Dr. Robert Whitfield says surgeons who refuse fat transfer due to low BMI often lack expertise. He compares it to taking a Ferrari to a Volkswagen mechanic. Success depends on finding experienced surgeons and maintaining strength and healthy body composition through low-impact exercise and diet.
When somebody says they can't do a fat transfer on somebody who has a low BMI, you know what I would tell your patients and for everybody listening is you should get out of the door and just leave because you don't take a Ferrari to a Volkswagen mechanic. They don't know what they're doing. They don't know what they're doing and they're telling you something that they don't understand or can't do. Surgery is a repetition sport. It's the only thing in medicine that over time, right after, year over year, you should get better at. I've practiced long enough time that I, I only care about solving the problem for the patient who's been told there's no way to solve your problem. So everything should be focused on maintaining strength, building lean muscle mass, maintaining healthy fats in your diet, maintaining your BMI, and elevating it as you grow older. You're not doing, uh, CrossFit, which has got to be the stupidest fucking thing ever. I want to go sit by the pool and enjoy my cocktail, see my kids grow up, and not need a cane.
