Plastic Surgery Untold

Johnny Franco

Welcome to Plastic Surgery Untold, Beyond Botox and Butt. I am Dr. Johnny Franco also known as Austin Plastic Surgeon. Our mission is to take you on the roller coaster ride that is our lives and hopefully teach you about plastic surgery along the way! We will cover a variety of topics from Botox to Breast implants to the infamous Brazilian Butt Lift. Whether you are considering plastic surgery or just want to listen to the most entertaining podcast in the world, this is for you!

  1. 08/26/2025

    Beyond 800cc: The Future of Breast Implants

    For years, the largest silicone or gummy bear implant available capped at 800cc. We break that down in this episode of Plastic Surgery Untold. It left patients who wanted, or needed, more fullness with only one option — saline implants, which often sacrificed softness for size. Now, with the arrival of Mentor Enhanced breast implants, patients have the option to go beyond 800cc — all the way up to 1450cc — while still enjoying the benefits of a gel implant. Originally developed for breast reconstruction, these implants are FDA-approved for that use and can also be used off-label in cosmetic surgery. This opens the door for both reconstruction and aesthetic patients who have limited natural breast tissue or who simply want a fuller look. Key things to know: Mentor Enhanced implants expand size options past 800cc, up to 1450cc. They were first designed for reconstruction, where larger volumes are often needed. Softer than overfilled saline implants, they keep the benefits of a gel implant. Not every patient is a candidate — safety, tissue limits, and support options like internal bras must be considered. This episode of Plastic Surgery Untold breaks down what these new implants mean for patients, the pros and cons of going larger, and how to know if this option might be right for you. 🎧 Catch the full episode of Plastic Surgery Untold anywhere you get your favorite podcasts — Spotify, Apple, iHeart, Pandora — or watch on YouTube to see implant comparisons in action.

    8 min
  2. 08/19/2025

    Breast Implant Evolution: How Technology Shapes Results

    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.

    11 min
  3. 08/06/2025

    Subtle Sexy to Ultra Defined: HD Liposuction Explained

    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.

    11 min
5
out of 5
39 Ratings

About

Welcome to Plastic Surgery Untold, Beyond Botox and Butt. I am Dr. Johnny Franco also known as Austin Plastic Surgeon. Our mission is to take you on the roller coaster ride that is our lives and hopefully teach you about plastic surgery along the way! We will cover a variety of topics from Botox to Breast implants to the infamous Brazilian Butt Lift. Whether you are considering plastic surgery or just want to listen to the most entertaining podcast in the world, this is for you!

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