1. Go to someone who does A LOT of boob jobs (1000s). They may be qualified to do all types of plastic surgery, but, especially since breast augmentation is an art, you want someone who has done hundreds, if not thousands, of them. Look through pictures of before and afters they have done and make sure that, on the whole, you like their work (Note: you will not like all of them since women often have different end goals of their augmentation.)
2. Worth going out of town for the right surgeon.
3. It is possible to breastfeed after augmentation. I was very glad that I had my first augmentation done in my late 20s rather than waiting until my 40s. It gave me more confidence, helped my clothes fit better after dropping down to a AA when I finished breastfeeding my first, and added joy to my marriage. When I had a surprise pregnancy in my 30s, my chest grew to a 32F. I was still able to breastfeed and my augmentation still looked great afterwards, but the muscle did change and my chest lost some of the perkiness. I could have easily left it as it was (I say this for those of you considering a first-time augmentation before children), but, our particular circumstances (our daughter’s death) motivated me to have it lifted to avoid the reminder of breastfeeding.
4. Second time augmentation may cost more than first because of time to remove first implant.
5. Use ice packs on the first day to avoid swelling, even if you are feeling fine. This dramatically affects how you feel and look the rest of the week. I automatically took the hard pain meds the first time, but was glad I didn't take them the second time (I hate how they make me feel!).
6. I went bigger (350cc to 500cc) because my body has changed and 500 now looks better, but what probably most contributed to getting the look I wanted was the fact that he sutured the muscle that had loosened on the inside (so that the implants are better held where I want them).