Breast Implants, Explant Surgery, and Breast Implant Illness with Robert Whitfield MD - Episodes Tagged with “Breast Implant Removal”

Episode 123: A Breast Explant Journey: From Sickness to Restored Health with Candice Barley

Robert Whitfield MD — Thu, 03 Jul 2025 03:00:00 -0400

Not every breast explant journey looks the same, but when you hear these stories over and over again, the similarities are remarkable. Today, Candice Barley shares her breast implant illness journey with Dr. Rob. Candice's story is one of hope and ultimately a return to health. If you are struggling with Breast Implant Illness, there is hope for you as well.

In our previous episodes, we’ve talked about how inflammation worsens the illness. That’s why we have to figure out whether or not there’s inflammation in the breast implants. So what we do is we work up all the factors that contribute to inflammation by testing through our Holistic Accelerated Recovery Program (HARP) to really prepare the patients and optimize them for surgery.
If you want to learn more about HARP, you can secure your seat through this link: https://harp.health/

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For any inquiries or concerns, feel free to connect with us on Instagram (@breastimplantillnessexpert).
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Episode 80: The Hidden Dangers of Breast Implants: Jacqui Nelson's Explant Journey

Robert Whitfield MD — Thu, 22 Aug 2024 03:00:00 -0400

In this episode, Dr. Rob Whitfield, a board-certified plastic surgeon specializing in breast implant illness, converses with his patient, Jacqui Nelson, about her journey with breast implants. Jacqui shares her initial motivations for getting implants, her experiences with both saline and silicone implants, and the various health challenges she faced, including brain fog, chronic fatigue, and systemic inflammation. She discusses her decision to undergo explant surgery and the subsequent improvements in her health. The episode emphasizes the importance of awareness, informed decision-making, and a supportive community for those dealing with breast implant illness.

Show Highlights:

First Implants Experience (00:03:16)
She describes her initial experience with saline implants, noting discomfort and visible rippling.
Switching to Silicone (00:03:32)
After four years, Jacqui opts for silicone implants, seeking a more natural feel and appearance.
Comfort Issues with Saline (00:08:12)
Jacqui describes the discomfort and unnatural feeling of saline implants during physical activities.
Initial Symptoms (00:10:19)
Jacqui reveals experiencing severe brain fog and other symptoms soon after getting her implants.
Mental Health Struggles (00:12:10)
Jacqui shares how anxiety and depression worsened over time, linking it to her experiences with implants.
Chronic Fatigue Onset (00:13:20)
In 2021, Jacqui experienced debilitating chronic fatigue, impacting her career and daily life.
Heavy Metal and Mold Toxicity (00:17:27)
Jacqui reveals severe heavy metal and mold toxicity levels found in her testing, linking them to her symptoms.
Dr. Whitfield's Insights on Toxicity (00:19:50)
Dr. Whitfield discusses the implications of heavy metals and toxins related to breast implants and health.
Importance of Detoxification (00:27:01)
Dr. Whitfield emphasizes the need for a comprehensive detox approach post-breast implant illness.
Understanding Mycotoxins (00:29:08)
Discussion on the prevalence of mycotoxin exposure and its impact on gut health.
Elimination Diets Explained (00:31:23)
Dr. Whitfield explains the concept of elimination diets for gut healing and health improvement.
Long-Term Wellness Approach (00:42:16)
Dr. Whitfield emphasizes the importance of a long-term mindset in recovery and informed decision-making.
Importance of Emotional Support (00:48:27)
Dr. Whitfield explains how a supportive environment can ease the recovery process for patients.

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Read this article
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JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier.

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BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology.

Ultrahuman - Use code WHITFIELD10 for the most accurate wearable.

Episode 79: From Illness to Wellness: Allie Janszen’s Journey of Breast Implant Removal

Robert Whitfield MD — Thu, 15 Aug 2024 03:00:00 -0400

While breast implants are designed to enhance physical appearance or reconstruct breast tissue, they can sometimes lead to unintended health complications. For some individuals, the presence of implants may trigger a range of symptoms known as breast implant illness (BII), including fatigue, joint pain, and cognitive issues. These complications can occur as the body responds to foreign materials, potentially exacerbating pre-existing health conditions or causing new ones.

The impact of breast implants on overall health can be significant. That is why understanding the potential risks is important for those considering breast implants or experiencing symptoms that may be related to them.

This episode with our patient, Allie Janszen, focuses on breast implant illness and her removal journey as she shares her personal experiences with the health challenges related to breast implants and how their implant removal led to significant improvements in her well-being.

Breast Implant Illness and Weight Loss Struggles after Childbirth

When Allie first considered breast augmentation, she was very lean, having been a college athlete. Although she might have had some fat that could have been used for a fat transfer, it wasn’t something she had ever heard of or considered. Her mindset was focused solely on getting breast implants.

Fast-forward to after the birth of her fourth child, a difficult emergency C-section triggered what she later realized were symptoms of breast implant illness. Despite her background as a labor and delivery nurse and a fat loss coach – where she was helping others with weight loss and healthy living – she struggled to lose weight and manage her own health. She realized that the same techniques that worked for her clients weren’t working for her anymore.

In addition to the weight loss struggles, Allie experienced extreme fatigue, making it hard to wake up in the morning, hitting an afternoon energy wall, and even falling asleep while putting her kids to bed.
These symptoms, combined with inflammation and hormonal changes, were all part of what she now recognizes as breast implant illness.

Tinnitus, Meniere's Disease, and Inflammation after Breast Implant Removal

Dr. Whitfield explains that Tinnitus, Meniere's disease, and sensitivity to light and sound are often related to neural inflammation. While many patients experience improvement or even elimination of these symptoms after implant removal, pre-existing conditions like chronic migraines or autoimmune disorders may not be fully resolved by this procedure. For patients with a higher BMI needing breast reconstruction, alternative methods like the DIEP flap surgery are available.

After Allie had her breast implants removed, she noticed significant improvements in her health, particularly in areas she hadn't expected. Prior to the removal, she struggled with joint pain during workouts, experiencing discomfort in her knees and wrists that she had never dealt with before.

Additionally, she was diagnosed with Meniere's disease after experiencing persistent symptoms in her left ear, such as a feeling of fullness, vibrating noises in loud environments, and episodes of vertigo. These symptoms were occurring weekly, yet after the implant removal, they completely subsided, which she found to be the biggest change.

She had initially been focused on resolving her weight loss struggles and reducing inflammation, but the improvements in her Meniere's symptoms were an unexpected benefit. Despite her background as a health professional, she hadn’t anticipated that removing her implants would have such a profound effect on her ear issues. This experience led her to recognize the connection between her implants and the inflammation that was likely contributing to her Meniere's disease symptoms. The immediate relief she experienced was a clear indication that the implants had been exacerbating her condition.

Post-surgery Fatigue and Inflammation Reduction, with a Focus on Diet and Lifestyle Changes for Improved Sleep and Overall Health

Allie’s commitment to a clean lifestyle played a crucial role in her recovery and health improvements. She and her husband had already been avoiding plastics, using natural household products, and maintaining a nutritious diet, which likely contributed to her ability to bounce back quickly after the surgery.

Her weight loss and other health improvements can be attributed to the reduction of inflammation caused by the breast implants, which she believes had been disrupting her hormones and overall well-being. In addition to the weight loss, she noticed a drastic improvement in her energy levels and the elimination of afternoon fatigue. This boost in energy and the resolution of her fatigue suggests that her body has undergone a significant reset, particularly in her mitochondrial function, which has improved her overall metabolic efficiency.

Dr. Whitfield praised Allie’s high protein intake for reducing fluid retention and aiding recovery, which improved her sleep and energy levels. He highlighted the importance of a consistent sleep schedule, reducing screen time before bed, and a cool, dark sleep environment for better rest. Dr. Whitfield also emphasized reducing inflammation and using wearable devices to monitor sleep and recovery as key factors in enhancing overall health and symptom relief.

In addition to lifestyle adjustments, Dr. Whitfield recommends taking supplements like L-theanine, ashwagandha, sustained-release melatonin, and magnesium which are helpful in promoting relaxation and improving sleep quality. By prioritizing these aspects of lifestyle, you’ll surely be able to improve your circadian rhythm, allowing you to wake up refreshed and maintain high energy levels throughout the day, ultimately leading to better overall health.

Sleep Scores, Breast Implant Illness, and Brain Health

Improving sleep has a significant link to brain health insofar as quality sleep is essential for cognitive function, mood regulation, and overall mental well-being. You may utilize tools such as wearable devices to monitor sleep quality and duration. Devices like Garmin watches or other sleep trackers can provide valuable insights into your sleep patterns, including the amount of deep sleep you’re getting.

Additionally, incorporating dietary changes can be beneficial; focusing on a balanced, high-quality diet and avoiding heavy or processed foods close to bedtime can improve sleep. Dr. Whitfield cautioned against using medications like Tylenol before bed, which can impact blood sugar levels and worsen sleep issues. Moreover, he recommended addressing sleep apnea, as it can have serious implications for brain health and overall well-being and encouraged seeking solutions such as sleep studies for those with persistent sleep problems.

Breast Implant Illness and Support for Those Affected

As regards breast implant illness, research and understanding are crucial. It's important to thoroughly investigate the condition, including how implants can affect your body and the potential for autoimmune reactions triggered by major surgeries or other factors. Additionally, having a supportive partner and other family members can make a significant difference in managing the illness and making informed decisions about treatment.

Positive outcomes following explantation, such as improved quality of life and overall health, reinforce the benefits of making informed decisions and having strong support throughout the process. This approach not only helps in achieving better physical results but also fosters emotional well-being. It’s crucial to approach explantation with a clear understanding of potential outcomes and to rely on supportive care to enhance the recovery journey.

In addition to dietary adjustments, treatments such as the Balancer Pro have proven beneficial for reducing inflammation and supporting lymph drainage. This device effectively alleviates water retention and provides noticeable improvements in overall health and recovery.

Moreover, Dr. Whitfield acknowledged that fat transfer is an option for women who wish to maintain breast volume or improve their appearance after explantation. He noted that it is a valuable choice for those concerned about losing breast volume post-removal. However, he also emphasized that it’s not a one-size-fits-all solution and that patient preferences and needs vary.

Connect with Allie:

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Allie's Website

Connect with Dr. Whitfield:

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Read this article
Shop Dr. Whitfield’s Solutions
SHARP
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Get access to Dr. Rob's Favorite Products below:

Danger Coffee - Use our link for mold-free coffee.

JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier.

Echo Water - Get high-quality water with our code DRROB10.

BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology.

Ultrahuman - Use code WHITFIELD10 for the most accurate wearable.

Episode 74: ENCORE: How Long Does Breast Explant Surgery and Recovery Take?

Robert Whitfield MD — Thu, 11 Jul 2024 03:00:00 -0400

There are many reasons why women undergo breast explant surgery. Although some women do breast explant because they don’t want them anymore, some opt for breast explant surgery due to health issues or complications such as capsular contracture (scar tissue tightening around the implant), rupture, infection, or chronic pain.

Knowing the expected recovery time gives people reasonable expectations regarding their healing process. It prepares them for the temporary limits and pain they may encounter during this period, which can help lessen worries. In today’s episode, we’ll be talking about how long breast explant surgery and recovery take.

Optimizing your immune system

When you undergo an operation, whether breast explant surgery, breast implant, breast reconstruction, or others, you have to ensure that your immune system is in its optimum state.

To optimize your immune pathways, we do genetic testing and saliva tests which normally take a couple of months to get the results. We also conduct urine tests to identify toxicities and inflammation.

Another thing that should be taken into consideration is the environment, as it also affects one’s immune system and recovery after a breast explant surgery. If you’re in an environment with molds, you have to be careful as these affect the air quality, which can also negatively impact your health.

Optimizing your diet and taking supplements

Having a healthy lifestyle boosts the immune system. Diet obviously plays a key role in all of these because if you can't eat and absorb nutrients, you can't recover easily.

You have to stay on track with your diet as it limits fluid accumulation by changing your oncotic pressure, which is the protein content in your blood so that you go from a leaky phase or catabolic phase after surgery to an anabolic phase or a non-leaky phase. This helps your swelling to lessen quicker.

Optimizing your diet includes an examination of food sensitivities and assessing your body’s food and nutrient absorption. We also have to check if you have bacterial, fungal, or parasitic overgrowth or leaky gut. It’s also important to ensure proper blood work and hormone balance for recovery since women have high levels of cortisol and sometimes estrogen as well, which can prolong recovery.
We carefully look into all of these factors, particularly the levels of estrogen, progesterone, and even testosterone, and optimize them through our supplements to shorten the patient’s recovery time. We also use red light therapy and lymphatic massage. Many of my clients also like to use hyperbaric oxygen therapy.

Generally, it takes one to two weeks of recovery if you’ve had an explant and it’s above the muscle and a couple of weeks - depending on how hard it is to get it out from behind the muscle. However, the recovery period still depends on many factors like your genetics, diet, lifestyle, environment, and hormone balance.

If we carefully optimize these, we’ll be able to give you the possible results and decrease the time for recovery. We're also introducing new things to enhance recovery like peptide therapy because we want you to recover as efficiently as possible.

Links and Resources

Episode 72: A Breast Explant Journey: From Sickness to Restored Health with Candice Barley

Robert Whitfield MD — Thu, 27 Jun 2024 03:00:00 -0400

Links and Resurces

Dr. Robert Whitfield’s Website

For any inquiries or concerns, feel free to connect with us on Instagram (@breastimplantillnessexpert).
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Try the Echo Hydrogen Water Bottle
Code is DRROB10.

Episode 61: Can Breast Implants Be Removed Safely?

Robert Whitfield MD — Thu, 11 Apr 2024 03:00:00 -0400

There are instances wherein breast implants may cause some complications. Some women may experience health issues related to breast implants, such as pain, discomfort, or inflammation. Thus, for purposes of easing the pain and diminishing the long-term effects caused by breast implants, many women resort to explants or removal of breast implants.

In today’s episode, we’ll be answering one of the frequently asked questions during and outside consultations as regards breast implants – can they be removed safely?

What’s the difference between injuring the lung and injuring the chest cavity?

I often get asked by my patients if it’s safe to remove breast implants because apparently, they’ve been told by other surgeons that it’s unsafe to remove the capsule. Removing such, according to them, can cause further complications including injury to surrounding structures, especially the lung.
That’s why it’s necessary for us to debunk this misconception which is causing fear to many women. I’ve been to several summit meetings and spoke about this issue. To clarify, this procedure is entirely safe to do.

Personally, I stopped using drains a few years ago and just focused on explants with no drains and no other procedure to perform. I’ve only encountered one infection and that’s still a safe percentage. So far, I’ve done over a thousand successful explants.

Supposing that in five cases in those thousands of explants, an entrance into the chest cavity occurred – that's different from injuring the lung. You're merely creating an opening in the chest cavity underneath where the intercostal muscle is.

We’re making this opening because you can't really go through the actual rib. Instead, you have to go between the ribs. You then close it by evacuating the air and creating the seal or putting in a small catheter to get the air out through a one-way valve called the Heimlich valve.
Such a valve is usually used for chest drainage and prevents the return of gases or fluids in that space. And to avoid any mishaps or other effects, we have to conduct follow-ups for the patient including chest X-rays.

What are the risks and benefits of explants?

There are risks and benefits for breast implant removal and so, if you're thinking about having this kind of surgery, it's crucial to recognize these factors. Other surgeons would say that it’s risky to conduct breast implant removal as it would cause infection, bleeding, and other complications around the breast area.

However, I’ve done over 1,500 procedures without any problem and that’s saying something. That’s an attestation that it is a safe procedure. Many women experience health issues related to breast implants, such as pain, discomfort, or inflammation which is why we offer breast implant removal or explantation to relieve them from these symptoms.

In relation to this, we'll be launching a training program for surgeons doing breast implant removal procedures. We’re raising awareness that this is not something that you should be worried about. This is why it’s important to find a reputable surgeon with appropriate knowledge and one who uses safe techniques and instruments.

It was easy for me to transition to doing explants since I’m a reconstructive plastic surgeon for the majority of my career. I predominantly did cancer reconstruction where I was exposed to all these tissues and areas. And so, this isn’t something that’s unusual for me.
In our previous episodes, we talked about inflammation and other symptoms caused by breast implants. We also talked about how helpful the Holistic Accelerated Recovery Program (HARP) is in optimizing the healing process.

It all boils down to identifying as many root causes of inflammation as possible and diminishing those around the time of surgery, as well as balancing out hormones and improving your diet.
Once we identify and decrease the causes of inflammation, everything’s going to be better. The types and durations of anesthesia also contribute to this since there are some people who don't do well with general anesthesia.

I never take these procedures lightly because I want to make sure that everything's taken care of properly so that at the end of the timeframe of recovery, we won’t have any issues.
We also have to make the patients understand that we need to optimize their liver and kidney function as well as their hormones. It is also important to have a modified balanced diet and maintain a healthy lifestyle. We always prepare our patients for the procedures to set them up for success.

What are the next steps if you’re unhappy with the aesthetics of your breast implants?

There are instances wherein women are unhappy with the outcome of their breast implants. By augmenting the breast, you're masking asymmetry. So when we do an explant, we're identifying these areas that were treated initially for that purpose.

I personally prefer and lean on fat transfer to help with that problem although, you can always do different skin lifts. If you have enough breast tissue, you can modify that with a vertical lift which gives you the lollipop scar because that allows you to reshape the bottom of the breast.
There are many factors to take into consideration when doing all these procedures and so it’s really important to have a clear discussion with the patient.

As we’ve always emphasized, it's important to find a provider who recognizes breast implant illness as a real entity and has a plan to support you both before, during, and after surgery.

If you want to consult with us, you may reach out to us. We conduct a Holistic Accelerated Recovery Program which has been very beneficial and effective for our patients.

Links and Resources

Dr. Robert Whitfield’s Website

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Episode 57: ENCORE: How You Can Prevent Breast Implant Illness

Robert Whitfield MD — Thu, 14 Mar 2024 03:00:00 -0400

How can you prevent breast implant illness?

We’ve already defined what breast implant illness is in the previous podcast episode. It’s a broad term but to put it simply, it is a component of the overall inflammation in your system.

There’s also a need to look at the other components that contribute to your overall inflammation in order to prevent breast implant illness or at least prevent it from worsening. That’s why we have to identify food sensitivities as well. We have to look at how your body absorbs the food you consume.

An analysis of your stool sample’s DNA may be conducted to identify what stimulates you to become inflamed from your diet. However, it remains to be a tough challenge understanding and diagnosing how much inflammation someone has.

Consequently, it’s difficult to understand and diagnose breast implant illness because of that. With my experience of doing thousands of explants, I already know my way through this.

One of the potential ways to reduce your risk of developing inflammation that contributes to breast implant illness is identifying your surgeon for the best possible operative procedure whether it’s for reconstructive or cosmetic surgery. It greatly helps to have a great and trusted surgeon to discuss your condition with.

Choosing the right implant for your patient.

It’s important to carefully choose the right implant for your patient. The size of the implant must fit the frame of the patient while still giving an aesthetic outcome.

Make sure to monitor the status of your patient and her implant throughout the patient’s healing journey not just during the first year but also for the subsequent years to ensure that there are no issues. In my clinic, we have been using a high definition ultrasound for monitoring.

If there’s a change in implants, check with your provider to see if there is a change.

For those who noticed any changes in your implants, make sure to check with your provider to confirm if there’s any noticeable change or trauma. After that consultation, make sure to follow up just to make sure.

There are alternative therapies for those who are not comfortable with the risks associated with breast implants. We perform fat transfer for patients seeking natural breast augmentation. It accentuates the natural breasts’ form and unlike in an implant, it’s between the skin and fatty layer and above the breast tissue.

It’s difficult to change more than a cup size with a fat transfer so if you’re the patient, clearly set out your expectations with regard to what you’re seeking to change visually.

It’s important to make sure that the patients understand all the risks and benefits of the procedures. For fat transfer, factors such as the skin stretch, overall breast size, pregnancies and other history of the patient who wants to get a cup size change are taken into consideration.

As for breast implants, the patients are informed about the risks of breast implant associated cancers and other risks associated with the development of breast implants. That’s why having a qualified professional surgeon who is knowledgeable about these things is important.

If they don’t really understand things like how a patient’s genetic predisposition or overall toxicity affects the implants, it’s going to be tough for them to understand your condition and keep track of the status of your implants.

Links and Resources

Dr. Robert Whitfield’s Website

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Episode 54: ENCORE: How Do You Know If You Have Breast Implant Illness?

Robert Whitfield MD — Thu, 22 Feb 2024 03:00:00 -0500

Breast implants have been used for a relatively long time now. However, there is not enough research studies or discussions based on its effects which is why Breast Implant Illness (BII) is quite a new topic especially in the medical community and is not yet widely recognized.

Because of the lack of information and awareness with regard to the long-term effects of breast implants, many women suffer from breast implant illness. In today’s episode, we’ll be talking about the different aspects of breast implant illness.

When you have multiple things contributing to inflammation, it’s even more complicated.

Breast implant illness is already challenging to treat on its own. And so, it’s already a given fact that when a person has multiple factors contributing to the inflammation, it makes everything more complicated including the diagnosis and treatment.
Since experiences with breast implants vary, the symptoms also vary widely. Some people may experience only mild symptoms, while others may experience more severe symptoms that badly affect their way of living.
Personally, I’ve done more than a thousand consultations regarding breast implants and they have helped me understand breast implant illness more comprehensively. There are those who suffer from memory problems, brain fog or mental health problems whereas some experience symptoms such as shortness of breath and palpitations.

Other symptoms of Breast Implant Illness

There is also a tendency that you’re going to experience problems in your gastrointestinal (GI) system. The common symptoms are acid reflux, constipation, diarrhea, bloating, overall swelling, and other digestive problems. And for some, they get aggressive skin symptoms like body acne and full body rashes.

Usually, people have already gone to several healthcare providers or other specialists before they have found me. Their concerns generally boil down to the fact that no one knows what’s wrong since their blood tests, medical tests, and everything else look normal.

At present, there is limited awareness of both allopathic and functional medicine practitioners but the good thing is that there is more work being done both at a basic science level and at clinical research levels to help expand our knowledge and understanding.
The immune system plays a role in breast implant illness which is why we conduct some provocative tests to help the patients have a better understanding of their own immune system and how it relates to their illness.

There’s a glutathione challenge with liposomal glutathione and more often than not, it's really enlightening to folks that something as simple as that can help them understand how they don't really detoxify well. Everything plays a role in breast implant illness – where we live, where we work, what we eat, what we drink, and the air we breathe.

People are all at risk to have leaky gut, which further exacerbates this problem.

There are many people at risk of having a leaky gut, which further exacerbates the problem. That’s why it is important to identify what stimulates your gastrointestinal tract. If you successfully accomplish that, you’ll be able to know your food sensitivities and everything else in relation to your digestive process.

I’m sure we are all aware of the different kinds of diet from plant-based diets, keto, and others. However, these dietary lifestyles don’t work for others. Maybe that's just not what they're supposed to do because they don't have the correct enzymatic makeup genetically to handle those types of diets.
My whole testing program involves functional genetics, total toxicity, inflammatory markers, and complete blood work including hormones. Once you add everything up, you'll be able to see the pattern of symptoms. And so what we want to do is to first identify the symptoms and correlate these to breast implant illness in order for us to provide the appropriate plans and treatment to get the patient back on the right track.

The importance of genetics in the treatment of breast implant illness.

Overall, genetics along with the standard tests conducted are vital in the treatment of breast implant illness. As time goes on, we'll focus on that even more as a specialty of medicine and a personalized approach in using someone's genetics to identify and explore toxicity and to optimize patients so they can live their best life.

In conclusion, the implant is a big generator of the problem in most cases and the good news is that we have a program for those patients faced with such problems. Many of our clients under our Holistic Accelerated Recovery Program (HARP™) are doing extremely well in terms of recovery. All thanks to the whole team who has been working hard and really devoting their hard work to help patients live their best life.

Links and Resources

Dr. Robert Whitfield’s Website

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Episode 52: ENCORE: Recovery Following Breast Explant Surgery (Breast Implant Removal ) [Part 2]

Robert Whitfield MD — Thu, 08 Feb 2024 03:00:00 -0500

In the second half of our two-part series on recovery following breast implant removal surgery, you’ll hear more about how we help patients recover faster from breast implant removal surgery.

Because lymph nodes are the body’s primary system for fighting infection, we prioritize lymphatic massage as an important step for speeding the healing process along. For this therapy, patients are cared for by our expert lymphatic massage therapist and treated with the Ballancer Pro to flush out toxins, boost the immune system, and shorten recovery time by releasing fluids.

When a fat transfer is included in the surgery to restore volume back into your breasts, the fat is placed between the skin of the breast and above the breast tissue.

Dr. Whitfield’s experience caring for thousands of patients over the years ensures that everything he does including fat transfers are safe and do not create issues with future mammograms.

Links and Resources

Dr. Robert Whitfield’s Website

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Episode 51: From Implants to Insight: A Comprehensive Look at Breast Implant Illness with Casey Araujo

Robert Whitfield MD — Thu, 01 Feb 2024 03:00:00 -0500

In recent years, the prevalence of health issues associated with breast implant surgery has gained significant attention within the medical community and among patients. This heightened awareness has shed light on a condition known as Breast Implant Illness (BII), which is characterized by various symptoms ranging from inflammation and chronic fatigue to autoimmune responses.

Casey Araujo joins me in today’s episode to offer her valuable insight into the aspects of breast implant illness, particularly related to breast implant surgery, removal, and post-recovery. This is to raise awareness about breast implant illness and advocate for a holistic approach to surgical care, emphasizing the importance of mindset, lifestyle modifications, and social support systems in achieving optimal outcomes.

Breast Implant Surgery and its Effects on a Person's Body

In 2016, Casey made the decision to get implants at the young age of 23, without much prior research. She didn’t fully understand its potential consequences. She shared that she always felt a desire to have larger breasts as she was growing up because of external influences.

Initially, she didn't find her implants too large, but eventually, they became the main focus of her appearance, causing discomfort. Within six months of the surgery, she faced inflammation and rapid weight gain. She thought it was just part of the recovery process, but the inflammation persisted, along with rashes and chronic fatigue.

As time passed, her symptoms worsened, but she dismissed them as typical signs of aging and hormonal changes. However, with no improvement in sight, she began to suspect a more serious underlying issue. The inflammation was severe and noticeable, affecting her face, midsection, and arms. She also started experiencing other symptoms like hormonal issues, dry skin, and swollen lymph nodes. Despite consulting various specialists, including GI doctors who recommended dietary changes, the root cause remained elusive.

The discomfort from the implants intensified over time. Despite opting for saline implants under the muscle, they never felt comfortable. She couldn't lie on her stomach or sides without experiencing sharp pains and burning sensations, especially around the left breast where the incisions were made.

Over time, her health got worse to the point that she started feeling depressed and anxious. Although she seemed happy on social media, she was actually going through a tough time. It wasn't until about six or seven years after getting the implants that she stumbled upon information about breast implant illness during extensive research into her deteriorating health.

Chronic Illness and Breast Implant Removal

She didn't associate the autoimmune disease she was diagnosed with in high school with her breast implants. However, as she researched further into breast implant illness, she realized that there might be a connection.

Exploring various avenues of functional medicine and nutrition, and undergoing therapies and treatments, she found no relief from her symptoms. It wasn't until she stumbled upon stories of other women's experiences with breast implant illness that she began to consider the possibility. Even then, she was in denial, unable to believe that her implants could be the cause of her suffering.

A pivotal moment came during a trip to Spain when one of her saline implants ruptured on day three, leaving her left breast flat. This rupture became a clear sign that something needed to change. Despite her initial panic, she ultimately opted for a replacement surgery, only to find that her health deteriorated further afterward.

This experience served as a wake-up call, signaling to her that it was time to remove the implants. She saw the rupture as her body's way of telling her that these implants were not compatible with her health and needed to be removed for good.

Post-surgical Recovery and Inflammation

After undergoing a replacement surgery following the rupture, her recovery was much worse than expected. She experienced severe muscle pain, nerve damage, numbness in her arms, and increased inflammation which were unusual. Her recovery issues raised concerns about potential complications.

Post-replacement, she noticed significant differences in her implants as they felt harder, caused more chest pain and discomfort, and even affected her breathing. The rupture served as a turning point, prompting her decision to have her implants removed and so, she had a consultation with me.
My usual approach is empowering individuals to make informed decisions rather than dictating a course of action. However, after extensive research and introspection, she realized that her implants were likely the root cause of her health issues.

Meditation and breathwork helped her tune into her body, reinforcing her decision that implant removal was necessary for her well-being. With plans to start a family, she opted against procedures like lifts or fat transfers, prioritizing the removal above all else.

Mindset Preparation for Breast Implant Removal Surgery

Truthfully, there is a need for caution and boundaries when seeking support online. Make sure to always surround yourself with positive support, particularly from loved ones, in navigating such journeys. That is why I associate Casey’s smooth recovery with her preparedness and positive mindset before, during, and after surgery.

Casey diligently prepared herself mentally, physically, and emotionally for the surgery. She explored various holistic practices like meditation, breathwork, energy therapy, and more. Her proactive approach, coupled with a strong support system, facilitated her transformative recovery experience.

Casey's experience highlighted the importance of additional support resources, such as health coaching and patient advocates, in navigating the complexities of explant surgery and breast implant illness, especially considering the negative impact of social media on mindset and decision-making.

The addition of health coaching aims to offer holistic support beyond medical intervention whereas patient advocates, who were former patients themselves, provide invaluable insight and empathy.

Links and Resources

Dr. Robert Whitfield’s Website

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Episode 50: ENCORE: Recovery Following Breast Explant Surgery (Breast Implant Removal) [Part 1]

Robert Whitfield MD — Thu, 25 Jan 2024 03:00:00 -0500

It’s normal to worry about how you’ll feel waking up after surgery, and if you’re suffering from breast implant illness (BII), you may be even more worried about recovering from those symptoms. Dr. Whitfield goes above and beyond to make the post-op experience as comfortable and painless as possible. He seeks the answers to the difficult questions about what’s causing each individual’s symptoms of BII and continues to care for and follow up with his patients for a full year after explant surgery.

Dr. Whitfield’s post-op protocol begins on the night before surgery with anti-nausea medicine, Celebrex to decrease inflammation, and a neuromodulator for anxiety. During surgery, a long-lasting block called Exparel prevents pain and keeps nerves calm for several days. This also minimizes the need for narcotic pain medication, which can make you groggy and cause constipation. If you’ve had an epidural or had this experience from another surgery, you already know why constipation should be avoided!

To minimize the risk of infection, Dr. Whitfield does not use drains. Contrary to popular belief, the research shows that drains cause more infections because incisions are exposed to the outside environment and irritated by the drain itself.

Lymph nodes are the body’s system for fighting infection, and lymphatic massage is an important step for speeding the healing process along. For this therapy, patients are treated with the Ballancer Pro to flush out toxins, boost the immune system, and shorten recovery time by releasing fluids.

Finally, and most importantly, you’ll receive the pathology and PCR test results, which looks at 150 different types of bacteria, fungus, and mold.

This episode is part 1 of 2 about the recovery process following breast implant removal surgery.

Links and Resources

Dr. Robert Whitfield’s Website

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Episode 49: ENCORE: Using Fat to Create Beautiful Breasts After Breast Implant Removal (Breast Explant Surgery)

Robert Whitfield MD — Thu, 18 Jan 2024 03:00:00 -0500

Whether you’re having your breast implants removed or never had them at all, the volume lost can be replaced with your own fat and beautiful, long-lasting results can be achieved.

During a fat transfer, fat is taken out of areas it is unwanted and transferred to different areas where fat is desired. Fat is the perfect filler because it is versatile and able to maintain itself over time.

Fat can be used to restore volume, reduce skin laxity, and improve shape, which is one reason why procedures such as the Brazilian Butt Lift (BBL) have become so popular in recent years.

In this episode, Dr. Rob explains the process of fat grafting, including how the procedure is done, the precautions which must be taken to preserve and protect the fat at every point in the process, and how much fat you can expect to retain.

Links and Resources

Dr. Robert Whitfield’s Website

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Episode 48: ENCORE: Breast Implant Removal Surgery (Breast Explant Surgery)

Robert Whitfield MD — Thu, 11 Jan 2024 03:00:00 -0500

Because there are so many unknowns for women with breast implant illness, Dr. Whitfield’s approach to each and every breast implant removal surgery is as cautious and precise as the treatment of a breast cancer patient.

While performing breast implant removal surgery, or “explant” surgery, Dr. Whitfield does everything possible to keep capsular tissue intact without compromising the shell of the implant.

The goals of the procedure are the same, whether the case is a total capsulectomy, a precise total capsulectomy, or an en bloc capsulectomy: to take everything out, as intact as possible. Having cared for thousands of breast patients in his career, Dr. Whitfield has seen it all and knows how risky it can be if something is missed during an explant procedure. By taking all of the material out undisturbed, he ensures a more accurate pathology report at the end of the case.

In this episode, hear Dr. Whitfield thoroughly explain the surgical techniques he uses to successfully remove breast implants.

Links and Resources

Dr. Robert Whitfield’s Website

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Episode 47: ENCORE: Your Breast Implant Removal Pre-Op Appointment: What to Expect

Robert Whitfield MD — Thu, 04 Jan 2024 03:00:00 -0500

During the pre-op appointment, you’ll meet with Dr. Whitfield to review the surgical plan, take photos, and discuss medications. Most importantly, Dr. Whitfield will cover the ERAS recovery protocol to set you up for a smooth experience once you’re out of surgery and resting at home.

For local patients, this short check-in is scheduled 1-2 weeks before surgery, and for traveling patients it will take place 1-2 days before.

This episode is the essential guide to Dr. Whitfield’s time-tested recommendations for a safe, speedy, and comfortable recovery, including what to wear, when to get up and start walking around, how to eat, and when you can expect to start feeling like yourself again.

Links

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

Read more about Breast Implant Illness
https://www.drrobertwhitfield.com/surgical/breast/breast-implant-illness/

Episode 46: ENCORE: Preparing for Breast Implant Removal Surgery

Robert Whitfield MD — Thu, 28 Dec 2023 03:00:00 -0500

Many women suffering from Breast Implant Illness (BII) have been feeling terrible for a very long time and just want to feel better. Hear how Dr. Whitfield helps prepare his Breast Implant Illness (BII) patients to bounce back as fast as possible after surgery and rule out other conditions that could be contributing to chronic illness.

In the weeks leading up to surgery, Dr. Rob’s comprehensive pre- and post-op program investigates for other issues like Lyme disease, environmental exposure, or micronutrient deficiencies, and tests for thyroid conditions and hormonal imbalances.

Links and Resources

Dr. Robert Whitfield’s Website

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Episode 37: Toxicity Testing for Heavy Metals, Mold Toxins, & Environmental Toxins like Glyphosates

Robert Whitfield MD — Thu, 26 Oct 2023 03:00:00 -0400

Understanding our genetics plays a significant role in how effectively we can detoxify our bodies. Our genetics not only defines our physical characteristics but also shapes how our bodies manage and eliminate toxins. Such genetic influence permeates every aspect of our detoxification mechanisms, affecting the effectiveness of processes such as sweating, breathing, bowel movements, and urination.

When I encounter patients who are dealing with various health issues, such as chronic inflammation, particularly in cases like breast implant illness, it often ties back to the liver and kidney's ability to manage toxins. Today's episode holds such significant importance as we will explore the vital role these organs play in detoxification and delve deeper into the impact of various toxins, including heavy metals, mold toxins, and environmental toxins like glyphosates, on our overall well-being.

How Environmental Factors Impact Detoxification and Overall Health

The breast implant may contribute to chronic inflammation in a person, but their ability to manage detoxification, environmental factors like their location or environmental surroundings, air quality, water sources, and dietary choices play a significant role in shaping their health. That is why when I assess my patients, I pay close attention to their inflammatory symptoms, especially in the nervous system, where signs like brain fog, memory issues, and neuropathic pain can manifest.

These inflammatory symptoms are particularly concerning in younger individuals, especially those with children. The adverse effects are not limited solely to neurological symptoms like brain fog and memory issues. They encompass a wide array of discomforts, including conditions such as dry eyes, persistent coughing, moments of breathlessness, sensations of chest tightness or discomfort, and a spectrum of digestive issues like heartburn, acid reflux, constipation, and diarrhea. Additionally, individuals may experience musculoskeletal pain, with persistent aches and discomfort in their joints and muscles.

Fortunately, I've learned to understand how each person detoxifies by listening to their experiences, conducting genetic testing, and assessing their symptoms over many years. This helps me formulate a comprehensive view of their individual health and how they manage detoxification.

Toxins in Mold Exposure and their Effects on Health

In our office, we have a few methods to support our findings. Personally, I'm interested in conducting a urine tox test, which can reveal substances like mycotoxins, heavy metals, and environmental contaminants. The tox test report encompasses a range of toxins, and individuals with significant mold exposure might show the presence of toxins like aflatoxin, beta-one, alpha toxin, and M-one.

There are also various other mycotoxins, such as ochratoxin, which is sometimes found in wine, with varying regulations in the United States and Europe. As such, people sensitive to mold and ochratoxin can face challenges when consuming wine.

Heavy Metal Exposure and Detoxification in Patients with Implants

Heavy metals that may be found in patient's test results include aluminum, beryllium, gadolinium, nickel, platinum, antimony, bismuth, cadmium, lead, mercury, thallium, thorium, tungsten, and uranium. These metals could be acquired through environmental exposure.

Ongoing research exists about whether medical devices like hip, knee, or breast implants might contribute to metal exposure. In some cases, devices like knee or hip implants can result in what's called "poly wear." Notably, urine tests conducted after the removal of such devices, as in the case of explanted patients, have shown significant improvements in heavy metal levels, even before engaging in a detox program. However, some heavy metals, like beryllium, might linger, warranting further investigation.

Taking thorium as an example, it is used in the production of welding rods, firebrick, camera and telescope lenses, gas lantern mantles, ceramics, aerospace industry materials, and nuclear reactions. Thorium has also been employed as a contrast agent in medical procedures, but it is associated with various side effects and symptoms related to hematologic, pulmonary hypertension, fibrosis, and respiratory issues.

In addition to assessing food sensitivities through testing like GI maps and examining hormone levels and other bloodwork, I find it highly valuable to complement this with urine toxicity tests and genetics analysis. This comprehensive approach helps clarify the information I gather during patient interviews and allows us to create a comprehensive overview of why patients are experiencing their symptoms, with a particular focus on understanding their exposure to toxins.

Additionally, with respect to toxicity assessment, it's worth noting that I've encountered some unusual cases, such as exposure to triclosan. Understanding the chemical components in products we use daily is crucial. Triclosan is present in various consumer products like toothpaste, detergents, toys, and antibacterial wet wipes. Additionally, herbicides like Atrazine and Glyphosates, the latter being a systemic herbicide and crop desiccant, also warrant attention. Exposure to these substances can occur through food, skin absorption, or inhalation in areas where they are used.

Comprehensive assessments, including genetic analysis, toxicity profiles, food sensitivities, gut microbiome status, hormone levels, and other bloodwork are vital. Such a holistic approach enables us to gain a deep understanding of the root causes of patients' symptoms, providing a foundation for developing effective treatment plans, which may include surgery in cases like explant procedures, and overall strategies for improving their well-being.

Links and Resources

Dr. Robert Whitfield’s Website

Follow Dr. Rob on Instagram
https://www.instagram.com/drrobertwhitfield/

For more information on Virtual and In Person Consultations, we always answer our messenger personally:
https://www.drrobertwhitfield.com/contact/

Episode 14: Can Breast Implants Be Removed Safely?

Robert Whitfield MD — Thu, 27 Apr 2023 03:00:00 -0400

In today’s episode, we’ll be answering one of the frequently asked questions during and outside consultations as regards breast implants – can they be removed safely?

What’s the difference between injuring the lung and injuring the chest cavity?

What are the risks and benefits of explants?

What are the next steps if you’re unhappy with the aesthetics of your breast implants?

As we’ve always emphasized, it's important to find a provider who recognizes breast implant illness as a real entity and has a plan to support you both before, during, and after surgery.

If you want to consult with us, you may reach out to us. We conduct a Holistic Accelerated Recovery Program which has been very beneficial and effective for our patients.

Links and Resources

Episode 12: How You Can Prevent Breast Implant Illness

Robert Whitfield MD — Thu, 13 Apr 2023 03:00:00 -0400

With a number of cases of women being affected by breast implant illness, there’s a need for us to ensure that everyone is fully informed about the risks, benefits and preventions for such illness as it remains to be unrecognized by many.

And that’s why we’re here today! We’ll be talking about how to prevent breast implant illness and the importance of having a reputable and qualified surgeon for your implants.

How can you prevent breast implant illness?

We’ve already defined what breast implant illness is in the previous podcast episode. It’s a broad term but to put it simply, it is a component of the overall inflammation in your system.

Consequently, it’s difficult to understand and diagnose breast implant illness because of that. With my experience of doing thousands of explants, I already know my way through this.

Choosing the right implant for your patient.

It’s important to carefully choose the right implant for your patient. The size of the implant must fit the frame of the patient while still giving an aesthetic outcome.

If there’s a change in implants, check with your provider to see if there is a change.

It’s difficult to change more than a cup size with a fat transfer so if you’re the patient, clearly set out your expectations with regard to what you’re seeking to change visually.

Links and Resources:

Episode 11: How Do You Know If You Have Breast Implant Illness

Robert Whitfield MD — Thu, 06 Apr 2023 03:00:00 -0400

When you have multiple things contributing to inflammation, it’s even more complicated.

Other symptoms of Breast Implant Illness

People are all at risk to have leaky gut, which further exacerbates this problem.

My whole testing program involves functional genetics, total toxicity, inflammatory markers, and complete blood work including hormones. Once you add everything up, you'll be able to see the pattern of symptoms. And so what we want to do is to first identify the symptoms and correlate these to breast implant illness in order for us to provide the appropriate plans and treatment to get the patient back on the right track.

The importance of genetics in the treatment of breast implant illness.

Links and Resources:

To learn more about the Holistic Accelerated Recovery Program (HARP™), you can save your seat through this link: https://www.harp.health/

You can visit our online store if you’re looking for a wide range of highest grade supplements and medical grade skin care to aid you in your recovery: https://drrobssolutions.myshopify.com/.