Age, medical comorbidities, anticoagulant use, smoking history.

Pregnancy/breastfeeding history, plans for future childbearing.

Personal history of breast disease and/or procedures, prior mammography or ultrasound.

Family history of breast cancer.

Current bra size and desired breast size.

Motivation for surgery.

Evaluate breast shape, skin quality, and adequacy of tissue envelope (e.g., upper pole pinch thickness).

Identify any asymmetries (volume, nipple–areola complex, inframammary fold position), thoracic wall abnormalities.

Palpate for breast masses or axillary lymphadenopathy. Identify skin dimpling or nipple discharge.

American Cancer Society guidelines for clinical breast exam (CBE) and mammography should be followed.

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  CBE every 3 years for women ages 20 to 39 years; CBE every year for women ages 40 and older.

  
  
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  Yearly mammograms for women ages 40 and older.

Breast masses or lymphadenopathy discovered on physical examination should be evaluated before augmentation.