Dr. Robert Whitfield explains when lean patients can use fat transfer for breast restoration, even without much body fat. He uses DEXA scans and physical exams to assess candidacy, and covers scenarios like restoring volume after breastfeeding or implant removal using only autologous fat.
You have been told you are too thin for a fat transfer. I hear that all the time, and that assessment is usually wrong. I also hear a second version of the same fear: after breastfeeding, the volume left, the skin stretched, and someone said the only way back is an implant, or they said you have to keep the implant you already have because taking it out means being flat again. So tonight. I want to take those four situations completely apart, deconstruct them one at a time: restoring volume after breastfeeding, doing a fat transfer at the same time as an explant, a basic natural augmentation with your own tissue, and the lean patient who was told there was nothing to work with. So let's obviously set this up. This is educational only. It's not a consult. It's not meant to be personal medical advice. I can. I cannot tell you obviously from a screen whether you are a candidate or not. That takes an in-person exam and your history. And what I prefer to do is a DEXA scan in addition to physical exam. And then I do— if anybody understands or has read my book about the SHARP methodology, we have a series of tests we like to include in addition to a very lengthy history about your travel history, where you lived growing up. All those things are potentially sources of toxicity exposure.
