We’re so excited you’re interested in breast augmentation. You could not have selected a better office or surgeon! Dr. Feldman is a Board Certified Plastic Surgeon, Fellow of the American College of Surgeons and world renowned expert, specializing only in breast enhancement. He has operated on models, celebrities and performers as well PTA moms and the girl next door from Houston, Dallas, Austin, Las Vegas, Colorado, Louisiana and beyond (even Alaska and Hawaii) as well as Canada, Mexico and the Caribbean. Patient's' travel great distances for Dr. Feldman's honesty, experience and attention to detail. As such, Dr. Feldman performs 400-500 breast augmentations per year. That’s in the top 1% of plastic surgeon’s nationwide. He has been named as a Real Self Top 100 Surgeon for consecutive years.
If you haven’t already completed our virtual consultation, that’s the best way to get started. We ask all of our patients’ interested in breast enhancement to complete a virtual consultation prior to scheduling an in person breast augmentation consultation to aid in assessing the surgery most appropriate for achieving your dream breast appearance. Many of our patients’ travel long distances, and we would hate to have you travel so far, only to find out you needed a lift or had more complex anatomy, and therefore, received a more expensive quote than you were expecting.
Once you’re on Dr. Feldman’s schedule, you can do a few things to make your consult as smooth and educational as possible. We would ask that you either leave your children at home, or bring a caregiver with you to the office. We do not want you to be distracted during your breast augmentation consult, as you will not be able to make the best informed decision, or may miss important information about realistic expectations, potentially setting up disappointment down the road after surgery. Look at Dr. Feldman’s before and after gallery, as the most useful way to utilize pictures of other woman, is to look for patients who started with a similar breast size and shape to yours now. This way Dr. Feldman will have a detailed knowledge base of that particular patient, her measurements, implant size and style placed, as well as the technique used, and resultant bra size. The photos on our website are all untouched before and after photos of Dr. Feldman’s actual patients. “Wish List” photos of celebrities or strangers have limited utility.
During the consult Dr. Feldman will spend approximately an hour with you. The first 20-30 minutes will be spent discussing all of the important (and sometimes boring) technical details of breast augmentation. It may feel like a bit of a lecture, but this way Dr. Feldman can cover a lot of information in the most efficient manner, and he will answer 95% of your breast augmentation questions before you have to ask them. Please pay attention, and listen, as this information is essential to educate and empower you to make the best possible decisions regarding your breast augmentation, as well as establish realistic expectations. Topics covered in detail during your consult:
After that discussion and questions, Dr. Feldman will step out and ask you to change into our robe for the fun part of the visit. He will return with Jeannette our patient coordinator, scheduler and advocate.
Dr. Feldman will then perform a detailed exam and measurements of your breasts. He will point out things about your breasts, ribs, breast bone and back/scoliosis you may or may not have ever noticed. This is done so realistic expectations can be established. The single largest influence on your result is what your breasts look like before surgery. Dr. Feldman will let you know which anatomy/deformities can be made better (meaning size is guaranteed to become larger), but the majority of things about your breasts will remain the same (if one is larger or smaller, one is higher or lower, one nipple is higher/lower or more to the side these differences will not improve with implants), and unfortunately, sometimes, certain things can look worse after augmentation or may need a combined lift for a pleasing result! Although a disappointing conversation, it’s far better to find out ahead of surgery that Dr. Feldman cannot fulfil your expectations with an augmentation alone, rather than afterwards.
Dr. Feldman will make specific recommendations about breast implant sizing and profiles based on: 1) dimensional planning and the measurements he took during your exam 2) expressed goals 3) amount and quality of tissue to hide the implant.
During the most exciting part of your visit, you will try on sizers. Dr. Feldman will direct your focus to the “look” not the cc or cup size when trying on sizers. Bra's vary from store to store, and cc's mean nothing in isolation. He will only offer dimensionally sound breast implants. Multiple styles or profiles (moderate, mod+, full, high or ultrahigh) of implants may be offered, and this will control the look, (meaning more or less natural) as well as the size. The style or profile is what the patient selects, not the number of cc’s. Within the preferred style, only 1 or 2 implant sizes will match your dimensions. Dr. Feldman is an engineer, and therefore utilizes measurements as data points to select implants. That way instead of hoping you achieve a pleasing result, he has data and experience to support the breast implants offered.
In general, in Dr. Feldman’s experience, a dimensionally sound moderate plus profile (Allergan Natrelle Inspira SRM) tends to go from an A+/B- pre-op to the magical full C or small D after breast augmentation surgery, meaning it adds about 2 cup sizes, and provide what he calls the “Are they real or not?” look. A full profile (Allergan Natrelle Inspira SRF) would be about 100ccs larger to maintain the same base width and is more like a Full D but Victoria’s Secret will call it a DD or DDD, meaning it adds about 3 cup sizes, and yields a “New Normal” or "push up bra" look with more cleavage "pop" and more projection than a similar width moderate plus. The Allergan Inspira line area the same gel and shell as the classic Natrelle implants with a slightly higher fill ratio, yielding more durable superior fullness and less rippling and over 95% of Dr. Feldman's patients select Inspira implants. Ultimately, when you try on the different styles during your consult and look in the mirror, you will quickly fall in love with one style or the other!
Only a board certified plastic surgeon specializing in breast augmentations (meaning they do 300+ a year, for at least two consecutive years, with at least 1000 augmentations in their career) will have the expertise, knowledge and experience to understand and explain these subtle differences to you. Don’t trust your result to an office that gave you a video, booklet, computer simulation or patient coordinator rather than the surgeon to answer these important questions.