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In this educational and empowering episode, board-certified plastic surgeons Dr. Sam Fuller and Dr. Daniel Butz dive into one of the most common questions they hear from patients: "Do I need a breast lift, a breast augmentation, or both?" If you've ever stood in front of the mirror wondering how to restore volume, perkiness, or shape to your breasts, this episode is tailor-made for you.

We break down the anatomy and aesthetic principles that guide our surgical decisions, helping patients better understand what each procedure is designed to accomplish. A breast augmentation and a breast lift are not interchangeable—and understanding the core difference is essential to getting the results you want.

We begin by walking through breast anatomy and the natural aging process, including how pregnancy, weight changes, gravity, and genetics affect skin elasticity and glandular volume. This leads into a deep discussion on the goals of breast augmentation—adding volume, fullness, and upper pole projection—versus the goals of a breast lift, which include reshaping, repositioning the nipple-areolar complex, and removing excess skin to restore a youthful contour.

Next, we dive into how we evaluate patients during consultation:

• Is the nipple below the inframammary fold?
• Is there volume loss or deflation?
• Is the breast tissue dense or soft?
• Are the patient’s goals focused on size, shape, lift, or all of the above?

We’ll talk through real-world examples and how we tailor recommendations based on body type, age, future plans (like pregnancy or weight loss), and surgical risk tolerance.

Dr. Butz and Dr. Fuller also weigh the pros and cons of each surgery, including:

• Scarring and incision types
• Recovery time
• Longevity of results
• Implant risks (rupture, capsular contracture)
• Lift-only limitations (no added volume or upper pole fill)
• When it’s best to combine both procedures for maximum impact

We also touch on common misconceptions—like the myth that implants alone can lift a sagging breast, or the idea that a lift always results in a “flattened” look without implants. Spoiler alert: it’s all about planning and technique.

If you’ve ever felt overwhelmed by the idea of choosing between a lift and an augmentation, this episode will leave you feeling educated, reassured, and empowered to take the next step. You’ll walk away with practical knowledge and a better understanding of how we, as plastic surgeons, customize surgical plans to help each patient achieve their unique goals.

Whether you're postpartum, post-weight loss, or just looking to restore confidence, this episode will help you understand what’s possible—and what’s right for you.

🎧 Now streaming on Apple Podcasts, Spotify, or wherever you listen. Don’t forget to subscribe and leave a review if you’re loving the insider info!

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Podcast: Fuller Butz: A Behind the Scenes Plastic Surgery Podcast
Hosts: Dr. Sam Fuller & Dr. Daniel Butz

Whether you're just starting your research or already scheduling a consultation, this episode is your go-to guide for navigating the world of breast augmentation. Join board-certified plastic surgeons Dr. Sam Fuller and Dr. Daniel Butz as they break down the five essential questions every patient should ask before committing to breast surgery—and why those questions matter more than you think.

From cup size dreams to long-term outcomes, we dive deep into the key topics every informed patient should understand:

• Are you a good candidate? We explain the physical and emotional factors that help determine whether breast augmentation is the right fit for your goals—and your body.
• What kind of implants should I choose? Dr. Butz and Dr. Fuller cover the differences between saline and silicone implants, smooth versus textured surfaces, and how implant profile and placement impact your final look.
• What surgical technique is best for you? From submuscular versus subglandular, we lay out the pros and cons of each approach.
• What’s the deal with the “internal bra” technique? We explain this buzzworthy surgical enhancement and how it can offer extra support and longevity for the right patients.
• What are the risks, and how long do implants last? You’ll hear an honest discussion about complications like capsular contracture, implant rupture, and reoperation, along with how long you can expect your results to last.

We also address some of the most common myths and misconceptions around breast implants—like whether they affect breast-feeding, if they increase cancer risk, and what recovery actually looks and feels like.

Another big topic? The difference between board-certified plastic surgeons and cosmetic surgeons. We break down why credentials matter and how choosing the right surgeon can make all the difference in your safety, results, and experience.

At Fuller Butz Plastic Surgery, education is empowerment—and we want our listeners to feel confident and informed as they explore aesthetic surgery. Whether you're curious, committed, or somewhere in between, this episode gives you the insider knowledge you need to ask smarter questions, spot red flags, and take control of your breast augmentation journey.

Tune in, take notes, and let’s bust some myths while getting real about implants. This is one of our most information-packed episodes yet, and you don’t want to miss it.

🎧 Now streaming on Spotify, Apple Podcasts, and wherever you listen.

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In this special episode of Fuller Butz: A Behind the Scenes Plastic Surgery, the script is flipped as board-certified plastic surgeon Dr. Daniel Butz takes the interviewer’s seat to put his co-host, Dr. Sam Fuller, in the spotlight. This episode goes beyond the operating room, offering an intimate and entertaining look at the personal and professional journey of one of your favorite hosts.

Dr. Fuller’s path to plastic surgery wasn’t a straight line—it was filled with unexpected twists, from his love for the Chicago Bulls to faculty auctions and medical school rotations that helped shape his career. As Dr. Butz guides the conversation with curiosity and humor, listeners will get a rare look into the defining moments that led Dr. Fuller to where he is today.

Beyond his surgical expertise, Dr. Fuller is a devoted father of three, and this episode delves into how he balances the high demands of plastic surgery with family life. What’s it like to be both a surgeon and a dad? How does he juggle long hours in the OR with the chaos of raising three kids? And most importantly—what hobbies (if any) has he found to keep himself sane outside of work? From failed attempts at leisure activities to the ongoing search for something truly satisfying, Dr. Fuller shares his candid thoughts on life outside of medicine.

Listeners will enjoy the witty banter and lighthearted moments between Dr. Butz and Dr. Fuller, as they uncover the quirks and passions that make Dr. Fuller more than just a surgeon. Whether you’re a medical professional, a patient, or just someone curious about the lives behind the scrubs, this episode offers an engaging mix of humor, inspiration, and real-life storytelling.

Tune in for a fun and revealing conversation that gives you a deeper look at the person behind the surgical mask. Don’t miss this special episode of Fuller Butz: A Behind the Scenes Plastic Surgery!