Upper pole fullness with lift/augmentation

As surgeons we like to show our best results and emphasize the positive aspects of procedures, but in fairness it is important we also tell patients what to expect in the long run.  At first you probably will have good upper pole fullness, and maybe some firmness, but this will be short lived as the healing process proceeds.  Within a year (may be less) you will notice decreasing upper pole fullness and firmness.  Most women are still happy with the end results anyway. I find that in the consultation and even in post-op followup I emphasize to patients what to expect as healing and maturation of scars proceed.  The closer a patient's expectations come to what can be achieved in reality, then the happier the patient is. When patients have unrealistic expectations, they are a set up for disappointment no matter how good the end results might be.  Discuss this thoroughly with your physician and ask to see photos of patients that have had the procedure performed.  Discuss the type of scars that will result as well as the immediate, mid term and long term expectations.  It would not be unusual in years to come to slowly "droop" again and need a minor revision.