Abstract
Plastic surgeons' primary responsibility to patients is to inform them sufficiently to permit them to make the necessary decisions in the manner that best meets their own objectives. This makes adequate consultation a lengthy and often confusing experience for patients. One of the most confusing of these is also one of the most mandatory for discussion; that is, the issue of implant fill volume. A patient should be free to choose between an implant that must be overfilled to achieve the optimum, and one in which reaching the optimum does not require overfill or even staying within the manufacturers suboptimal fill volume. The patient must be explicitly informed of the consequences of each of these decisions and should be prepared to sign whichever consents are necessary to reflect her understanding of the compromises involved in any of these choices.
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