The challenge every aesthetic surgeon faces is how to integrate new techniques and technology into their practice while maintaining a healthy degree of skepticism about safety and value for patients. In today’s fast-developing world, a conservative practitioner walks a fine line between being cautiously slow to pick up trends and missing a trend altogether. No one wants to miss the next big thing or a potential “game-changing” technique or technology, but there is no doubt the market pushes in those directions. In this excerpt from Beyond the Scalpel Podcast, Dr. Rick Warren and I discuss these challenges and this millennium’s biggest example of this dilemma, the textured breast implants. I think this is an interesting and extremely relevant discussion.