The Anatomy of Augmentation: Exploring Breast Implant Positions

01/24/25 • 34 min

Fuller Butz: A Behind the Scenes Plastic Surgery Podcast

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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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?

Previous Episode

What's Next? Predicting 2025 Plastic Surgery Trends!

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Welcome to the Fuller Butz Podcast, your ultimate backstage pass to the fascinating world of plastic surgery! Hosted by renowned board-certified plastic surgeons Dr. Sam Fuller and Dr. Daniel Butz, this podcast dives deep into the artistry, science, and trends shaping the field of aesthetic medicine. In this episode, Dr. Fuller and Dr. Butz bring their expertise and wit to the mic as they forecast the hottest trends set to dominate the plastic surgery landscape in 2025.

2025 Trends in Plastic Surgery: What’s Hot, What’s Next

Plastic surgery is an ever-evolving field, and 2025 is shaping up to be a year of innovation and transformation. Dr. Fuller and Dr. Butz kick off the episode by discussing the rise of AlloClae, an off-the-shelf fat alternative that’s making waves in the industry. Unlike traditional fillers or fat autografting, AlloClae offers a groundbreaking solution for patients seeking safe, long-lasting volume restoration. The hosts explore how this new material might revolutionize procedures like facial rejuvenation and body contouring, potentially reducing downtime and offering more predictable results.

The "Ballerina Body" Aesthetic

Next, the conversation turns to the evolving beauty standards that are influencing surgical goals. The hosts discuss the growing demand for the "ballerina body" aesthetic, characterized by a lean, elegant, and natural appearance. This trend is shifting the focus away from exaggerated curves to a more understated, graceful physique. Dr. Fuller and Dr. Butz analyze how this shift impacts procedures such as breast augmentation, liposuction, and body contouring. They also share insights into how Motiva implants—known for their natural feel and innovative design—are becoming the implant of choice for achieving these refined results.

Innovations in Breast Surgery: Motiva Implants and the Internal Bra

Breast surgery continues to be a cornerstone of aesthetic medicine, and 2025 is set to bring exciting advancements in this area. Dr. Fuller and Dr. Butz delve into the rise of Motiva implants, highlighting their superior safety profile, durability, and ability to deliver natural-looking outcomes. They also discuss the growing popularity of the internal bra, a cutting-edge technique that provides additional support and longevity to breast lift and augmentation procedures. These innovations are not only enhancing patient satisfaction but also redefining what’s possible in breast surgery.

Preventative Plastic Surgery: A Growing Trend Among Younger Patients

One of the most intriguing topics of the episode is the rise of preventative plastic surgery treatments among younger demographics. Dr. Fuller and Dr. Butz explore why millennials and even Gen Z are turning to procedures like Botox, microneedling, and laser treatments as part of their long-term beauty strategy. They discuss the implications of starting treatments earlier, the ethical considerations involved, and how these preventative measures can help maintain youthful features and delay the signs of aging.

Expert Predictions and Patient Takeaways

Throughout the episode, Dr. Fuller and Dr. Butz share their expert predictions on how these trends will shape the industry and patient expectations in 2025. From the integration of new materials like AlloClae to the cultural shift towards smaller, more natural enhancements, they provide a comprehensive look at the future of plastic surgery. The hosts also offer practical advice for patients considering these trends, emphasizing the importance of consulting with board-certified surgeons and prioritizing safety and realism in aesthetic goals.

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As always, the Fuller Butz Podcast aims to educate, inspire, and demystify the world of plastic surgery. Whether you’re a

Next Episode

Flat Facts: Must-Ask Questions for Your Tummy Tuck Consult

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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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