David B. Reath, MD
Knoxville, TN (865) 450-9253
HKB Knoxville Staff

Breast Implant Advice: If It Ain’t Broke, Don’t Fix It

A few weeks ago I wrote about Chipotle Mexican Grill, and how simplicity is a key to their success. Today I had a burrito bowl for lunch at Knoxville’s only Chipotle and I decided to write about them again.

If It Ain’t Broke…
In my last blog I wrote that my wife was an early devotee of this fine eating establishment back when it first opened in the mid 1990’s in Denver, Colorado. One of the remarkable things is that their menu has not changed since that time. I have been going to them for 15 years in many different parts of the country, and have never seen any difference in the menu, ever. Why? Quite simple. Their menu works and works well. There is no need to change it in anyway. That is to say: it ain’t broke, and it’s not in need of fixing. Remember the now infamous history of New Coke? I rest my case.

Here’s How It Applies to Breast Implants
The phrase “if it ain’t broke, don’t fix it” is helpful both as a principle, and as a way to explain things. In talking with my patients about breast implants, one topic is when, if ever, do they need to be replaced. Many people have been laboring under the assumption that they have to be replaced over the years. Not so. If they are doing well and there is no problem with them leave them alone. They may last for ten or fifteen more years. If it ain’t broke don’t fix it.

Concerning Plastic Surgery….
In plastic surgery we are assaulted by new machines, new techniques and new products. Some of these are great. Others offer nothing over existing products or technologies. And my challenge is to figure out which is which but one of the things I always go by is to understand if this is new and better, or just new. Because if it is not better, I may be fixing something that is not broken.

This is true of operations as well. One of the reason I go to our national meetings is to see what other people are doing around the country. Every now and again, there is something presented that fundamentally may change something that I am doing. But more frequently, I will see results that someone else is presenting, and realize that my results are every bit as good. This does not absolve me of the responsibility of being on the lookout for new and better techniques, but it may allow me to be content with what I am doing and not feel the need to change what is working.

This principle is not one I remember my father saying to me. But he may well have, or said something similar. But it is a sound principle, and a successful one. So, when you’re thinking about changing something just remember — all together, now — if it ain’t broke, don’t fix it!
All the best,
David B.
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