Breast implants have come a long way, and on this episode of Plastic Surgery Untold we’re breaking it all down. From saline implants to today’s 6th generation cohesive gel implants, the options available now are more versatile than ever. Each type comes with unique advantages, and the right choice depends on your body, lifestyle, and aesthetic goals.

Saline implants offered safety and flexibility with volume adjustments, but also came with firmness and rippling. Fifth generation gummy bear implants introduced highly cohesive gel for softness and shape, reducing rippling and improving results. Now, the sixth generation implants build on this progress with 100% fill, progressive gels, and advanced shell technology, giving patients more natural results and surgeons greater control.

At the end of the day, there’s no one-size-fits-all solution. Some patients may benefit from the structure of 6th generation Motiva implants, while others may prefer a different option based on their anatomy or desired outcome. The key is finding what’s best for you — and that’s what we help patients decide every day.

Key takeaways from this episode:

• Saline implants provided safety and flexibility, but were firmer with higher rippling.

• Fifth generation gummy bear implants brought softness, safety, and customization.

• Sixth generation implants combine natural movement with structure, helping address challenges like weight loss changes and rippling.

Stay tuned to Plastic Surgery Untold for more insights as we explore the world of cosmetic surgery, the evolution of breast implants, and how technology continues to expand patient options.

Cellulite is one of the most common concerns we see in the world of aesthetics — but there’s a lot of misinformation about what causes it and how to address it. In this episode of Plastic Surgery Untold, we’re breaking down the truth about cellulite, how it relates to modern BBL trends, and why it’s not just a “being out of shape” issue.

From understanding the complex web of fibrous bands beneath the skin to exploring the role of hormones, skin laxity, and volume changes, we’re covering the anatomy of cellulite and the latest treatment options that actually work. Whether you’re dealing with dimples on the butt, thighs, or both, this conversation is packed with insights to help you target the root cause and get results you love.

Highlights from this episode:
• What cellulite actually is and why it happens
• The difference between cellulite, skin laxity, and volume changes
• Why targeted treatment is key for lasting results
• How non-surgical office procedures can transform the contour of the butt and legs
• Combination approaches that address all three concerns for the best outcome

Listen anywhere you get your favorite podcasts or watch on YouTube for visuals and case examples.

In this episode of Plastic Surgery Untold, we explore Renuvion — also known as J Plasma — a cutting-edge skin tightening technology that combines radiofrequency energy with helium for rapid, precise skin contracture at safe temperatures.

With the surge in weight loss from GLP-1 medications, skin laxity has become a major concern for many patients. Renuvion offers a safe, efficient solution with minimal downtime, making it ideal for today’s active, on-the-go lifestyles.

Key takeaways from this episode:

✅ How Renuvion works & the science behind RF + helium technology

✅ Why it’s a game-changer for post-weight loss skin tightening

✅ Safety features that protect skin while delivering natural results

✅ How it pairs with high-definition liposuction for complete contouring

Whether you’re addressing loose skin after weight loss or looking for subtle, natural definition, Renuvion can help you look as good as you feel — without long recovery times.

🎧 Listen to the full episode of Plastic Surgery Untold wherever you get your podcasts.

Brazilian butt lifts have been one of the most transformative procedures in aesthetics, and with new technology, they’re safer than ever. In this episode of Plastic Surgery Untold, we’re breaking down how the combination of advanced anatomical understanding and ultrasound guidance has completely changed the game for BBL safety and results.

A BBL offers powerful total-body transformation — subtracting fat from areas like the abdomen or love handles, and adding it to the hips and buttock for enhanced curves. In recent years, the focus has shifted from simply increasing size to creating shape, balance, and athletic definition.

Key factors in today’s BBL approach:

• Ultrasound guidance for precise, real-time fat placement in safe compartments

• Shape over size for a fit, natural look that complements the whole body

• Combination treatments like skin tightening, cellulite reduction, and targeted fat transfer for complete contouring

By staying above the muscle and placing fat only in fat compartments, modern BBLs avoid dangerous complications while achieving smooth, shapely results. Whether paired with tummy tucks, rib contouring, or skin tightening, this evolution in technique means patients can look as good as they feel.

Listen to the full episode on Plastic Surgery Untold wherever you get your favorite podcasts — and see why the BBL remains one of the most in-demand procedures today.

What Is High Definition Liposuction?

In this episode of Plastic Surgery Untold, we break down everything you need to know about high definition liposuction (HD lipo) — a body contouring technique designed to enhance your natural anatomical structure, not just remove fat. HD lipo focuses on creating defined lines and contours by sculpting around the body’s existing musculature, achieving results that look fit, natural, and tailored to each patient.

We cover the different levels of HD lipo — from soft and subtle vertical lines to ultra-definition with etched abdominal inscriptions. Not everyone is a candidate for high definition lipo, and that’s why we also discuss when combining treatments like skin tightening or targeted fat transfer (such as for the butt, hips, or pecs) can take your results to the next level.

Key highlights include:

• How ultrasound technology guides precision liposculpting to ensure natural contours and smooth transitions.

• Post-op pearls and recovery tips, plus why skin laxity and Renuvion tightening are critical for optimal results.

• Expanding HD lipo beyond the abdomen, including arms, back, chest, and shoulders — ideal for both women and men aiming for a sculpted look.

This episode dives into the artistry behind HD lipo and explains how it differs from traditional liposuction. Whether you want subtle definition or a chiseled, athletic appearance, understanding the right approach for your body is key.

Listen to the full episode of Plastic Surgery Untold anywhere you get your favorite podcasts — or watch it on YouTube to see real results and behind-the-scenes visuals.

Where can you actually use AlloClae? Dr. Franco breaks down how this first-of-its-kind filler for the body is changing what’s possible. From subtle refinements to shape and volume exactly where you want it, AlloClae is donor fat processed for safety, ready off the shelf, and made specifically for larger body areas that traditional fillers can’t handle.

Patients love that it skips major surgery, keeps downtime low, and still delivers natural-looking results that blend perfectly with your anatomy.

Popular areas to enhance:

• Hip dips, butt contour, calves

• Lipo irregularities, dents, or trauma spots

• Breast rippling, asymmetry, small touch-ups

• Muscle definition for pecs, shoulders, abs and more

• Arms, thighs, hands — anywhere you want a smooth shape

AlloClae gives you more control, better shape, and results that look like you — just more sculpted. If you’ve ever wished you could fix tiny details without another round of surgery, or shape areas you can’t hit with the gym alone, this opens a whole new world. Watch the full deep dive on YouTube or tune in wherever you get your favorite podcasts.

Plastic Surgery Untold: What Is Breast Preservation?

You’ve heard the buzz about breast preservation surgery — but what is it, really? On this episode of Plastic Surgery Untold, Dr. Franco breaks down what sets this approach apart and how it fits into the world of breast enhancement.

Breast preservation focuses on enhancing shape over size, using a technique that maintains your natural anatomy and often allows for a faster, more comfortable recovery. It’s an exciting option for the right patient — but it’s not the only one. For others, more traditional implants or placement methods may still be the better fit based on their goals and anatomy.

Some highlights:

• No general anesthesia required: Most patients undergo light sedation, making for a smoother recovery.

• Shape-first approach: Best for patients who want subtle enhancement or upper pole fullness without significant volume increase.

• Preserves supportive structures: Rather than cutting ligaments, they’re carefully moved to create a secure “nesting” effect for the implant.

• Minimal incision: As small as 1.8 cm, for less visible scarring and a more discreet result.

• Custom placement: Allows for volume where it's needed most, without unnecessary bulk where natural volume already exists.

Whether you’re exploring subtle changes or looking for more dramatic volume, breast preservation is one of several thoughtful approaches — and the best results come from matching the right technique to the right patient.

Watch or listen to the full episode of Plastic Surgery Untold to learn more and see the technique in action on YouTube or your favorite podcast platform.

In this episode of Plastic Surgery Untold, Dr. Franco breaks down one of the biggest questions patients have when planning a breast augmentation or implant exchange: Where should your breast implants go?

Placement options like under the muscle, above the muscle, or subfascial have come a long way as implant technology and surgical techniques improve. Dr. Franco explains how your unique anatomy, the type of implant you choose, and your goals for shape, cleavage, and feel all play a role in finding the best option for you. From older saline implants to today’s highly cohesive gels, knowing the differences can help you get a natural result and protect your natural muscle and tissue.

Key topics covered:

• How under the muscle, dual plane, and subfascial placement each affect cleavage, shape, animation deformity, and recovery time

• Why newer implants and cohesive gels have changed what’s possible and why more patients are considering above the muscle placement

• The role of the pec major muscle, natural ligaments, and internal bras to support your results and help with rippling or implant show

• What to know about breast preservation techniques and next-generation implants that are on the way in 2026

This episode will help you ask the right questions and understand the real pros and cons so you and your surgeon can choose what works best for your body and your goals. See the anatomy visuals and hear the full breakdown on YouTube.

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