Episode 108

Hidden Dangers of Breast Implants and How to Address Complications with Dr. Randall Feingold

00:00:00
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00:54:56

March 13th, 2025

54 mins 56 secs

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About this Episode

Today, Dr. Rob Whitfield and Dr. Randall Feingold dive into the topic of breast implant illness and explant surgery. Dr. Whitfield, who's a board-certified plastic surgeon, talks about how crucial it is to recognize and treat breast implant illness. He shares details about the symptoms, treatment options, and even some personal stories from women who have been affected. Dr. Feingold, who specializes in breast reconstruction, discusses using natural tissue solutions instead of implants. He also stresses how important it is to perform a total capsulectomy for patients dealing with complications. This episode offers so many key takeaways, so tune in!

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Key Takeaways

Challenges with Low BMI Patients (00:05:22)
Discussion on the complexities of treating low BMI patients in breast surgery
Fat Transfer Techniques (00:06:10)
Advantages of fat transfer techniques over implants, especially in cosmetic cases
Safety of Fat Grafting (00:14:21)
Reassurance regarding the safety of fat grafting and its application in breast cancer patients
FDA Acknowledgment (00:18:25)
FDA's recognition of systemic symptoms related to breast implants and patient information
Visualizing Complications with Implants (00:21:20)
Challenges of removing older silicone implants and the risks associated with leakage
Safety in Total Capsulectomy (00:28:28)
Safety of total capsulectomy and the importance of skill in performing the procedure
Pathologic Analysis of Capsules (00:35:38)
Sending removed capsules for analysis to identify potential malignancies or infections
Bacterial Colonization in Capsules (00:36:54)
Prevalence of bacteria found in capsules and its potential impact on patient symptoms
Capsule Removal Benefits (00:43:26)
Advantages of removing capsules during explant surgery, including improved breathing and reduced anxiety

Bio Dr. Feingold

Randall S. Feingold, M.D. is a founding partner of NYBRA Plastic Surgery. He has been practicing on Long Island, New York since 1994. Certified by the American Board of Plastic Surgery, he specializes in aesthetic surgery of the face, breast, and body as well as state-of-the-art post-mastectomy breast reconstruction.

Links and Resources

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Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554
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Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness
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