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

Episode 135: The Conversation About Breast Implants Every Woman Needs to Hear, with Dr. Alan Gonzalez

Robert Whitfield MD — Thu, 25 Sep 2025 03:00:00 -0400

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
Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554
Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667
TikTok: https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&_r=1
IG: https://www.instagram.com/breastimplantillnessexpert/
FB: https://www.facebook.com/DrRobertWhitfield
Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/
X: https://x.com/rob_whitfieldmd
Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness
Shop: https://drrobssolutions.com
SHARP: https://www.harp.health
NVISN Labs - https://nvisnlabs.com/

Get access to Dr. Rob's Favorite Products below:

Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg
JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/
Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/
BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com
Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Episode 127: The SHARP Method Hydration Episode

Robert Whitfield MD — Fri, 01 Aug 2025 10:30:00 -0400

This week, Dr. Robert Whitfield joins the global #TeamWater challenge with a focused episode on one of the most overlooked factors in healing: your water. From municipal toxins to hydrogen protocols, Dr. Robert breaks down how water impacts inflammation, recovery, detox, and long-term wellness.

Join #TeamWater! Go to teamwater.org right now to donate and make a difference!

What you’ll learn:

Why plastic, PFAS, and endocrine disruptors hide in common water sources
What Dr. Robert uses to filter water in his home and practice
How hydrogen water reduces oxidative stress and improves sleep
Why hydration after surgery must include amino acids, not just electrolytes
How structured water supports the gut, the brain, and the lymphatic system

This isn’t just about hydration.
It’s about making your water therapeutic.

Chapters:

03:21 – The real problem with U.S. water systems
07:45 – What PFAS, plastics, and pharmaceuticals do to your body
10:30 – Dr. Robert’s home filtration setup (and what to avoid)
14:02 – Why hydrogen water reduces inflammation
17:44 – How water impacts the gut, the brain, and the lymphatic system
23:55 – Post-op hydration: amino acids vs. electrolytes
28:13 – The SHARP Method’s approach to hydration

Links and Resources

Get access to Dr. Rob's Favorite Products below:

Episode 126: Danica Patrick’s Hidden Health Battle That Changed Everything

Robert Whitfield MD — Thu, 24 Jul 2025 03:00:00 -0400

Today, Dr. Robert Whitfield sits down for a chat with former race car driver, Danica Patrick. Danica opens up about what it was like to move to England at just 16 to chase her racing dreams, her personal experience with breast implants, and the health struggles she faced because of them. She and Dr. Whitfield discuss the road to recovery, the importance of self-care, and the need to truly listen to what your body is telling you. They also shine a light on Danica’s shift into entrepreneurship and stress how important it is to raise awareness and offer support for anyone dealing with breast implant illness and similar health challenges.

Bio: Danica Patrick

Danica Patrick is a trail-blazing former racecar driver who smashed motorsport records: first woman to lead laps & finish top-5 at the Indy 500, first female winner of a major North American open-wheel race, and first woman to claim a NASCAR Cup Series pole, capping her career with the 2018 “Danica Double” at Daytona 500 and Indy 500. Named to TIME’s “100 Most Influential People” and featured in a record 14 Super Bowl ads, Danica has since shifted gears into entrepreneurship. She owns Somnium Vineyard in Napa, expanded with Danica Rosé and the VOYANT home line, and hosts the bestselling book-turned-podcast Pretty Intense. Connect: @danicapatrick | @SomniumWine | @DanicaRoseWine.Danicapatrick.com

Show Highlights:

Danica’s Move to England & Early Racing Career (00:01:13)
Moving to England at 16, adapting to a new environment, and early racing experiences.

*Decision to Get Breast Implants (00:08:37) *
Motivations for getting breast implants and Danica’s initial trust in their safety

*Onset and Progression of Health Issues (00:10:54) *
Gradual onset of symptoms and complications after getting implants

Heavy Metals, Detox, and Health Challenges (00:11:52)
Heavy metal toxicity, detox protocols, and the impact of diet and implants

*Diet, Recovery, and Symptom Awareness (00:14:14) *
Dietary habits, symptom awareness, and the journey to identifying breast implant illness

*Medical Workups and Explant Surgery (00:14:48) *
Medical workups, failed treatments, and eventual decision to explant in April 2022

*Thyroid Issues and Post-Explant Recovery (00:18:40) *
Thyroid medication, inflammation, and the body’s response after explant surgery

*Detoxification, Sweating, and Alternative Therapies (00:28:54) *
Sweating, detoxification, and alternative therapies like IBU and steam saunas

Links and Resources

Get access to Dr. Rob's Favorite Products below:

Episode 124: Busting Free with Dr. Amanda Savage Brown

Robert Whitfield MD — Thu, 10 Jul 2025 03:00:00 -0400

Behind the fascination with augmented breasts is a complex truth that involves a number of experiences, such as trauma and the necessity for explants or breast implant removal. While breast implants have provided benefits for many women, they have also been connected with major complications and traumatic experiences.

In today’s episode, we are joined by Candice Barley, a breast implant illness patient advocate, and by Dr. Amanda Savage Brown, the author of Busting Free: How to Liberate Yourself from the Quest for Better Breasts Before, During, and Long After Explant.

If you want to grab a copy of Dr. Brown’s book, you can visit her website through this link: https://amandasavagebrown.com/
Website - https://amandasavagebrown.com/

Show Highlights:

Why Write "Busting Free"? (00:03:22) Dr. Brown explains her motivation for writing her book and the unmet psychosocial needs of women with breast implants.
The Origin of the "Breast Rule Book" (00:06:56) Societal beliefs about breasts, how these beliefs form, and their impact on self-image
Individual Breast Rule Books & Social Pressures (00:13:38) How each woman’s experience is unique, and the role of peer and societal pressure in shaping self-worth
Psychological Flexibility & Adaptation (00:22:01) Psychological flexibility as it relates to patients and surgeons, emphasizing adaptability in care
Partner Considerations & Relationship Dynamics (00:26:42) Addressing the complexities of partner reactions to explant surgery and strategies for communication and support.
The Importance of Advocacy & Support (00:29:48) The value of patient advocacy and having supportive professionals during the explant journey
Will I Get Better? Addressing Patient Fears (00:37:48) Approach to treating inflammation and the holistic methods used in his practice
Tipping Points: Stress, Trauma, and Illness (00:39:30) Life stressors, trauma, and environmental exposures in triggering breast implant illness symptoms
The Real Challenge: Post-Surgical Recovery (00:44:17) Complexity of recovery after explant surgery and the need for ongoing support
Medical Gaslighting & Patient Validation (00:48:03) Emotional impact of being dismissed by doctors and the relief of being believed

Links and Resources

Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554
Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667
TikTok: https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&_r=1
IG: https://www.instagram.com/breastimplantillnessexpert/
FB: https://www.facebook.com/DrRobertWhitfield
Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/
X: https://x.com/rob_whitfieldmd
Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness
Shop: https://drrobssolutions.com
SHARP: https://www.harp.health
NVISN Labs - https://nvisnlabs.com/

Get access to Dr. Rob's Favorite Products below:

Episode 120: Top Signs Your Breast Implants May Be Making You Sick with Dr. Micah Pittman

Robert Whitfield MD — Thu, 12 Jun 2025 03:00:00 -0400

In today’s episode, Dr. Robert Whitfield and Dr. Micah Pittman, a chiropractor with a background in neuroscience and biochemistry, discuss breast implant illness (BII). Dr. Pittman shares his wife Shiloh's journey, detailing her symptoms like autoimmune issues and joint pain, and her significant health improvements post-explant surgery. They explore the potential causes of BII, including implant degradation and bacterial contamination. Tune in to hear about the importance of holistic health practices, emotional support, and informed decision-making for women considering explant surgery to address BII symptoms.

Bio: Dr. Micah Pittman

Dr. Micah Pittman has had an exciting career in natural health care. He spent several years in Abu Dhabi/Dubai, training and treating fellow martial artists, as well as elite members of the government. He comes from a family of chiropractors and has practiced in San Diego, Los Angeles, Abu Dhabi, Seattle, and now, is happy to call Lakeway, TX, home.

Connect with Dr. Pittman - 620 Chiropractic

Show Highlights:

Autoimmune Dysfunction Correlation (00:07:15)
Correlation between breast implants and autoimmune disorders in patients
Impact of Diet and Implants (00:10:30)
Diet’s impact on health issues in patients
Intra-cavity Pressure Effects (00:11:17)
Intra-cavity pressure from implants on nerve roots and overall health
Lymphatic Congestion (00:12:19)
Lymphatic drainage issues related to breast implants
Surgical Observations (00:13:14)
Dr. Whitfield shares observations on tissue changes during explant surgeries.
Chronic Inflammation and Pathology (00:14:21)
Chronic inflammation that is observed in patients post-surgery
Bacterial Growth and Leakage (00:14:35)
Bacterial contamination related to implant leakage and its health effects
Discussion on Implants and Infections (00:38:05)
Dr. Whitfield explains the risks of infections and chronic inflammation associated with implants.

Links and Resources

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Episode 117: The Mouth-Body Connection That Could Change Your Health with Toni Engram, DDS, AIAOMT

Robert Whitfield MD — Thu, 22 May 2025 03:00:00 -0400

Ever wondered how your dental health might be linked to breast implant illness? In this engaging podcast episode, Dr. Robert Whitfield speaks with Dr. Toni Engram, a forward-thinking biologic dentist, about unraveling the intriguing link between breast implant illness (BII) and holistic dentistry. Dr. Engram passionately talks about how crucial oral health is to our overall well-being and may raise some eyebrows by discussing the risks of fluoride and amalgam fillings. Together, they emphasize the need for personalized care and the deep connection between oral and systemic health. Plus, they dish out some practical tips for keeping your mouth, and the rest of you, healthy and happy. Tune in for insights that might just change the way you think about your health!

Connect with Toni Engram, DDS, AIAOMT

Website
Youtube - @yourholisticdentist
Instagram - @drtoniengram

Show Highlights:

Biologic vs. Holistic Dentistry (00:02:48)
Principles of biologic dentistry, emphasizing whole-body health
Oral Health and Systemic Health (00:04:34)
Connection between oral health and overall wellness
Toothpaste Recommendations (00:11:01)
Alternatives to fluoride toothpaste for better oral health
SMART Protocol for Safe Removal (00:15:41)
SMART protocol for safely removing mercury fillings
Materials Used in Dental Work (00:18:22)
Modern materials used to replace mercury fillings
Testing for Oral Health Issues (00:31:48)
Saliva and blood testing for identifying dental material reactions
Chronic Inflammation and Oral Health (00:35:28)
Oral health and chronic inflammatory processes in patients
Sleep Apnea and Oral Health (00:38:51)
Sleep apnea's impact on health and its underdiagnosis in patients

Bio.

Dr. Toni Engram is a biological dentist, integrative health coach, and owner of Flourish Dental
Boutique in Richardson, TX. After her own personal health struggles with an autoimmune
disease, Dr. Engram shifted her practice philosophy to focus on whole-body health and the
prevention and safer treatment of oral disease. She has degrees from Texas Christian
University and Baylor College of Dentistry. Dr. Engram is a member of the IAOMT (International
Academy of Oral Medicine and Toxicology) and the IABDM (International Academy for
Biological Dentistry and Medicine). She is SMART certified in safe amalgam removal technique,
accredited through the IAOMT, and is a TBI Ambassador through The Breathe Institute. She is
also a certified Integrative Health Coach through the Institute of Integrative Nutrition.

Links and Resources

Get access to Dr. Rob's Favorite Products below:

Episode 108: Hidden Dangers of Breast Implants and How to Address Complications with Dr. Randall Feingold

Robert Whitfield MD — Thu, 13 Mar 2025 03:30:00 -0400

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!

Connect with Dr. Feingold

NYBRA Plastic Surgery
Facebook
Instagram
LinkedIn

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

Get access to Dr. Rob's Favorite Products below:

Episode 107: Breaking Free from Beauty Standards With Alexi Panos and Her Explant Journey

Robert Whitfield MD — Thu, 06 Mar 2025 03:00:00 -0500

Today, Dr. Whitfield shares a fantastic conversation with Alexi Panos. Alexi is an embodiment coach and bestselling author with quite a story to tell! Alexi opens up about her experiences with breast implants, touching on the pressures from the industry, struggles with body image, and how past trauma played a role. She candidly shares her regrets after surgery, her healing journey, and what led her to choose explant surgery. Together, Dr. Whitfield and Alexi shed light on why it's so important to address breast implant illness, sharing the latest research, treatment options, and some compelling personal stories. They’ll also discuss the importance of self-acceptance and take a critical look at societal beauty standards. Be sure to tune in to hear an episode riveted with exceptional insights!

Connect with Alexi:

Website
IG @alexipanos
FREE RECEIVING TRAINING: Ready to expand your ability to RECEIVE? Get this free, in-depth Masterclass on The Art Of Receiving—a sub-module straight from my signature course, Awaken the Muse.
BRIDGE WORKSHOPS
AWAKEN THE MUSE (Self-Study Program)
LIVING THE MUSE (Group Coaching Intensive)
Alexi’s Books: 50 Ways To Yay! and Now Or Never

Key Takeaways:

Healing Trauma (00:06:46)
Healing from past trauma and its impact on her body image

Cultural Standards of Beauty (00:07:24)
Societal beauty standards and the normalization of body augmentation in the modeling industry

Toxicity Awareness (00:11:57)
Understanding toxicity in products and the effects on health

Holistic Healing Approach (00:17:49)
A holistic approach to healing beyond just removing implants

Understanding Breast Implant Illness (19:33)
Alexi shares her experience with breast implant illness symptoms and the need for explant surgery.

Emotional and Physical Healing (27:21)
Emotional and physical healing experienced after removing implants

Empowerment and Identity (00:37:49)
Women's value beyond physical appearance and societal roles

Embodiment and Nervous System Regulation (00:38:48)
Importance of embodiment work and nervous system regulation for women's well-being.

Links and Resources

Get access to Dr. Rob's Favorite Products below:

Episode 103: Exploring MCAS and Breast Implant Illness with Dr. Kelly McCann

Robert Whitfield MD — Fri, 07 Feb 2025 03:00:00 -0500

In this podcast episode, Dr. Kelly McCann, who's both an internist and a pediatrician with a focus on mast cell activation syndrome (MCAS), chats with host Dr. Whitfield about how MCAS is linked to breast implant illness. Dr. McCann breaks down how these overactive mast cells can lead to a wide range of symptoms and shares some exciting new research showing that many patients feel a lot better after having their breast implants removed. They dive into how environmental toxins, genetic factors, and biofilms can make MCAS worse. The episode really highlights the need for advanced diagnostic tools and taking a holistic approach to tackle these complex health issues.

Connect with Dr. McCann
[www.thespringcenter.com](ww.thespringcenter.com/) and www.drkellymccann.com

Show Highlights:

Research Findings on Symptom Relief (00:03:21)
Dr. McCann shares research showing significant symptom relief after breast implant removal
Triggers of Mast Cell Activation (00:06:14)
Discussion on diverse triggers for mast cell activation and their effects on patients
Environmental Medicine and Chemical Sensitivity (00:10:05)
Connection between mast cell activation and environmental chemical sensitivity
Eliminating Mycotoxins (00:28:34)
Summary of methods to eliminate waste faster than the body can reabsorb bile salts, aiding mycotoxin removal
Mast Cell Activation and Gut Issues (00:29:43)
Exploration of mast cell activation's impact on gut health, including leaky gut syndrome and dysbiosis
Mold Exposure and Biofilms (00:33:22)
Discussion on how mold exposure can lead to bacterial colonization and biofilm formation, complicating treatment
Mold and Bacterial Interaction (00:34:15)
Clarification that mold is not the primary issue with breast implants
Oxidative Stress and Free Radicals (00:35:16)
Insights into how bacterial interactions with breast tissue can lead to oxidative stress and related health issues
Genetics and Patient Complexity (00:37:02)
Highlighting the complexity of treating patients with mast cell activation syndrome and the importance of genetic factors

Links and Resources

Let’s Connect...
Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554
Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667
TikTok: https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&_r=1
IG: https://www.instagram.com/breastimplantillnessexpert/
FB: https://www.facebook.com/DrRobertWhitfield
Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/
X: https://x.com/rob_whitfieldmd
Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness
Shop: https://drrobssolutions.com
SHARP: https://www.harp.health
NVISN Labs - https://nvisnlabs.com/

Get access to Dr. Rob's Favorite Products below:
Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg
JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/
Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/
BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com
Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Episode 101: Dr. Rob Whitfield Explains Breast Implant Illness and the SHARP Program

Robert Whitfield MD — Thu, 23 Jan 2025 03:00:00 -0500

We have a fantastic solo episode today with Dr. Rob Whitfield, a board-certified plastic surgeon who's here to shed some light on breast implant illness, or BII, and how it's managed.

Dr. Whitfield kicks things off by introducing us to the SHARP program. This isn't just any program; it's all about tackling chronic inflammation. How, you ask? Through some pretty cool methods like genetic testing, checking out environmental toxins, and making sure your gut health is in tip-top shape.

We dive into the nitty-gritty of BII symptoms and why it's crucial to remove the entire implant capsule during explant surgery. Dr. Whitfield also shares some eye-opening research on how bacterial contamination might be linked to BII.

But it's not just about the ****science. Dr. Whitfield is all about empowering women with the knowledge and resources they need. Whether you're thinking about explant surgery or are on the road to recovery, he's got your back with support and encouragement for proactive health management.

So, grab your headphones and get comfy—this is an episode you won't want to miss!

Show Highlights

Introduction to Breast Implant Illness (00:00:03)
Breast implant illness and its impact on women's health
Overview of the SHARP Program (00:01:25)
Explanation of the SHARP program for managing chronic inflammation related to breast implants
Genetic Testing and MTHFR (00:02:34)
Discussion on genetic testing and the role of MTHFR in nutrient utilization and inflammation
Environmental Toxins (00:03:39)
Insight into environmental toxins like glyphosate and their effects on health
Mycotoxins and Mold Sensitivity (00:04:48)
Exploration of mycotoxins from mold and their impact on patients' health
Heavy Metals and Gut Health (00:04:48)
Importance of testing for heavy metals and assessing gut health pre-operatively
Chronic Inflammatory Symptoms (00:08:13)
Overview of common symptoms associated with breast implant illness and chronic inflammation
Research on Bacterial Contamination (00:09:21)
Recent studies showing the link between bacterial contamination and breast implant illness symptoms
Aesthetic Considerations in Explant Surgery (00:10:28)
Challenges and considerations regarding aesthetics after explant surgery

Links and Resources

Episode 98: ENCORE: Are Your Breast Implants Making You Sick? with Dr. Robert Whitfield

Robert Whitfield MD — Thu, 02 Jan 2025 03:00:00 -0500

Women who believe their implants are making them sick report a wide range of symptoms including extreme fatigue, muscle and joint pain, headache, brain fog, hair loss, rashes, dry mouth and eyes, depression, anxiety, and insomnia.

These conditions appear within a few months to several years following surgery and seem to follow a secondary surgery like revision or exchange. However, the exact cause is difficult to pin down because other conditions, like Lyme disease and toxic mold exposure, can cause similar symptoms.

Using PCR testing (instead of traditional CLIA-based lab testing), Dr. Rob discovered that over 60% of the breast implants he removed all had one thing in common.

Dr. Robert Whitfield describes his methodology for identifying this complicated, misunderstood condition and shares his treatment strategies utilizing nutrition and genetic testing to put his patients on the path to healing.

For more healing resources created by Dr. Rob, visit our store - Dr. Rob's Solutions at https://drrobssolutions.myshopify.com.

Show Highlights:

Causes of BII (00:03:56)
Biofilm and its significant contribution to breast implant illness cases
What is Biofilm? (00:04:56)
Explanation of biofilm as a bacterial or fungal contaminant affecting health and inflammation
Environmental Factors (00:05:26)
Environmental exposures, like mold and Lyme disease, and their role in BII symptoms
Gut Health and Immune Response (00:07:43)
Gut health's impact on immune function and overall wellness in BII patients
Identifying Symptoms and Providers (00:10:12)
How to identify symptoms and seek appropriate medical guidance for BII
Explant Surgery Options (00:10:12)
Overview of surgical options available for patients considering explant surgery
Symptom Abatement Timeline (00:11:20)
Discussion on the expected timeline for symptom improvement after explant surgery
Pathology and Testing (00:12:36)
Importance of laboratory analysis in evaluating post-surgery health and contamination
Nutritional Support and Genetic Testing (00:13:50)
The role of nutrition and genetic predisposition testing in managing BII
Cautions on Online Medical Advice (00:15:13)
Warnings against seeking medical advice from unqualified sources online

Links and Resources

Episode 96: A Holistic Approach to Healing from Breast Implant Illness with Dr. Lu-Jean Feng

Robert Whitfield MD — Thu, 19 Dec 2024 03:00:00 -0500

Breast Implant Illness (BII) affects many women, yet it's not widely discussed within the medical community. In our latest episode, Dr. Rob Whitfield and Dr. Lu-Jean Feng dive deep into the symptoms and recovery process of BII. From local symptoms like pain to systemic issues such as fatigue and brain fog, understanding these symptoms is crucial for those considering explant surgery. By examining the role of genetics and detoxification pathways, we emphasize a personalized treatment approach for better health outcomes. Tune in to hear more!

Show Highlights:

Historical Context of Silicone Problems (00:04:35)
Discussion on early reports of systemic problems related to silicone implants dating back to the 60s.
Epigenetics and Health (00:14:37)
Discussion on how epigenetic factors, including diet and environmental exposure, influence overall health
Gut Health Challenges (00:18:23)
Complexities of gut health issues faced by patients post-explant surgery
Functional Approaches to Gut Recovery (00:20:24)
Integrating functional medicine practitioners to address gut health and recovery
Importance of Sleep for Recovery (00:22:04)
The significance of sleep for surgical recovery and brain health, especially in women
Exercise and Sleep Quality (00:26:14)
How intense cardio workouts improve sleep quality and overall health
Weight Training for Women (00:28:01)
Importance of weight training to prevent osteoporosis in women
Understanding Surgical Limitations (00:40:21)
Clarification on the variability of surgical outcomes based on muscle quality and previous surgeries
Philosophical Differences in Surgery Techniques (00:44:35)
Exploration of different surgical philosophies regarding drains and lymphatic drainage
Lymphatic Massage and Recovery (00:54:54)
The role of lymphatic massage in enhancing recovery post-surgery

Connect with Dr. Whitfield

Podcast
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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 73: ENCORE: Busting Free with Dr. Amanda Savage Brown

Robert Whitfield MD — Thu, 04 Jul 2024 03:00:00 -0400

Behind the fascination with augmented breasts is a complex truth that involves a number of experiences such as trauma and the necessity for explants or breast implant removal. While breast implants have provided benefits for many women, they have also been connected with major complications and traumatic experiences.

Links and Resources

Episode 69: What is Breast Explant Surgery?

Robert Whitfield MD — Thu, 06 Jun 2024 03:00:00 -0400

Breast explant surgery or breast implant removal is a surgical procedure commonly done for various reasons such as implant issues, breast reconstruction, implant rupture, dissatisfaction with the appearance of the implants, or other cosmetic purposes.

In breast explant surgery, the implants alone may be removed or the surrounding scar tissue may also be included. In some circumstances, a breast lift may be done with the explant procedure to enhance the look of the breasts.

In today’s episode, we’re going to discuss what breast explant surgery is and why people want to undergo such surgery.

What is breast explant surgery?

When we’re talking about breast explant surgery, we’re referring to the removal of breast implants and any scar tissue formed around the implants. Nowadays, many plastic surgeons do explants for various reasons.

My approach to explant surgery is to everything out in its entirety, which is why many people seek me out for that very reason. Typically, my clients are those who had a placement of a device either for cancer reconstruction or other cosmetic purposes and are experiencing symptoms associated with breast implant illness.

The most common symptoms experienced by my patients are anxiety, depression, brain fog, dry eyes, headache, light sensitivity, sound sensitivity, shortness of breath, heart palpitations, nerve pain down their arms or legs, joint pain, and other gastrointestinal issues.

Oftentimes, patients find me through what I offer in terms of holistic rejuvenation with fat transfer. In fact, I’ve been doing fat transfer since the 2000s for cancer reconstruction and other cosmetic purposes. I'm very comfortable with doing these operations and I have already refined my process, having done over 1,500 fat transfers.

Why do I prefer fat transfer?

When it comes to breast lifts, we have different kinds of techniques such as vertical, crescent, peri-areolar, and anchor breast lifts. The patients may have a preferred kind but it actually depends on the necessity.

If the patient had a peri-areolar placement, then we try to use that scar and remove the implant intact through it. The average length of a surgery is about two and a half hours. If we add a lifting procedure, it's a little over three hours.
If I'm doing a combination procedure of fat removal to be used for fat transfer, it usually takes between four to five hours. The main reason as to why I like to use fat is because it's your own tissue. It has actually been used as a filler for over 100 years.

Besides providing or enhancing the breast volume, it also helps offset some visual changes that the patient's not happy with. This is why as much as I can, I try to help patients learn about fat transfers and make them understand from my perspective.

Doing these operations can be draining, especially mentally, so it’s best for patients to have a great support system that shows up to help them and provide much-needed support.
What I always emphasize is if you’re considering explants or doing other procedures, it’s important to find a reliable professional with whom you can communicate your concerns.You can check my website to help you along the way.

Links and Resurces

Dr. Robert Whitfield’s Website

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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 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 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 36: Do Breast Explant Surgery Patients Also Need a Lift?

Robert Whitfield MD — Thu, 19 Oct 2023 03:00:00 -0400

Breast explant surgery represents a significant juncture for patients who have previously undergone breast augmentation, a procedure often embraced to enhance one's physical appearance and self-confidence. However, as time unfolds and perspectives evolve, some individuals opt to have their implants removed and return to a more natural state. We are thus faced with an important question of whether or not breast explant surgery patients also need a breast lift.

In today’s episode, I’ll discuss an important topic, breast explantation, and how it relates to breast lifts. We’ll explore the various factors that play a role in making this decision Join me for an insightful discussion on this subject.

Breast augmentation and inflammation reduction

People often ask me if a breast lift is necessary after breast explant surgery. I firmly believe that a breast lift is not a mandatory requirement after a breast explantation. Each individual's journey through this process is uniquely personal, shaped by their distinct goals, preferences, and body dynamics.

Recently, I had a patient from New York who was petite and had small implants, similar to many low BMI patients I see whose goal was to achieve a more feminine appearance. Initially, these patients weren't presented with alternative options like a fat transfer or a smaller implant. They had implants sized between three and 400 ccs placed through an axillary approach. In those cases, I focused on the safest and most controlled approach, which was under the breast, to minimize complications.

As an innovator in the cosmetic surgery field, I create products to optimize outcomes and expedite patients' recovery. Reducing inflammation in the body is a crucial focus for all my patients, achieved through diet and supplements. That is why I've designed a specialized inflammation support bundle to aid in this process, understanding the challenge of managing fatigue for many patients. This bundle includes liposomal versions of essential vitamins and minerals for better absorption without being overwhelmed with pills.

Breast lift surgery techniques and patient preferences

In one case, we did the implant placement through the armpit to avoid visible scarring. However, the armpit approach was not suitable for removing all the capsule and scar tissue. Alternative approaches under the breast or a donut lift were discussed with the patient to minimize excess skin during the procedure and to leave less visible scarring. It's emphasized that not everyone requires a lift during the explantation. Thus, individual choice and skin evaluation over time are important considerations.

This experience reinforces a pivotal understanding in the realm of breast explant surgery - the acknowledgment that a one-size-fits-all approach is not suitable nor advisable. Every person is different, and it's so important to tailor the surgery to each person's specific situation. Considering what the individual needs, wants, and their body's characteristics is key to making the surgery successful. It's all about giving personalized care, understanding what's best through good communication, and really grasping what the person hopes to achieve from the surgery.

I’ve been performing numerous explantations, or removals, of breast implants since 2016 before I started doing lift procedures. My priority is to minimize scarring and achieve the desired outcomes. I mainly utilize circular or doughnut lifts and lollipop lifts for surgical skin tightening, avoiding anchor or crescent lifts due to their potential impact on future fat transfers. Moreover, I focus on optimizing outcomes with minimal surgical steps and adjustments for patients who opt not to have a lift. Ultimately, the decision for a lift is up to the patient, and I strive to provide them with the information they need to make an informed choice.

If you're looking for additional resources and support, be sure to visit our online store: https://drrobssolutions.com/collections/all

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 34: Why Does Dr. Whitfield Not Use Drains?

Robert Whitfield MD — Thu, 05 Oct 2023 03:00:00 -0400

Drains play a crucial role in breast implant procedures because they help reduce post-operative swelling by preventing fluid accumulation and minimizing any infection risks. That is why I’m often asked why I don’t use drains for breast implant procedures.

This dates back to an experience that sparked my interest in offering more fat transfer options to patients, particularly those dealing with breast implant illness. It's all about providing the best care and experience for our valued patients and that’s going to be our focus for today’s episode.

Why do you not need drain tubes?

The answer to the frequent question of why I don’t use drain tubes after breast surgery dates back to a pivotal moment in my career when a client came to me requesting to have her old implants replaced with a fat transfer despite having no breast implant illness symptoms. Consequently, I agreed to perform the procedure by incorporating drains as part of the process.

However, one significant issue I encountered during surgeries was the discomfort associated with drain tubes. After completing a fat transfer, we place liposuction garments on the patient, wrap them gently with a bandage, and then insert a drain tube. The downside, however, is that these drain tubes typically create openings in your body that can be susceptible to infections. As such, the more openings you have, the higher the risk of infection.

By focusing on comprehensive preoperative preparation and cutting-edge techniques, we can achieve excellent results without the need for drains. As a matter of fact, the Tummy Tuck procedure has long been successfully performed without the use of drains. This involves a specific suturing method and the use of internal surgical glue to seal the area, effectively reducing dead space and the risk of complications.

Minimizing the need for drain tubes in breast implant surgery not only reduces the risk of infections but also streamlines the recovery process, ensuring a safer and more comfortable experience for our patients.

How does a fat transfer work?

As I have mentioned, my decision to avoid using drains in breast implant surgeries dates back to my experience with patients who opted for fat transfers. When performing a fat transfer, a patient lies on their tummy, and we usually extract fat from regions such as the love handles, the posterior inner thighs, and the outer thighs.

We employ a discreet incision measuring just three millimeters, placed just beneath the crease of the buttocks to harvest the fat. These incisions are well-hidden and ensure minimal scarring. This method facilitates efficient fat retrieval and offers the potential for exceptional outcomes, particularly when integrated with skin tightening procedures.

To enhance patient comfort, we administer long-acting local anesthetic in these areas. Then, the patient flips over, and depending on their needs, we may add fluids to the abdomen, collect more fat, perform additional skin tightening, or proceed with their explant surgery if the abdomen isn't involved. This not only avoids the need for drains but also offers patients a streamlined and efficient procedure with minimal scarring and optimal results.

A comprehensive program for optimal results

At my practice, we regularly perform fat transfers, and we've developed a comprehensive program to ensure optimal results. This program involves a thorough assessment, including genetic testing, toxicity testing, gut microbiome analysis, food sensitivity evaluation, and hormone balance checks.

Considering that we believe in offering a more comfortable and streamlined process for my patients, the resulting discomfort and inconvenience didn't align with our commitment to providing the best possible patient experience. In fact, we also provide a tailored preoperative plan to reduce inflammation using our supplement package and an inflammation support bundle.

Personally, I have never put a drain in any of the patients I've performed liposuction on as it goes against what I believe in. Whether I'm doing a breast lift with a fat transfer or just a fat transfer, I close the pocket using the incision created for the implant removal. I prefer adding fat through the armpit incision to rejuvenate the upper two-thirds and rebuild the cleavage area.

We mainly rely on the body’s natural ability to heal itself. Thus, the body naturally drains fluid downward through the breast pocket and beneath the skin through the channels created during liposuction. As we rely on compression, lymphatic massage, and your body's inherent healing processes, we limit any chances of any infections, establishing a safer and more effective approach to fluid management in breast implant procedures.

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 32: How Does a Fat Transfer Work with Breast Explant Surgery?

Robert Whitfield MD — Thu, 21 Sep 2023 03:00:00 -0400

For over 100 years in the field of aesthetics and medical surgery, operations to remove fats have been done. Fat transfers can be successful when approached strategically, considering individual factors to optimize results.

In my approach to breast implant removal surgery and fat transfer, I strive to create an optimal experience for every client. By combining fat transfer with planned surgery, we aim to enhance outcomes uniformly across various body types and ages.

Fat transfer for breast reconstruction with Dr. Rob

It's crucial to consider hormone balance, sex hormones, thyroid levels, and other parameters to level up each client for successful fat transfer.
We carefully assess functional genomics, toxicity levels, gut microbiome, food sensitivities, and hormone balance. These parameters play a pivotal role in preparing each client for an optimal fat transfer experience.

We place significant emphasis on evaluating and addressing the unique hormonal profile of every individual, aiming to enhance their readiness for the procedure. In addition to hormone balance, our approach encompasses a comprehensive assessment of functional genomics, toxicity levels, gut microbiome, and food sensitivities. By delving into these aspects, we gain valuable insights into a patient's overall health and suitability for a fat transfer. This detailed evaluation enables us to tailor our approach, ensuring the best possible outcomes for every client.

Our methodology has garnered attention within the United States and internationally. Clients from various parts of the world seek our expertise and trust our specialized approach to fat transfer procedures.

We harvest fat from specific areas like thighs, love handles, or abdomen, tailoring the approach to each individual's needs. Using a well-defined fat transfer system, we control the process to achieve the best outcomes. It must be noted, however, that the amount of fat transferred varies based on BMI and specific patient conditions, ensuring a controlled and effective procedure.

I’ve been using this method for nearly 15 years in my experience with fat transfer in breast implant removal surgery to address issues like rippling and enhancing implant-based reconstruction or augment DIEP (deep inferior epigastric perforator) free flap breast reconstruction. However, it's important to clarify that even individuals with a low BMI can undergo fat transfer successfully, as can those with a higher BMI with certain considerations.

Genetic factors affecting detoxification pathways

During consultations, I thoroughly assess each client's potential for a fat transfer based on their unique circumstances and fat availability considering that genetic factors play a significant role in determining a person's ability to process and eliminate toxins at both cellular and macro levels.

Genetic enzymatic capability is of great importance as inherited from parents, especially in effectively managing toxin elimination through sweat, urine, and feces. Our ability to metabolize vitamins like D and efficiently process B vitamins relies on such capability. Additionally, we use antioxidants like vitamins C, A, and E to support our immune system and cellular functions.

Addressing my clients' detoxification challenges involves a deep understanding of their genetic predispositions, allowing me to set out appropriate methods and approaches that optimize their detoxification processes.

Detoxification supplements and testing for inflammation and toxicity

The next step involves evaluating the level of toxicity each patient may be dealing with through a urine toxicity test. This is for the purpose of preparing them and providing appropriate supplementation to aid in expressing these toxins through urine.

I typically recommend using key supplements like vitamin D3, K, liposomal B complex, liposomal vitamin C, oral liposomal glutathione, D-glucarate, and glycine to facilitate this detoxification process. By assessing food sensitivities and gut microbiome through blood and stool tests, respectively, we gain a comprehensive understanding of the patient's inflammation levels and plan a suitable detoxification strategy. We then proceed with utilizing the Cell Core detoxification supplement line based on the gathered information.

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 29: Healing Breast Implant Illness: Latest Research and Treatment

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

Due to limited resources and research studies related to breast implant illness and considering that it remains to be unrecognized as an official diagnosis by many in the medical field, many patients suffering from the condition are left untreated worsening symptoms. Symptoms may include fatigue, joint pain, cognitive issues, and other systemic complaints.

As we aim to continue raising awareness and advocating for more research on breast implant illness, we help shine a light on the experiences of affected individuals and help lead people to a better understanding of these potential health issues in the future. That is why it is important for us to discuss today’s treatment options for breast implant illness.

Holistic Accelerated Recovery Program

We developed an entire program called Holistic Accelerated Recovery Program so that many patients both in Austin, TX, and even out of state, can participate and get the help they need. Our program is founded on genetic testing, toxicity testing, food sensitivities, stool testing, and evaluation of your hormones, liver, kidney, and thyroid function. We use these evaluations to identify any symptoms of breast implant illness.

The results we get from these tests are used to start working on any deficiencies or problems, particularly in the immune system pathways of the patient. To improve the condition of the patient, we make sure to incorporate an appropriate and healthy diet, lifestyle changes, and supplementation.

Conducting a comprehensive assessment of a patient’s medical history, current condition, and any other specific concerns she may have is a must in understanding their different needs/conditions and allows us to develop a personalized treatment plan.

We always want the best for our patients, which is why we do the best we can to set them up for success. I have been doing this for six years now, going on my seventh year, and it’s been a long journey for me but I have been feeling fulfilled being able to help people advance in recovery.

How do you prepare for surgery?

Many patients worry too much about their surgery and I’m not saying that it’s wrong. Sometimes, they just need to be reassured by their qualified plastic surgeon about the operations they’ll undergo. As qualified providers, it is our responsibility to address these concerns and to provide patients with the information and reassurance they need to feel more at ease about their surgery.

Patients have the right to be informed about the details of their surgery, including the procedure itself, potential risks and complications, expected outcomes, and the recovery process. Transparent and open communication not only empowers patients to make well-informed decisions, but it also helps to build trust between the patient and the qualified plastic surgeon.

Personally, I encourage my patients to alter their diets and increase their protein intake before surgery to put them in their best condition. We call that ‘nitrogen balance’. It helps someone to go from the stress response of surgery to a healing phase.

We also do fat transfers to offset any appearance changes and reshape the affected areas of the breasts. Also, in relation to treatment, it’s beneficial to have a healthy and supportive circle. At present, I have two team members in my group who have had explants and suffered from breast implant illness, which is why their support for our clients comes from firsthand experience. They’re good at providing a great deal of emotional support.

Keep in mind that explant surgery, or breast implant removal, is not the only solution. Patients can also look into doing our Holistic Accelerated Recovery Program and take into account many factors affecting one’s conditions or triggering any symptoms of breast implant illness.

Links and Resources

Episode 27: The Truth About Breast Implant Illness: Research, Treatment Options and More

Robert Whitfield MD — Thu, 20 Jul 2023 03:00:00 -0400

Despite the cases involving breast implant illness, there is still a lack of research studies, clinical studies, and other resources regarding this matter. Recognizing the concerns raised, surgeons, medical practitioners, and other organizations have called for further investigation into breast implant safety and potential health risks associated with them, particularly regarding breast implant illness.

That is why it’s important for us to discuss breast implant illness considering the fact that it’s been hard to characterize such a condition. We have to continue raising awareness to provide timely intervention and appropriate medical management, if necessary.

Your body and breast implants play a role but it’s not the only factor.

Back in 2019-2020, when I was the president of the Education Research Foundation for the Aesthetic Society, we were able to fund studies on the psychological and basic scientific aspects of breast implant illness.

We were able to learn more about the condition as we conducted a randomized prospective trial about surgery, identification of heavy metals, and more. Initially, we thought of it as just an inflammation but it became more significant to the point that the patient can no longer manage the inflammation.

Moreover, it affects the patient’s mental health and this issue cannot be solely linked to their bodies or breast implants. There are other factors causing the symptoms of anxiety, depression, brain fog, muscle, and joint pains, and the list goes on. And from a provider’s standpoint, it’s complicated and challenging to recognize all the patterns because the condition of breast implant illness is not yet well acknowledged and understood.

Breast Implant Illness is still not part of the provided classification systems.

It should be noted that for something to be categorized as a medical diagnosis, it has to be implemented in the International Classification of Diseases (ICD). At present, breast implant illness is still not part of the provided classification systems. Therefore, it is not yet a recognized medical diagnosis, although there are groups and organizations working towards that.

It’s going to take some time before it gets to be recognized as a medical diagnosis officially but since I’ve spent years studying the condition, we were able to make a program to further help patients and even surgeons. As much as we can, we provide the best care for our clients.

Putting a great deal into different factors that may contribute to inflammation and breast implant illness

Due to the lack of studies regarding this matter, many practitioners find it difficult to recognize the symptoms and patterns of breast implant illness. Personally, I’ve seen a lot of patients dealing with environmental toxicity which is why I put a great deal into everybody’s personal genetics as well as the toxicity levels, food sensitivities, and hormone imbalances.

Other factors, like the environment, should also be taken into consideration in correlation with personal genetics, especially when we speak of inflammation. A good example of this would be some of my clients who are realtors constantly exposed to environmental toxins as they go into different homes and renovations. Some of these toxins can cause brain fog, anxiety, and gut problems.

Pattern recognition is really important and because I have done thousands of consultations, heard different stories throughout my years of being in this field, and seen the outcomes of different tests, it’s been easier for me to guide patience throughout their journey.

The importance of addressing other issues before surgery

It’s vital for us to address all the health issues a patient may have because otherwise, the patient will still experience symptoms. Our assessments should be done with a holistic approach to be able to treat everything properly. Taking a holistic approach to assessment and treatment allows providers to consider the broader context of a patient's health and well-being for more effective solutions or treatments.

Before surgery, conducting a comprehensive evaluation helps identify any underlying health conditions or factors that may affect the surgery’s outcome or recovery. Addressing these issues beforehand can optimize the patient's overall health and reduce the risk of complications during or after surgery.

Links and Resources

Episode 21: How Long Does Breast Explant Surgery and Recovery Take?

Robert Whitfield MD — Thu, 08 Jun 2023 03:00:00 -0400

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.

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.

*Links and Resources *

Episode 20: Busting Free with Dr. Amanda Savage Brown

Robert Whitfield MD — Thu, 01 Jun 2023 03:00:00 -0400

Links and Resources
If you want to grab a copy of Dr. Brown’s book, you can visit her website through this link: https://amandasavagebrown.com/

Episode 17: What is Breast Explant Surgery?

Robert Whitfield MD — Thu, 18 May 2023 03:00:00 -0400

In today’s episode, we’re going to discuss what breast explant surgery is and why people want to undergo such surgery.

What is breast explant surgery?

Why do I prefer fat transfer?

*Links and Resources *

Episode 3: Are Your Breast Implants Making You Sick?

Robert Whitfield MD — Fri, 17 Mar 2023 03:00:00 -0400

These conditions appear within a few months to several years following surgery, and seem to more often follow a secondary surgery like revision or exchange. But the exact cause is difficult to pin down because other conditions like Lyme disease and toxic mold exposure can cause similar symptoms.

Using PCR testing (instead of traditional CLIA-based lab testing), Dr. Rob discovered that over 60% of the breast implants he removed all had one thing in common.

Dr. Robert Whit describes his methodology for identifying this complicated, misunderstood condition and shares his treatment strategies utilizing nutrition and genetic testing to put his patients on the path to healing.

For more healing resources created by Dr. Rob, visit our store - Dr. Rob's Solutions at https://drrobssolutions.myshopify.com

Links and Resources: