Begin with a proportion goal
Mafi describes breast augmentation with implants selected and placed according to anatomy. Rather than choosing a cup size from a photo, explain the change you want in volume, shape and balance with your frame. Ask the surgeon how measurements and existing tissue affect the available choices and what tradeoffs each option creates.
Compare the device and operation
The FDA provides patient information about breast implants and surgery. Ask what implant type and size are proposed, where it would be placed, where the incision would be, and why those choices fit your case. Request the manufacturer's patient materials and discuss device-specific risks, follow-up and the possibility of later procedures.
Separate augmentation from lift
An implant adds volume but does not automatically correct every concern about breast position. Ask whether the position of the nipple and skin envelope changes the recommendation. If a lift is mentioned, have the surgeon explain which part of the desired result comes from adding volume and which requires reshaping. Also ask what changes to the plan would be needed if your preferred device does not suit the measured tissue or chest dimensions.
Questions and answers
Can a photo determine my implant size?
It can communicate a preference, but anatomy and the surgeon's examination determine the feasible options.
Are implants permanent devices?
FDA advises that breast implants are not lifetime devices; discuss future monitoring and possible additional operations.