Robert Whitfield MDAmerica's Breast Implant Illness Expert™

When Breast and Facial Treatments Should Be Staged

4 Oct 2026 · 1 min

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In this segment, Dr. Robert Whitfield MD explains how he determines whether a patient’s breast explant surgery and facial aesthetic procedures should be performed together or staged separately. He emphasizes evaluating the setting (office versus operating room) based on procedure length and complexity, avoiding overly long combined surgeries, and conducting a systematic facial assessment that looks at skin laxity, deeper tissue descent, fat loss, volume deficits, skin texture, wrinkles, and excess skin. All decisions are made collaboratively with the patient after a thorough discussion of goals and practical considerations.

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A woman may come in focused on obviously the explant surgery, the breast surgery, and, you know, just entertain or want other options. Sometimes that answer is we can do that in the office, or sometimes obviously we will do that in the center. We try not to get into very lengthy treatments in terms of facial procedures in the OR. Plus the breast procedures because they become too lengthy. But once again, we make that decision after discussing everything with the patient. For facial planning, obviously we start with our basic same principles. What are the main issues? Is it skin laxity? Is it deeper tissue descent? Fat loss? Is there other volume issues, skin texture, wrinkles, or true excess skin?