In order to determine if a patient is a good candidate for a breast augmentation, they would need to be seen in the office and have a formal physical examination. During the exam, I want to learn about the goals of my patient to determine what size implant might be appropriate for her. We discuss the different options including shapes, sizes, textures, and contours of the various implants. Discussion of the various differences between saline and silicone implants are discussed as well. We review pocket placement, incision design, and various nuances based upon an individual’s anatomy. Most commonly, patients come in with hypomastia, or in lay terms small breasts, and desire larger breasts. This is common in the younger patient in their early 20’s. I also see many women who have had children and their breasts have changed and sometimes become involuted. They commonly want more volume to restore the breasts as they looked prior to pregnancies. This is often in patients in their 30’s and early 40’s. But I have seen women who are older that want larger breasts as well.