The most useful questions to ask before augmentation mastopexy cover your surgeon’s specialist registration and experience with combined lift and implant surgery, which lift pattern and implant they recommend and why, whether a one-stage or two-stage operation is safer for you, where the surgery happens, what aftercare is included and how any revision would be handled.
About your surgeon’s training
A combined lift and augmentation is one of the more technically demanding cosmetic breast operations, so training matters.
- Is the surgeon on the GMC Specialist Register in Plastic Surgery?: the answer should be yes, and you can verify it on the GMC website.
- Does the surgeon hold FRCS (Plast)?: this is the UK specialist qualification in plastic surgery.
- Is the surgeon a member of BAAPS or BAPRAS?: both require specialist registration and commitment to professional standards.
- How often does the surgeon perform augmentation mastopexy?: look for regular, ongoing experience, and ask to see representative results.
About the plan for your breasts
- Why is a combined procedure recommended rather than a lift or implants alone?: a good surgeon explains the reasoning using your measurements: nipple position, skin quality and volume.
- Which lift pattern is planned, and where will the scars be?: you should be shown where each scar will sit; see the scars guide.
- What implant size, shape and position are suggested?: expect a discussion of measurements, tissue coverage and how size affects the longevity of the lift, not just a cup size.
- Is a one-stage operation safe in this case, or would staging be better?: an honest answer will explain when staging reduces risk.
- What result is realistic for my body?: the surgeon should manage expectations about symmetry, scars and nipple position.
About safety and the hospital
- Where will the operation take place?: a CQC-registered hospital with overnight facilities is expected.
- Who will give the anaesthetic?: a consultant anaesthetist.
- What are the main risks for me specifically?: wound healing problems, nipple changes, capsular contracture, recurrent droop and revision should all be covered; see the risks guide.
- How is the risk of blood clots managed?: the answer should mention assessment, stockings, early mobilisation and, where appropriate, medication.
About recovery and aftercare
Ask how long you will need off work, when you can drive and exercise, what bra you will need and whether it is provided, and how many follow-up appointments are included. Find out who to contact out of hours and what happens if a wound problem develops. The recovery guide gives a benchmark to compare against.
About implants and the long term
Ask which manufacturer’s implants are used, whether you will receive an implant card, and whether your details are recorded on the national Breast and Cosmetic Implant Registry. Ask about the manufacturer’s warranty and what it covers. It is also worth asking how implant surveillance works and what signs should prompt a review in the years ahead.
About preparing for surgery
- Which medicines and supplements should be stopped beforehand?: a clear list should be given, including anything that increases bleeding.
- When must nicotine be stopped?: expect firm advice to stop all nicotine products at least six weeks before and after surgery.
- Is a pre-operative assessment needed?: the hospital may arrange blood tests or other checks depending on your health.
- Is there a cooling-off period?: a responsible practice encourages time to reflect between consultation and surgery.
About cost and revision
Request a written quote listing everything included. With Mr Nassab, augmentation mastopexy costs from £12,500 and covers the surgeon, anaesthetist, hospital, implants, a post-operative bra and routine follow-up, with the £150 consultation separate. Ask what the policy is if a revision is needed and what costs you might face; the cost guide has more detail.
Frequently Asked Questions
How many consultations are typical before booking?
Many patients have two consultations so they can reflect, ask further questions and confirm implant choices before committing.
Is it acceptable to bring reference photographs?
Yes. Reference photos can help explain your goals, although the surgeon will explain how your own anatomy affects what is achievable.
What if the surgeon suggests a smaller implant than hoped?
This usually reflects concern for your tissues and the longevity of the lift. Ask for the reasoning; a good surgeon will explain it clearly.
Should the operating surgeon also do the consultation?
Yes. You should meet and be assessed by the surgeon who will perform your operation.
What are warning signs in a consultation?
Pressure to book quickly, discounts tied to a deadline, reluctance to discuss risks or a lack of clear aftercare are all reasons for caution.
Is it worth writing questions down in advance?
Yes. Consultations cover a lot of information, and a written list makes it easier to remember everything. Taking notes, or bringing someone with you, can help when reviewing the discussion at home.
