A breast augmentation consultation is not a fitting appointment, and it is not a sales meeting. It is an assessment, and most of it is spent on measurements and questions rather than on choosing a size.
Knowing the shape of it beforehand makes the time far more useful, because you spend it on your own questions instead of working out what is happening.
What happens, in order
Consultations vary between surgeons, but the substance is consistent.
- What you want, in your own words, and how long you have wanted it.
- Medical history, medication, allergies, previous surgery and anaesthetics.
- Breast history: pregnancies, breastfeeding, weight change, family history, previous imaging.
- Examination and measurement, which is the part that decides what is possible.
- The implant discussion: type, size range, placement and incision.
- Risks and recovery, in specific terms rather than general reassurance.
- Practicalities: operating time, hospital stay, garment, follow-up and cost.
The breast augmentation procedure page publishes this practice’s general guide to those last points: about an hour of surgery, one day in hospital and three to five days of recuperation.
The examination, and what is actually measured
This is the part people are least prepared for and the part that carries the most weight. A surgeon is taking measurements, not forming an impression.
Expect the width of the chest and of each breast to be measured, the distance from collarbone to nipple and from nipple to the fold beneath the breast, the amount of tissue that can be pinched at the top and side, skin quality and elasticity, and the difference between the two sides.
Those numbers narrow the field of implants that will physically sit correctly on your frame. An implant wider than your chest cannot be made to work, and thin tissue coverage changes what can be hidden.
You will usually be photographed for the medical record. That is standard clinical documentation and separate from anything published; this practice does not display before-and-after photographs at all, for reasons the before and after page explains.
How size is actually decided
Patients think in cup letters. Surgeons think in millimetres and volume, and the translation between the two is looser than anyone expects — cup sizing differs between manufacturers and countries, so the same letter is not the same breast.
| Method | What it is | What it can and cannot tell you |
|---|---|---|
| Naming a cup size | Describing the goal in bra letters | Useful as direction; not a specification |
| Reference photographs | Images of results you like | Shows taste; the frame is someone else’s |
| Sizers in a bra | Trying volumes inside a garment | Gives a feel for scale, over clothing only |
| Dimensional planning | Matching implant width to chest and tissue measurements | Decides what will physically sit correctly |
| Simulation software | A rendered preview of a possible result | Helps discussion; it is not a promise |
A good consultation uses the first three to understand what you want and the fourth to decide what is achievable. If size is agreed before anything is measured, that is the wrong way round.
What you should be told, not merely asked
There is a minimum you should come away having been told, whether or not you thought to ask. The British Association of Aesthetic Plastic Surgeons publishes patient guidance on considering aesthetic surgery that takes a similar view of what a proper discussion contains.
- Which implant is proposed, and why that one for you.
- Where it would sit relative to the muscle, and what that changes.
- Which incision, and where the resulting scar will be.
- The specific risks for you, including capsular contracture and revision.
- What recovery restricts, and for how long.
- Who operates, where, and who administers the anaesthetic.
- What the quotation includes and excludes.
If any of these is missing at the end of the appointment, ask before you leave. How to weigh the answers is covered in choosing a surgeon for breast augmentation in Thailand.
Placement and incision, briefly
Two decisions get made alongside size, and both change the result and the recovery more than most people realise.
The first is where the implant sits: above the chest muscle, partly beneath it, or in a variation of the two. Placement affects how the upper edge looks with thin tissue, how the breast moves when you use your arms, and how imaging is taken later. There is no universally correct answer, only one that suits your tissue.
The second is the incision. This practice publishes that the incision can be made in the crease beneath the breast, around the areola, or in the armpit, and that it prefers the armpit approach in order to keep scars as inconspicuous as possible.
Ask which is proposed for you and why, and ask to be shown where the scar would fall. Neither decision should be left as a surprise for the day of surgery, and both are explained in breast augmentation recovery stage by stage.
What to bring, and what to say
Bring a written list of medication including supplements, your breast and medical history, and your questions on paper. Questions worth asking a plastic surgeon is a reasonable starting set.
Bring photographs of results you like, and be ready to have them discussed rather than accepted. The useful conversation is about which parts of an image you are responding to — the volume, the shape, the way clothes sit — because those can be separated and your own frame is different.
Wear or bring a plain, well-fitting bra. Trying sizers in a loose or heavily structured garment tells you very little, and a padded one tells you less.
It also helps to bring a top you wish fitted differently. Describing the problem through clothes you actually wear is more precise than describing it in the abstract, and it gives the discussion something concrete to work from.
Say what worries you, including the parts that feel unserious: whether it will be obvious, what it will look like at two weeks, whether you can hide the recovery from colleagues. All are reasonable and all get sensible answers.
Questions people ask
Will I have to decide the size on the day?
You should not have to. A range is usually agreed at consultation and the final choice confirmed nearer the operation, sometimes in theatre once the pocket is made. Ask how your surgeon works.
Can I bring someone with me?
Yes, and it often helps. A second person remembers different things, and afterwards two accounts together are more accurate than either alone.
How long should it take?
Long enough to cover the ground above without hurrying. An appointment that feels rushed is worth remarking on rather than accepting, particularly when a device and a permanent scar are involved.
Can any of this happen before I travel?
Much of it can, as remote consultations before travelling for surgery explains. The measurements cannot. The clinic contact details cover the Bangkok and Chiang Mai locations.
Medical information notice. This page is general information. It is not medical advice and does not replace consultation with a qualified medical professional. All surgery carries risk; suitability, recovery and results vary from person to person and are determined by individual medical assessment.