Planning your surgery

In your initial consultation, it's important to discuss your expectations frankly with me. Every patient - and every surgeon, as well - has a different view of what is a desirable size and shape for breasts. The aim of surgery is to make your breasts proportionate in size but it is difficult to guarantee what cup size will result.

Your breasts will be examined and measured by the surgeon and photographs taken for reference during surgery and afterwards. I will discuss the variables that may affect the procedure - such as your age, the size and shape of your breasts, and the condition of your skin. You should also discuss where the nipple and areola will be positioned; they'll be moved higher during the procedure, and should be approximately level with the crease beneath your breasts.

I will describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result. I will also explain the anaesthesia he or she will use, the facility where the surgery will be performed, and the costs.

(Some insurance companies will pay some of the costs towards breast reduction if it's medically necessary; however, they will require a supporting letter from your surgeon beforehand.)