Robert Whitfield MDAmerica's Breast Implant Illness Expert™

Explant and Fat Transfer: What You Need to Know #shorts

15 Feb 2026 · 1 min

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1:17

In this short educational monologue, Dr. Robert Whitfield explains the rationale and considerations for performing simultaneous fat transfer at the time of breast implant explantation. He emphasizes that emotional benefits for patients—restoring breast volume immediately—are significant, but only when patients are carefully selected. The speaker outlines a thorough work‑up that includes pre‑operative programs aimed at reducing inflammation and priming the immune system, noting that some patients travel internationally for this specialized approach. By optimizing the patient and preserving breast shape and volume, simultaneous fat transfer can minimize the visual impact of explantation and potentially eliminate the need for a second surgery.

Chapters

It can be very, very helpful emotionally for patient to have volume restored at the same time naturally, but the selection of the patient is critical. We don't approach expand surgery as just a procedure with no optimization or preparation for the patients. We actually are careful in our workup. Many patients come to me that the patient who I took care of this morning, who had a simultaneous fat transfer and explant, actually came in from Canada. And they came in specifically for our programming that helps reduce inflammation, really get their immune system prepared for what can be not a longer or difficult case. But still, each case is stressful to the patients. And I really, if I can get a patient properly prepared, I prefer to do simultaneous fat transfers. They make a lot more sense to me in the carefully selected patient. So I want to do it to help preserve breast shape and volume, really help reduce the big change that you see visually by explanting and then potentially avoid a second surgery. It can be very, very helpful emotionally for patient to have volume restored at the same time naturally, but the selection of the patient's critical.