In plastic surgery procedures, seeking ideal harmony and symmetry is an ongoing goal, although we know that absolute perfection is difficult to achieve. Each individual presents structural, muscular and skin laxity differences that influence the achievement of perfect symmetry. However, this search is essential to achieve aesthetically balanced and satisfactory results. 
 
Tagging is a crucial step to getting the best results possible. It is a time to review details with the patient, clarify doubts and align expectations in detail. Each patient is unique, with specific needs and desires, which makes investing in an accurate appointment even more crucial, especially in procedures such as mammoplasties
 
During marking, different positions of the body must be considered to understand how the anatomy behaves under the influence of gravity: standing, with arms raised, on the side, lying with arms at the side and sitting with arms resting. These angles provide valuable insights into each patient’s individual characteristics and how they can be adjusted to achieve the desired result. 
 
It is important to highlight that advance booking is not a fixed and immutable process. During surgery, adjustments may be necessary as new information is obtained. For example, in a mastopexy with implants, the amount of skin to be removed can be adjusted after the implants are placed. The initial marking serves as a guide, allowing for refined adaptations as the surgery progresses. 
 
Complex plastic surgery procedures involve several dynamic factors, such as postoperative tissue mobility, muscle treatments and pre-existing scars. Achieving maximum symmetry is a challenge that can be minimized by prior appointment, given that each human body is unique.
 
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