Please make sure you’re going to a board-certified plastic surgeon. Any doc can be “board certified” in something – but plastic and reconstructive is the specialty you want. Check out the American Board of Medical Specialties and make sure your doc is listed. Check with your state medical licensing board to see if there are any complaints. Check with your friends, coworkers, etc.
Sometimes these things encapsulate (i.e., scar tissue grows around them) and they become hard as rocks. Everyone is different and you may not have to worry about this, but you might have to have these things redone every 10 years or so. I don’t think the docs can tell in advance who will encapsulate or not.
I presume (since you haven’t had this done before) that your doc is going to use saline implants instead of silicone. I don’t think docs are allowed to use silicone on new patients, but silicone can be used on replacements (this sounds like I’m talking about auto parts). You might want to read up on saline implants at one of the medical web sites, if you haven’t done that already. And ask the doc what will be used. The doc should show you samples of the implants.
Is your doc going to put the implants under the muscle or on top? If he/she is going to put the implants completely or partially under the muscle, you’re going to be a lot more sore than if they are on top of the muscle – and will probably have to have general anesthetic, rather than just a whole bunch of Valium dripping into your hand. Ask your doc about the type of anesthesia to be used and who will be administering the anesthesia – a board-certified anesthesiologist or a CRNA (who is not an MD)? I think anesthesia is a lot scarier than the surgery.
If you haven’t had a mamogram, talk to your OB/Gyn and see if he/she would recommend having one done before the augmentation as a baseline. Sometimes it’s difficult for the radiologists to see through the implants. If they encapsulate on you, a mamogram in the future is going to be pretty uncomfortable.
Before I had this done, I was as flat as an ironing board (and just hated it) and went from an A to a B (not a major leap) and have never regretted it, but I’m thin and the skin was stretched pretty tight after the first surgery and it took a while for the skin to stretch out to accomodate them – and it hurt like hell for the first 24 hours. I had to sleep sitting up for a while because it hurt too much to raise myself from a lying position on the bed. The second time I had it done, the surgery was on Thursday and I was back at work on Monday – but this was with the implants on top of the muscle. I had to sleep sitting up for a while with this one, too. I think the recovery time is going to be longer with them under the muscle. I first had it done in 1983, and I’m getting ready to get my 3rd set (under the muscle – which, apparently, is now the way the docs like to do things) because of the encapsulation. You’re going to want the Vicodin.
I’d go for it, but just be very level-headed about what you’re getting into.