Listening to Patients & Open Communication Between Doctor and Patient Key For Breast Surgery Procedure Success
Keeping Open Communication & Managing Expectations
In regards to breast size, Dr. Pousti states, “…the more breast surgery I do the more I realize that there is no correlation between the size of implant and resulting cup size.” This may have to do with several factors including:
• The amount of breast volume the patient starts with;
• The shape of the patient’s chest wall (concave or convex);
• The type and model of breast implant selected (saline/silicone and low/moderate/high profile);
• Bra manufacturer variance in cup sizes;
• The degree of filling of the cup with breast tissue; and
• The subjective differences in patients perceptions of cup size.
If surgery is decided upon, it will be very important to communicate your size goals with Dr. Pousti.
Use of Photographs and Goal Pictures
Dr. Pousti states, “…in my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or “fake looking” means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
Dr. Pousti uses intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allows him to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient’s goals. The patient’s goal pictures are hanging on the wall, and allow for direct comparison. “
I have found that this system is very helpful in improving the chances of achieving the patient’s goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.”