Episode 8: Finally Finished With Fat [Candice Barley’s Breast Implant Illness Story - Part 6 ]
20 Nov 2025 · 8 min
This podcast episode (Episode 8: Finally Finished With Fat) features Dr. Robert Whitfield interviewing Candice Barley about her recent failed fat-transfer experience and next steps. Candice plans a small corrective fat graft (~100 cc) for localized dents and prefers to avoid larger transfers; she also describes concerns about loose skin after pregnancies. Dr. Whitfield explains a multimodal approach to skin tightening (microneedling, radiofrequency, energy devices, topical products), discusses the role of genetics (mentions a Fox3 aging gene) and wound‑healing in stimulating collagen, and highlights a product line (Elastin regenerating skin nectar) and cellulite/stretch‑mark strategies. The tone is clinical but conversational, with emphasis on holistic and minimally invasive treatments.
Questions this episode answers
September 22, 2022.
About 100 cc.
Three children.
Chapters
Welcome to the holistic and scientific podcast with board Certified plastic surgeon Dr. Robert Whitfield, Austin's natural choice for plastic surgery and the expert in smart laser and energy treatments.
So we've gone through your fat transfer and now you're, you're in the process. You've been kind of out and about healing up and we've talked a little bit about what you want to do in the future moving forward. What do you think is the next step for you in this journey?
Well, I'm supposed to get, did pay a lot of money for my failed VAT transfer. So I'm working with a different surgeon that is taking over and I, and it's going to help me out but I'm only doing a very small amount. Like we're doing like 100cc. We're just filling in. It's almost like a fat transfer to the face because we're just doing like a couple areas that have dents. I do not want to mess with the area anymore. I've accepted where I'm at. So it's just so that I can wear V necks basically. We're not trying to do anything other than fix an indent essentially. So I'm fine with that. I would be more concerned about trying to put in that again. I think that unless I was to come to you, I don't think I want to go through that again. And as you know I'm a difficult case so and just focusing on other aspects of my health and you know, I love to work out and fitness and my body is important to me so I'm very excited about all of the different holistic, non invasive devices and things that you offer. So at some point I'll probably. I did have three children and I gained £75 with my first. So while I work on abs, I still have loose skin and you know, the arms have gotten looser and then where I had fat removed from my legs, you know, there was no skin tightening done with that. And just that at my age all of the skin laxity things become and I don't, I don't focus too much on that. It is kind of part of my job to some extent. And because I'm able to play younger, I like to be able to act in those roles as long as possible. So. And you know, everyone in Hollywood does it, they just don't admit to it. So I have no problem sharing those secrets with women as I'm able to do them.
Yeah, I think Candice highlights something that, you know, she's done A lot of internal healing. And she feels very good and comfortable. And I really appreciate her actually discussing everything. It's not easy to come on a show and discuss things, but these are the realities that happen over time. And no one's ever walked into my office and asked me to make their skin looser or give them fat. It's always make my skin tighter and better in appearance and reduce fat in these areas I don't like. So our focus has been to develop a completely non invasive and minimally invasive line of treatments to that end and use the best products. And I feel comfortable both in how we address skin tightening in a non invasive way, minimally invasive way, and then, of course, surgically. But I would say that the way we do it is going to be different. Much in the same way I approach an explant patient with all the effort spent basically on the five ways we take care of an explant patient. With food sensitivity testing, an entire blood panel and hormone balancing and toxicity testing, and looking carefully at the gut, microbiome and genetics. When we look at skin tightening, your genetics dictate a lot of this. So there are genes, the Fox3 aging gene, which has been studied extensively. Now, I can do your genetic testing and unfortunately tell you if you're more prone to wrinkles or not, and will you lose your hair or not, and would you benefit from these supplements to help you methylate better or detox better. So genetics always play a role. But to be insightful and, you know, understand when you come in, I've spent a lot of time over my career taking care of patients and developing plans and proprietary treatments. But really, I think probably the strong suit is combining and not being afraid to combine things to get the best results. So whether it's a skin tightening treatment, just let you know when you go. Whether you go to me or someone else in Beverly Hills or anywhere in New York or for that matter, anywhere in the world, there's always a limitation with, with a single modality. So if someone says, I'm going to use this device and it's going to heat this up and it's going to cause this result, you're not 20 and you're not 30. Things like that work extremely well in that age group. Why? Because their collagen level is so much higher and the elastin level is so much higher. Elastin is what gives you a snap in your skin. That's what retracts the skin. Collagen level goes down after the age of, we'll say 34 and it's on its way down, sometimes earlier, but that's what leads to the appearance change and laxity and aging. So the ways we combat that are. And I get asked every day, Dr. Whitfield, can I take this collagen something or can I drink this collagen supplement? Candice, you can eat and drink collagen all day long. I don't know if your gut can absorb enough collagen to make an impact. What I do know in my very large number of years of experience is if you poke a little hole in skin, it always heals unless you're dead. So if your skin tightens from healing, which it always will, that's called the basically wound healing or injury hypothesis. I know that if I use this modality coupled with this modality coupled with this modality, no matter where I use always works. And the products I use always work because they're studied with those types of modalities to stimulate more collagen synthesis. So for everybody, the take home message is if you want your skin tighter, you use things to promote collagen synthesis in the skin. And I'm not here to disparage vital proteins or anything that Jennifer Aniston is getting paid to pedal, but I can't tell you how well you'll do with that. And my wife is no different. She's like, I drink this, I want to drink this, it will help me. I'm like, I love her to death, but I don't know how much she'll absorb. I mean, on a whole, collagen is a very big model. But I know microneedling works, I know radio frequency skin tightening works. I know the things I do with liposculpture work. I also have a great cellulite treatment that it's not one tool. I'm not going to name any products that have been out in the past that say they will get rid of it or a current injectable product. I'm not going to name either. But I have a way to do it with energy based technology and microneedling and product and you can tighten the areas all over the body and make them look more youthful in appearance.
I've seen your cellulite work is just absolutely incredible and even look like it seemed to help with stretch marks, which I've not seen anything help with stretch marks ever. And it's generally because they're just doing one thing, which is very interesting that you're talking about combining all of these.
Different things since you brought up a stretch mark. So everybody needs to know what a stretch mark is, since we've gone down the rabbit hole. A stretch mark is a tear in the dermis, which I mentioned earlier. The top layer of the skin is dead. That just prevents you from basically evaporating. The middle layer is the dermis. And so when that tears from rapid growth, which happens to women in puberty, basically by the time they get to 8th grade sometimes they've already grown to their maximal extent from the at the waist, we'll say, and that's why women get exceedingly tall very quickly versus the boys of the same age. They'll get rapid expansion which will cause stretch marks in the hip, thigh, buttock area. And then if they go on to have children similarly, they can have further stretch marks, but they still have that area around their hip, thigh, buttock region that leads to laxity and appearance changes that are unwanted. And that's where I've concentrated a lot of work to both help, you know, my cosmetic patients, and every patient of mine is a cosmetic patient. Because I did their explant doesn't mean they can't have or get better appearing skin anywhere on their body. And those are ways to do it. And I combine things because I've learned over time it's very difficult to get a result in that setting with one particular modality. If you use for skin tightening, especially multimodality therapy and the appropriate products like I like Elastin regenerating skin nectar because it's proprietary method of stimulating collagen synthesis. So most people don't even know Elastin as a product because it can't compete with something like whatever l' Oreal or Revlon on a television network or any kind of ad platform because they don't have that kind of capital. But their chief medical officer is a plastic surgeon. And when I decided on what line I would carry, principally in my office, I spoke to the plastic surgeon who runs their studies. They're all wound healing studies. So it all makes very good sense that it stimulates and increases collagen synthesis and helps heal a wound more rapidly. So basically like you described with, you had poor blood flow and the product you used helped increase blood flow. That's what all these things are. I would not say they're all masquerading about them, but the majority of them offer very little in that.
Right? Yeah. Well, that's exciting. So I'll probably be back for some of that down the line.
Dr. Robert Whitfield is a board certified plastic surgeon located in Austin, Texas near 360 and Walsh Tarleton in Westlake. To learn more, go to drrobertwitfield.com or follow Dr. Rob on Instagram at doctorrobertwitfield Links to learn more about Dr. Rob's smart procedures and anything else mentioned on today's show are available in the Show Notes. The Holistic and Scientific Podcast is a production of the Axis the Axis IO.
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