Robert Whitfield MDAmerica's Breast Implant Illness Expert™

Implant Surgery: Scarring, Skin Redundancy, and Patient Prep #shorts

25 Feb 2026 · 1 min

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1:07

In this short clinical briefing, Dr. Robert Whitfield discusses criteria for using anchor incisions during breast implant surgery, emphasizing that they are reserved for patients with prior anchor‑type scars or significant skin redundancy, especially when placing very large implants (600–800 cc). He notes that most patients receive implants around 300–350 cc, making large‑size cases exceptional and often requiring additional skin work. The talk then shifts to pre‑operative patient preparation, describing a limited detox protocol coordinated with detox practitioners, the use of CellCore products, and a cautious approach to avoid rapid detoxification that could trigger Herxheimer‑type reactions.

Chapters

Anchors I reserve for people who definitely had an old anchor type scar or they're going to have so much skin redundancy that we're going to have to do something, and we're recommending those more in our patients with larger and larger implants. We've had to do some skin work on folks with six hundreds and eight hundreds, and those are obviously very large implant sizes. Most people are on average in the 300, 350, something like that. So now we need to go into a little bit of detail about how we prepare people. So if someone's got a lot of planning to do and isn't going to be here for six months, my detox practitioners are all ready to help really get people prepared prepared for surgery. We do limited amount of treatments. We use cellcore for detox. We are very careful preoperatively with patients, not trying to get them to detox too rapidly because that leads to Herxenheimer type reactions.