Hello and thank you for your question. Breast augmentation can be performed on many patients with pre-existing conditions. In your case, I would first obtain the clearance of your PCP, and likely your hepatologist. Some additional concerns would be the impact of your liver disease on anesthesia and obtaining bloodwork to assess your general nutrition levels to optimize your healing.Once cleared, you should then have a detailed discussion with your board certified plastic surgeon to clearly define your desired breast outcome goals – this would include the size you would like to achieve, and your ideal breast shape. In your consultation, be sure your surgeon addresses all your concerns and discusses the surgery details including the position and size of the incision used, the type of breast implants available, the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar breast appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome. And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired breast outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you. For more information on breast augmentation, please refer to my link below. Good luck. Mark K Markarian, MD, MSPH, FACS Harvard-trained Board Certified Aesthetic Plastic Surgeon