At the initial plastic surgery consultation, Dr. Pautler will discuss your health history, examine your desired plastic surgery area, discuss your plastic surgery expectations, describe all of your plastic surgery options and plastic surgery procedures, show you “before and after” plastic surgery pictures of similar plastic surgery patients, and answer all your plastic surgery questions. You should also be prepared to inform Dr. Pautler of the type of exercise, sports or physical activities are important to you, provide Dr. Pautler with a complete list of prescriptions, over-the-counter medications, herbals and supplements you take and to be very clear regarding your plastic surgery expectations. Regarding breast plastic surgeries, inform Dr. Pautler of the largest breast size you have ever been. This information provides insight into the ability for your breast skin and tissue to stretch.