Breast Augmentation and Mastopexy — High Five Planning, Implants, and Augmentation-Mastopexy

This episode reviews the core principles of breast augmentation, mastopexy, and augmentation-mastopexy, focusing on preoperative planning, implant selection, pocket control, and breast shape optimization.Topics include the Tebbetts High Five system, soft tissue pinch thickness, base width, breast stretch, nipple-to-IMF distance, sternal notch-to-nipple measurements, and the importance of respecting the inframammary fold as the foundation of aesthetic breast surgery. The episode also reviews patient counseling tools such as the bra test to distinguish volume deficiency from ptosis.Implant-based augmentation is discussed through saline vs silicone, round vs anatomic implants, textured implant considerations, incision choices, implant pocket planes, subglandular, submuscular, and dual-plane techniques, and the role of fat grafting for contour refinement.Mastopexy and augmentation-mastopexy are reviewed through Regnault ptosis classification, pseudoptosis, crescent, periareolar, vertical, and Wise-pattern lifts, pedicle selection, and the key safety trade-off of combining implant volume with skin tightening. Additional topics include tuberous breast deformity, radial scoring, capsular contracture, Baker classification, BIA-ALCL, symmastia, double bubble, bottoming out, and IMF reconstruction.Part of Dr. Lara’s Plastic Surgery Compendium — a high-yield audio reference for plastic surgery trainees and surgeons.DisclaimerThis podcast is intended for educational purposes only and is designed for medical students, residents, fellows, and practicing healthcare professionals. It is not intended to provide medical advice, diagnosis, or treatment for any individual patient. The content presented reflects general surgical principles and should not be used as a substitute for formal medical training, clinical judgment, or consultation with qualified healthcare professionals. Listening to this podcast does not establish a physician–patient relationship.SEO / Topic Keywordsbreast augmentation, mastopexy, augmentation mastopexy, Tebbetts High Five, inframammary fold, IMF breast surgery, soft tissue pinch test, breast base width, Regnault classification, breast ptosis, pseudoptosis, dual plane breast augmentation, subglandular implants, submuscular implants, silicone implants, saline implants, anatomic implants, textured implants, BIA-ALCL, capsular contracture, Baker classification, tuberous breast deformity, radial scoring, symmastia, double bubble, bottoming out, fat grafting breast augmentation