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Consultation Form Breast augmentation

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					Consultation Form                                                                                                              LoveYourLook.com




Talk to your surgeon with a better understanding of you and your cosmetic goals. The bottom portion will guide you
through some important questions that you may want to ask your surgeon about the breast augmentation procedure.


INFORMATION FOR MY SURGEON

My name: ______________________________
My age: _______
My weight: _______
I have breastfed:            Yes          No
My current cup size: _______
My ideal cup size: _______
I brought pictures to show how I would like to look:                     Yes          No
I would like to have my surgery by a specific date:                    Yes           No       If yes, when? _______ / _______ / _______
                                                                                                                  Month            Day            Year
------------------------------------------------------------------------------------ Tear Here ---------------------------------------------------------------------------------

QUESTIONS TO ASK MY SURGEON

What implant size and shape do you recommend for me?
Should my implants be placed over or under the muscle?
Which incision site is best for me?
Do you have before & after pictures I can look at?
When can I return to work?
How will breastfeeding and/or pregnancy be affected by breast augmentation?
What risks are associated with breast augmentation?
How much will my surgery cost? Is there a finance program available to me?


Did you know you can print your own Beauty Portfolio to take with you to your plastic surgery consultation,
including customized consultation forms complete with before and after photos, and more?

Best of all – It’s free! Sign in to www.LoveYourLook.com/Portfolio/ to learn more.

				
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posted:7/13/2010
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Description: Consultation Form Breast augmentation