
Choosing to pursue breast augmentation is a highly personal decision, and your consultation is where clarity begins. At the Virginia Institute of Plastic Surgery, Dr. Burton Sundin and Dr. Reps Sundin, both board-certified plastic surgeons, bring decades of specialised training and experience to every procedure, combining technical precision with an artistic approach. During this consultation, you will cover the key decisions that shape your results, from candidacy and implant selection to recovery and long-term expectations. Understanding these topics early ensures you move forward with confidence and a plan tailored to you.
1. Am I a Good Candidate?
Your surgeon will evaluate your anatomy, skin quality, and overall health to determine whether breast augmentation is right for you. This ensures your procedure is both safe and aligned with your goals.
2. What Results Can I Realistically Expect?
Clear expectations are key to long-term satisfaction. Your surgeon will guide you towards results that enhance your natural proportions while maintaining a balanced, natural appearance.
Your outcome is influenced by:
- Existing tissue: The amount of natural breast volume affects how implants settle and appear.
- Skin quality: Firmer, more elastic skin typically adapts more predictably.
- Chest structure: Your ribcage and muscle anatomy shape the final contour.
3. Do I Need a Lift Alongside Augmentation?
If there is noticeable sagging or loss of position, adding volume alone may not achieve the desired result. A breast lift can reposition the breast and improve overall shape, creating a more refined and lifted appearance when combined with implants.
4. Which Implant Type Is Right for Me?
Silicone gel implants often provide a softer, more natural feel, while saline implants offer flexibility in volume and may allow for smaller incisions. Your surgeon will recommend the most appropriate option based on your anatomy and desired outcome.
5. What Size and Profile Should I Choose?
Choosing implants involves more than selecting a cup size. The goal is to create proportion and harmony with your body.
Your surgeon will evaluate:
- Frame and proportions: Ensuring your result complements your natural silhouette.
- Lifestyle considerations: Activities such as weight training may influence implant selection.
- Desired aesthetic: Whether you prefer a subtle enhancement or a fuller contour.
6. Where Will the Implants Be Placed?
Implants can be placed either beneath or above the chest muscle. Submuscular placement is commonly recommended for a smoother transition and reduced visibility of implant edges, though individual anatomy and activity level will guide the final approach.
7. What Incision Will Be Used?
The inframammary incision, placed within the fold beneath the breast, is often preferred for its precision and ability to accommodate a wide range of implant sizes.
You should also discuss:
- Scar placement: How the incision is positioned to remain discreet.
- Healing expectations: How scars typically mature and fade over time.
- Technique selection: Why a specific incision is best suited to your case.
8. What Is the Recovery Timeline?
Most patients take about a week away from work, with a gradual return to normal activity over the following weeks. Planning ahead helps ensure a smooth recovery period.
You can expect:
- Early recovery: Swelling and soreness in the first few days.
- Activity limitations: Temporary restrictions on lifting and upper body movement.
- Progressive healing: A steady return to full activity as your body recovers.
9. When Will I See Final Results?
While changes are visible soon after surgery, implants take time to settle into their final position. As swelling resolves and tissues adjust, your results will continue to refine over the following weeks and months.
10. How Long Will My Results Last?
Breast implants are long-lasting, but they are not considered lifetime devices. Your surgeon will outline how to monitor your results over time and when future evaluation or replacement may be appropriate.
Take the Next Step With Confidence
With a clear understanding of these ten questions, your consultation becomes a focused, productive step towards achieving your ideal result. At the Virginia Institute of Plastic Surgery, Drs. Sundin deliver personalized breast augmentation plans built on advanced techniques, honest guidance, and a commitment to natural-looking outcomes. Schedule your consultation today to take the next step with a team dedicated to your safety, comfort, and long-term results.

