Robert Whitfield MDAmerica's Breast Implant Illness Expert™

After Explant: What Shapes the Breast?

25 Sept 2026 · 1 min

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0:31

In this brief educational video, Dr. Robert Whitfield outlines his systematic approach to evaluating patients after breast implant explantation. He assesses the breast envelope, nipple position, remaining tissue, available donor fat, scar quality, and any asymmetry, while also considering the patient’s aesthetic goals and recovery expectations. Based on this comprehensive assessment, he presents a menu of surgical options: explant alone, a breast lift with or without fat transfer, a natural breast augmentation, or a staged plan. He also announces a live session on Thursday at 6 PM Central where he will detail how these decisions interrelate and discuss the possibility of incorporating facial rejuvenation into the overall treatment plan.

After explant, the question is not simply, can you tighten my skin? I look at the breast envelope, nipple position, remaining tissue, donor fat, scars, asymmetry, our goals, and recovery. Then we can discuss explant alone, a lift with or without fat transfer, a natural breast augmentation if that was the case, or a stage plan. Thursday at 6 PM Central, I'm explaining how these decisions fit together and when we can also do facial rejuvenation as part of the plan.