Dr. Robert Whitfield explains why he shifted his practice from breast implants to fat grafting six years ago. He's not against implants for reconstruction or cancer cases, but argues that augmentation requires individualized planning that weighs the specific trade-offs of each approach.
I want to start with reframing the discussion because it changes every question that follows. An implant is a device and devices have roles. I've used them throughout my career for breast cancer reconstruction and augmentation. About 6 years ago, we— 6 or so years ago, we stopped using devices and really transitioned to only natural transformations with fat for augmentation. And I'm not here to tell you every implant is a problem. That's not the goal of this discussion.
