The most useful questions to ask before MiniAug cover your surgeon’s specialist registration and qualifications, whether awake surgery genuinely suits your anatomy and goals, which implant will be used and why, where the procedure takes place, and how aftercare, long-term implant follow-up and revision are handled. A good surgeon will answer clearly and explain limitations as well as benefits.
Before you go: preparing for the consultation
It helps to think about why you want surgery, what you would like your breasts to look like and what you are hoping to avoid. Note any medical conditions, previous surgery, medication and supplements, and whether you smoke or vape. If you are planning a pregnancy or are breastfeeding, mention this, as it affects timing. Write your questions down and take notes during the appointment. Some people find it useful to bring a friend or partner. Remember that a consultation is an opportunity to gather information, not a commitment to book.
About your surgeon
- Are you on the GMC Specialist Register in Plastic Surgery?: the answer should be yes, and you can confirm it independently on the GMC website.
- What qualifications do you hold?: FRCS (Plast) shows full specialist training in plastic surgery.
- Are you a member of BAAPS or BAPRAS?: membership shows commitment to professional standards and ongoing education.
- How often do you perform awake breast augmentation?: listen for an open, specific description of the surgeon’s experience with this particular technique, not just breast surgery in general.
For reference, Mr Nassab is a Consultant Plastic Surgeon on the GMC Specialist Register (GMC 4704243), holds FRCS (Plast) and sits on the BAAPS Council.
About suitability for MiniAug
- Is awake surgery right for me, or would a traditional augmentation be better?: a good surgeon explains the reasons either way and is comfortable recommending against MiniAug.
- What size range is realistic for my tissues?: expect a discussion based on measurements and tissue cover, not simply the cup size you request.
- Is a lift needed as well?: if there is significant droop, an implant alone may not give the shape you want, and the surgeon should say so.
- What does the procedure feel like?: an honest answer describes pressure and some sensation, and explains how comfort is managed.
About the implant
Ask which implant will be used, why it has been chosen for you and what its warranty covers. With MiniAug, Mr Nassab usually uses the Motiva Preserve, and he can explain its surface, shape and how it is placed. Ask how long implants typically last, what monitoring is recommended and how BIA-ALCL and other implant-related concerns are explained. You should also be told that your implant details will be recorded on the national Breast and Cosmetic Implant Registry, with your consent, so that you can be contacted if any safety issue arises.
About the hospital and the day itself
Ask where the procedure will take place and whether the hospital is registered with the Care Quality Commission. Find out who will be in the room, how long you should expect to stay, and what happens if the procedure needs to be converted to a different approach. A reassuring answer is precise about the setting, staffing and safety arrangements, rather than vague or dismissive.
About recovery, aftercare and revision
- How soon is it possible to return to work and exercise?: you should get a realistic timeline rather than a promise of no downtime; our MiniAug recovery guide gives a typical outline.
- Who should be called with any worries?: there should be a named contact and out-of-hours arrangements.
- How many reviews are included?: a clear follow-up schedule shows aftercare has been planned.
- What happens if further surgery is needed?: a good answer outlines the revision policy and its costs honestly.
- What does the quote include, and is the consultation separate?: the consultation fee here is £150 and is charged separately; MiniAug costs from £8,500 with the final quote confirmed after assessment.
Warning signs when comparing providers
Be cautious of time-limited discounts, pressure to book on the day, any suggestion that awake surgery has no risks, practitioners who are not specialist plastic surgeons, or packages abroad without a clear plan for follow-up once you are home. Cosmetic surgery is only for adults aged 18 and over.
Frequently Asked Questions
How is MiniAug different from a standard breast augmentation?
MiniAug is performed under local anaesthetic with you awake, through a small incision and with a tissue-sparing technique. A standard augmentation is usually done under general anaesthetic and can accommodate a wider range of implant sizes.
Is it normal to have a second consultation?
Yes. Many patients return with further questions before deciding, and a good practice will encourage this rather than rush you.
Is it worth asking about risks even if the surgeon does not raise them?
Yes, although a responsible surgeon will discuss them in detail. You can also read our MiniAug risks page beforehand.
Are before-and-after photos available?
Mr Nassab can show representative photographs of his own patients at consultation, with their consent, to help set realistic expectations.
