During the first consultation you have to discuss all of your probabilities with your surgeon, and to listen to his or her opinion. As every patient so every surgeon has a different view of what is an attractive size and shape for breasts.
 At first the surgeon will observe your breasts and measure them while you're sitting or standing. Then he or she will discuss with you the changes that may influence the procedure such as:
1) your age;
2) the size and shape of your breasts;
3) the condition of your skin;
4) if an implant is suitable for you.
You must also discuss such an important thing as: where the nipple and areola will be positioned. Are they‘ll moved higher during the procedure? Should they be nearly the crease beneath your breast?
Your surgeon will describe you the procedure scrupulously. He or she must explain you its risks and limitations to be sure you understand the scarring that will result. The surgeon should also explain the type of anesthesia he will be used, the type of facility where the surgery will be performed, and the costs of these all.
Don't be afraid to ask your doctor any questions you may have, especially those concerning your expectations and the results. Your doctor will probably ask you to describe in detail what you would like enhanced. Be exact about what you would like do. If your surgeon entirely understands your expectations, he'll be able to decide whether your goals are realistic. Your surgeon will look at your breasts. He will speak with you about what size you want your breasts to be and will show you where he be going to to place the nipple and areola. You are at high risk for complications if you have diabetes, poor circulation, heart, lung or liver disease, smoke, have a family history of blood clots, take certain medications, etc. You'll want to discuss your medical history methodically with your physician before you choose to undertake surgery.
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