In this episode of the Fuller Butz Podcast, Dr. Sam Fuller and Dr. Daniel Butz take a deep dive into one of the most misunderstood aspects of breast augmentation: what actually makes an implant the “right” choice for a patient.
While many people assume breast implants are simply about picking a size, the reality is far more nuanced. The duo breaks down the critical variables that experienced plastic surgeons evaluate every day, including implant profile, projection, base width, and the often overlooked but highly important factor of gel cohesivity and feel.
Dr. Fuller and Dr. Butz walk listeners through how implant profile shapes the final aesthetic, explaining the differences between low, moderate, and high projection implants and when each makes the most sense anatomically. They emphasize that the goal is not to force anatomy to fit an implant, but rather to select an implant that harmonizes with the patient’s natural chest dimensions, tissue characteristics, and desired outcome.
A major focus of the episode is the evolving technology behind modern silicone implants, particularly the Motiva line. The surgeons discuss how Motiva Mini and Motiva Demi profiles can be powerful tools for achieving natural, proportional results in appropriately selected patients. They also explore the unique properties of Motiva Ergonomix, highlighting its dynamic gel behavior that allows the implant to maintain shape while still moving naturally with the body.
For patients seeking more upper pole fullness and structure, the conversation shifts to Motiva Round options and when a more form-stable or fuller profile may be the better strategic choice. Throughout the discussion, Dr. Fuller and Dr. Butz stress that there is no universally “best” implant. Instead, the art of breast augmentation lies in thoughtful customization.
Listeners will gain insight into how experienced surgeons balance patient goals, soft tissue characteristics, chest wall anatomy, and implant technology to create results that look effortless rather than overdone. The episode also addresses common patient misconceptions and provides practical guidance for anyone considering breast augmentation.
Whether you are a prospective patient doing your homework or a medical professional interested in the finer points of implant selection, this episode delivers a clear, experience-driven look at how precision planning leads to consistently beautiful outcomes.
Tune in for a thoughtful, practical, and surprisingly fascinating exploration of the science behind the perfect implant.
