The Conversation About Breast Implants Every Woman Needs to Hear, with Dr. Alan Gonzalez

Today’s episode highlights breast health concerns and educates women to make informed choices, as Dr. Robert Whitfield sits down with Dr. Alan Gonzalez, a fellow expert in plastic surgery. They break down what BII is, talk through common symptoms, and dive into complications like capsular contracture and even rare cases of lymphoma. The doctors walk listeners through the different surgical options for removing implants, including total capsulectomy, and discuss alternatives such as fat transfer for those considering a different look after explantation. They don’t shy away from discussing the emotional and physical challenges that can come with implant removal, and the conversation is one all women need to hear.

Bio: Dr. Alan Gonzalez

Dr. Alan González is a leading plastic surgeon in Colombia and Latin America, with over 25 years of experience and more than 20,000 aesthetic and reconstructive procedures performed. Known for combining cutting-edge surgical techniques with a focus on minimal scarring and fast recovery, he is dedicated to enhancing patient well-being through thoughtful, results-driven care. Dr. González is also a global speaker, researcher, and media contributor, and currently leads multidisciplinary research on the link between breast implants and ASIA syndrome. He is affiliated with several international surgical societies and serves as the scientific director of Care Me 360 Institute.
Learn more about Dr. González at dralangonzalez.com and connect with him on Instagram or LinkedIn.

Show Highlights:

Dr. Gonzalez’s Background & Early Experience (00:01:09) Dr. Gonzalez shares his medical background, early views on implants, and initial belief in their safety.
Recognition of Implant Complications (00:04:25) **Discovering complications like lymphoma, chronic inflammation, and the shift in understanding implant risks
**Capsular Contracture & Surgical Approaches (00:10:11) **Capsular contracture, historical surgical practices, and the evolution of implant placement techniques
**Patient Symptoms & Chronic Inflammation (00:14:11) Normalization of symptoms, and the importance of recognizing chronic inflammation from implants
Capsulectomy Techniques & Cancer Concerns (00:17:26) Debate on total vs. en bloc capsulectomy, surgical safety, and handling abnormal capsule findings
Case Study: Lymphoma & Pathology Challenges (00:19:53) Dr. Whitfield shares a case of rare lymphoma, challenges in diagnosis, and the importance of surgical expertise
Patient Education & Informed Choices (00:25:47) Educating patients, the need for transparency, and the importance of understanding all surgical options
**Alternatives to Implants: Fat Transfer & Lifts (00:27:20) **Non-implant options like fat transfer and breast lifts, and the importance of individualized patient care
**Surgeon Expertise & Surgical Evolution (00:44:07) **Importance of expert surgeons, reconstructive techniques without implants, and the evolution of breast surgery

Links and Resources

Let’s Connect
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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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