There are various reasons why a surgeon may not want to be responsible for the decision...:
1. After surgery, if you express dissatisfaction, they can wash their hands of the situation because you chose the implants.
2. It simplifies the consultation process for them, because once you have made the decision to have surgery, they can have you choose the implant with their nurse, or even at home.
3. It is a lot less expensive and easier for a surgeon to only have to order and pay for implants as they are used.
This decision making process seems preferred when the surgeon's goal is to complete the surgery and have as few problems with patient expectations as possible.
Here are the reasons I personally think your surgeon MUST be very involved in the decision making in order for you to achieve long term satisfaction:
- The appropriate choice of implant involves understanding NOT just your desired goal for size, but also your anatomy.
- Variables such as:
- your body's dimensions
- skin quality and the quantity of skin present
- the amount of breast tissue present and its qualities
- the details of your reproductive history
- will all affect the way the implant interacts with your tissues and will therefore affect your outcome and satisfaction.
- These are subtleties that it is not fair to expect a patient to understand.
My goal as a surgeon is to have happy patients (not to simply complete the surgery).
Because I feel strongly that patients who are happy will not care what number is on their implants, or what letter is on their bra, I do not use the patient choosing the implant approach.
The key with any decision making process is effective and open communication.
If you're not comfortable with the process, put on the brakes. Talk with your surgeon- you need to be confident before the surgery that your chances of achieving your goals are maximized.