
Dr. Shannon Kuruvilla explains the key decisions and considerations for women preparing for breast augmentation.
Walk into a consult asking for 400cc, and Dr. Shannon Kuruvilla will gently redirect the conversation. The Houston plastic surgeon is on a mission to retire the cup-size shorthand and replace it with something more useful — and this episode is the version of the answer she wants every woman to see before her first appointment. She walks through every choice a woman is asked to make on the way to a breast augmentation: saline versus silicone (and why saline has all but disappeared from cosmetic work), how she sizes with wish pictures, breast-footprint measurements, and try-on sizers instead of numbers, and the four planes she can place an implant in — over the muscle, in the fascia, dual plane, or total submuscular. From there, when fat transfer earns a spot in the plan, the three incision options and what each one trades, and the truth about how long a scar takes to mature. Then she keeps going through the parts most podcasts skip: surgery day at the practice's accredited ambulatory center, what the rest of the day looks like at home, the drop-and-fluff that's confused so many women at the one-week mark, why your nursing team should hear about anything strange before a Facebook…
Host: Bob Basu, MD
Guest: Dr. Shannon Kuruvilla
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