Someone asked me this in another comment. First of all, I’m not an expert in cosmetic surgery. Or in anything. Well, maybe I’m an expert in buying clothes and shoes I don’t need, but that’s it.
But still, I’ll answer the question, it’s actually a good one. EDIT: Since I’ve actually had the surgery now, I’ve changed this slightly to reflect my experience.

So what do you need?

1. Money

Pretty obvious. Mine is costing just over €6,000, so roughly around that amount. Some places have loan companies willing to give surgery wannabes money that they pay pack every month. I decided against this because the interest is very high. I got a loan from my credit union, which has low interest rates and a good payback agreement.

You’ll also need money to buy the following: Some good sports bras, some comfy, button down tops (if you don’t have any), Vitamin C and other immune boosters (check with surgeon before taking), some boredom killers (if you want to). Drugs are usually covered in the total cost of your surgery but if not, you’ll need money for antibiotics and painkillers.

2. Time

Time for research into the procedure, time to go for at least two or three consultations, time to research your chosen clinic and surgeon, time to actually have the procedure and then time to recover. I had very few holidays left in work so I had to plan it all carefully. I took 6 days off for the actual surgery, and had to take two half days for the consultations. I also spent months reading about the risks, and choosing a clinic. If you can, have your surgery on a Friday–it gives you two weekends for recovery instead of one.
Things to focus on:
–The reputation and specialist accreditation of your surgeon
–The risks (and benefits!)
–How you want to look afterwards
–Follow up care and what medication you will be taking, etc. They’ll tell you this in your consultation.

You’ll only need about a week off work, the other stuff can be done around work (or, if you’re me, in work)

3. A good knowledge of what size and shape you want

This is obviously very important. Some surgeons might look at you and decide what will look good. The surgeon I saw was telling me I should go for a 260cc silicone implant, because it would suit my frame, but I said no because I don’t want to be that big. Get pictures, look at people, think about it and tell him or her exactly what you want. Rememer they don’t measure it in cup size, but in volumes. So saying “I want a C cup” won’t actually be much good. Also try stuffing your bra with whatever you have and walk around for awhile with it. Preferably when your housemate and her boyfriend aren’t in the house to stare at you, which is what happened to me when my bra stuffing (those giant silicone chicken fillets you get in Debenhams) fell out and landed at their feet…the mortification.
I eventually DID go for 260cc–because I thought about how little difference there is between 240 and 260 and I decided to go with the slightly bigger size. I would strongly recommend doing this. I am a tiny bit disappointed I didn’t go bigger, up to 280ccs. Because they do soften and decrease in size a tiny bit as they ‘sink in’. But mine are completely unnoticable in clothes– which is what I wanted so I’m happy for that.

4. Good general health
Take vitamin B complex and C running up to the surgery, and also any immune system boost, like Echinacea. Some people say not to do this, but the week before my surgery I started getting a bad cold. I took dissolvable Vit C, drank soup, stayed in bed and religiously used antibacterial handwash to prevent infection. My cold vanished.

5. Determination
OK, it does hurt. But the important thing is, it’s manageable pain, and it doesn’t last long. Imagine you break your ankle–it’s going to be sore for awhile until it heals, and it will take you a while to use both feet again–but soon you’ve forgotten you broke it, until you step a certain way and feel a twinge. It’s not actually pain, like period or childbirth pain, just discomfort and stiffness.
It’s like that, well, except boobs instead of ankles obviously πŸ™‚
It’s worth it, trust me. Every time I look in the mirror and see them I get this happy surprise, because at only two weeks I’m so used to them sometimes I forget they are there.

Also there may be people trying to convince you not to have the surgery. This annoys me because I don’t think it’s a big deal. Once you’re safe and prepared it’s fine. Sure, it’s uncomfortable for a while, but think about it: it’s now as common as getting a hip replacement, or hell even getting a haircut. My main problem pre-op was freaking about complications and the anaesthesia–I think this is normal but stay calm and remind yourself why you are doing this, how much you want it etc. I even had moments where I was going to cancel. Think that’s also normal.

6. A bit of Help

Whether it’s family, boyfriend, husband, best friend, whatever. My mother and sister helped me out. I didn’t want to tell them but they were so cool about it and I felt so much better when they knew. You might be surprised at people’s reactions–if they love you, they will support you, it’s as simple as that. My two best friends were also great. I only really needed help days 1-3, and even on day 3 I could have managed. Help for little things like washing hair, changing bandages/dressings, getting things off shelves…And maybe moral support when you feel down or second guess yourself. I think the whole experience made me weepy and weird. But my mother was there to hug me πŸ™‚

What risks?

September 20, 2007

From the Medicine and Healthcare products Regulatory Agency (MHRA) in the UK:

“The risks associated with silicone gel breast implants have been investigated on three occasions by independent expert groups working on behalf of the Department of Health. The latest of these, the Independent Review Group, concluded that the risks were no greater than for other implants, such as hip joints. MHRA is not aware of any evidence suggesting that saline used to fill saline breast implants presents any hazards.”

“…there is no evidence of a causal link between the implantation of silicones and connective tissue disease.”

“..silicone gel breast implants are not associated with any greater health risk than other surgical implants, and that silicone induces a conventional biological response, rather than an unusual toxic reaction.”

“In their 1998 report, the IRG said that β€œanalyses of large groups of women both with and without breast implants have shown that there is a slightly reduced incidence of breast cancer in women with breast implants. Studies looking at the incidence of other cancers have failed to demonstrate a statistically significant increase among women with breast implants.”

So, OK, obviously there ARE risks, it’s surgery. But I’ve seen websites saying things like “You could die!!” etc. The breast cancer thing, breastfeeding thing and the stuff about leakage are not a worry for me.
I think the only risk comes from the surgeon who performs the op. If s/he is a good surgeon there will be nothing to worry about. The horror stories, the poor women who have gone through the surgery and come out deformed and ruined (I can’t imagine what I would do if that happened) most likely had their surgery done by an inexperienced hack who is not a specialised surgeon. I am choosing my surgeon very, very carefully. My consultation on Monday is mainly so I can get the surgeon’s name and look him or her up. I’ll also be asking if they are registered with the Medical Council, how many ops they have done and what level of aftercare they provide. I’ll let you all know the answers!

Whether ’tis nobler in the mind to suffer the slings and arrows of having no breasts….Or to have surgery against a sea of risks, and by opposing, get bigger ones?
Hmmm.
Hard to answer the question “But why?” in one coherent sentence. So instead I’ll just answer the most commonly given negative responses and beliefs about breast augmentation.

1. “It’s invasive surgery! Pain! Swelling! Leaked silicone!”

Well, this is true. So what I did was write a trusty pro/con list. The only cons were “It will hurt” and “People will know.” Yes, it’s surgery, yes, I will be in pain, but trust me, I have had years of mental anguish about my lack of ANY boobs. I really have none. Some women with small chests don’t care (but I think we all do), some do and I want to change it. I am prepared to face the risks (which are really very small) and go for it. Don’t worry, if I die at least it will have been on a quest for beauty. Not a bad way to go. Compared to, say, dying of a lack of sex because you’re too scared to let anyone see what you look like naked.

2. “You’ll never know if someone will just love you for you…”

In my case, this may be true. While I have had many flings, encounters and fast times at Ridgemont High, I have never had a man say to me “I love you”. (Well, none that I wanted to hear it from. The weird Aussie guy who stalked me last year doesn’t count.)
But this can be said for a lot of things. If I decide to spent 10 grand on a trip to Africa, I’ll never know what it’s like to go somewhere else instead. That doesn’t mean I won’t enjoy Africa, does it?

3. “It’s expensive. Like, you could buy the new Dior court shoes AND the entire Kate Moss for Topshop A/W line.”

I could, but I’ve decided to spend the money on this instead.

4. “You’re doing it for the wrong reasons/you have unreasonable expectations/you need a psychologist/you think the men will lurrve you afterwards.”

I’m doing this because I want to. For me. Cliche, yes, but true. I’m not doing it because some guy will like me better (fuck him), or because I think my life will be magically perfect, or because my life is shit and I need a change. I’m doing it because I’m sick, sick, sick of being self-conscious and scared. I’m sick of avoiding sex and I’m sick of turning away from the mirror. I’m sick of staring at other girl’s chests like a teenage boy. (Sorry, like any boy.) So really, I AM doing this for me.

Any more objections, bring ’em on…