A surgeon (speaker) advocates for performing simultaneous fat transfers at the time of explantation in carefully selected patients to preserve breast shape and volume and avoid a second surgery. The speaker emphasizes perioperative optimization—especially sleep, higher-protein/healthy-fat diets, reducing inflammatory foods (bad carbs, gluten, dairy), assessing genetic detox capacity, and testing/reducing toxic burden with protocols.
Chapters
I really, if I can get a patient properly prepared, I prefer to do simultaneous fat transfers. They make a lot more sense to me in the carefully selected patient. So I want to do it to help preserve breast shape and volume, really help reduce the big change that you see visually by explanting and then potentially avoid a second surgery. It can be very, very helpful emotionally for patient to have volume restored at the same time naturally. But the selection of the patient is critical. You know, if anybody has heard me discuss, you know, how I think about this, the number one thing in any recovery process is sleep, and I make a big deal about that, plus the nutrition levels. So we look at everybody's diets pre op. We put them on a higher protein, healthier fat diet, try to cut out bad carbs and gluten and dairy and things like that. We want to decrease their inflammation. So we look at how they genetically detox and then we look at a toxicity burden test. We want to help as much as we can reduce that toxic burden. We have specific protocols based on what we find.
