Dr. Robert Whitfield explains why his practice stopped using implants for augmentation six years ago and switched to fat transfer instead. He's not against implants for reconstruction or those who want them, but argues for individualized plans based on what each patient actually needs.
I want to start with reframing the discussion because it changes every question that follows. An implant is a device and devices have roles. I've used them throughout my career for breast cancer reconstruction and augmentation. About 6 years ago, we— 6 or so years ago, we stopped using devices and really transitioned to only natural transformations with fat for augmentation. And I'm not here to tell you every implant is a problem. That's not the goal of this discussion.
