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    Breast implants boost self-esteem for many women, but some feel let down.

    How Will Breast Implants Change Your Life?

    When Breast Implants Mask a Bigger Problem continued...

    Good surgeons will help women assess whether their expectations and reasons for wanting breast implant surgery are realistic.

    Rohrich turns away patients who make unrealistic requests -- recognizing it as a sign that they may have emotional problems. "I can't make a 5'1" woman into a D cup. Maybe that's what some want -- and they can always get what they want somewhere else. But I turn them away.”

    Casas is also careful to screen for poor self-esteem and body image. "We stand them in front of the mirror. What do you see? They have to be able to see the real person, not who they think they are. If there are signs of body dysmorphic disorder, they need a true psychiatric evaluation and psychiatric support."

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