5 years ago, Alexes Hazen, MD did not expect to see female patients coming in for a "smaller breast augmentation" procedure. About 40% of his patient are not asking for a smaller size when choosing breast size. Many female patients are aware of the common side effects with having large breast after surgery. These include back back and neck aches and a restriction in some activity. The plastic and the "fake" breast size seems to be phasing out.