, placement, risks, complications, costs, recovery, and longer-term considerations.
Going through this information before your appointment can help you arrive with better questions instead of trying to remember everything during the consultation.
By the end of your first breast augmentation consultation, you should have a clearer understanding of what may work for your body and why. You should know which implant options are being considered, how they would be placed, what recovery may involve, and which risks and long-term considerations apply to you.
At Canadian Plastic Surgery Centre, the consultation with Dr. Quinton Chivers provides an opportunity to discuss your goals and develop an approach based on your anatomy rather than a one-size-fits-all template. If you are considering breast augmentation in Toronto, you can learn more about the procedure and request a consultation through the practice’s breast augmentation service page.
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