Robert Whitfield MDAmerica's Breast Implant Illness Expert™

Explant Surgery: Anesthesia & Fat Transfer Explained #shorts

19 Jan 2026 · 1 min

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1:10

Robert Whitfield MD explains why explant surgery requires general anesthesia and how fat transfer works differently than implants. Fat transfer results vary in how much volume your body keeps, so you might need multiple sessions to reach your desired size.

Questions this video answers

No. The speaker states they do explants under general anesthesia.

No. Fat transfer volume is healing-dependent and variable; additional procedures may be needed to add more volume.

Chapters

Now, when I do an explant, I don't do explants under local anesthesia. So the patient had a general anesthetic to get the explant portion done. But could I have the fat transfer under local? So that's a great question, Amber. Amber's asking. Everybody should listen. Listen to this question. It's very good. Thank you. Amber, on average, how many times do you need to. To do a fat transfer to get good results? She says she has heard some had to do the procedure twice. Yes. So think of a fat transfer as dependent upon your expectation and then how much fat someone like I in my position can transfer for you and get to heal. The. The reason you may need another procedure is you just may want to add more volume. That's. That's basically it. Remember, the volume of an implant is fixed. The fat transfer has to heal. And it's not fixed in a bag. So it can't just push out and expand and fill. It layers out. It's soft and natural. But that's a great question.