The no touch breast augmentation is a surgical technique in which the implantation process is done with a Keller Funnel, a device closely resembling that of a baker’s bag. With its tip inserted into a small incision, it is squeezed successively to propel the implant toward its pocket.
While the surgeon holds the Keller Funnel, the nurse pours the implant from the sterile packaging directly into its wide opening. Once the implant is properly loaded, the surgeon squeezes and propels it into place. Simply put, no one actually touches the prosthesis.
One of the benefits of the no touch breast augmentation technique is the perceived reduction of capsular contracture rate.
Capsular contracture is a copious formation of scar tissue around the implants. While a thin flexible capsule-shaped scar is a normal part of recovery, implant contamination at the time of surgery is believed to trigger the over production of collagen bundles (scar tissue).
Low-grade infection during the initial healing stage may also cause capsular contracture.
In its late stage, capsular contracture causes breast deformity and pain and thus it requires surgery in which the copious scar tissue is removed together with the implants. Replacement might be done simultaneously, while some doctors recommend waiting for a few months to ensure complete healing of the breast pocket.
Aside from minimizing the risk of capsular contracture, the no touch breast augmentation offers other benefits; hence, it has become a favorite technique of celebrity plastic surgeon Dr. Tarick Smiley who has posted Snapchat videos to demonstrate the method.
The use of Keller Funnel can reduce the length of incision by almost half, making it easier to hide scars at the areola’s border, parallel to the submammary fold, and inside the armpit skin crease, says Dr. Smiley.
Furthermore, the implantation process via Keller Funnel reduces the force by up to 95 percent (the finger insertion method uses about 27 lbs. of force, while the no touch just requires 0.64). This results in less trauma around the skin incision and thus promotes favorable scars, he adds.
And with reduced force, Dr. Smiley says implant stability is preserved as well.
The shorter surgical time is another key benefit of Keller Funnel. According to surveys, more than half of surgeon-respondents reported 10-20 minutes reduction in their procedure time.