Robert Whitfield MDAmerica's Breast Implant Illness Expert™

Explant, Lift, & Fat Transfer: A New Path #shorts

18 Feb 2026 · 1 min

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1:04

In this short clinical monologue, Dr. Robert Whitfield MD explains his routine practice of removing breast implants (explant) together with scar tissue excision, performing a simultaneous fat transfer, and often adding a mastopexy (breast lift). He emphasizes that fat grafting is a valuable method for restoring breast volume, both in patients seeking implant removal and in post‑mastectomy reconstruction. He outlines two main strategies: adding fat over an existing implant to gradually build enough volume to later remove the implant, or performing implant removal and fat transfer in a single operation. The discussion highlights the flexibility of fat transfer as an option for patients without native breast tissue due to cancer, and underscores its role in achieving natural‑looking results.

Chapters

Yenny yes, that's what I did this morning. I took out a set of implants with the scar tissue, and I did a simultaneous fat transfer. And I actually did a lift as well. So I routinely do that explant, and lift is the most common thing we do. And then I certainly would like to be able to offer fat transfers whenever possible. That is an excellent option for restoration of volume. If you don't have breast tissue due to cancer, can you still have a fat transfer? So, yes, predominantly what I used to do was post mastectomy breast reconstruction, fat transfer. So if if you want to think of it, you can add volume over the top of the device and then over time, get enough volume that you can take out the vise, or you can do a removal and fat transfer at the same time. It's it varies, but yes, you can do that.