Fat Transfer with the SHARP Method Part 1

All right. Welcome, everybody. We're going to go, begin the talk here shortly. If you're in Dr. Rob's circle, you're already streaming. You should be able to see me. I just want to make sure the feed comes on. It's waiting for the broadcast, so we'll have to get that started before I begin. Welcome, everybody. Seem to be having a little bit of a technical difficulty in our live stream. So chime in on Facebook and LinkedIn and YouTube, X, Instagram. Substack, but somehow— okay, we're gonna have to end the stream. All right, I'm gonna have to restart it. Give me just a moment. Let's see if I can come on now. Give it just a moment. Ah, there we go. Well, technical difficulty. Sorry about that, everybody. Just waiting for everybody to hop on. So I'm streaming to all platforms now, uh, just from StreamYard, so I cannot see any comments made in feed. I just want to make sure that we are streaming on Instagram and TikTok. I actually don't see TikTok here. Let me see. I don't know what happened to TikTok. I have to add it. Yep, I'll just start it on my phone, so sorry about that. We'll add it. I thought we could just stream it because it said we could, but it's not working. So we'll just add it. Sorry, just take me a moment. Let everybody get on. It's 4 minutes after, so we're just a touch behind. Yeah. Just about there. All right, is everybody else good? There's Miss Leah. Thank you, Katie. Yeah, it was a problem there. I don't know what was going on. So we'll see how many folks we get. We will see how many folks we get. I'm gonna bring up another window just to check this, make sure everything's working. And from there, so let me just click. Is anybody on Instagram? I can't see if it's actually streaming on Instagram or not. No, I can't tell. I cannot tell. Let me see. I don't think it is. Oh, I thought it was streaming on Instagram for me, but it does not appear to be. So we'll get that started. I don't know what's going on with this stuff. Yeah, it's not working. All right, we're going to have to get rolling here. So this is part 1, fat transfer with the Sharp method. Okay, we'll see if I'm— well, now it says I'm live. It's always something. So, uh, I, I believe now we're across all of the platforms that we wanted to be on: YouTube, Instagram, uh, TikTok, X, LinkedIn, Facebook, Substack. I hope that's working. And I think it will be all, all good there. Should be able to see it. No problem. If not, let me know. But tonight we're going to go over fat transfer with Sharp, part 1. I'm Dr. Whitfield here in Austin, Texas. So I'd like to welcome everybody. Once again, I'm Dr. Whitfield, board-certified plastic surgeon here in Austin, Texas. Before we get into anything tonight, let me set the frame for what the series is and what it, what it isn't. It's not a webinar. I'm not selling you anything tonight. I'm not going to show you before and afters, and I'm not telling you to book a consult with me. What I'm going to do over the next 3 lives, one tonight, uh, one tomorrow at 2 PM Central, and then one on Thursday night, 10 PM Central, it shows something that almost no one in plastic surgery is talking about publicly. We're going to delve into the science behind why fat transfers work and why for most patients they don't. If we're making you uncomfortable about that, or potentially something you're engaged in already, you can certainly tune out. If you stay, you're going to understand something about your own biology. Hopefully, we'll change how everybody kind of makes surgical decision-making going forward. And I like to begin by telling a story. I think that's probably the best way to frame this. A patient came to me last year. She had had a fat transfer twice in the past, two different surgeons, both well-respected, well-credentialed. Uh, both times the fat transfer didn't survive. She lost an overwhelming majority of it each time, and she was really frustrated, of course. She came to me and said she thinks her body rejects her fat, and we'll discuss that with that later, how that's not possible. That's just what she was told. That some people's bodies just don't hold it. Here's what I told her: your body didn't reject anything. Your body did exactly what it was designed to do. It responded to the environment it was already in and the state of wellness, if you want to think of it like that. The question is not whether or not fat works, because of course it does. The question is what was happening inside her body that made survival impossible before the fat was ever placed. And so that's what we're going to talk about tonight, and And the answer is typically not what you would think. Now, most of you watching are probably not your average patients. You may be here because you've heard me speak before, you've done research, you've read potentially one of my books, you've asked questions that doctors couldn't answer or maybe were evasive about. You already know something is off about how fat transfer is marketed. It's very different when you market, uh, to the face or the buttocks. You've seen the promises, you've seen results that don't really make sense or match, and you've probably wondered, is it the surgeon or is it something else? And that's the correct instinct. And tonight I'm going to give you the framework to understand exactly what's happening. I built a system on my methodology, the Sharp Method. It started with doing explant surgery and simultaneous fat transfers, which I've done for a long period of time. I published the largest PCR-tested capsule series in the world, 694 consecutive samples, 29% contamination rate. And I can do fat transfers in explant patients and cancer patients and post-mastectomy patients after explant, which I did today actually. And it's a, it's a system that works for each and every procedure. So because the same principles apply, inflammation toxicity burden, gut health, food sensitivities, nutritional status, genetic predisposition. These are not really abstract concepts anymore. This is 2026. Obviously the Genome Project was completed in 2003. So they're measurable, they're modifiable, and they determine whether or not the fat gets transferred and lives or doesn't. So what we're going to walk through tonight is the preparation framework that I like to use that most plastic surgeons don't understand. They're not familiar with it. It wasn't trained. So if it's not taught in their training and they don't come across or get curious about it, then it's, it's not going to be part of their programming. And this comes from my clinical observation, mainly out of our explant population, cancer population patients, the most difficult patients I find to fat transfer. And then look at our clinical evidence and outcomes. And by the end of the series, I, I just want you to understand that fat transfer is possible. We do it at a high level, um, and that's not an exaggeration. Um, the reality is if you're planning a fat transfer and you skip preparation, um, if you don't address inflammation, if you don't test for deficiencies, if you don't correct your sleep hygiene, if you don't understand your toxic burden. If you aren't doing these things in preparation, you're just wasting money. The procedure is not going to fulfill your expectations or the promise given to you through the surgeon. Fat, if you will, is, you know, going to be DOA. It's not going to survive. It's not going to give you the result. And it doesn't matter how skilled the surgeon is. It doesn't matter. The patients who get the best outcomes in my practice aren't just surgical patients. They're really part of the system, buying into the system, working really, really hard on themselves, um, and they become typically part of our patient population. They may become part of our private circle community where we go deeper than we can on Instagram or YouTube or TikTok or Rumble or any of the other platforms you see me on. They ask me direct questions, and I try to give them the most direct answers I can, uncensored, in the private community. I try to make them, uh, really clearly understand the science as best as we can explain and provide, given the, the available evidence. And that understanding is what separates their results from everybody else. I think they get really comfortable. I have a patient coming in this week who actually had a long discussion with recently, and they wanted to know similarly why I feel like I have better results, and I explained it to her, and, uh, and we're taking care of her this Thursday, actually. After tonight, you're going to know things about fat transfer biology that most people in this space, including some of the surgeons, don't know or haven't considered. That's not to make you, uh, you feel uncomfortable. It's not to make you feel, uh, scared. It's just to make you really, really— give you the best way to make the informed decision. That, I mean, that's all I've ever tried to do is educate patients to help them make the best informed decision. So I'm going to get back to that patient who had the failed transfers. And when she came to me, we didn't, uh, talk about technique. Um, we ran her through our program. So we looked at her genetics, her toxicity burden, gut health, food sensitivities, hormonal balance. We tried to find out things that would trigger her that she was sensitive to, and we found, um, vitamin deficiencies. She already had, like many patients I take care of, a compromised methylation pathway, and many people do. Um, she had a mycotoxin burden that we wanted to address. We have protocol in place for that. And so she prepared properly, came to Austin, um, after spending several weeks preparing, and then underwent the procedure, stayed here in Austin for another week. And then went home and read a very specific post-op protocol that we really curated specifically for her. And 12 months later, you know, she has maintained her BMI relatively well and has more of an 80%, 85% type volume take. So the keys are preparation and then afterwards, there's a lot of work to do by the patients on sleep hygiene and nutrition and not creating caloric deficit, but being smart about and incredibly in tune with their bodies and understanding what to do to help themselves. So it's not luck. You know, our methodology is sound. We use it all the time. So tonight is part 1. We're going to go and continue on preparation. What do we test? What do we optimize? 2 and 3 will be on Wednesday and Thursday. We'll cover fat viability and some of the recovery engineering, um, my full protocol. And now, um, the, the broadcast is open right now. Anybody can watch. Obviously I'm going to do a live Q&A inside my private community, drrobscircle.com. It's free to join. There's no issue with that. You can go over there now. The links are all in the bio, or you can just go to my website, drrobertwhitfield.com. Click Join the Circle and go there. Create a username and password and hop right into the live Q&A that we're going to have. The, once again, it's not a sales pitch. I'm just going to answer your questions. That's how I feel is best to help people make informed decisions. We want to protect the quality of the conversation. So in the Circle, obviously it's serious. I have patients, I have followers, and everybody's super respectful. They ask great questions. So I encourage you to, come on in and ask questions. If you don't want to do that, that's fine. You know, over the next, like, several sessions, you'll still learn more. So I'll take a couple real quick questions, then we'll hop into the circle. Okay, I don't have any questions I can see here. Okay. I'll hang out just a couple minutes. You guys can post your questions real quick before we hop into the circle. All right, one new message. Let me see what I got here. We're talking about fat transfers. Yeah, nipple inversion is actually a common problem because of the size of the implants and the cavity created. So fat transfers can and do help that. Sometimes it makes, takes more than one session though. Kell, that's a great question. I want you to bring that into the circle and ask it, okay? All right. Oh, Brandy. Strategic Holistic Accelerated Recovery Program. I know it's quite the mouthful. We had to rename it, but that's what the name of the book is, too. All right, Stephanie came over from Facebook. That's awesome. Oh, wow. All right, we're gonna go into the circle now. So drrobcircle.com is where you can go, you can come in and ask your questions. Cal, that's a great question to bring to the circle. And Greer. All right. I'm just going to type it so everybody on Instagram can come over. You can go to my website or you can go to DrRobCircl.com. Oh my gosh, I can't thumb type. You guys would be laughing at me if you could see me thumb type. That. All right, now I can't do that on TikTok. I'm gonna come to your question just a second, Katie. Sorry, I'm trying to get off of some of the other platforms here and just make sure I've answered everything. All right, thank you, Cal. That's a great question. We're going to talk about it though. So in my profile on TikTok, you can go to my website and then come over and ask questions in the circle. Okay. Norma, we're going to move over to the circle now. Okay. Let me see if I can type that in there. I don't think I can. I think I can. Nope, I can't. All right, so I'm going to end the streams in these other communities. Yeah, and then So I was live on a lot of things tonight, so we're going to remove them because, um,