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Season 3 of the Fuller Butz Podcast opens with a comprehensive look back at our 2025 predictions, separating what truly moved the needle in plastic surgery from what failed to gain traction. This “Wrapped” episode serves as both a retrospective and a roadmap, grounded in real-world clinical experience, patient outcomes, and evolving technology.

We begin by revisiting one of our most confident and ultimately successful predictions: the launch of the FDA-approved Motiva breast implant. Throughout 2024, we discussed the growing momentum behind Motiva’s design philosophy, data-driven development, and global track record. In 2025, that prediction came to fruition with FDA approval, and its entry into the U.S. market has already begun reshaping conversations around implant technology, safety, and patient choice. We break down what makes Motiva different, from surface technology to consistency and responsiveness, and discuss how FDA approval validates years of international data. More importantly, we explore how this approval expands options for patients seeking a more natural feel and long-term reliability, while raising the bar for innovation across the implant space.

Another major “hit” from our 2025 forecast was the continued success and broader adoption of the internal bra. Once viewed as a niche adjunct, internal bra technology has become a mainstay in breast surgery for surgeons focused on long-term shape, support, and durability of results. We discuss how internal bra use has matured from early experimentation into refined technique selection, improved materials, and clearer indications. From revision cases to primary lifts and augmentations, internal bra support has proven its value in reducing bottoming out, improving upper pole stability, and enhancing longevity.

Not every prediction, however, came to pass. We take an honest look at AlloClae, a product we believed might gain stronger momentum in 2025. Despite theoretical advantages and early interest, AlloClae did not achieve widespread adoption or consistent clinical enthusiasm. We discuss possible reasons, including cost, handling characteristics, outcome variability, and surgeon preference, emphasizing why it’s important to continually reassess emerging technologies against real-world performance. This segment underscores a recurring theme of the episode: innovation alone is not enough. Adoption depends on reliability, reproducibility, and clear benefit to both surgeon and patient.

Looking ahead, we turn our attention to 2026 predictions, starting with the Preserve system from Motiva. We discuss why Preserve represents a potential next evolution in breast implant surgery, focusing on tissue preservation, surgical planning, and alignment with modern patient priorities.

Beyond devices and implants, we expand the conversation to areas we believe will see significant advancement in 2026: compression garments, postoperative care, and nutrition. We predict a move toward smarter, more patient-specific compression solutions that improve comfort while maintaining effectiveness. In postop care, we anticipate greater integration of multimodal recovery strategies, emphasizing mobility, lymphatic support, and data-driven protocols.

This episode sets the tone for Season 3 by reinforcing what the Fuller Butz Podcast does best: thoughtful analysis, honest reflection, and forward-thinking discussion grounded in real practice. As we close the chapter on 2025 and look ahead to 2026, the message is clear. Progress in plastic surgery is rarely about a single breakthrough. It’s about consistent refinement, better decision-making, and putting patient outcomes at the center of every prediction and every procedure.

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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.