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It is important that during your first discussion with a surgeon, you should explain clearly what you expect from the treatment and how you would like to look afterwards.
Careful discussions regarding the reasons for wanting implants, and the suitability of implant surgery are very important at this stage. Make sure that you obtain as much information as you can to enable you to make a fully informed choice about the procedure. You need to think about the type and size of implant that may be suitable for you before your operation, as well as the point at which the implant will be inserted into your breast, how it will be placed inside your breast and the type of anaesthetic used.
A medical history should also be taken, to ensure that there are no reasons why you shouldn’t have this operation. At this point, you would normally be asked to sign a consent form stating that you have understood the potential benefits and risks associated with breast implantation.
Photographs may also be taken by the practitioner, as the basis for a “before and after” comparison at a later date.
The surgeon will wish to write to your G.P. giving details of the operation so that if there are any problems associated with surgery in the short- or long-term, the G.P. is aware of the procedure and can help you as you recover. 
Your surgeon should also send information about your operation to the National Breast Implant Registry (N.B.I.R.) so that information about breast implants can be collected from all over the country and used in further research or in the gathering of statistics about cosmetic surgery. This has proved to be very important in recent years when some types of implants have had to be recalled by their manufacturers and their patients informed immediately.
However, you do not have to register your implant operation with the N.B.I.R.. This is a purely voluntary action to help future research. If you do choose to do this, you will be asked to sign a form that will contain all the information given to the Registry including your implant details.
Anaesthesia 
Breast augmentation can be performed under a general anaesthetic, although some surgeons use a local anaesthesic, combined with a sedative to make you drowsy, so that you remain awake but feel very little discomfort during the operation.
Remember that a general anaesthetic will always carries a greater risk than a local anaesthetic, but you should discuss your thoughts about this with your surgeon before you undertake the treatment. He/she will offer you the best advice for your comfort.
The operation 
Every patient’s needs are assessed individually and it depends entirely on your body as to which method of inserting the implant is used. A short incision can be made either in the crease under the breast, or around the areola (the dark skin around the nipple) in the armpit, or even via the navel (belly button). The latter is generally not recommended, however. It may reduce the level of scarring in a much less obvious area than the breast, but it is a more complicated procedure and can only be used for inflatable saline implants.
<img border="0" alt="Breast Implant Entry Points" src="/uploads/Image_Directory/Treatment_FAQs/TDbreastimplantentrypoints090404.jpg" width="300" height="300" />
Implants may then be positioned either between the glandular tissue of the breast and the pectoral muscle (sub-glandular - as in the right hand picture below) or behind the muscle (sub-muscular - left hand picture below).


<div align="center"><img border="0" alt="Breast Implant Positioning" src="/uploads/Image_Directory/Treatment_FAQs/TDBreastimplantsposition090403.jpg" width="300" height="240" /></div>
Saline filled implants are generally inserted empty and then filled with the salt water solution – this helps to reduce the size of the cut required and consequently leaves a smaller scar afterwards.
 
Drainage tubes are rarely needed following the operation. The surgery generally takes about ninety minutes to complete. Slow dissolving stitches are usually used to sew up the wounds.

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