Dr. Robert Whitfield explains why breast fat transfer results vary widely. Existing breast tissue, skin tightness, prior breastfeeding, and previous implants all affect outcomes. He optimizes low-BMI patients before surgery to improve safety and consistency.
In the chest, for whatever reason, this becomes harder to understand and there's a lot of issues with it. So think of it this way. The pec major is there and the chest skin is there and the fatty layer is there. Now, if those things didn't exist and we just fat transferred it, we'd have the same expectation probably as we would a buttock if in fact the chest skin was less tight. But because the breast is there, We hate— there's a little bit more to navigate. And this is probably why outcomes vary a great deal. And the chest is very different. It's more about preparation, optimization. Has the patient breastfed? Has their skin stretched from that or devices or the combination? So instead of reacting, I'm always wanting to prepare patients and optimize patients because if we can do that, then we definitely can have better outcomes. So inside this circle tonight, I'm going to tell you exactly how I prepare my low BMI patients and why most persons would benefit from this. Um, I believe fat transfer done correctly is extremely safe.
