Episode 32: How Does a Fat Transfer Work with Breast Explant Surgery?

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Dr. Rob Whitfield, the board certified plastic surgeon specializing in explant surgery Breast implant illness is a topic that is not often talked enough about, especially in medical community, but is something that affects many women. In this podcast I will be discussing the latest research, treatment options and personal stories of women who have undergone explant surgery in an effort to heal breast implant illness. In this podcast, we'll explore the symptoms of breast implant illness and delve into the latest surgical techniques for explantation and the recovery process. Whether you are currently experiencing breast implant illness or are considering explant surgery, this podcast is a valuable resource for anyone looking to take control of their health and wellness. So let's dive in.

Before we get started today, I wanted to tell you about a way you can speed your healing and to begin reverse aging in your body. Reducing inflammation is especially important for women with breast implant illness. In fact, one of the most important pre explant surgery steps we take is to get rid of as much inflammation in the body as possible. So I've created a special inflammation support bundle to give you everything you need to reduce inflammation as quickly as possible. Don't let inflammation hold you back. Visit drrobsolutions.com now and grab the inflammation support bundle today. Again, you can get it@drrobsolutions.com how does a fat transfer work with breastx Plants Fat Surgery so this is a phenomenal question in terms of an evolution of fat transfers. Fat has been moved around for over 100 years. It is the first and obviously the most natural filler because it's from your tissues. And so on many shows I've explained like chronic inflammation and how your body has tolerance when it's your own tissue. So along the lines of that, how does fat moving from one place to another work? And so fundamentally I have patients who obviously they got a breast augmentation because they either lacked the tissue from development and wanted more volume or after having children going through breastfeeding, felt the breast had deflated, it had not recovered, it was maybe sagging, needed to be lifted with or without volume restoration. So those are the common, you know, quote unquote reasons. The fat transfer has been used in cosmetics to help volumize even if someone had rippling help with that as well. And then in reconstruction. I used fat transfers for almost 15 years to soften the contours of an implant based reconstruction or to augment a DIEP free flap breast reconstruction, which is what I did predominantly in my career. So let's break down the elements of a fat transfer. Well, first you have to be able to get the fat. So can someone have a low BMI and still have a fat transfer? So the answer is yes. And can someone have a high BMI and get a fat transfer? Of course the answer is yes, with a couple caveats. And so if that's the nature of the ask and the consultation, I will listen to my client and try to vet, you know, what can I do for them and do their exam. And then if that seems like one, they have fat that I could use. And of course we want to use that, if we can, then it's about establishing each person's ability to have a fat transfer. And I'll go into that now. So if it, if you've listened to my shows and, or heard me speak on another show, I talk a great deal about genetics. So your genetics allow you to break down and, or get rid of your toxins at the cellular level and the macro level. And we eliminate toxins through sweating, pooping, and peeing. But our enzymatic capability, which is passed down from our parents to us genetically, is what allows us to metabolically manage what we get faced with each and every day. So our ability to metabolize vitamin D ultimately helps us with our calcium metabolism, Our ability to methylate helps us with our B vitamin metabolism. Our ability to utilize glutathione to bind up toxins in our liver helps protect us. And then our ability to use antioxidant pathways and antioxidants are like vitamin C, A and E. Those are important in terms of taking care of our cellular functions. These are predominantly how we maintain our immune system. So if you take that into consideration, I face with my clients, their challenges with detoxification genetically. Having heard hundreds and hundreds and hundreds and hundreds of clients over the years and looked at their genet genetic reports, I have a very clear understanding from pattern recognition about how they detoxify. And many of my clients have limitations in all of those that I just mentioned. So what's the next step and how do I manage this? So I then will try to assess how much toxicity they face. And that's through a urine toxicity test. So we try to get each patient prepared with supplementation to express those into their urine. And we use our supplements to lower inflammation and to express those toxins are vitamin D3K2, our liposomal B complex, our liposomal vitamin C, and then our oral, oral liposomal glutathione. So you're, you're trying to get these things to be expressed in the urine and other supplements like D glucarate and glycine. So you're once again, you're trying to get them kicked out. So you can visualize them on a, a test result and have a metric to then compare and create their treatment plans. So once this is done, and we know their food sensitivities via a BL test and their gut microbiome via a stool test, that builds out a complete picture of this patient's current state of inflammation, how we can lower it, how we can detox them, and then we go through Basically a Phase 1 detox using CellCore as our detoxification supplement line. So that's to help get everybody on a level playing field, if you will. So I can get their fat transfer done simultaneously with their explant surgery and I can go into, you know, why specifically I want to do that. I feel fat transfers should work uniformly across patients. The kind of notion that it's going to go away or it's only works in certain age groups or certain body types or certain weights is not practical. You know, in addition to looking at all those things I mentioned previously, we want to make sure and evaluate, pay attention to someone's hormone balance so that they have enough of their sex hormones and evaluate their thyroid hormone. We just want to make sure that to the best of our ability, we're helping each and every, every client get leveled up so that when we do their fat transfer, we get the best possible outcomes each and every time. And, and that's my hack to make it work for you specifically. And that's why so many people come and see me in Austin, both from around the United States and outside the United States now. And recently just had someone give me a call from Australia about this, in fact, the fat transfer. We'll get back to this show in a moment, but I wanted to share something that I think can really help you. You might not be aware, but part of my work as an innovator in the cosmetic surgery space is to create products that will give my patients the best possible outcomes and restore their health as quickly as possible. I can't tell you how critical it is for all of my patients to actively work to reduce inflammation in their bodies. We do this through diet and supplementation. In fact, I've created a special inflammation support bundle for my patients, and now you can have access to it as well. One of the reasons this bundle is perfect for my patients is that so many of them have pill fatigue. It's just not going to work for them to have a handful of pills each day to reduce inflammation. So I made sure to include the liposomal version of many of the vitamins and minerals within the bundle. You'll still get the full absorption of these supplements in your mouth without having to go through your gut first in order to be absorbed. You can get the inflammation support bundle@drrobsolutions.com and begin to feel better when you make the supplements a part of your daily health routine. The website again is drrobsolutions.com I can't wait for you to get this help in your hands. So once again to summarize, we look at all of these parameters, we look at functional genomics, we look at toxicity testing, gut microbiome, food sensitivities and hormone balance to set our patients up for success with fat transfer. That's how we get the best outcomes. Oh, and then someone's going to ask me, well, how much fat is needed to transfer low be my clients. I will take four areas typically if those are suitable, inner outer thighs, love handle area, abdomen area. If someone's already had children, we'll combine that with skin tightening at a simultaneous procedure to benefit both the skin and obviously remove the fat. And then we'll we collect our fat using a Wells Johnson fat transfer system very specifically for particle of fat, fats fat particle size, storage of fats and then reinstitution of the fat under the same amount of pressure. And so it's a very controlled system. And low BMI patients I can do between 100 to 200 to 250 per side higher BMI patient or skin stretch from pregnancies. Obviously you can do more if somebody's coming in just for a holistic mommy makeover, which is for me a non traditional makeover where I don't do a tummy tuck and leave a linear scar. I just harvest fat from all those areas, do skin tightening with body tight of the abdomen, flakes inner outer thighs and then transfer fat to the breast to volumize the breast to restore a more youthful appearance with or without a lift. You're just trying to minimize scarring, which is always my goal in you know my treatment plans and I can go into that about how I do that later for explant patients. But fat transfers work and you need to take steps to put yourself in the best position and that's how our plan works. Foreign.

Thanks for joining me today. I hope you found the information and stories shared on this podcast helpful and informative. Remember, taking control of your health and wellness is key to recovery from breast implant illness. If you're looking for additional resources and support, be sure to visit our online store, Dr. Rob's Solutions at drrobsolutions.myshopify.com you'll find a wide range of wellness products and supplements to support your journey to recovery. From specially formulated detox supplements to personalized skincare products, we have everything you need.

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Rob's Solutions today at DrRobsSolutions.com thank you for listening and we'll be back with another episode soon. Remember, you're not alone in this journey, and together we can overcome breast implant illness.

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