Most OBGYN physicians suggest waiting 3 to 6months before having breast surgery after nursing. This reduces the chances for infections, which in turn reduces the chance for capsular contractures around the breast implants. Combinations of breast augmentation with tummy tucks should follow the same guidlines. It is certainly possible to do preliminary consults on line, but more formal consults should be recommended.
Virtual consultations may be very successfull for you. I recently had a patient come from Alaska to my practice for surgery and much of the consultation was handled on line. Final decisions were made once I saw the patient, she then arrived in Tampa two days before the surgery( this is recommended to avoid higher risk for having blood clots develop in the legs after traveling in planes), she had the surgery and then flew home in several days.
Good luck to you.
Frank Rieger M.D. Board Certified Tampa Plastic Surgeon