What Every Woman Needs To Know Before a Breast Augmentation
If you are considering breast augmentation, many of the most important decisions happen before surgery ever begins. Choices based on cup size, photos, or incomplete information can lead to results that do not feel balanced or appropriate for your body.
In this video, Dr. Dimitri Koumanis explains the most common breast augmentation mistakes he sees and what patients should understand before moving forward. He covers implant selection, anatomy, expectations, and recovery planning. The full video transcription is included below.
Video Transcription
If you’re thinking about breast augmentation, I want you to pause for a second because the biggest mistakes I see don’t happen in the operating room. They happen before surgery when women are choosing size, shape, and expectations based on the wrong information. In the next few minutes, I’m going to tell you what I wish every woman knew before breast augmentation so you feel confident, prepared, and excited about your decision.
I’m Dr. Dimitri Koumanis at Saratoga Springs Plastic Surgery. I’ve cared for many women considering implants for the first time, revisions or augmentations with lifts.
First, forget cup size. Cup size isn’t a medical instrument. One brand’s C is another brand’s D. What actually matters is your proportions, your chest width, shoulder balance, rib cage shape, and the amount of natural tissue you already have. When you choose implants based on a number or a photo alone, you risk ending up too large, too wide, or not fitting your frame.
Second, your skin and tissue quality determine what’s possible. Some women are happier with an augmentation plus lift because the lift reshapes the breast envelope and the implant provides volume. So, the key takeaway line is that an implant adds volume. It doesn’t always fix the droop.
Natural is a design choice. Shape, profile, and placement matter. Natural results come from smart design. That design includes implant dimensions, profile, and sometimes placement over or under the muscle based on the goals in anatomy. Some women want a subtle athletic enhancement. Others want a fuller upper pole. Neither is right or wrong. What matters is making sure your surgical plan matches your aesthetic goals and your lifestyle.
If you’re very athletic, if you lift weights, if you’re lean, or if you have a smaller natural breast, these details can influence the plan. Recovery is usually easier than fear makes it. But plan it right. Most women are surprised by recovery in a good way. The first few days are the most uncomfortable, and then it tends to improve quickly.
So, you need to choose a surgeon for safety, planning, and honesty, not hype. The best surgeon isn’t the one promising perfection. It’s the one explaining trade-offs clearly. You want someone who prioritizes safety, listens to your goals, shows consistent results, and makes you feel supported through the entire process.
So, if you’re considering breast augmentation, my biggest advice is this. Don’t rush the decision. A great result comes from a personalized plan that fits your body and your goals. If you’d like, schedule a consultation with our team at Saratoga Springs Plastic Surgery. We’ll talk you through sizing, options, recovery, and what would look best on you so you can move forward with total confidence.