Assessment

During the first visit, I take a medical history and perform a medical examination.

I look for any lumps or abnormalities, asymmetry of size and shape of the breasts, and nipple position, as well as any specific abnormalities such as puffy nipples, inverted nipples, and constricted or tubular breasts.

Measurements are taken, especially the distance between the nipples, the distance from the base of the throat to the right and left nipples, the under breast fold to nipple distance and the width of the breast base. I also estimate the chest and breast tissue cover.

The second part of the assessment is when we talk about what you are looking for.

Some questions discussed are around your planned outcome and cover topics such as:

• Size: Past, current and desired
• Look: Fake or natural
• Shape: Are the breasts even in size and shape. What your desired shape would be, such as a rounded or teardrop shape
• Texture: Smooth or textured surface
• Nipple or areola position
• Cleavage: The desired width of the cleavage
• Types of filling: Saline or silicone gel

I then draw up a list of issues and formulate a plan, which addresses these 5 questions:

• What is the optimal placement (subpectoral or prepectoral)?
• What is the optimal shape of the breast implant (round or teardrop)?
• What is the optimal surface of the breast implant (textured or smooth)?
• What is the best way to insert the breast implant (under the breast in the fold, through the armpit or through the nipple)?
• Finally, what are the best dimensions for the implant, in particular the best width, projection and height?

An all-inclusive quote is then generated usually as a day surgery, including surgeon, anaesthetist, hospital and implants, as well as sports bra and binder.