Emerging Concepts in Breast Augmentation with Implants: A Paradigm Shift

  Dr. Scott A. Spiro, MD, FACS, a board-certified plastic surgeon based in West Orange, New Jersey, returns to eHealth Radio & the Plastic Surgery Information Channel to discuss breast augmentation using implants—especially the emerging shift toward pre-pectoral, sub-fascial techniques. With over 20 years of experience and an artist’s eye, Dr. Spiro brings fresh insight into how modern implant technology, patient lifestyle, and aesthetic goals are reshaping breast augmentation today. Listen to interview with host Eric Michaels & guest Dr. Scott Spiro discuss the following:

1. Dr. Spiro, given the title of this podcast, you know the first question that begs to be asked, why the paradigm shift?
2. If I may interrupt at the point please describe capsular contracture.
3. So, we are in the early 2000s with sub-pectoral or sub-muscular implant placement and a decade dominated by textured implants.  Continue please.
4. Implant laterization?  Please explain further.
5. So it seems this was the test case for this modern day shift for cosmetic implant surgery?
6. Can you elaborate back on this "cohesivity of implants” what is cohesivity?
7. Ok, gravity is undefeated.  More women are valuing the benefits of weight training fitness, generation 6 implants, are more highly cohesive, but what about the human tissue grafts you mentioned earlier?
8. Slowly absorbable meshes? Can you elaborate on that one?
9. And the results so far? Are you pleased?
10. May I ask again about the lateralization problem, how does pre-pectoral decrease that concern?

Dr. Scott A. Spiro, MD, FACS, is a board-certified plastic surgeon in West Orange, NJ, widely recognized for his skill in facial aesthetics, with a particular focus on eyelid surgery. A graduate of the University of Medicine and Dentistry of New Jersey, he completed advanced training at the University of Miami/Jackson Memorial Hospital and further honed his expertise at the Nashville Plastic Surgery Institute. Consistently honored as one of New Jersey Monthly’s Top Doctors (2007–2024) and named among America’s Best Plastic Surgeons in eyelid surgery, facelift, and rhinoplasty, Dr. Spiro is known for combining surgical precision with an artistic sensibility. He also serves as adjunct faculty for the Rutgers plastic surgery residency program, where he was awarded the 2024 "Faculty Teacher of the Year." At Spiro Plastic Surgery LLC, his practice emphasizes individualized care and natural-looking results. With a deep understanding of how the eyes influence overall facial harmony, Dr. Spiro customizes each blepharoplasty to enhance vibrancy and restore youthful definition—making him a sought-after specialist for patients across the country. Website: https://drspiro.com   Breast Augmentation: https://drspiro.com/breast/breast-augmentation Social Media Links: Instagram: https://www.instagram.com/spiroplasticsurgery  Youtube: https://www.youtube.com/@SpiroPlasticSurgery  LOCATION & CONTACT DETAILS Spiro Plastic Surgery | Dr. Scott Spiro 101 Old Short Hills Road, Suite 510 West Orange, NJ 07052 [phone] People also listened to this: The Role of AI in Empowering Patients and Improving Breast Cancer Detection