Robert Whitfield MDAmerica's Breast Implant Illness Expert™

Breast Lift Surgery Secrets: Nipple Preservation & Implant Removal! #shorts

3 Dec 2025 · 1 min

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1:01

Robert Whitfield MD explains a breast lift/implant removal technique emphasizing nipple preservation: he does not remove the nipple-areolar complex but tangentially excises skin around the areola (compared to peeling an onion) to fit a smaller breast and removes tissue beneath the nipple to allow closure and lift. After a vertical excision the surgeon exposes the implant's scar capsule and removes the implant plus capsule circumferentially intact (likened to not breaking an Easter egg). He notes removal approach depends on how the implant was originally placed (periareolar or through the inframammary fold) and that implants with capsule cannot be removed via the armpit.

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You do not take the nipple off. Many times people have had lifts. I'm just revising that incision by carefully tangentially excising skin around the areola to make it fit a smaller breast. So tangential means like think of the outside of an onion just peeling in a way. You're not removing the nipple complex. I'm removing the tissue below the nipple complex in a way that allows me to close and lift at the end. So when that vertical excision is done, you have a wide open appearance to the actual tissues. And then you could go through the tissues and expose the implants scar capsule and then take it out circumferentially in a intact manner entirely. And I like to tell you, picture, you know, not breaking the the shell of an Easter egg. Don't want to see the candy inside. If there's not going to be a lift, then it's purely about how was it put in? Was it put in periareolar or through the fold? Because I can't take an implant and its scar capsule out through the armpit. So that's off the table.