Robert Whitfield MD explains why low-BMI patients with large breast implants face sagging and recovery challenges. Fat transfer can help, but harvesting enough fat is difficult in thin patients. He recommends preoperative optimization and delayed fat transfer done awake in the office under local anesthesia.
That's really subject to how we optimize patients. So I don't really see that in my practice. I work very hard with diets, supplements, other testing to optimize and lower inflammation, optimize hormone levels, enhance recovery anywhere we can. In terms of other factors that can be problematic, I think low BMI patients who have big implants are the most difficult patients. They have more breast sagging or drooping, you know, long term, I feel like those patients would be optimized if they could be with a fat transfer. Because they're low bmi, it's really hard to find enough fat. But even my my clients are low bmi. We get them optimized. They can have a delayed fat transfer awake in the office, under local anesthesia, which sometimes is better for them. So I feel like that's an option that is utilized and becoming more and more utilized.
