Should I reconsider a plastic surgeon if they do not use the keller funnel when placing implant?

The evidence on whether Keller funnels reduce capsular contracture is, at this point, not strong. I use them, for a variety of reasons. They are expensive, but  in principle there is good reason to believe they may have a role in reducing contracture, although I think routinely placing implants under the muscle has a stronger  role.They are also helpful in inserting implants with minimal excess pressure on localized areas the implant shell; in other words, preventing traumatic and undiagnosed rupture or weakening of the shell which might lead later to rupture. The bigger the implant, the more important this may be. I was able to return to putting most of my implants in via the trans-axillary route with endo assistance with their introduction because with out  them, I was concerned about how much effort was needed to insert any but small ( 200-225cc) implants and what this effect would be on the integrity of the implant shell.So they are useful, very useful as far as I am concerned. And I feel i am giving my patients the best chance of not getting contracture when I use them, although strong evidence on that will take a few more years and more experience to be certain.

Dear Exited4boobs,   The Keller funnel device  is a plastic cone that is suppose to help the passage of the silicone gel implants into the pocket. I use almost exclusively saline implants where the issue of implants insertion is not an issue, because the implants are inserted empty into the pocket and than filled up. The saline implants have multiple advantages : 1. Small incision at the subareola line which is scar friendly as oppose to long submammary incision that is necessary for gel implants. That area is not scar friendly and can be quite noticeable. 2. The subareola insertion , due to the mobility of the breasts, allows for disection of the cleavage area under direct vision and digital feel which helps to create a beautiful and precise cleavage. This apply also to the creation of the submammary fold. 3. 1/3 of the cost of gel implants. 4. When leakage or rapture of implants ocurre, the saline implants replacement is very simple while the gel implants replacement is complex. In any event, choose a surgeon and not a device. Consult with board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures to make sure that they are numerous, consistent and attractive. Check also the'realself' reviews for positive patients experience which provides important information on the surgeons.                    Best of luck,                                   Dr Widder