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A preoperative mammogram is obtained in older patients and patients with significant breast history. Pre-operative consultation with the patient and partner (or parents) on at least two separate occasions is essential to ensure realistic expectations of the surgery. This involves showing photos of other patients who have undergone the surgery, giving reading material on the surgery.
It is important to discuss the factors affecting the surgery, including the patient’s age and skin elasticity, and the size and shape of the patient’s breasts. The size and position of the nipple and areola, and an estimate of final cup size is discussed, although an exact cup size cannot be guaranteed.
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