Abstract
Over the last several decades, there have been significant changes in societal expectations of body image and an increasing acceptance of aesthetic surgery. This increased popularity demands improved preparedness and surgical expertise in breast augmentation (http://www.plasticsurgery.org/news/plastic-surgery-statistics/2014-statistics/top-five-cosmetic-surgery-procedures-2014.html). Thorough preoperative planning and patient education are essential for an ideal aesthetic result and patient satisfaction (Adams, Plast Reconstr Surg 122:1892–1900, 2008). Adequate preoperative surgical planning, mastery of the intraoperative surgical technique, thorough postoperative care and ability to recognize potential postoperative complications are vital. In order to address patient goals and expectations, a discussion with your patient regarding the type of implant (silicone vs. saline, smooth vs. textured, anatomic vs. round), location of incision (inframammary, periareolar, transaxillary, transumbilical), and location of implant pocket (subfascial, subglandular, submuscular, subpectoral with dual plane I, II, or III) should take place.