Robert Whitfield MD explains why fat transfer during explant surgery depends on your biology, surgical technique, and recovery. Early fat grafts failed because doctors didn't understand graft survival, but modern processing and placement methods have made outcomes more predictable.
This is an important conversation because many women are considering explant surgery, also concerned about how they're going to look afterwards, especially with the big changes in volume that can happen. And can a fat transfer be done and can be done safely at the same time? And you know, the answer is different for each person. Each person is their own individual, their own biology, and the preparation, the surgical technique and how they're prepared and recovered is very important. Fat transfers on a whole are not new. Surgeons have been using them for well over 100 years. In the early attempts of fat transfers, just because of a lack of understanding about how to handle the fat, the blood supply, the optimization of patients and overall just understanding of graft survival, the cases didn't go as well as as they could have. But over time, like many things, techniques evolved. Both the removal of the fat, the processing of the fat and then the placement has become more and more refined and so the outcomes are more reliable.
