One of the most important parts of your consultation with Dr. Homas at New Image Plastic Surgery is describing how you want your final results to look and feel. This might seem simple, but there a lot of things that plastic surgeons take into consideration. These things can affect not only your implant type but also the placement and the techniques used. Although a picture can be helpful, it might not be achievable with your unique anatomy, so it’s important to have an idea of the things you want to change about your breasts. Here are some to keep in mind.

Breast Size

This is usually the first one that patients think of, but it can be a little more complicated than a simple cup size. Implants follow a different scale and it can sometimes be impossible to achieve the intended results when working off a cup size. Implant sizes also scale in projection and diameter as they get larger, too, so these measurements are also important to keep in mind. Also, be sure to look at the proportions of your body and how your ideal results would balance with your overall profile. Some implant sizes may be too unrealistic for your body, so be honest about what you’re hoping to achieve when discussing size with Dr. Homas.

Profile and Shape

The intended overall appearance of your results can be a large consideration in picking your implant— especially in narrowing down factors like shape or projection. Try to determine if you want your breasts to appear full and round with lots of projection, or sloped and natural with subtle volume. Certain implants are differently-shaped (whether round or teardrop-shaped) and can produce drastically different results, so try to imagine your new breasts from the side to get the best idea for how you want them to be shaped.


One factor that leads many women to breast augmentation is feeling like they have no or little cleavage. This is an important consideration for your final results since placing the implants too far apart can take away from it. Your implant selection can also affect this since certain higher-profile implants will create more cleavage than more natural, lower-profile ones. Try to imagine how you want the cleavage to appear while wearing a low-cut shirt and how much you would like to be visible.


Some women opt for a reduction in their nipples while undergoing breast surgery, so it’s important to decide whether you would like any correction to be part of your procedure. This can include the size of the areolar skin or even a repositioning of the entire area to a more upright position. This can be especially important if Dr. Homas recommends implant placement with a periareolar (around the nipple) incision.

There are a lot of factors that go into determining your unique breast augmentation procedure and having a good idea of your intended results can be one of the best ways to prepare. During your consultation, Dr. Homas can help you determine if your goals are achievable and how best to pursue them with a breast augmentation procedure. To schedule your consultation, contact us by filling out our online form or calling our San Antonio office.

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