Dr. Hayes (00:00):
My name's Austin Hayes. I'm a plastic surgeon in Portland, Oregon. This is a classic person who comes in who is looking for a reduction or a lift, I should say, and then whether they want a reduction is variable. Each person, each person is different, obviously, but this is somebody who comes in who doesn't want an implant and wants a lift. Is there another photo in there?

Eva Sheie (00:23):
What makes somebody, are there different reasons people don't want implants?

Dr. Hayes (00:27):
So, I think many people assume that an implant automatically looks unnatural. And so if they've had the experience of seeing breast implants that they felt were obviously fake, and I'm not saying that's a bad look, it's just not the look that this person wants, or it's a look that this person wants to avoid and they think implants, that's what an implant automatically means. And it's not true. There's just so many implant sizes and profiles that people can choose. I tell people if you want an implant, you can have any look you want because you can de project the implant, you can make it smaller, but many people, it's just not for them. And I definitely don't encourage implants. People have to want what an implant provides. There's no reason to do that if it's not really giving true benefit. But yeah, you can see in this photo, this front on photo that her breast comes down and totally ends with no hangover.

Dr. Hayes (01:20):
And so kind of the classic of what somebody says here when they come in is, and everyone is different, but very commonly it's, Hey, I feel like I need to wear a bra when I'm at home. I don't feel comfortable not wearing a bra. Bathing suit options are limited because, my impression is that the tightness required to support their breasts is just more than many bathing suits offer. So what their options are limited. And then some dresses you can't wear a bra with, and those dresses are just completely off the table. And so if I hear three things, that's them. That's every single patient basically says those three things. And so when that's somebody's complaint, breast lift is a solution for that. And so I feel really confident recommending a breast lift for them, because it solves all of the things they're talking about. Now when they say, Hey, in a bra, I'm not big enough, or I've seen your breast lift photos, they're too natural for me, I just that slope at the top, I just want even more fullness. Well, we know they're probably going to go on and get an implant, but yeah, this result's really, really proud of that.

Eva Sheie (02:34):
One thing that strikes me is that incisions don't look fresh, even though she's only been four weeks, they look like you can barely, barely see them.

Dr. Hayes (02:44):
Scars are probably most noticeable around three months, but that's consistent feedback I get is the narrowness of my incisions. So even at three months, they're very narrow, but they're very red at three months, and then they'll taper off and fade over time. It takes them a scar about a year to mature. But the scar is meant to be, double bra actually, I think makes the scars heal better down in the fold because the way it's sewn, it essentially takes tension off of the incision. So it has all of these benefits, but a finer scar is one of them. But yeah, the incisions are really fine.

Eva Sheie (03:22):
Can we find your Instagram? What's your handle?

Dr. Hayes (03:24):
At Dr. and then my name Austin, A-U-S-T-I-N. Hayes, H-A-Y-E-S. That's my Instagram. That's the best place to find me

Eva Sheie (03:32):
On this podcast, we bring you directly to the doctors who are where before meets after. Links to our guest's website and contact info are in your show notes. Follow us on Instagram @wherebeforemeetsafter. Where Before Meets After is a production of The Axis, the podcast agency for aesthetics, theaxis.io.