Robert Whitfield MD explains using autologous fat transfer to compensate for volume loss after breast explant surgery. He states that fat — a long-used filler — should be placed just beneath the skin (in the subcutaneous plane) rather than into the breast tissue or the former implant pocket, producing a natural, soft, holistic breast rejuvenation.
So the question is how do we compensate for volume loss when we do explants? So my practice since I no longer place implants and have it for several years now is we use fat. Fat is really the original filler. It's been used for over a hundred years. You've seen it used for augmentation in faces for fat atrophy or volume loss with aging. We've used it for buttock transfers and Brazilian butt lifts and it's been used for breast augmentation for quite some period of time. In this instance what we're trying to do is as we take the volume out with the accompanying implant and all of its capsule together we want to add fat but we add it back in the correct place so just beneath the skin where the fat belongs but not in the breast tissue and not in the pocket where the implant was removed. That's where it belongs. And it's a very natural, very soft, very actually holistic way to rejuvenate the breast.
