During your consultation, you should aim to articulate your wishes for surgery and any concerns you may have. It is quite understandable that many patients will feel shy when discussing surgery; however, your surgeon will have spoken to hundreds of patients about similar issues and will do his/her best to put you at your ease.

The more that you can prepare for your consultation, the more you are likely to get from it.

Once you have booked your first consultation, you should try to doing a little “homework” by reading about the operation on the Internet. There are many helpful sites, these include:

The British Association of Aesthetic and Plastic Surgeons
The British Association of Plastic Reconstructive and Aesthetic Surgeons
The American Society of Plastic Surgeons
Breast Implant Risks and Silicone Safety

If you are taking any medicines, you should be able to provide a list for your surgeon. You will also be asked about any allergies to medicines, dressings, latex etc. This will be followed by an examination where several measurements will be taken of the chest wall and the breasts. It is likely that pre-operative photographs will be taken after the examination.

Your surgeon will then discuss the surgery, its implications, limitations and any potential complications. You will then have a chance to ask any questions that you might have. If you are planning breast enlargement surgery, your surgeon will spend some time with you deciding on the size and style of the implants that will be used.

Before booking your surgery date, it is important to consider events you may be attending in the near future, such as a wedding, holiday or work function. Please ensure you schedule your surgery as far away from these events as possible to give yourself time to make a full recovery.

You should meet the surgeon who is going to undertake your surgery. There is no point seeing a cosmetic advisor or another surgeon who will not be involved in your care. You will only have a meaningful discussion with the person who will be directly involved in your operation, don’t be fobbed off with anything else; it’s a waste of your time and is bad practice.

You may ALSO see a patient advisor; they are there to advise on the less technical aspects of your surgery. A nurse chaperone will be available for your examination, if you are not offered a chaperone and would like one, please ask your surgeon.

Yes. You should be seeking independent advice and as a result should anticipate a fee for your consultation. We have all heard the expression “there is no such thing as a free lunch”, well the same applied to consultations, if its free, I would suggest there is a high chance that the surgeon/organisation will be using it as a sales pitch.

Both the Department of Health and the British Association of Aesthetic and Plastic Surgeons BAAPS advise that it is against “best practice guideline” to offer free consultations.

Certainly not. You can only make a judgement on the operation and your surgeon once you have met and discussed things. He will need to meet you to decide whether you are a suitable candidate, so avoid any attempt to secure a payment before a consultation.

Occasionally a patient may make a request to book a certain date for a procedure before meeting the surgeon, under these circumstances you may be asked to pay a deposit to secure the theatre spot, if this is the case then do ensure that this is a fully refundable deposit until a date two weeks after you meet your surgeon (your cooling off period).

It is seen as good practice to ensure all patients are given a period after their consultation to reflect on the discussion. This is designed to ensure that decisions are made carefully, and once the initial excitement has died down. It is a good idea, and should, when possible, be upheld.

If you have seen a surgeon elsewhere and have already done all your “thinking and cooling off“, occasionally it is possible to make an exception to this rule, but your surgeon will have to be convinced that there are good reasons for this.

This depends how much time you were able to spend with your surgeon, and how much you already knew about your surgery. If you leave the consultation confident that you are fully aware of the implications of surgery, its limitations and the possible complications then you may not need another consultation.

If you are in any doubt, ask for a short follow up consultation to consolidate things. However, you should be given a period of two weeks to “cool off” after you consultation.

Yes, your surgeon will ask whether you have any questions, and it is always a good idea to prepare for this by writing a list beforehand.

You will probably find that many of the questions on the list will have been answered by the time you come to this part of the consultation, but at least you will not remember something that you meant to have asked when you are on the train on the way home.

If you feel that you were not given the time that you expected, but you felt confident in your surgeon then ask to go back and spend some more time with him/her. If you did not feel confident with the surgeon, then I would suggest making an appointment to see someone else.

Choosing you surgeon is an important decision; take the time to make that decision carefully.

This is often very helpful; in the first instance it can give you extra confidence to have a friend or relative with you.

It is also likely that there will be some parts of the consultation that you remember less clearly that other, it helps to have someone to compare notes with once you have returned home.

Ensure that you are aware of the follow up arrangement that is offered. Be clear about who will you see if you have any concerns, and know how to get in touch with someone, even if its out of normal hours.

If you are in any doubt then say no, you should never feel any pressure to undergo an operation.