At the initial plastic surgery consultation, Dr. Pautler will discuss your expectations, describe all of your options and procedures, show you “before and after” plastic surgery pictures of similar patients, and answer all your questions. Regarding plastic surgeries involving the breasts, Dr. Pautler guides her patients through all the plastic surgery options currently available in breast implants. The patient’s breast volume, shape, placement of the nipple, and individual plastic surgery desires are all factored into the decision of what breast implant is best. Dr. Pautler also guides her plastic surgery patients though deciding on breast implant size, based on the width of the breast base, the compliance (stretch) of the breast skin, and the height and weight of the plastic surgery patient. Also, by looking at several “before and after” plastic surgery photos of other plastic surgery patients with similar characteristics, plastic surgery patients can make a very informed and confident choice of breast implant size.