From the first consultation, every clinical decision is your surgeon's. Vertex Medic arranges the meeting and keeps the paperwork; it is not in the room.
Step 01Discussion of what troubles you about your breasts, what you hope surgery will change, and why you are considering it now. The surgeon must satisfy themselves that the request is voluntary and consider any psychological vulnerability; if expectations seem unrealistic, they may suggest a further consultation or a psychological assessment before proceeding.
Step 02A full medical history: general health, previous breast surgery or breast problems, family history of breast disease, current medications, allergies, diabetes, smoking or nicotine use, weight and body mass index, plans for pregnancy or breastfeeding, and mental health history. The surgeon may ask your permission to contact your GP.
Step 03Examination and measurement of the breasts, nipple position, skin quality, breast footprint on the chest wall and any asymmetry. Clinical photographs are taken for your medical record.
Step 04An explanation of the technique and pedicle pattern the surgeon suggests for you, where the scars will be, how much reduction is realistic, and what cannot be achieved, including that a specific cup size cannot be specified in advance.
Step 05A clear discussion of the risks and complications, including the potential physical and psychological impact if the operation goes wrong or the result does not meet your expectations, and of the alternatives, including weight loss, physiotherapy, supportive garments and not having surgery.
Step 06What recovery involves: hospital stay, drains and dressings, time off work, restrictions on driving, lifting and exercise, wearing a support bra, follow-up appointments and who to contact out of hours.
Step 07Fees: what the quoted price includes (surgeon, anaesthetist, hospital, garments, follow-up), what is not included, and the policy and cost for managing complications or carrying out revision surgery.
Step 08Written information to take away and a cooling-off period before a second-stage appointment at which the operating surgeon takes your written consent personally. The RCS standards ask for at least two weeks between the stages, and you may change your mind at any point up to the start of the operation.
Step 09Pre-operative assessment before surgery: blood tests and, if indicated, an ECG or chest X-ray; a review by the anaesthetist; and advice to stop smoking and nicotine products, commonly for at least six weeks beforehand, and to reach the healthiest weight you can.