How to Talk to Family about Breast Implants, Self-Esteem

First of all, congratulations on losing 40lbs! Unfortunately for many women, the joy of losing the weight is often tempered by the changes that occur in breast size and shape. These changes can lead to drooping or sagginess and are difficult to improve without surgical intervention. However, many women or their loved ones have a preconceived negative view of cosmetic breast surgery. These views (described as old-fashioned in your post) are simply a result of either misinformation or misunderstanding of what breast surgery is and can accomplish.

In your particular case, I view surgery as much more of a reconstructive procedure rather than purely cosmetic. It sounds as if you highly value the opinions of your family members. I would recommend having some of your family members attend your consultation so that they can ask questions and understand the rationale for breast implants in your situation. Of course, at 30 you are fully able to make these decisions on your own without need for anyone else's approval. You may not be able to change their opinions, but perhaps you will be able to get them to respect yours.

First, I am glad you are doing the surgery for yourself and not for someone else. This is a tough question to answer, and they may be cultural issues in hand. I have had several patients who come from traditional Filipino or Hispanic back ground. These patients did not tell any one and if any one found out, it was after the surgery. I am not saying this is the only way to do it, but it seems to be an option which has been employed by several of my patients. If you do decide to discuss the issue before surgery, it is important to emphasize this is not for vanity, but to make you feel more like a "normal" female.

Good Luck.