I’m honored to welcome Randall Feingold, a renowned plastic surgeon and respected member of the American Society of Plastic Surgeons (ASPS), where he also serves on the committee for Breast Implant Illness. Dr. Feingold has been a steadfast voice advocating for women’s health, raising international awareness about the risks of breast implants, the importance of safe and supportive explant recovery, and the urgent need for stronger safety measures and regulations around breast implants. His dedication and expertise continue to inspire and empower women on their healing journeys.

FDA Black-Box Warning for Breast Implants (Example Text Per FDA Guidance)

According to the FDA’s labeling guidance (October 2021) and example from Appendix A, the boxed warning should state:

WARNING:

• Breast implants are not considered lifetime devices. The longer people have them, the greater the chances are that they will develop complications, some of which will require more surgery.
• Breast implants have been associated with the development of a cancer of the immune system called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). This cancer occurs more commonly in patients with textured breast implants than smooth implants, although rates are not well defined. Some patients have died from BIA-ALCL.
• Patients receiving breast implants have reported a variety of systemic symptoms such as joint pain, muscle aches, confusion, chronic fatigue, autoimmune diseases and others. Individual patient risk for developing these symptoms has not been well established. Some patients report complete resolution of symptoms when the implants are removed without replacement.
  U.S. Food and Drug Administration
  facingourrisk.org
  PMC

Why This Matters

1. "Not lifetime devices" underscores that implants often require monitoring, maintenance, or replacement over time—especially relevant for women navigating healing post-explant, where long-term awareness is key.
2. Risk of BIA-ALCL, particularly with textured implants, highlights a serious health concern—knowing this can inform safer decision-making.
3. Systemic symptoms (Breast Implant Illness – BII) such as fatigue, brain fog, autoimmune issues—emphasize that some experiences are physiological and may improve post-explant, aligning closely with your holistic healing approach.

Additional Context and Support for Your Work

• The FDA also requires a Patient Decision Checklist detailing when implants shouldn't be used, risks of surgery, BIA-ALCL, systemic symptoms, and alternatives—reinforced with signatures from both patient and physician
  U.S. Food and Drug Administration+1
  facingourrisk.org.
• Updated guidance includes rupture screening intervals, device material transparency, and patient device cards to improve patient empowerment and tracking
  U.S. Food and Drug Administration
  azdo.gov.
• Broader safety communications have expanded concerns to include rare

Leoracoca@gmail.com 

Fat Grafting for Breast Reconstruction and Aesthetic Use

1 source

A conversation explores the use of autologous fat transfers in various cosmetic and reconstructive procedures. The primary focus is on breast augmentation and reconstruction following mastectomies or explant surgery, offering a natural alternative to implants. The doctors discuss techniques for harvesting and transferring fat, highlighting its regenerative capabilities, particularly in reversing radiation damage. Furthermore, they touch on the application of fat transfers for aesthetic purposes, including addressing wrinkles and improving skin texture using derivatives from the patient's blood. This innovative approach utilizes the body's own resources to restore tissue health and volume.

Email:  rfeingold@nybra.com 

Leoracoca@gmail.com

Leoracoca@gmail.com 

Dr. Randall Feingold, a plastic surgeon, and Dr. Brian Clement, founder of the Hippocrates Health Institute, discuss the impact of breast implants on women's health. The conversation explores the potential role of the implant's plastic shell in causing systemic symptoms, even with saline implants, and the importance of lymphatic system health. Dr. Clement emphasizes the Hippocrates Institute's approach to detoxification, raw food diets, and energy medicine to combat inflammation and support overall well-being. They discuss the use of exosomes and autologous fat transfers as regenerative medicine techniques. Dr. Feingold highlights the importance of proper explantation techniques and breast restoration, while Dr. Clement advocates for a shift towards respecting biology and nature in healthcare. Both doctors express concerns about the current medical system's focus on profit over patient well-being and promote a more holistic, nature-based approach to health.

Leoracoca@gmail.com 

Renowned experts Dr. Randall Feingold and Dr. Tajaz Ozarkar join us for an enlightening journey into the frontier of regenerative medicine. We promise you'll uncover the secrets behind the power of stem cells and exosomes in transforming healing processes and anti-aging therapies. With their guidance, discover how mesenchymal stem cells are the maestros of recovery, directing your body's natural healing abilities, and why their effectiveness wanes as we age.

Our conversation explores the nuanced world of stem cell screening and processing, where the focus shifts from quantity to quality. We'll dissect the meticulous standards required for ensuring the highest quality umbilical cord stem cells, highlighting their potential pitfalls and how superior processing can lead to "superstar cells." Additionally, we'll unravel the truth behind misleading marketing tactics that prioritize cell count over viability, offering insights into why fewer, more effective cells can lead to better outcomes.

Finally, we venture into the future of regenerative medicine, examining its applications in aesthetics and orthopedics. Dr. Feingold and Dr. Ozarkar share their valuable insights on personalized therapies, especially for those over 60, and the crucial role of lifestyle and health factors in influencing treatment efficacy. From PRP to autologous fat grafting, our discussion reveals how these therapies can be harmonized with surgical solutions for optimal patient outcomes, promising a future where innovative science and practical applications are seamlessly integrated.

Leoracoca@gmail.com 

Stem cell therapy is one of the most exciting frontiers in regenerative medicine—but it's also one of the most misunderstood. In my latest podcast episode, I cut through the confusion to address critical questions and concerns, including:

✅ What are the regulations in the U.S.? Understanding the safety guidelines and legal framework to protect yourself.

 ✅ How to choose the right clinic: Not all stem cell products or treatments are created equal. Learn what to look for to ensure you’re getting the best care.

 ✅ Product quality: The differences between stem cell, PRP, and exosome products—why some are far superior and how to identify them.

 ✅ Limitations in the U.S. vs. overseas options: Why some patients are seeking treatments in places like Panama and what you need to know before considering international clinics.

With so much misinformation out there, it’s critical to stay informed about the safety, efficacy, and ethics of these emerging therapies. Whether you're curious about cutting-edge regenerative medicine or exploring options for yourself, this episode will give you the clarity you need to make empowered decisions.

🔗 Tune in now on Spotify, Apple Podcasts, or your favorite platform!

💬 Let me know your thoughts, experiences, or questions about stem cell therapy in the comments. Together, we can build awareness and help others navigate this complex field.

#StemCellTherapy #PRP #Exosomes #RegenerativeMedicine #Wellness #HolisticHealing

contact information:

Dr. Randall Feingold. 
https://nybra.com/our-practice/our-te...

Dr. Tajas Ozarkar
https://www.rmiclinic.com/tag/tejas-o...


Leora Acoca Goldberg Optimalbody

Leoracoca@gmail.com 

https://youtu.be/QLPOJLCa0G0?si=PV70hGLBpQQDTFZg

Many women are often reluctant to disclose having breast implants and may view these foreign devices as a permanent part of their bodies. However, understanding the importance of annual screenings is essential—even though they’re not foolproof. Silent ruptures, undetected by mammograms, can sometimes only be identified by a plastic surgeon. It’s crucial to raise awareness that breast implants are medical devices with an expiration date, and knowing how to manage them safely is vital for long-term health.

Dr. Randall Feingold, a leading expert and co-founder of New York Breast Reconstruction and Aesthetic Plastic Surgery, shares essential insights every woman should hear. Don’t miss this information—share it with friends!"

Leoracoca@gmail.com 

This podcast provides a comprehensive exploration of brain fog, particularly in the context of breast implant illness (BII), and offers a unique perspective on its treatment through holistic approaches. It emphasizes the connection between breathing, spinal fluid dynamics, and brain health. This podcast highlights the importance of deep breathing, spinal alignment, and restorative sleep in promoting proper cerebrospinal fluid flow, which is crucial for brain function. Furthermore, it suggests various practices like osteopathic care, massage therapy, and lymphatic drainage to enhance fluid circulation and address brain fog. The article emphasizes the body's intrinsic healing capabilities and encourages individuals to explore alternative therapies to improve cognitive function and overall well-being.

Leoracoca@gmail.com 

Chaos Labs is a company dedicated to bolstering the security and transparency of decentralized finance (DeFi) by developing tools that provide accurate, reliable data for blockchain applications. These tools include Edge, an advanced oracle protocol for delivering real-time, contextualized data; Dashboards for in-depth analytics and risk monitoring; and Incentive Optimization for creating sustainable liquidity incentive programs. Chaos Labs collaborates with leading DeFi teams like Aave, dYdX, and Uniswap, and their research explores topics such as the role of AI in oracle development and risk assessment. The company's mission is to build trust and transparency in the future of financial markets.

Leoracoca@gmail.com 

This ebook provides a comprehensive detox program designed for women recovering from breast implant removal surgery. It emphasizes a plant-based diet rich in raw foods, green juices, and specific superfoods to help the body cleanse and heal from the effects of implants. The guide includes detailed meal plans, recipes, and explanations of the health benefits of the recommended foods. The author also stresses the importance of hydration, sleep, and other lifestyle changes for optimal detoxification.


Leora Acoca Goldberg details the personal story of a woman who suffered from a variety of unexplained symptoms after receiving breast implants. Over time, she discovered the concept of "breast implant illness" (BII), a condition linked to the presence of implants. After extensive research, the woman decided to undergo explant surgery, a procedure that involves the removal of breast implants. Following her recovery, she experienced a significant improvement in many of her symptoms, leading her to become an advocate for awareness surrounding BII. This passage serves as a personal testimony of the potential health risks associated with breast implants and the transformative power of removing them for individuals experiencing related symptoms.
Leora created detoxification protocols to help women heal and recover faster. 

Leoracoca@gmail.com 

This Audio Podcast examines the debate surrounding en bloc explant surgery for women with breast implants. The podcast discusses the limited scientific evidence supporting total capsule removal except in cases of capsular contracture or BIA-ALCL, but highlights the growing trend of women choosing en bloc explant for health reasons related to breast implant illness (BII). The podcast presents statistics on implant rupture rates, capsular contracture, and ALCL, but emphasizes the lack of data on BII prevalence. It features personal accounts from women who experienced improved health after undergoing en bloc explant surgery, and quotes several plastic surgeons who advocate for total capsule removal due to potential risks associated with residual capsules. The podcast looks into resources from experts such as Randall Feingold, MD - a leading breast reconstruction and explant  plastic surgeon. It concludes by stressing the importance of patient involvement in the decision-making process and the need for further research on BII and the effectiveness of en bloc explant surgery.

Leoracoca@gmail.com 

The podcast explores the effects of breast augmentation and subsequent repair and rehabilitation of en bloc explant surgery on the upper body. 

Randall Feingold MD, FACS and Dr. Perry Nickelston delve into the anatomy and damage caused by these procedures, providing guidelines and exercises to restore strength, improve posture, and enhance overall wellness. Topics covered include neck exercises' importance, upper body strengthening, perfecting pushups, engaging glutes and core, the role of fascial slings, isometric exercises, neck alignment, the impact of tongue placement, exercises like farmer walks and Arnold presses, and improving wrist mobility. Social posts highlight the significance of these discussions in post-explant recovery, physical therapy, yoga's impact, and brain stimulation through hand movements. The conversation touches on exercises, rehabilitation, and techniques crucial for reclaiming strength and mobility after breast explant surgery.

Leoracoca@gmail.com 

Healing Lyme disease and Breast implant illness & the surprising connection

Let's explore the common factors linking these complex health conditions and look into Herbal remedies that offer effective recovery. The “Cowden protocol” is a collection of natural remedies from the Amazon rainforest that successfully heal Lyme disease, Mold, fungus, and Biofilm, also common in breast implant illness.

Lyme disease- BII connection

Lyme disease, the most prevalent tickborne illness, often goes unnoticed until chronic symptoms emerge. Chronic symptoms, ranging from fatigue and brain fog to a weakened immune system, are also commonplace in Breast Implant Illness and Heavy Metal Toxicity. Exposure to additional stressors such as Silicone and pesticides expedites inflammation. Lyme, BII, and Heavy metal toxicity may mimic similar symptoms, making diagnosis difficult. These stressors will continue to overwhelm the immune system, causing more co-infection until resolved.

 Dr Lee Cowden’s insights bring immense value to our BII community. It’s an opportunity to shed light on these critical issues and provide much-needed guidance to women seeking answers and solutions.

The Complex Origins of BII – An Interview with Randall Feingold, MD

The causes of Breast Implant Illness (BII) are intricate and multifaceted. It’s not just about a single substance; toxins might play a part, but it could be a broader spectrum of stressors affecting patients. Silicone, found in implant shells and gels, is a prime suspect due to its composition, including heavy metals and chemicals. Additionally, the presence of pathogens attached to implants, forming biofilms, raises concerns. Various bacteria, fungi, and molds are often found in patients’ capsules, adding complexity to the issues. Identifying and eliminating these stressors through surgery or complementary therapies are crucial steps toward recovery.

According to Randall Feingold, MD, after en bloc explant surgery, some patients experience rapid improvements, ranging from days to weeks or even months. Specific symptoms vanish entirely, while others show partial relief. Inflammatory conditions, such as arthritis, also exhibit positive responses, leading to reduced medication dependence. While the FDA recognizes explant surgery for its symptom-alleviating effects, it’s not a one-size-fits-all solution. The journey to recovery involves understanding that surgery is the first step, not the single cure for BII.

Common Pathogens implicated in biofilm formation on implant capsules are Staphylococcus epidermidis and Staphylococcus taxa. Interestingly, the Staphylococcus sp. almost certainly evades detection but is likely present.

Pathology of the capsules

According to Randall Feingold, MD, 30% percent of the capsules come back positive for either mold, fungus, or other bacteria; these capsules can’t stay in the body,” says Dr. Randall Feingold, who raises concerns over the toxic biofilm formed around these capsules.

BIA_ALCL cancer

Some studies show the association between cancer (BIA_ALCL) and the presence of biofilm. Subclinical bacterial infections (biofilms) surround breast implants with capsular contracture. While these infections are generally attributed to common skin commensals, there are indications that these bacteria travel to the brain and other organs in the body, affecting the immune system. , this remains unsubstantiated mainly through robust cultivation-independent analyses. Notably, capsular contracture and associated biofilm formation are now also potentially linked to Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA_ALCL)

Lyme disease

According to recent studies, approximately 25% – 30% of women with breast implants have Lyme disease and other autoimmune conditions due to bacteria, chemicals, and biofilm. Not surprisingly, brea

Leoracoca@gmail.com 

Episode 4 dives into the importance of draining your lymphatic system daily to improve detoxification. No one talks about the critical role of the lymphatic system when it comes to recovering after surgery or simply for the purpose of healing a health condition. 

 Randall Feingold MD addresses specifically Breast implant illness and the need to maintain a healthy immune system. 

Dr. Perry Nickelston has the answers to how to drain toxins from the body by doing "The Big 6 " to strengthen your immune system and optimize it. Good flow of the lymphatic system helps weight loss and reduces swelling in the body. 

Leoracoca@gmail.com 

Randall Feingold, MD performs en bloc explant surgery (Breast Implants removal surgery) regularly and has developed a safety protocol based on his clinical training and many years of experience that provides a panel of pathology and microbiology evaluation of the capsules to rule out certain abnormalities and to increase the likelihood of finding the underlying cause of BII symptoms and allow selection of proper treatments. Dr. Randall Feingold, photo-documents the capsule specimens, Before sending the capsule specimens to pathology, (as well as for bacterial and fungal cultures). 

These tests are done during the explant surgery and typically the results are ready within 7-28 days.  to increase the likelihood of finding the underlying cause of symptoms and allow the selection of proper treatments.

Randall Feingold, MD uses the following protocol to thoroughly evaluate and treat his patients:

• Photo documentation of capsules and implants provided to patients for reassurance
• Pathology evaluation of capsules to assess the degree of inflammation and rule out malignancy (particularly for textured implants)
• Microbiology testing of capsule lining to investigate for colonies of bacteria and fungus/mold
• Long-term antibiotic or antifungal therapy for positive cultures

Leoracoca@gmail.com 

How to restore your breast naturally after explant surgery. 

Dr. Randall Feingold, a leading plastic surgeon and co-founder of NYBRA explains how to restore, volumize and reshape the breasts with breast lift and fat transfer procedures—50% of Dr. Randall Feingold choose these two procedures during their Explant surgery.  

This informative interview will determine which technique is best for you. 

Leoracoca@gmail.com 

Randall Feingold MD explains the necessity of en bloc explant surgery when removing breast implants.  He is a founding partner of the New York breast reconstruction and aesthetic Plastic Surgery. 

This podcast is informative and valuable for women who are looking to remove their breast implants. learn about the procedure, scar placement, and recovery from one of the leading plastic surgeons in the USA

Leoracoca@gmail.com