{"id":13601,"date":"2020-02-24T10:26:22","date_gmt":"2020-02-24T18:26:22","guid":{"rendered":"https://www.realself.com\/news\/?p=13601"},"modified":"2023-02-24T08:28:01","modified_gmt":"2023-02-24T16:28:01","slug":"reasons-surgeon-will-turn-you-down-for-breast-augmentation","status":"publish","type":"post","link":"https://www.realself.com\/news\/reasons-surgeon-will-turn-you-down-for-breast-augmentation","title":{"rendered":"The 6 Most Common Reasons a Plastic Surgeon Will Turn You Down for Breast Augmentation"},"content":{"rendered":"

Breast augmentation<\/a> is very common—in fact, it’s the most popular cosmetic surgery in the country, according to the American Society of Plastic Surgeons<\/a>. Yet despite the fact that more than 300,000 women in the U.S. get the procedure every year, not everyone is a candidate for it. A few circumstances may cause a doctor to say no or, at least, “Not right now.” <\/em>Read on for the most common reasons a surgeon may turn down a patient after a consultation.<\/p>

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Changes on the scale<\/strong><\/h2>

When weight is in a state of flux, doctors generally prefer to hold off on surgery until things are steady. “The reason for this is that we want the breast to be in a stable place for surgery. If the tissue is still changing, it is much harder for me to create a predictable long-term result for you,” explains Dr. Rocco Piazza<\/a>, a board-certified plastic surgeon in Austin, Texas.<\/p>

Alternatively, a doc may ask you to lose a bit of weight before the operation if your BMI is considered medically high, explains Dr. John Paul Tutela<\/a>, <\/strong>a board-certified plastic surgeon in New York City and Livingston, New Jersey. A 2011 study<\/a> found that obese patients were 12 times more likely to experience problems post-surgery. “This could put you at risk for increased complications, and many surgeons, including myself, will not operate until your BMI comes down,” he says. The cutoff can vary by the doctor—Dr. Tutela prefers his patients to have a BMI below 30.<\/p>

Breastfeeding and family plans<\/strong><\/h2>

Dr. Lara Devgan<\/a>, a board-certified plastic surgeon in New York City and RealSelf’s chief medical editor, says that breastfeeding should be taken into consideration<\/a> when planning an augmentation—not because it impacts your ability to nurse but because it can temporarily alter the breasts’ form. Dr. Devgan says she schedules surgery six months out from when a patient stops breastfeeding, when the “contour and shape of the breasts” have settled.<\/p>

For the same reason, doctors also ask about family-expansion plans. “I tell all my patients that if you are planning to have children within the next year, it may be best to postpone your breast augmentation until after your pregnancy, as the hormones can sometimes make the breast change significantly,” says Dr. Piazza. “You might need a bigger implant or a breast lift after pregnancy, to achieve your desired breast enhancement results.”<\/p>

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