Sep 15, 2026 · 19 min · 7 segments
One of the most common consults in breast surgery today isn't augmentation, it's downsizing. Dr. Sam Jejurikar (Dallas Plastic Surgery Institute) and Dr. Sal Pacella (San Diego / La Jolla) sit down…
Sam JejurikarHost
Sal PacellaHost
As my patients get augmentations in their 20s and 30s, one of the things I have a discussion with them about is, these are not lifetime devices, right? I'm sure you Talk to them about that, right? And as you get older, you may gain weight, you may lose weight, you may breastfeed, you may not.
And so it is a very, very common operation that's being requested, particularly for patients that are 40s, 50s that may see.
What's one of your favorite stereotypes about the state of Texas? Bigger is better.
And we're seeing exactly women in their 30s, 40s, 50s, even late 20s at this point.
And what we're seeing with these larger implants is that people can't wear athleisure.
Or physics, you put a heavy weight in a small woman in a relatively small space, over time, there's some real anatomic changes that will actually
Yeah, and that, you know, like you said, skin thins out, The distance from the nipple to the fold of the breast, the undersurface of the breast, expands.
And it's a little bit of an optical illusion because the breast looks flatter up top, but you have this massive bottoming out deformity.
As my patients get augmentations in their 20s and 30s, one of the things I have a discussion with them about is, these are not lifetime devices, right? I'm sure you Talk to them about that, right? And as you get older, you may gain weight, you may lose weight, you may breastfeed, you may not.
And so it is a very, very common operation that's being requested, particularly for patients that are 40s, 50s that may see.
What's one of your favorite stereotypes about the state of Texas? Bigger is better.
And we're seeing exactly women in their 30s, 40s, 50s, even late 20s at this point.
And what we're seeing with these larger implants is that people can't wear athleisure.
Or physics, you put a heavy weight in a small woman in a relatively small space, over time, there's some real anatomic changes that will actually
Yeah, and that, you know, like you said, skin thins out, The distance from the nipple to the fold of the breast, the undersurface of the breast, expands.
And it's a little bit of an optical illusion because the breast looks flatter up top, but you have this massive bottoming out deformity.
The rest of this transcript — segmented and speaker-labeled, so you land on the exact moment something was said
Search every transcript — by keyword, by phrase, or by meaning, across every show Radar indexes
Trends — what is surging across podcasts, measured against its own baseline
Alerts — when a name you follow appears in a newly indexed episode
No account is needed to search Radar.