Breast Implants, Explant Surgery, and Breast Implant Illness with Robert Whitfield MD – Détails, épisodes et analyse

In this episode, Dr. Rob Whitfield, a board-certified plastic surgeon, and Travis Osborne, CRNA, co-founder of Celebrity Anesthesia, discuss anesthesia during surgery. Travis explains advanced anesthesia techniques and Enhanced Recovery After Surgery (ERAS) protocols that minimize postoperative pain, nausea, and complications. They highlight the importance of preemptive pain management and patient-centered care to improve surgical outcomes and comfort. The episode serves as a valuable resource for women considering explant surgery and seeking to understand breast implant illness. Show Highlights: Enhanced Recovery After Surgery Protocol (00:02:17) Travis discusses the importance of minimizing postoperative pain and complications through advanced protocols. Personalized Care and Techniques (00:07:11) Discussion on tailoring anesthesia techniques to patients' specific needs, including genetic considerations. Understanding General Anesthesia (00:12:09) A detailed explanation of what general anesthesia entails and how patient safety is ensured. Addressing Anesthesia Concerns (00:14:02) Travis reassures listeners about the risks of waking up during surgery and the monitoring process. Surgery Duration and Safety (00:16:16) Dr. Whitfield discusses limits on surgery duration and the importance of appropriate monitoring. Collaboration Between Surgeon and Anesthesia Provider (00:18:47) Travis describes the seamless teamwork between him and Dr. Whitfield during surgeries for optimal patient care. Serratus Anterior Block Overview (00:21:36) Explanation of the serratus anterior block and its impact on pain management during surgery. Wind-Up Phenomenon and Pain (00:24:50) Discussion on how blocking nerve impulses can prevent increased postoperative pain and inflammation. Proactive Pain Management Strategies (00:25:29) Emphasis on proactive measures taken to manage pain and nausea before and after surgery. Non-Opioid Pain Management (00:27:35) Discussion on using non-opioid medications to minimize side effects associated with narcotics. Connect with Dr. Whitfield: Podcast (https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554) Spotify (https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667) TikTok (https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&_r=1) IG (https://www.instagram.com/breastimplantillnessexpert/) FB (https://www.facebook.com/DrRobertWhitfield) Linkedin (https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/) X.com (https://x.com/rjwhitfield?lang=en) Read this article (https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness) Shop Dr. Whitfield’s Solutions (https://drrobssolutions.com) SHARP (https://www.harp.health) NVISN Labs (https://nvisnlabs.com/) Get access to Dr. Rob's Favorite Products below: Danger Coffee (https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg) - Use our link for mold-free coffee. JASPR Air Purifier (https://jaspr.co/)- Use code DRROB for the Jaspr Air Purifier. Echo Water (https://echowater.com/)- Get high-quality water with our code DRROB10. BallancerPro (https://ballancerpro.com) - Use code DRROBVIP for the world's leader in lymphatic drainage technology. Ultrahuman (https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield)- Use code WHITFIELD10 for the most accurate wearable.

In this podcast episode, Dr. Rob Whitfield, a board-certified plastic surgeon specializing in breast implant illness (BII), and Ashok Gupta, an internationally recognized health practitioner, discuss the complexities of Breast Implant Illness. Dr. Whitfield shares insights into how breast implant illness impacts women's health, the latest research, and treatment options. Ashok, who developed the Gupta Program for chronic illness recovery, explains the neuropsychological aspects of chronic conditions, the gut-brain axis, and effective recovery strategies. The episode emphasizes the importance of community support, holistic healing approaches, and the belief in one's ability to recover. Show Highlights Neuropsychological Aspects of Chronic Illness (00:02:05) Ashok discusses the importance of understanding the brain's role in chronic illness and survival mechanisms. Chronic Illness Development (00:08:42) Describes how acute conditions can progress to chronic illnesses through dysregulation of the immune system. The Role of the Gut-Brain Axis (00:09:15) Discussion on the gut-brain connection and its impact on chronic inflammation and health. Loop of Chronic Inflammation (00:10:51) Ashok explains how chronic inflammation can perpetuate itself through a feedback loop. Behavioral Change and Habits (00:19:00) Discussion on the importance of developing positive habits for long-term health and recovery. Behavior Modification and Medications (00:24:37) Discussion on the impact of GLP-1 medications on changing eating behaviors and their health implications. Community Support in Healing (00:28:34) The significance of community in recovery, emphasizing shared experiences and support in behavioral change. Holistic Healing Approaches (00:30:54) Exploration of multifactorial causes of chronic illness and the importance of holistic treatment strategies. Key Takeaways for Healing (00:33:42) Emphasis on consistency, shifting away from mainstream medicine, and belief in personal recovery for effective healing. Complementary Treatment Approaches (00:39:10) Importance of addressing both physical and mental aspects of health in the healing process. Connect with Ashok Gupta Gupta Program https://guptaprogram.com/ Connect with Dr. Whitfield: Podcast (https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554) Spotify (https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667) TikTok (https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&_r=1) IG (https://www.instagram.com/breastimplantillnessexpert/) FB (https://www.facebook.com/DrRobertWhitfield) Linkedin (https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/) X.com (https://x.com/rjwhitfield?lang=en) Read this article (https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness) Shop Dr. Whitfield’s Solutions (https://drrobssolutions.com) SHARP (https://www.harp.health) NVISN Labs (https://nvisnlabs.com/) Get access to Dr. Rob's Favorite Products below: Danger Coffee (https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg) - Use our link for mold-free coffee. JASPR Air Purifier (https://jaspr.co/)- Use code DRROB for the Jaspr Air Purifier. Echo Water (https://echowater.com/)- Get high-quality water with our code DRROB10. BallancerPro (https://ballancerpro.com) - Use code DRROBVIP for the world's leader in lymphatic drainage technology. Ultrahuman (https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield)- Use code WHITFIELD10 for the most accurate wearable.

There are many reasons why women undergo breast explant surgery. Although some women do breast explant because they don’t want them anymore, some opt for breast explant surgery due to health issues or complications such as capsular contracture (scar tissue tightening around the implant), rupture, infection, or chronic pain. Knowing the expected recovery time gives people reasonable expectations regarding their healing process. It prepares them for the temporary limits and pain they may encounter during this period, which can help lessen worries. In today’s episode, we’ll be talking about how long breast explant surgery and recovery take. Optimizing your immune system When you undergo an operation, whether breast explant surgery, breast implant, breast reconstruction, or others, you have to ensure that your immune system is in its optimum state. To optimize your immune pathways, we do genetic testing and saliva tests which normally take a couple of months to get the results. We also conduct urine tests to identify toxicities and inflammation. Another thing that should be taken into consideration is the environment, as it also affects one’s immune system and recovery after a breast explant surgery. If you’re in an environment with molds, you have to be careful as these affect the air quality, which can also negatively impact your health. Optimizing your diet and taking supplements Having a healthy lifestyle boosts the immune system. Diet obviously plays a key role in all of these because if you can't eat and absorb nutrients, you can't recover easily. You have to stay on track with your diet as it limits fluid accumulation by changing your oncotic pressure, which is the protein content in your blood so that you go from a leaky phase or catabolic phase after surgery to an anabolic phase or a non-leaky phase. This helps your swelling to lessen quicker. Optimizing your diet includes an examination of food sensitivities and assessing your body’s food and nutrient absorption. We also have to check if you have bacterial, fungal, or parasitic overgrowth or leaky gut. It’s also important to ensure proper blood work and hormone balance for recovery since women have high levels of cortisol and sometimes estrogen as well, which can prolong recovery. We carefully look into all of these factors, particularly the levels of estrogen, progesterone, and even testosterone, and optimize them through our supplements to shorten the patient’s recovery time. We also use red light therapy and lymphatic massage. Many of my clients also like to use hyperbaric oxygen therapy. Generally, it takes one to two weeks of recovery if you’ve had an explant and it’s above the muscle and a couple of weeks - depending on how hard it is to get it out from behind the muscle. However, the recovery period still depends on many factors like your genetics, diet, lifestyle, environment, and hormone balance. If we carefully optimize these, we’ll be able to give you the possible results and decrease the time for recovery. We're also introducing new things to enhance recovery like peptide therapy because we want you to recover as efficiently as possible. Links and Resources Let’s Connect... Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Behind the fascination with augmented breasts is a complex truth that involves a number of experiences such as trauma and the necessity for explants or breast implant removal. While breast implants have provided benefits for many women, they have also been connected with major complications and traumatic experiences. In today’s episode, we are joined by Candice Barley, a breast implant illness patient advocate, and by Dr. Amanda Savage Brown, the author of Busting Free: How to Liberate Yourself from the Quest for Better Breasts Before, During, and Long After Explant. Links and Resources Let’s Connect... Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Not every breast explant journey looks the same, but when you hear these stories over and over again, the similarities are remarkable. Today, Candice Barley shares her breast implant illness journey with Dr. Rob. Candice's story is one of hope and ultimately a return to health. If you are struggling with Breast Implant Illness, there is hope for you as well. In our previous episodes, we’ve talked about how inflammation worsens the illness. That’s why we have to figure out whether or not there’s inflammation in the breast implants. So what we do is we work up all the factors that contribute to inflammation by testing through our Holistic Accelerated Recovery Program (HARP) to really prepare the patients and optimize them for surgery. If you want to learn more about HARP, you can secure your seat through this link: https://harp.health/ Links and Resurces Dr. Robert Whitfield’s Website (https://drrobssolutions.com/) For any inquiries or concerns, feel free to connect with us on Instagram (@breastimplantillnessexpert). https://www.instagram.com/drrobertwhitfield/ For more information on Virtual and In Person Consultations, we always answer our messenger personally: https://www.drrobertwhitfield.com/contact/ Try the Echo Hydrogen Water Bottle (https://echowater.com/?oid=21&affid=720) Code is DRROB10. Let’s Connect... Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Breast augmentation or breast implant surgery has become a more popular surgical procedure throughout the years for various reasons. While it has many benefits, it also comes with potential risks such as capsular contracture, infection, breast implant illness, and more. These risks are some of the reasons why many women opt to undergo breast explant surgery. That’s why it’s important to have a qualified plastic surgeon when considering surgery and to carefully assess both the risks and benefits of having breast implant surgery and other procedures. What Are the Reasons for Having Breast Explant Surgery? My main take from the thousands of operations I’ve done is that we don't want to leave biofilm of any quantity in somebody. So what we do is remove all of what’s intact, if possible. Women seek breast explant surgery for many reasons. There are those who want to lessen the pain from symptoms associated with breast implant illness like brain fog, sound and light sensitivity, shortness of breath, heart palpitations or chest tightness, neurologic symptoms in the arms, nerve pain, muscle pain, and joint pain, while some even experience gastrointestinal symptoms. Whereas some are just tired and unhappy with their implants, some undergo breast explant surgery for breast reconstruction because they have issues with the appearance of their breasts. Maybe they’re uncomfortable with the size or maybe there are gaps or capsular contracture. It’s important to carefully consider having breast explant surgery and to have a qualified plastic surgeon whom you can trust. It also helps to have a great support system around you throughout the process. In our Holistic Accelerated Recovery Program, we have staff in place to provide more emotional support. I have several staff members who've had explant surgery, including our patient advocate and leader of our heart program. If they want to discuss this, we have discovery sessions you can participate in as well. The Best Way to Find Out if Your Implant is Inflamed In our previous episodes, we’ve talked about how inflammation worsens the illness. That’s why we have to figure out whether or not there’s inflammation in the breast implants. So what we do is we work up all the factors that contribute to inflammation by testing through our Holistic Accelerated Recovery Program (HARP) to really prepare the patients and optimize them for surgery. If you want to learn more about HARP, you can secure your seat through this link: https://harp.health/ Links and Resurces Dr. Robert Whitfield’s Website (https://drrobssolutions.com/) For any inquiries or concerns, feel free to connect with us on Instagram (@breastimplantillnessexpert). https://www.instagram.com/drrobertwhitfield/ For more information on Virtual and In Person Consultations, we always answer our messenger personally: https://www.drrobertwhitfield.com/contact/ Try the Echo Hydrogen Water Bottle (https://echowater.com/?oid=21&affid=720) Code is DRROB10. Let’s Connect... Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Over the years, stem cells have gained significant attention for their remarkable ability to transform into various cell types, presenting immense potential for regenerative medicine and treatment for a wide range of diseases. This growing interest has been driven by a series of groundbreaking discoveries and significant advancements in stem cell research. In the context of breast implants and breast implant illness, stem cells offer promising solutions for tissue regeneration and recovery, providing new hope for those seeking alternative treatments. Whether you're curious about the science behind stem cells or considering a procedure involving fat transfer, this episode is packed with valuable insights to guide you on your journey to better health and wellness. Let’s explore more about how stem cells are transforming the medical field, providing new avenues for treatment and recovery. We'll dive into valuable insights and the latest advancements, helping you understand the incredible potential of stem cells and their benefits. Fat transfer surgery for breast augmentation and reconstruction I’ve recently attended several notable conferences where I gained valuable insights and innovations that I’m eager to integrate into our clinic. Some of these advancements include the incorporation of more lymphatic massage techniques, the introduction of NanoVi technology to improve protein folding and recovery, and the use of H-Wave therapy to further enhance lymphatic drainage and aid in patient recovery. For today, however, let’s focus on fat transfers. Drawing from my extensive experience with fat transfers, a technique I’ve refined over many years, I explain that fat transfers are effective because they use the patient’s own tissue, making them autologous and thus free from the risks associated with donor tissues, such as genetic mismatches. Fat transfers are versatile, as adipose-derived stem cells can differentiate into fat cells, bone cells, or cartilage, providing a range of benefits. My initial interest in this technique stemmed from a personal desire to regenerate cartilage in my knees after multiple surgeries, leading to a deep understanding of the procedure’s potential. With extensive experience in sarcoma reconstruction, I can confidently say that fat transfers are safe when performed correctly. It's essential not to transfer fat to areas with existing tumors or sarcomas, as these mesenchymal regions could complicate the procedure. For breast augmentation and reconstruction, fat transfers have been effective for many years, and I have conducted numerous procedures since 2005. Successful outcomes depend on transferring a mixture of adipocytes, vascular cells, and adipose-derived stem cells. This technique requires precise placement of fat in specific areas to avoid complications and ensure proper integration with the surrounding tissue. There were early safety concerns regarding fat transfers for cosmetic purposes, such as buttock augmentation, due to technical issues when the procedure first gained popularity in South America and Miami. However, with advancements in techniques and improved safety measures, fat transfers for both buttock and breast augmentation have become reliable and effective procedures. Fat transfer for breast implant illness, including stem cells and healing When the skin gets really tense, you'll notice a condition called "peau d'orange," where the surface of the skin starts to look like the surface of an orange. This indicates too much pressure and that expansion should stop. Unlike implants, which can hold their shape and maintain more volume, fat cannot be continuously added. The amount of fat that can be added depends on the initial condition of the skin. For younger clients with tight skin, multiple sessions may be needed to gradually increase volume. In cases where I remove implants that have been in place for a long time, often after weight changes, pregnancies, or breastfeeding, the skin is usually stretched out. After removing the implant with its capsular material intact, I don't fill the old implant pocket and instead, place the fat beneath the skin, where it belongs, and let it heal. Adipose-derived stem cells in the fat offer numerous benefits, aiding in wound rejuvenation and healing. They can help turn genes on, produce exosomes, modulate immune responses, and improve mitochondrial function. This is why fat transfers are more than just about the fat itself – they bring substantial healing properties. To maintain the results over time, factors like diet, detoxification ability, and gut health are crucial. We strongly advocate for fat transfers, leveraging the healing power of stem cells. We also offer stem cell harvesting and banking, a process I personally undergo every three to six months. Using our cell surgical device and extensive experience since 1998, we continually strive to enhance our offerings and improve patient outcomes. We offer a variety of wellness products and supplies to help you on your recovery journey. So make sure to check out our online store at https://drrobssolutions.myshopify.com/ for extra resources and support. Browse our collection today to find everything you need for a healthier, more vibrant you! Links and Resurces Dr. Robert Whitfield’s Website (https://drrobssolutions.com/) For any inquiries or concerns, feel free to connect with us on Instagram (@breastimplantillnessexpert). https://www.instagram.com/drrobertwhitfield/ For more information on Virtual and In Person Consultations, we always answer our messenger personally: https://www.drrobertwhitfield.com/contact/ Try the Echo Hydrogen Water Bottle (https://echowater.com/?oid=21&affid=720) Code is DRROB10. Let’s Connect... Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Breast explant surgery or breast implant removal is a surgical procedure commonly done for various reasons such as implant issues, breast reconstruction, implant rupture, dissatisfaction with the appearance of the implants, or other cosmetic purposes. In breast explant surgery, the implants alone may be removed or the surrounding scar tissue may also be included. In some circumstances, a breast lift may be done with the explant procedure to enhance the look of the breasts. In today’s episode, we’re going to discuss what breast explant surgery is and why people want to undergo such surgery. What is breast explant surgery? When we’re talking about breast explant surgery, we’re referring to the removal of breast implants and any scar tissue formed around the implants. Nowadays, many plastic surgeons do explants for various reasons. My approach to explant surgery is to everything out in its entirety, which is why many people seek me out for that very reason. Typically, my clients are those who had a placement of a device either for cancer reconstruction or other cosmetic purposes and are experiencing symptoms associated with breast implant illness. The most common symptoms experienced by my patients are anxiety, depression, brain fog, dry eyes, headache, light sensitivity, sound sensitivity, shortness of breath, heart palpitations, nerve pain down their arms or legs, joint pain, and other gastrointestinal issues. Oftentimes, patients find me through what I offer in terms of holistic rejuvenation with fat transfer. In fact, I’ve been doing fat transfer since the 2000s for cancer reconstruction and other cosmetic purposes. I'm very comfortable with doing these operations and I have already refined my process, having done over 1,500 fat transfers. Why do I prefer fat transfer? When it comes to breast lifts, we have different kinds of techniques such as vertical, crescent, peri-areolar, and anchor breast lifts. The patients may have a preferred kind but it actually depends on the necessity. If the patient had a peri-areolar placement, then we try to use that scar and remove the implant intact through it. The average length of a surgery is about two and a half hours. If we add a lifting procedure, it's a little over three hours. If I'm doing a combination procedure of fat removal to be used for fat transfer, it usually takes between four to five hours. The main reason as to why I like to use fat is because it's your own tissue. It has actually been used as a filler for over 100 years. Besides providing or enhancing the breast volume, it also helps offset some visual changes that the patient's not happy with. This is why as much as I can, I try to help patients learn about fat transfers and make them understand from my perspective. Doing these operations can be draining, especially mentally, so it’s best for patients to have a great support system that shows up to help them and provide much-needed support. What I always emphasize is if you’re considering explants or doing other procedures, it’s important to find a reliable professional with whom you can communicate your concerns.You can check my website to help you along the way. Links and Resurces Dr. Robert Whitfield’s Website (https://drrobssolutions.com/) Follow Dr. Rob on Instagram https://www.instagram.com/drrobertwhitfield/ For more information on Virtual and In Person Consultations, we always answer our messenger personally: https://www.drrobertwhitfield.com/contact/ Try the Echo Hydrogen Water Bottle (https://echowater.com/?oid=21&affid=720) Code is DRROB10. Let’s Connect... Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Breast implants are said to be a transformative solution for individuals seeking aesthetic enhancement or breast reconstruction. However, beneath their promise of confidence and beauty lie potential risks that are often overlooked. Breast Implant Illness (BII) underscores the importance of thorough patient education and informed consent, highlighting the complexities and implications associated with implants. That is why there is a need for us to raise more awareness about the realities of breast implant surgery, ensuring that patients are fully informed about the risks and potential consequences. I'm thrilled to introduce our guest for today's episode – Dr. Thomas Chung. We share a similar background in terms of experience and training, which initially intrigued me since he has a clear and insightful understanding of breast implant illness, and we'll delve into that throughout this episode. Plastic surgery career, including microsurgery and breast reconstruction What struck me about Dr. Chung is his extensive experience in microsurgery, a field in which we've both worked. Dr. Chung's journey began with his training in the Navy, where he completed his internship and general surgery residency at Walter Reed, then part of the National Naval Medical Center consortium in DC. During his residency, he managed numerous casualties from conflicts like Fallujah, serving as chief of the trauma service with a daily census of 30 to 40 injured veterans. After finishing his general surgery training, he pursued a fellowship at Johns Hopkins, launching his plastic surgery career before returning to Walter Reed to handle more trauma cases. His work involved extensive microsurgery, such as reconstructing an entire abdominal wall for a survivor of a suicide bombing and performing numerous extremity-free flaps and breast reconstructions using deep inferior epigastric perforator (DIEP) flaps. Over the first seven to eight years, Dr. Chung climbed the Navy's ranks, taking on leadership roles like Chief of Surgery, Chair of the Medical Executive Committee, and ultimately Chief Medical Officer for the San Diego region. Dr. Chung remains passionate about plastic and aesthetic surgery despite his executive responsibilities. Notably, he performs many explant surgeries for patients experiencing issues after long-term breast implant use. Immunosuppression in organ transplants and chronic inflammation In my previous episodes, I've extensively discussed breast implant illness and Dr. Chung agrees that implants may cause more than just localized pain or discomfort. He believes there's something inherently toxic about implants that science can explain and this understanding aligns with groundbreaking surgical advancements by the Nobel Prize winner, Dr. Joseph Murray. Dr. Murray's work on organ transplants demonstrates the need for immunosuppression to prevent rejection. In transplants, immunosuppression is crucial to avoid rejection, but this concept can also apply to implants. Patients often react negatively to treatments like steroids or methotrexate, fearing the medications rather than understanding their role in managing symptoms. We see chronic inflammation in patients with implants, similar to organ rejection. In both scenarios, if the initial post-surgery period goes well, complications are less likely. However, issues during this time can lead to significant problems. For cancer patients undergoing reconstruction, immunosuppression can exacerbate complications, demonstrating the delicate balance required to manage immune responses. Transplant rejection and the use of splint analogy to explain the concept Using analogies from organ transplants helps patients understand that their bodies might be "rejecting" implants, causing chronic inflammation. This perspective can help them grasp the need for proper management and treatment strategies, even if those include higher doses of immunosuppressants like prednisone to manage their symptoms effectively. When it comes to resolving issues with breast implants, focusing on the concept of explants and the importance of addressing capsules surrounding the implants is vital. We use the splinter analogy to explain the body's reaction to foreign objects. Just as a splinter in your finger causes pain and inflammation until it's removed, so does the body react to implants, leading to discomfort and potential toxicity. Removing the splinter provides immediate relief, compared to the relief patients might experience after explant surgery. Dr. Chung appreciates the simplicity of this analogy, which helps patients understand the body's rejection response. He relates it to his experience on transplant rotations, where managing immune responses to transplanted organs was crucial. He emphasizes the importance of detailed procedures in removing implants, akin to meticulous methods used in cancer surgeries to reduce recurrence risks. Breast implant illness, implant removal, and fat transfers as an alternative Both Dr. Chung and I have extensive experience dealing with complications from implants, whether in cancer patients or veterans needing reconstructive surgery. We emphasize that implants can be a necessary part of treatment but also come with risks that must be clearly communicated to patients. Dr. Chung admitted that he initially didn’t know much about implant-related issues despite performing many breast augmentations. He often dealt with patients who had capsular contracture, a condition where the scar tissue around the implant tightens and causes pain or deformity. In these cases, he would remove the implant and the capsule and then insert a new implant, only for the problem to eventually recur. I would like to highlight fat transfers as a viable alternative to implants. Fat transfers can help refine and improve reconstructive results by adding volume, achieving a natural look without the risks associated with implants. Dr. Chung supports this approach, noting that while fat transfers don’t create the same pressure as implants, they offer a safe and effective option for many patients. Fat transfer vs implant for breast augmentation, with pros and cons for each method Implants provide more projection and pressure, pushing out the skin envelope, especially beneficial for patients with tighter skin or certain deformities like tuberous breasts. Fat transfers, on the other hand, follow the natural curvature of the breast, adding volume and creating a natural look without the risks associated with implants. Fat transfers are particularly effective for patients who have more lax skin, often due to previous pregnancies, breastfeeding, or prior implants, which act like tissue expanders. While fat transfers don’t provide the same upper pole fullness or projection as implants, they can achieve a satisfactory result by filling out the skin and providing a natural appearance. The success rate of fat transfers is generally high, especially in younger patients with adequate fat, countering any misconceptions that they don't work well. This method is also frequently used in oncologic reconstruction to refine and improve outcomes. The success of fat transfers is influenced by various factors, each playing a significant role in determining the outcome of the procedure. One crucial factor is the age of the patient. Younger individuals, typically those in their 20s, often experience better outcomes from fat transfers. This is attributed to their more favorable hormone levels and metabolism, which contribute to enhanced tissue regeneration and integration of the transferred fat. Additionally, younger patients tend to have healthier skin with better elasticity, allowing for more seamless integration of the injected fat and resulting in a more natural appearance. Conversely, older patients, particularly those over the age of 35, may encounter challenges that can affect the success of fat transfers. Hormonal imbalances, a common occurrence with age, can impact the body's ability to heal and regenerate tissue effectively. Metabolic issues, such as slower metabolism or insulin resistance, can also hinder the body's ability to process and integrate the transferred fat. Furthermore, poor diet and nutritional deficiencies prevalent in some older individuals can compromise tissue health and overall healing capacity, leading to suboptimal outcomes from fat transfer procedures. On the technical aspects of fat transfer, there is about 20-30% of the injected fat that typically gets absorbed by the body. This process is influenced by the patient's skin condition, with factors like previous pregnancies, weight changes, and age affecting skin expansion and the overall success of the procedure. It's essential for patients and surgeons to recognize these factors and consider them when planning and performing fat transfer procedures. Tailoring the approach to address specific challenges associated with age can help optimize outcomes and ensure patient satisfaction. Moreover, implementing comprehensive preoperative assessments and postoperative care regimens that address hormonal balance, metabolic health, and nutritional status can further enhance the success of fat transfer procedures in older patients. We want to emphasize that the technical process of fat transfer—harvesting, processing, and reinjecting fat—is not the issue. Instead, the patient's overall health and wellness play a critical role in the success and maintenance of the results. That’s why I developed a comprehensive program that addresses genetics, detoxification, toxicity issues, gut health, food sensitivities, and hormone balance to optimize recovery and maintain results. Visit our website at https://drrobssolutions.com/ to explore our range of solutions, including high-grade supplements, medical-grade skincare, lab testing, and expert advice. Whether you're recovering from surgery or seeking to enhance your overall wellness, Dr. Rob's Solutions provides the resources and support you need to achieve your goals. Don't let uncertainty hold you back. Trust the experts at Dr. Rob's Solutions to guide you on your journey to healing and wellness. Links and Resurces Dr. Robert Whitfield’s Website (https://drrobssolutions.com/) Follow Dr. Rob on Instagram https://www.instagram.com/drrobertwhitfield/ For more information on Virtual and In Person Consultations, we always answer our messenger personally: https://www.drrobertwhitfield.com/contact/ Try the Echo Hydrogen Water Bottle (https://echowater.com/?oid=21&affid=720) Code is DRROB10. Let’s Connect... Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Hydrogen plays a crucial role not just in managing oxidative stress and inflammation but also in supporting overall cellular health and enhancing various bodily functions. Beyond its antioxidant and anti-inflammatory properties, it has been shown to offer several additional benefits that contribute to overall well-being. In this episode, I'm joined by Dr. Paul Barattiero, a renowned expert who has lectured worldwide for over 22 years, focusing on the benefits of hydrogen gas in water. This aims to raise awareness of how molecular hydrogen can reduce oxidative stress and chronic inflammation. Water quality, filtration, and health benefits I met Dr. Paul Barattiero in September 2022 at a collaborative meeting where I was left impressed with his presentation of scientific literature and the development of his water filtration system. Dr. Paul’s journey began with his wife, who was ill for the first 10 years of their marriage, suffering from anemia, thyroid issues, and gynecological problems. In his commitment to help her, he discovered the benefits of hydrogen-enriched water, which significantly improved her health. This experience led him to create the Echo Water System, aiming to help others facing similar challenges. The sad reality is that water quality has drastically diminished over time. Tests and laws governing water quality are outdated, and the number of chemicals and pollutants in water has increased significantly since then. In fact, even supposedly pristine wells can be contaminated by pesticides sprayed within a 300-mile radius. It is thus essential to filter out contaminants from any water source, especially municipal supplies, to prevent our bodies from becoming the filters. When it comes to water filtration, the density and type of filter media are crucial. While the carbon filter is effective for removing organic contaminants, it is less effective against inorganic substances like pesticides, heavy metals, and pharmaceuticals. As such, Dr. Paul created a filter that effectively removes contaminants because many filters on the market are inadequate. He explains that simply having carbon in a filter isn't enough; the format and amount of the media are critical. For whole-house systems, catalytic carbon is used instead of activated carbon because it is more effective for contaminants like fluoride. For drinking water, Dr. Paul prefers reverse osmosis, which filters down to 0.0001 microns, effectively removing tiny particles such as plastics and pharmaceuticals. He designed a whole-house system that is more affordable and effective than many on the market, emphasizing the importance of proper engineering and adequate media for effective water filtration. Hydrogen water bottles and their effectiveness When discussing water quality with patients, I emphasize the importance of addressing oxidative stress, cellular stress, and inflammation – both acute and chronic. Many of my patients suffer from chronic inflammation, such as those with breast implant issues. Improving air, fluid, and food quality is crucial for health, especially before undergoing medical procedures. Despite advising against using plastic bottles due to harmful phthalates, many patients still use them, particularly those who travel. The good thing is that Dr. Paul’s portable Echo Go Plus device for hydrogen water is a great solution as it is compact, free of harmful plastics, and ideal for travel. It uses purified or filtered water to generate hydrogen-rich water, which can help reduce inflammation and improve overall health. The rise in popularity of Dr. Paul’s brand caused a significant increase in demand. However, the market has also seen a surge in counterfeit products falsely marketed which has been a challenge to address. These knockoffs often misuse Dr. Paul’s videos and endorsements, misleading consumers. Despite the legal challenges, the Echo brand remains dedicated to providing high-quality, effective hydrogen water solutions. Hydrogen and its role in managing oxidative stress and inflammation in the body Hydrogen is crucial for daily living and postoperative recovery as it acts as a selective antioxidant, targeting harmful reactive oxygen species without affecting beneficial radicals. It also promotes the production of nitric oxide, peptides, and collagen, essential for overall health. Its innate ability to support various physiological processes makes it a vital component for maintaining health and mitigating oxidative stress and inflammation. I advise patients to drink filtered or hydrogen water and add electrolytes and proteins to aid in reducing tissue swelling. Proper hydration should be half your body weight in ounces of water daily. It's essential to drink pure water, as water with contaminants can be rejected by the body, leading to dehydration. Proper hydration with high-quality water is crucial for health as our bodies depend on water for optimal health, as it constitutes a significant portion of our blood, brain, and other tissues. Adding hydrogen gas to the water enhances its benefits by lowering inflammation and oxidative stress. Oxidation is a normal bodily process, but oxidative stress is harmful, and hydrogen helps manage this balance. By selectively targeting harmful reactive oxygen species, hydrogen reduces cellular damage and inflammation, promoting overall health. Additionally, hydrogen supports the production of nitric oxide, peptides, and collagen, which are essential for various physiological functions and healing processes. The body naturally produces hydrogen in the colon through anaerobic bacteria, converting fatty acids and fiber into hydrogen. However, many people have gut issues that prevent this, leading to increased oxidative stress and inflammation, contributing to various diseases. That’s why Dr. Paul developed the Echo Water System to provide hydrogen-enriched water to help mitigate these issues. And now, it plays a critical role in producing stomach acid and managing digestive disorders. Gut health, bacteria, and dietary recommendations for optimal digestion and well-being Gut health plays a vital role in nutrient absorption and the immune process. A dysfunctional gut can have severe consequences, especially for patients with chronic inflammation, as their bodies struggle to absorb nutrients. To address this, we use liposomal and liquid supplements for better absorption in the oral cavity and recommend drinking hydrogen water to reduce oxidative stress and support healthy bacteria growth in the gut. Assimilation and digestion rely heavily on fermentation and the right balance of gut bacteria. Ideally, the gut should have 96-99% anaerobic bacteria, but antibiotics, heavy metals, and pesticides can disrupt this balance. Hydrogen, being electron-rich, helps create an optimal environment for anaerobic bacteria by providing a negative electrical potential in the gut. This supports antioxidant pathways, reduces inflammation, and can alleviate anxiety and depression. When the gut environment is corrected, people can properly digest fiber and absorb nutrients, leading to improved overall health. Gut health and the importance of drinking hydrogen-rich water Using the Echo hydrogen water bottle consistently, typically three to six times a day for two weeks, can lead to significant health improvements. After some time, people report better digestion, fewer food sensitivities, and improved sleep. The hydrogen helps restore gut bacteria, allowing people to eat a wider variety of foods and experience overall enhanced well-being. Maintaining these benefits requires continuous use of hydrogen water, especially given the pervasive presence of pesticides and harmful chemicals in food and the environment. Proper gut health depends on ongoing management due to daily exposure from air, water, and personal care products. Regularly drinking hydrogen water can counteract these exposures and support overall health. Links and Resurces Dr. Robert Whitfield’s Website (https://drrobssolutions.com/) Follow Dr. Rob on Instagram https://www.instagram.com/drrobertwhitfield/ For more information on Virtual and In Person Consultations, we always answer our messenger personally: https://www.drrobertwhitfield.com/contact/ Try the Echo Hydrogen Water Bottle (https://echowater.com/?oid=21&affid=720) Code is DRROB10. Let’s Connect... Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield