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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!

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Welcome back to another exciting episode of Fuller Butz: A Behind the Scenes Plastic Surgery! In this special episode, we’re shining the spotlight on none other than our co-host, the incredibly talented and dedicated Dr. Daniel Butz. While our listeners may already be familiar with his expertise in plastic surgery, today we’re pulling back the curtain to uncover the deeper story of what drives Dr. Butz, his passion for the field, and the balance he maintains between his career and family life.

Dr. Butz’s journey into plastic surgery is one of dedication, perseverance, and an unrelenting pursuit of excellence. From his early days in medical school to his advanced training in plastic and reconstructive surgery, his path has been marked by a desire to make a meaningful impact on his patients’ lives. In this episode, he shares what first drew him to the specialty, the mentors who influenced him, and the pivotal moments that shaped his career. Listeners will gain insight into his philosophy of patient care and how his meticulous approach ensures the best possible outcomes.

Beyond the operating room, Dr. Butz is also deeply committed to his family. We’ll explore how he balances the demanding world of surgery with being a husband and father, and the ways in which his family keeps him grounded. As any surgeon knows, achieving work-life balance is no small feat, but Dr. Butz shares the routines and habits that help him stay present both in and out of the OR.

But that’s not all—this episode wouldn’t be complete without some fun behind-the-scenes tidbits about Dr. Butz that you may not know! Does he have any surprising hobbies? What’s his go-to way to unwind after a long day in surgery?

Join us for an engaging, insightful, and entertaining conversation as we reintroduce Dr. Daniel Butz, giving you a deeper appreciation for the skill, passion, and personality that make him an exceptional plastic surgeon and co-host. Whether you’re a longtime listener or new to the Fuller Butz Podcast, this is an episode you won’t want to miss!

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In this insightful episode of Fuller Butz: A Behind the Scenes Plastic Surgery Podcast, co-hosts Dr. Sam Fuller and Dr. Daniel Butz walk listeners through the full experience of a typical surgery day. Whether you're a prospective patient preparing for your own procedure or just curious about what goes on behind the scenes, this episode offers a clear and informative guide to the surgical process.

Dr. Fuller and Dr. Butz begin by breaking down the essential steps patients should take before arriving at the surgery center. From fasting requirements to recommended attire, they provide practical tips to ensure patients feel confident and prepared when they walk through the doors. They also discuss the check-in process, where patients are greeted by the front desk staff who ensure all paperwork is complete and everything is ready for the day ahead.

Once checked in, patients are escorted to the preoperative room, where vital steps like IV placement, medical review, and surgical site markings take place. Dr. Fuller and Dr. Butz describe how these markings are crucial for ensuring precision and achieving the best outcomes. They also shed light on the conversations that take place during this time, including final questions from patients and guidance from the anesthesia team.

In the operating room itself, listeners get an inside look at the coordinated teamwork that ensures every procedure runs smoothly. Dr. Fuller and Dr. Butz explain the distinct yet equally important roles of the circulating nurse and the scrub nurse. The circulating nurse manages everything outside the sterile field, from ensuring the right instruments are available to documenting key surgical details. Meanwhile, the scrub nurse works directly alongside the surgeons, preparing instruments and maintaining the sterile field.

The episode also highlights the vital role of the anesthesia provider, who monitors the patient’s vital signs and ensures comfort throughout the procedure. Dr. Fuller and Dr. Butz discuss the trust and teamwork required among all staff members to keep the surgical environment safe and efficient.

Finally, the episode wraps up with an overview of the recovery process. Recovery room nurses are the unsung heroes in this phase, closely monitoring patients as they wake up from anesthesia, ensuring their comfort, and addressing any immediate needs. Dr. Fuller and Dr. Butz offer insights on what patients can expect during this recovery period, from pain management to discharge instructions.

Whether you're a patient gearing up for surgery or just someone fascinated by the surgical world, this episode of Fuller Butz offers an informative and reassuring look at what to expect. Tune in to learn how a well-orchestrated surgical day ensures safety, comfort, and successful outcomes.

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Welcome to another episode of The Fuller Butz Podcast, where board-certified plastic surgeons Dr. Sam Fuller and Dr. Dan Butz bring you expert insights into the world of aesthetic and reconstructive surgery. In this episode, “Breast Reduction 101,” we take a deep dive into one of the most transformative plastic surgery procedures: breast reduction surgery. Whether you’re considering the procedure for medical reasons, aesthetic concerns, or both, this episode will provide the essential information you need to make an informed decision.

Who Is a Candidate for Breast Reduction?

Dr. Fuller and Dr. Butz begin the discussion by explaining who makes an ideal candidate for breast reduction surgery. Many individuals seek this procedure due to chronic pain in the neck, back, and shoulders, while others struggle with rashes, posture issues, and limitations in physical activity. Some patients have difficulty finding well-fitting clothing or bras due to their breast size. The doctors also highlight the emotional impact of large breasts, including self-consciousness and unwanted attention, making this surgery a life-changing decision for many.

The Consultation Process: What to Expect

Next, the hosts walk listeners through the breast reduction consultation process. They emphasize the importance of a thorough medical history, physical examination, and an open discussion about a patient’s goals and expectations.

Surgical Techniques: How Is Breast Reduction Performed?

One of the most important topics covered in the episode is how breast reduction surgery is performed. The doctors explain the different incision techniques used, including the anchor, lollipop, and donut methods, depending on the amount of tissue removal needed. They also discuss liposuction-assisted breast reduction, an option for some patients who need less extensive tissue removal with minimal scarring.

Listeners will also learn how surgeons preserve nipple sensation and maintain a proportionate, lifted breast shape while addressing excess skin and tissue. The goal of surgery isn’t just to make the breasts smaller—it’s to improve comfort, symmetry, and overall aesthetics.

Risks, Benefits, and Recovery: What to Know

No surgery is without risks, and breast reduction is no exception. Dr. Fuller and Dr. Butz discuss potential complications such as scarring, changes in nipple sensation, and risks of delayed healing, particularly in smokers or individuals with underlying health conditions. However, they also highlight the incredible benefits that patients experience, including immediate pain relief, improved posture, and a boost in confidence.

The doctors then break down the recovery process, explaining how long patients should expect to take off work, when they can return to normal activities, and what to expect during the healing phase. They provide tips on pain management, scar care, and post-operative support garments, ensuring the best possible outcome.

Myths and Misconceptions: Separating Fact from Fiction

There are many misconceptions surrounding breast reduction surgery, and Dr. Fuller and Dr. Butz take the time to debunk common myths. Some patients worry that their breasts will grow back—which can happen with significant weight gain or pregnancy, but isn’t the norm. Others fear they won’t be able to breastfeed, but many women retain some degree of breastfeeding capability. The doctors also address concerns about scarring and long-term satisfaction, reassuring listeners that most patients are extremely happy with their results.

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In this must-listen episode of Fuller Butz: A Behind the Scenes Plastic Surgery Podcast, co-hosts Dr. Sam Fuller and Dr. Daniel Butz, both board-certified plastic surgeons, take a deep dive into what every patient should know before and after a tummy tuck consultation. If you're considering an abdominoplasty, this episode is your roadmap to a confident, well-informed decision.

Before the Consultation: What Surgeons Really Want to Know

A tummy tuck isn’t just about removing extra skin—it’s a complex procedure requiring careful planning and customization. Dr. Fuller and Dr. Butz break down the key factors your plastic surgeon will evaluate during your consultation. Understanding these in advance helps ensure a smooth, productive discussion.

✅ Medical & Surgical History: Your past surgeries, medical conditions, and even family history can impact healing and surgical outcomes. The hosts discuss what details are crucial to share.

✅ Weight Loss & Stability: Have you recently lost weight, or do you plan to? Significant weight fluctuations before or after surgery can affect long-term results. Learn how to time your procedure for optimal success.

✅ Hernias & Scars: Many patients don’t realize how existing scars or undiagnosed hernias can influence tummy tuck planning. The doctors explain why these factors are essential and how they impact surgical techniques.

The Procedure: Breaking Down the Key Components

Tummy tucks are more than just skin removal. Dr. Fuller and Dr. Butz provide a step-by-step breakdown of what actually happens during surgery, ensuring you know exactly what to expect:

🔹 Liposuction: How fat removal can be combined with a tummy tuck for better contouring—and when it’s necessary vs. when it’s not.

🔹 Rectus Plication: What does “muscle repair” actually mean? If you have diastasis recti (muscle separation), the surgeons discuss how they bring the muscles back together to restore core strength and a flatter abdomen.

🔹 Belly Button Creation: A small but critical part of a high-quality tummy tuck is designing a natural-looking belly button. The doctors reveal their techniques and what sets apart an aesthetically pleasing result.

🔹 Skin & Fat Removal: Excess tissue is removed to create a smooth, firm abdominal contour. How much can or should be taken? Dr. Fuller and Dr. Butz discuss how they personalize this to each patient’s needs.

Recovery & Expectations: What You Need to Know

One of the biggest concerns patients have is recovery—how much downtime is required, what the pain level is like, and when they can return to normal activities. Dr. Fuller and Dr. Butz provide a realistic look at:

⏳ Healing Timeline: What to expect in the first few days, weeks, and months post-surgery.

💊 Pain Management: The doctors share modern pain control techniques, including long-acting anesthetics and recovery strategies.

🏃‍♀️ Activity Restrictions:

🔄 Long-Term Expectations:

Final Takeaways: The Smartest Questions to Ask

To wrap up the episode, Dr. Fuller and Dr. Butz provide a list of essential questions every patient should ask their plastic surgeon before moving forward with a tummy tuck. From understanding risks to discussing surgeon experience and technique, they cover the most critical inquiries to ensure you’re in the best hands.

If you’ve ever wondered whether a tummy tuck is right for you, or if you want to go into your consultation feeling fully prepared, this episode is your ultimate guide!

🎧 Tune in now and get the inside scoop on what plastic surgeons really think about tummy tucks!

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In this episode of the Fuller Butz Podcast, Dr. Sam Fuller and Dr. Daniel Butz delve into the intricate world of breast augmentation terminology, breaking down the jargon to help you make informed decisions about your aesthetic journey. Whether you’re considering breast augmentation or simply curious about the technical aspects of this popular procedure, this episode is packed with valuable insights.

The discussion begins with a foundational understanding of implant placement techniques. Dr. Fuller and Dr. Butz explain the differences between under the muscle (submuscular) and over the muscle (subglandular) placements. They explore the pros and cons of each approach, from the natural look achieved with submuscular placement to the quicker recovery times often associated with subglandular placement. For those seeking a hybrid solution, the dual-plane technique is discussed in detail, highlighting how it combines the benefits of both submuscular and subglandular placements to achieve optimal aesthetic results.

Listeners will also learn about the lesser-known subfascial technique, where the implant is placed beneath the fascia of the pectoral muscle. Dr. Butz shares insights into the unique benefits of this approach, including enhanced support and a natural contour, particularly for patients with thinner tissue.

The episode then shifts focus to the concept of the internal bra, a cutting-edge technique that provides additional support and stability for breast implants. Dr. Fuller explains how this method uses a supportive mesh or biocompatible material to create a reinforced framework, ensuring long-lasting results and minimizing the risk of implant displacement.

Throughout the episode, Dr. Fuller and Dr. Butz emphasize the importance of personalized consultations. They stress that the choice of implant placement and technique depends on various factors, including a patient’s anatomy, lifestyle, and aesthetic goals. By sharing real-life examples and patient success stories, they illustrate how tailoring the approach to each individual can yield the best outcomes.

The episode also touches on the evolution of breast augmentation terminology over the years. Dr. Butz provides a brief historical perspective, shedding light on how advancements in technology and surgical techniques have expanded the options available to patients. From the early days of silicone implants to the modern era of cohesive gel implants and innovative placement techniques, the field has come a long way.

To wrap up, Dr. Fuller and Dr. Butz address common questions from listeners, such as:

• How do surgeons determine the best placement for breast implants?
• What are the recovery times for different techniques?
• Are certain placements better for active lifestyles?
• What role does implant size and shape play in achieving natural results?

This episode is a must-listen for anyone considering breast augmentation or looking to deepen their understanding of the procedure. Dr. Fuller and Dr. Butz’s approachable yet expert commentary makes complex topics easy to grasp, empowering listeners to feel confident in their decisions.

Tune in to the Fuller Butz Podcast for this enlightening discussion on breast augmentation terminology and take the first step toward becoming an informed participant in your aesthetic journey.


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