Dr. Rob Whitfield explains his approach to breast explant surgery: restore the pectoral muscle, remove the implant, and replace volume with the patient's own fat. He uses Madison's case as an example of the optimal outcome, preserving natural anatomy without artificial cleavage.
We always used to have the same— I had this expression like a plastic surgeon that should not try to make cleavage. That's what a bra does. Yeah. And the moment you're trying to do things like that that aren't really, um, they're not really a natural way to do something. Yeah. And obviously I end up trying to do my best to correct many of these, you know, in, in surgery, like you know, we try to maneuver the muscle around if we can get it back and repair it. We try to add fat or we can, you know, do different lifts and there's all sorts of things I can do to kind of make up for some of these implant, you know, things I find. But in general, I guess my summary would be if I could do an operation similar to what I did for you, Madison, each and every time, that's probably the biggest win I could have for patient where I take volume out. We can, if we can get the muscle repaired, we do all that and then add volume back with their own fat. That's probably the best situation. Yeah.
