Why Recovery Took 2 Years, Not 2 Weeks | Madison Miranda’s Healing Journey

I think most folks are pretty impatient. They want to feel better really quickly after surgery.

And I feel like I've seen a lot of stories online of girls feeling better the second they wake up from surgery. For me, that was not the case. It was a journey for me. I feel like the first few months for me was honestly just detoxing. All the stuff from the surgery. My energy levels were really low. It just took me a while to feel like myself again. I've had my implants for 10 years about before I decided to explant. Three years before I explanted my symptoms really started. One of the bigger reasons I went into explant surgery, which is such a long story. But.

Everybody knows her as Madison Miranda on Instagram for all of her cooking. But I know her as Madison is one of my. My patient who's almost two years out from explant. So thanks for joining us, Madison. It's long overdue.

Yes. Thank you for having me. I'm so excited.

We were talking offline. I see her more on Instagram making recipes and we're gluten free and dairy free, so I'm always looking at and sending her recipes to my daughter and my wife. They seem they are constantly making something off of Instagram.

Oh, that makes me happy to hear.

Yeah, it's fun. It's awesome. So, you know, we've shared a bunch of different stories over time. And since you're two years out and you said offline, you know, probably this has been from a timing perspective best because you said you feel really good now.

Yeah.

And I think most folks are pretty, as you would imagine, impatient. They want to feel better really quickly after surgery. And I used to let everybody know in difficult times, situations from trauma or cancer, reconstruction or a bad infection, that many times it takes, you know, several months. And in your case, you know, you're coming up on two years to feel better after that. So maybe just totally explain that for everybody.

Yeah. So, I mean, I obviously was really hopeful that after the removal I would feel better overnight. And I feel like I've seen a lot of stories online of girls feeling better the second they wake up from a surgery. And for me, that was not the case. I definitely had symptoms that cleared up kind of immediately, but it was a journey for me. I think. First of all, I'm someone that doesn't even take Advil, so I think the whole anesthesia and pain pills and all of that stuff that I was on, and I don't know if you remember, but I was a Special case that took a lot of all that stuff.

Yeah. So many times, like, to your point, either people, they metabolize things differently, you look at it, you know, from genetics. But some folks need what you would consider to be a lot of medicine to be comfortable.

Totally. And that was.

And that was. Yeah, yeah, absolutely.

I feel like the first few months for me was honestly just detoxing. All the stuff from the surgery, and my energy levels were really low. It just took me a while to feel like myself again, to be honest. And one of the bigger reasons I went into explant surgery, which is such a long story, but I had health issues. I've had my implants for 10 years about before I decided to explant, and it was about three years before I explanted that my symptoms really started. So I really felt okay for the first. Felt okay, right? For the first six or seven years that I had my implants. Um, and then it just. Overnight, I feel like. Just switched, and I had extreme bloating. I couldn't. Headaches. Every time I ate, it was so uncomfortable. I developed a gluten intolerance. My dairy allergy got worse. It was just chaos.

Do you remember, like, an event that maybe was something that was the trigger or the tipping point or whatever?

Yeah. You know, I really think it was my mom passing away. I think, emotionally, it was just too much. I think my implants obviously probably was causing inflammation in my body all along, but I felt okay. And I think when that happened, everything just went downhill from there. And I tried so many things before I got to the point of explanting. Right. Because obviously, I didn't want to right away. And I was going to naturopaths and MDs and doing blood work, and I would take all the supplements and do all the protocols, and nothing was working. So I got to a point where I was finally like, it has to be the expl. I have to get them out. And, yeah, when I did, the symptoms that cleared up kind of automatically were the gluten intolerance. I was able to eat, introduce gluten back into my diet. I still try to stay away from it, but, like, when I travel and stuff, it's nice to be able to not worry about that Allergy. And bloating went down like crazy for me. Like, I literally used to get so bloated where I would look pregnant. Like, I'm not even exaggerating. It was insane. It was uncomfortable. I don't have that anymore, which is a huge thing that I'm Very happy. Cleared up. And yeah, that happened pretty quickly, but the weight loss for me has been a journey. But I'm finally at a really good point and I'm down 35 pounds. And I'm really happy about that.

Yeah, you had mentioned that previously in, you know, one of our little communications. And everybody will get there. Yeah, I'm confident. And now the timing of it, none of that is a race. And to your point, a lot of folks, you know, and I, I don't ever subscribe to that waking up and everything's going to be, you know, rainbows and unicorns, because that's just not realistic. I've had one or two patients, obviously very. One of them very high profile, who did that. And that's just a very specific set of circumstances. Maybe somebody had an infection or somebody had a leaking implant or somebody had X and I do a case and then that relieves a lot of strain, stress from their system.

Totally. That makes sense.

And then they wake up and they're like, they're, you know, those are special, specific instances. That's not the majority. And it shouldn't be, you know, thought that way. Your story, I like it in that you're very realistic that it's taken that period of time and you haven't gotten short or frustrated with yourself.

Yeah.

Over that time. Because a lot of work obviously goes into that on your behalf.

Totally.

That's the most important part.

Yeah, I mean, I was definitely feeling a little frustrated at some points, but I. I was feeling better, you know, so it's like, just because the weight loss didn't happen, well, the bloating cleared up and that was a huge thing. So I knew my body was happier because of the decision I made. So I just had to trust the process. Like, you're going to get to your end goal. You're already feeling so much better. It's sometimes like when you have an end goal, you forget to, like, look back at how far you've already come,

you know, and you have the. You already. You use one of my biggest cheat codes, which is you already understand nutrition. So that's, that's such a cheat code for me because if I get you sleeping better and eating better, those are huge elements in overall feeling better.

And I also want to say I feel like I, when I woke up from surgery, I thought I was going to be, like, not mobile for weeks. And I was like, fine. Like, you do the nerve blockers, I believe. Like, I, of course I was in discomfort, but I think the most discomfort was from the fat transfer part, which was like the swelling of things. But like I was really impressed with how mobile I was right after my surgery.

Yeah, we work really and continue to work really hard to make sure that that's always the case. So you want to get up and move and the exercise is always being able to walk and move around and not be sedentary, not be stuck because then you get stiff.

Yeah.

If you're old like me 56, the more you kind of get in one position for a longer period of time, it makes you feel bad and you want to be moving and staying mobile. And you know, the, you talked about, you know, doing fat transfers and you have a very nice result. And the more I can provide a, you know, simultaneous fat transfer to help in that transformation, I would like to do that. You know, we have a specific program with Sharp to get everybody set up for more success with that. But it's not a, there's a lot of fear mongering about fat transfers like, oh, it's not going to work and oh, you know, why does Dr. Whitfield says he, you know, why does he say he can get it to work and nobody else can get it to work? And there's all this shit that goes on and on and on about it.

Well, I mean I've will say that I've lost the 35 pounds and what stuck in my fat transfer has stuck. Like I was a little bit worried of losing weight that maybe would like, I don't know, go away. But that has not been the case for me. I am what I was. I mean, after surgery there was some swelling, but I would say about at the three month mark post op, I'm still the same size as I was then for my breasts, which is amazing.

So you're swelling and things that, so Madison's talking about her like overall, you know, her body had some inflammation and she was able to release that inflammation and not sacrifice fat because that wasn't the problem. She's, she's talking about fluid and loss of fluid in that process. And I just was on, on a call with somebody out of, out of state Madison and they haven't lost that fluid weight and they're like, they're a little bit further out from surgery. And I was like, it's going to happen whenever your body kind of gets healthier and feels better. I mean this will happen. It's going to happen. So maintenance of a result now. So for everybody listening when I did medicine surgery, she's about 27 years old, so It's a little bit different than if you're in your 50s like me. So choose my best case scenario for simultaneous fat transfer. Because when we're younger, our hormones are in better balance, our, you know, our metabolism, our ability to tolerate things is better. We have more resilience. And then as we age, more and more we rely on looking at and being very specific on your genetics and your gut health and your sensitivities to different, you know, environmental toxins or mold toxins or food or whatever to try to make sure that kind of what she's describing is what we want everyone to experience. We don't want to experience fat loss. And there are papers published recently, Miranda, that look at changes in bmi. And if you go down in bmi, not like fluid weight, but like, yeah, you know, muscle mass or body fat, then your fat transfer result is lessened as you go up, like even a point or two. Then you retain close to 80, 85% of the result, which is more of what you're describing. Like, yeah, what I transferred is what you maintain.

Yeah, I definitely think I held on to 80, 85%. I've seen some people online say you only hold on to 30%. And that's not the case for me at all. So.

Right. You know, it's, it's more about. And so, you know, you know how from a diet perspective, I feel, I feel like it's very hard for me to get everybody, you know, focused on that because you can't want to then go do a calorie deficit and hit.

Yeah.

And cycle or run. No, it's not going to work.

I mean, and it also comes down to, like you said, like, the diet you want us to eat after is so important. You cannot be trying to get inflammation out of your body and eating dairy and drinking alcohol and eating gluten for every meal, like, that's, it's not going to work. And I, I personally feel like if you're gonna go through this process and spend all this money on your health, like, at least do the diet properly. Like, why not give yourself that extra, you know, benefit? And I don't know, I really think it's really important to just be really kind to your body and eat right and be on an anti inflammatory diet during this time period. And I think people would have really good results.

Yeah. And you know, Madison knows how she's. Basically everything you show on your social media platform is basically the tips and tricks to eat really healthy and avoid the things that inflame us and totally The. The well wasn't open, I don't think,

when you came because I did it over Christmas time. So things were kind of.

Yeah. So the gluten free, dairy free place with no seed oils, the well here in, in Westlake, there's one downtown. So the downtown location was here when you were visiting us, but now we have one within like five minutes of our office.

Oh, that's nice. I brought my sister and she's also an amazing cook and she, she made me lots of. And we're all, my whole family, we're all very mindful of all that kind of stuff. So I was in good hands.

Yeah, but that's the. That is the biggest. You know, I prioritize sleep and then I talk all about, you know, nutrition and what to do and both from the macro standpoint, which you talk about a lot in the micronutrient standpoint. And then when we have people who have maybe swelling or maybe they're having pain or maybe they're having neuro symptoms later on down the road, I always worry about what are they not getting totally. What are they not absorbing through their diets and how can we help them? Because all things being equal, it's fine to have some areas that don't have, you know, perfect sensation after surgery because you had surgery, but you really, if all things being equal, if you're getting your rest and eating properly and supplementing properly, you have you a really good chance for success and, and doing, you know, just like Madison has been able to do over time and get really well. And obviously that's what I mean. I want that for everyone. Now, the thing that Madison talked about, I haven't had people bring up, but I know having a loss of a family member, a loved one, a spouse, is a very huge deal in terms of stress and it can definitely trigger, you know, symptoms. I've seen, you know, physical events, but, you know, that's a very, you know, important life event that can definitely stir up a lot. Yeah.

And I kind of think it's like when people say they feel okay, Right? Like maybe someone eats fast food every day and they think they feel okay, but you don't know what okay is. Like, you're okay could be so different than someone else's okay, if that makes sense. And I think I felt fine and I was getting through the days, but I just think internally my body was clearly not fine. And one major event like my mom passing away just kind of tipped everything over and derailed the whole train.

Yeah, that's a huge Life event.

Yeah.

And you're a young person. I lost my. My mom when I was in my twenties. She passed away. To hear that. But that's a very big. And you don't really probably fully realize how much it affects you and until you're, you know, maybe further beyond it.

Yeah.

Honestly, that was a big problem. I. I remember I went and I spent my entire first year of surgical training, and I just worked all the time, and that was probably, you know, that was my distraction from that problem.

Yeah.

And then after I. I thought about it, like, a year or two later, I was like, I had to have been depressed during that whole year.

Right.

And then it finally occurred to me, you know, I was just like, oh, I guess that was the case. About 26 years old when that happened.

Yeah. It's horrible.

Yeah.

I also wanted to kind of touch back on what we were seeing about the healing process. And I just want to say I love the protocols that you have in place for your patients post op. I think they make all of the difference in the world. Not only do you make sure everyone's set up by doing blood work before you have. At least when I was there, you had, like, a naturopath to work with before and after surgery, you have the hyperbaric oxygen chamber. When I was there, you had the Balancer pro. I saw that you guys have a new device now. But I really think all of those devices and protocols you had in place is so important. And I interviewed with other doctors before I found you, and that no one else had any system like you had in place. And I think that's really cool. And that was one of the main reasons why I did decide to go with you, because it felt like you cared about the patient. Past explant. Like you wanted people to feel better.

I think you gotta do. And thank you. I think we've worked hard to put in systems to help people get prepared, and then certainly afterwards. But the. We're emphasizing how much we get your preparation done. You know, looking at genetic testing, like you said, blood work, looking at hormone balancing, food sensitivities, and gut testing and toxin testing, trying to see, like, what does Madison have that we can help with before she comes here?

Totally.

When you're here now, we have something new called the human regenerator.

Sounds like fun.

And you lay on it, and I did it this morning. So it helps calm down your nervous system, which obviously, after surgery, anything that helps, you know, get you in a more parasympathetic state is best. And then we do have newer lymphatic massage devices from New Zealand called lopresso. They do your arms, your legs, your kind of abdomen area. And then I don't remember specifically if you have this problem, but some people get really cold.

Okay.

This one has a warming function, so it's more soothing if you want to do that. And then we have some. The nanov just blows by while they're getting it done. And it's a really good setup to then go into the hyperbaric chamber, you know, for about an hour like you did. And then the red lights in there so you can stand red light. I want to get a vibro accustatory device because sound therapy is something that

would be so cool.

You're appreciated. We just haven't added.

Yeah, I needed that nerves nervous calming device that you were just talking about. I was pretty. Going into surgery.

Yeah, yeah, certainly.

Yeah.

I, I, you know, we're one of three clinics in North America that have one. And after we, you know, trial that it was obvious that that would be a big difference maker for our patients. So I feel that's, you know, we always want to have, you know, more access, you know, and Miranda's in Los Angeles. She came here and spent a week in Austin. And people who come from out of the country, now we have them spend a couple weeks. Anybody who can spend longer, of course you want to do that and we'll help accommodate. You know, my, my team in the clinic is great. And my. Although I don't have. We have functional practitioners and I have several of them now that help run the program for the patients for detox. And then we have our nurses, nurse practitioners who run the surgical follow up. And each of the team members is led by somebody or each team is led by somebody who's had an explant with us.

Yeah, yeah. Your team's amazing. Everyone was so sweet and nice and it was just like such a comforting feeling because you're obviously probably a little scared going into it. At least I was. And everyone on the team is just over the top, sweet and understanding, and it makes a big difference.

They are, they're very, they're a great group.

Yeah.

Super fortunate. They take and great care of the patients.

Yeah, they really do.

There can be people who don't like me, which is fine. I'm all right with that. But nobody should complain about my team.

Yeah, you got a good team around you. And you're great too.

Not everybody's got Pete, but you know, what I wanted to know is I've tried To always ask. And you can decide, like how, if you want to share this part, is what convinced you in the initial run up to getting an augmentation. Like, what kind of maybe discussions did you have? Because now you've had a fat transfer.

Right.

Did you get offered a fat transfer as a form of augmentation? Maybe when you were learning or looking at getting it?

No, honestly, I. Is it. Is this something that's been done for a long time? Is fat transfer to the breasts?

I have.

Yeah. Yeah. I mean, no, I've never even heard of it until. Honestly, like a year or two before my explant surgery when I was like, what other options are there? Because naturally I'm like a double A. And I was like, I don't want to be that flat again. So what are my other options? And that's how I found out about it. But I feel like it's not really talked about or known about, to be honest.

It's. It's interesting. I mean, everybody's heard of the Brazilian butt lift, exactly. Moving fat, you know, to the butt. And this is my. My staff who are always funny, they call it the Brazilian boob lift because you're just taking the fat and moving it to the area. But it's not where the implant goes. I think everybody needs to understand this. We're putting it beneath the skin, but above the breast. So it's in the space between the two. That's the fatty layer. It's just not as big of a fatty layer as someone's butt. Yeah, it's a much bigger area.

Yes.

So, you know, if somebody wants to have bigger and bigger and fuller, you know, breasts. However, we're going to characterize that with fat. You would have to do more than one transfer, typically. So it's everybody's prerogative. It's your own genetic material. So of course you could. If you do that.

Yeah.

More than one Brazilian butt lift.

Totally.

That's not uncommon. I don't know why the breast thing

has become such a. I know it's not really like. I don't know. I feel like it's not like common knowledge that you could do a fat transfer to your breasts.

Yeah. I think the. For us, I mean, I've been doing fat transfers Libra since, oh, four, maybe. Oh, five.

Crazy.

And mostly for cancer reconstruction purposes. But I mean, augmentations work well. It's just. It's not ever going to be like an implant because it's different. Yeah. And it's. Implants push out the fat. Can't do that.

Right.

If you just want more of a naturally larger appearing, fuller breast. And that's. Yeah, fat transfer is good. If you have fat, obviously for the folks who are tiny or just low bmi, that. That's usually going to work for them.

Yeah.

But there's a whole host of people who didn't get offered or that explanation was never given them. Given to them.

Right. And I feel like even if it was offered to me, I didn't know about bii, so even if they're like, oh, we could do a fat transfer, I probably wouldn't have done it because it sounds more invasive. But now, knowing what I know now, it's like, that's kind of the obvious choice in my opinion.

Right. And yeah. It's just to your point, like, it's what you know now.

Right.

People always like, you know, I have a 17 year old daughter, like, Dr. Whitchfield, what if your daughter would have implants? I'm like, well, first of all, my daughter's a Leo like me. You can't tell her. There's. There's no chance you're telling my daughter what to do.

Yeah.

So if she's decided that she's gonna have a breast augmentation, then she's gonna go figure out, just like Madison did, how to do and get a breast augmentation. Nothing that I say, nothing that I've written about, books, 130 podcasts, whatever. I've done.

Yeah.

Appearances, I've made webinars or whatever. That doesn't matter.

Yep.

Young people are going to do their thing.

I do think it's important. This is why I've been so open with my experience, is because I just feel like when I was go, when I made my decision to get my breast done, this information wasn't out there. Like, no one was talking about it. I didn't even know it was a thing. And I have, through sharing my story, have women reach out to me and be like, it's because of you. I decided I'm not going to do get implants. And I feel like that's the whole reason I'm open about my experience. It's not to scare anyone. It's just to inform you and then you can make an educated decision what you want to do with your body.

Right. Well, now I've bothered enough people that people are making funny videos about me.

Really?

Oh, yeah, yeah, yeah. I've become. What do they call those? Not memes. But they just put me up and talk about me now because they're like, he's crazy or he's whatever, which is fine. I. I clearly am doing the same things. Right. I'm just trying to share what we know and educate, you know, folks. I'm not. Somebody said I was fear mongering.

Oh, my gosh.

That's what I do.

People just want to say that so they feel better about their own decisions. And you know what? I'll say. The first video how I found you was when you did the Skinny Confidential podcast, and there was a clip of you that was going pretty viral. When you were talking about girls who go into the. Or into the sauna and they're melting their implants. And I was a sauna girly. I am talking. I would go two or three times a week, and every time I would do the sauna, I would feel so sick, I would have a headache for the rest of the night. I would feel nauseous. And I'm like, well, clearly I'm detoxing. And when I saw that video of you, I was like, it just all cleared, clicked. I'm like, no, I'm not detoxing. I'm actually putting more toxins into my body. This is insane.

All right, so Madison has opened basically Pandora's box, and which is why everybody who is a plastic surgeon who does implants, and when I say what I said on that show. So Lauren Bostick show. You can go to the Skinny Confidential episode. Just type into YouTube Dr. Whitfield at Lauren Boston. And it's going to come up and it's going to say. What Lauren would say to me in an office is like, Dr. Whitfield, I think I was melting my implants. And we would joke about it. She's a very good interviewer. Her. Her and her husband are very good. She said, are you going to say. Or do you want me to say it? And I was like, what? And then she led me to say. And I did say melting your implant, but it's not the correct term. So let's just clear the air. The correct term for what she was doing was called leaching. So if you heat up something, think of like a plastic water bottle. If you heat that up, the plasticizers, the things that make the plastic hard, are phthalates. Those phthalates will leach out of the plastic water bottle into the water. Then you'll drink the water and you'll increase your phthalate level. So what she was doing was getting overheated. The shell components, the heavy metals in the shell were leaching out of the shell into her Tissues. And she would feel terrible.

Yeah.

Just like you're talking about afterwards. And Michael said she would do it for an hour, hour and a half at 212 degrees.

My gosh.

And I was like, okay, well, that's clearly not good. And what Madison is describing is called a Herxenheimer reaction. And that's when you are detoxing too rapidly for your body to accommodate it. So it can give you viral type symptoms, or viral. If you want to think of flu, like symptoms. Madison's describing a headache. Very common. More fatigue. Very common. So it's not made up. I'm not crazy. I'm not trying to scare anybody.

No.

And I tell all my patients the same things. If you feel bad after you get out of the sauna, then don't go back into the sauna.

Right.

Right. Come on, this is not rocket science.

Right. Detoxing. I'm like, oh, I don't feel good because I'm detoxing. This is amaz.

Well, and that's the point. Right. So if it's not a refreshing thing after a period of time, it's more of a, like, I feel worse, then you probably should just hold off.

Right.

And then people are like, well, Dr. Whitfield knows that an implant can't melt. He just said that caused all this shit. And he's fear mongering and all this other stuff. And I'm like, no, not really. I have all the receipts for this. I would never say anything to. To scare Madison about the sauna. I would want to inform a patient that that potentially that device is leaching chemicals into her system. And things like tan and cadmium and platinum and all these things that are found in the shells can definitely cause problems for you. They can cause neurologic problems. They can give you other, you know, metabolic issues. So that kind of stuff bugs me.

Yeah. Yeah.

There are. Folks are not interested in safety at that point.

No. I mean, people don't want the truth when it comes to health because they just want the easy way out. So if you're saying like, oh, implants are X, Y and Z, of course people are going to come for you because it's not what people to hear.

Yeah. And I have, you know, there's newer implants on the market now, and those are supposed to cause problems. And I have a set sitting on my desk that I've already taken out of somebody.

Mm. Yeah.

Every one of them will ultimately affect somebody.

Yeah.

And it's, you know, come on. Anybody who puts in an implant, hip, knee, breast, Dental, like, look at all the dental stuff.

I know.

It's gentle stuff. It's out of control.

Everything's connected. For you to think that you're gonna put something foreign in your body and everything's going to be 100A. Okay. Is just probably not the reality.

No. You always got to be thinking about and mindful of those things. Like everything you put in your body and on your skin is gonna. There's a consequence.

Exactly. Yeah.

Well, I guess going back to your young self, like you said, you wouldn't have probably done a fat transfer because it probably couldn't have been explained in a way that would have taken away its invasiveness or extra component. Because there is. Right.

Yeah.

I always am trying to just explain it as I do it this way. So if you're, say, in your 30s and you've had children, we'll just say that's the case and you don't want to have an implant, but you want to have a better looking, fuller breast because you're breastfed and the. It's a little deflated. Yeah, fine. And I say, well, you can take fat from your waist, your thigh area, and basically get the body contouring, you know, procedure and use the. What would be excess or thrown away if done correctly. You just put back. It's your own tissue, it's your own genetically identical cells. And so all things being equal, that should be the best filler.

Yeah.

It's not foreign. It's not going to get rejected. People ask me, like, how often does something leave a cyst? Which can happen. Everybody's seen oil cyst and kind of get firm. Yeah, that's a. I would say that's uncommon. And, and we can hear, you know, Madison discuss, you know, what she thinks about how it feels, is feel natural. Is there problems with it? And I have nothing to hide. I mean, anybody can have a problem with anything I've ever done. That's totally fine with me. But in general, fat transfers, because they're your own genetic material, to me, are the best filler.

Yeah. I mean, I think any girl who has implants could probably relate to this. They feel so uncomfortable inside of you. Like when you are hugging someone, for example. I would always concave my shoulders because if someone pressed too hard against my chest with my implants, it would feel uncomfortable. I couldn't lay on my stomach. I. It just, you, you always are like, kind of like protecting your chest when you have implants. So, yeah, the fat transfer is way better. I, I'm a hugger. So to be able to like hug people without pushing them away at the same time with my shoulders is really nice. Being able to sleep on my stomach again, all of that. I, I'm way happier with this. Yeah. And they feel natural. And you can wear a push up bra and kind of make them look like implants if that's your M.O. and that's what I do. And I think it's fine. I think it's great. I think it's the best option. From what I know now and having both, I'm really happy with this outcome.

We always just have the same. I had this expression like a plastic surgeon 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. 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, 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. That. That's probably the best.

Yeah.

Situation.

Yeah. I was really happy with it. I also am really happy I did it in one surgery because for me personally, if I would have woken up with a double age, I would have been distraught for months. So.

Well, and that's, you know, we talk about that. That's why I said if, if I had my best case scenario in every situation. That's why the program is set up. You know, for a while it was really complicated because I was getting a group of patients who had more and more toxins in their system, more and more problems. And Lauren actually didn't want to have a fat transfer. She was going to have another child and has went on to have another child recently. So we didn't do that for her. And I doubt she'll ever have one, to be honest. But to your point, it would be a win in a number of ways, as you're describing, probably emotionally and psychologically a win to wake up and have something volume. And that to me is always like the. It is the best case. Like if I can do that all the time, I feel like that is the, the it's going to help the patient, you know, if I can do it that way the most.

Yeah.

Well, what are we going to expect from you for the holidays? I've been checking out your Instagram. What's. What's coming up?

Just lots of allergy friendly recipes and traveling to go see my family for the holidays and looking forward to celebrating my two year explant. I also just want to say, before I did my explant, I threw myself a tata titties party. Highly recommend it for anyone. I got a boob cake, I got boob balloons, boob straws, boob confetti, and I just made it a whole fun celebration. And highly recommend for anyone else doing the same thing.

All right, where can folks follow you? Especially now? I follow Madison to learn about recipes. Now y' all can follow her for recipes and all of her other content.

You could find me on Instagram at Madison Miranda. And that's mainly where I'm at. I'm on Tik Tok as as well, but mainly Instagram.

Awesome. Thanks for hopping on.

Yeah, thank you so much for having me. It's always great chatting with you.