A first-person account (by Robert Whitfield MD) describing recognition of breast implant illness (BII) in clinical practice beginning around 2017, performing high-volume explant surgeries in 2018 with frequent patient recoveries, and deciding to stop placing implants around 2019–2020 due to observed harms. The speaker emphasizes large-volume clinical experience, personal research into BII, and the moral/clinical decision to cease implantations.
Questions this video answers
Around 2017.
In 2018.
Around 2019–2020.
Chapters
And, you know, that whole time, and I know this is something that you talk about and I've talked with plenty of other plastic surgeons about, you know, we were always taught in residency and fellowship, and I trained at top established institutions across the U.S. implants are safe, right? And what ended up happening in my career was around 2017, I started seeing patients with breast implant illness and in large volume. I invited, I think, like all the Illinois plastic surgeons where I was practicing, and I was the only one that showed up to talk about breast implant illness. And at that point, I had, you know, done all the research. I understood, you know, the problem with bii and I just continued to kind of go down that rabbit hole of, you know, what is breast implant illness? All the same questions I'm sure you've asked yourself over the years. And as you start doing the explant surgeries, for me in high volume in 2018, it was like patient after patient are getting better, getting better. Like miraculous recoveries. Turnar. I don't need to tell you about that or anybody else that does explants in any kind of large volume. And at that point, this was around 2019, 2020, I was like, you know, I'm just not putting implants in anymore. Like, I understand informed consent, but I mean, I just can't justify putting these foreign bodies in. In patients knowing that, you know, even with appropriate disclosure, they have this chance of going on to getting something that could really be pretty detrimental to their life and to their health.