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Breast Implant Illness

Author: Dr. Robert Whitfield

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Welcome to the Breast Implant Illness Podcast, where we dive deep into the world of breast implant illness and explant surgery with expert plastic surgeon Dr. Robert Whitfield. As a board-certified plastic surgeon with almost 1000 breast explant surgeries under his belt, Dr. Whitfield brings a wealth of knowledge and experience to the conversation.
Through candid interviews with patients, fellow surgeons, and other experts in the field, Dr. Whitfield explores the many facets of breast implant illness, including its symptoms, diagnosis, and treatment options. He also delves into the controversial topic of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) and what patients need to know about the risks associated with breast implants.
If you're considering breast implant surgery, struggling with breast implant illness symptoms, or simply looking for more information about this important topic, then the Breast Implant Illness Podcast is the perfect resource for you. Join us for thought-provoking discussions and expert insights that will help you make informed decisions about your health and well-being.
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While the traditional Heating, Ventilation, and Air Conditioning (HVAC) systems have long been relied upon to regulate indoor temperature and humidity, they cannot often effectively address the diverse range of indoor air pollutants that pose health risks to occupants. There is a need for us to rethink our approach to indoor air quality, moving beyond the limitations of traditional HVAC systems and embracing innovative solutions like those offered by JASPR. For this episode, it’s a pleasure to be joined by Mike Feldstein, the founder of JASPR and an air quality expert. His mission is to enhance air quality and improve human health through cutting-edge air quality science and technology. Air quality and its impact on human health, with emphasis on genetics and detoxification Air quality is significant in our daily lives as it directly impacts our health and well-being. Mike emphasizes the importance of understanding how basic heating, ventilation, and air conditioning (HVAC) systems fall short in protecting against pollutants like mold, especially in the aftermath of natural disasters. He explains that HVAC systems have remained relatively unchanged for decades, primarily designed for cost-effective heating and cooling rather than air purification. While some accessories can help, such as adding humidity in dry climates, attempting to enhance air quality by simply upgrading filters can actually hinder system performance and efficiency. He also emphasizes the need for a separate, dedicated air filtration system with its own fan to ensure continuous, effective air cleaning. With the need to move beyond the limitations of traditional HVAC systems, the challenge lies in practical implementation. It then becomes more important that we continue to raise awareness and educate more people. Explaining the importance of air quality to clients becomes critical, especially for those dealing with chronic inflammatory symptoms. By demonstrating the impact of air quality improvements wherever they go, individuals can grasp the connection between their surroundings and their health. Tools like CO2 detectors and particle counters provide tangible evidence of indoor air pollution, prompting individuals to take action to improve their environments. By making air quality tangible and relatable, we can empower people to prioritize clean air as they do clean water and food. Air quality, invisible particles, and the importance of filters Understanding and addressing microscopic pollutants in indoor air, particularly mold spores, is crucial. However, it is challenging to comprehend the significance of particles that are invisible to the naked eye, such as those measuring between three to 40 microns, which can have detrimental effects on health. In my conversation with Mike, we compare invisible indoor pollutants, like mold spores to germs on surfaces. Just as we can't see bacteria but still clean surfaces to stay healthy, we need to address unseen pollutants in the air. This highlights the importance of taking proactive steps to keep indoor air clean and reduce health risks. We also discuss the role of air quality monitoring tools in visualizing indoor pollution levels. By using devices like air quality monitors, individuals can gain tangible evidence of indoor air contaminants, prompting them to take action to improve air quality. This hands-on approach to understanding indoor air pollution empowers people to make informed decisions about their indoor environments and take steps to create healthier living spaces. Toxicity in schools and homes, with a focus on air filtration and ventilation Toxicity in schools arises from various sources, including poor ventilation, inadequate filtration systems, and the presence of airborne pollutants such as allergens, volatile organic compounds (VOCs), and particulate matter. These pollutants can exacerbate respiratory conditions, trigger allergies, and negatively impact cognitive function and academic performance. Air purification is important, particularly for individuals with genetic challenges in detoxifying toxins. There is a great need for awareness and action regarding indoor air quality, especially for families with children experiencing health issues like allergies and frequent illnesses. Through JASPR air purifiers, families can address these concerns effectively. The purifiers are designed to remove a wide range of pollutants, including airborne toxins, allergens, and contaminants, providing cleaner and healthier air for indoor environments. By investing in JASPR air purifiers, families can create a safer and more comfortable living environment, particularly beneficial for children with sensitivities or respiratory issues. Proper diaper disposal and air quality in nurseries The issue of poor quality also extends to places like airports. And so, we must consider all aspects of health, including the quality of fluids and food intake. Mike emphasizes the importance of eliminating potential sources of contamination, such as leaving diapers in children's bedrooms, which can contribute to indoor air pollution and pose health risks. In addition to addressing sources of contamination like diapers in bedrooms, implementing effective air purification systems is crucial in mitigating indoor air pollution, particularly in high-traffic areas like airports. With proper filtration and purification measures in place, airports can enhance the overall experience for passengers while prioritizing their health and well-being. Air filtration and its impact on allergies, with a focus on the importance of bedroom air quality There are different options available for air purification. That’s why JASPR air purifiers have evolved from an industrial-grade product to a more accessible solution for households. Mike explains the considerations involved in determining the appropriate placement of air purifiers based on square footage and ventilation systems. Furthermore, Mike elaborates on the importance of understanding the unique needs of each household when selecting an air purification solution. Factors such as the presence of respiratory issues, allergies, or environmental sensitivities may influence the choice of air purifier model and placement within the home. Additionally, considerations such as noise level, aesthetic appeal, and ease of maintenance play a crucial role in ensuring that the air purifier seamlessly integrates into the household environment. By providing customizable options and expert guidance, JASPR aims to empower individuals and families to take control of their indoor air quality and create healthier living spaces tailored to their specific needs. Food sensitivities and allergies, with a focus on mold and air quality Addressing the root causes of allergic reactions, including food sensitivities and environmental factors like air quality, is crucial for maintaining overall health and well-being. Food sensitivities can manifest as allergic symptoms, such as hay fever-like reactions, highlighting the importance of understanding and managing dietary triggers. Additionally, environmental factors like mold exposure can exacerbate allergies and respiratory issues, underscoring the need for proactive measures to improve indoor air quality. By taking steps to identify and mitigate potential allergens, such as conducting thorough assessments for mold and investing in air purification systems, individuals can reduce their susceptibility to allergic reactions and promote a healthier living environment. Keep in mind that prioritizing both dietary and environmental considerations is essential for managing allergies effectively and fostering long-term wellness. Mold testing and its impact on health, including genetic factors and toxicity burden The disparity between traditional home inspections and assessments for potential health hazards within homes, such as mold exposure, is not only notable but also alarming. While traditional home inspections focus primarily on structural integrity and mechanical systems like water heaters and furnaces, they often overlook crucial aspects of indoor air quality and environmental pollutants. This oversight means that homeowners may unknowingly move into properties having hidden health risks, putting themselves and their families at risk. Mold exposure, for example, is a pervasive issue that can lead to health problems, from respiratory issues to allergic reactions and even neurological symptoms. Yet, many homebuyers are left in the dark about the presence of mold until it's too late. Mike advocates for a proactive approach to managing health risks associated with environmental pollutants. The evolving understanding of health impacts associated with environmental factors like microplastics and mold exposure, and genetic testing to assess individuals' ability to detoxify pathways such as glutathioneization and methylation in the detoxification process becomes paramount. Personalized health and wellness plans using genetic testing and air quality assessments To enhance immune function and support natural detoxification, focusing on factors like air quality, fluid intake, and food quality is key. This approach, combined with personalized wellness plans based on genetic testing, toxicity testing, and gut health assessments, allows for precise and individualized therapy. By addressing specific issues such as food sensitivities and hormone balance, individuals can make significant strides in their overall health and well-being. While gluten avoidance may benefit some individuals, its necessity depends on individual sensitivity and inflammatory response. Ultimately, prioritizing these factors can lead to improved health outcomes and a better quality of life. Say goodbye to indoor air pollution and hello to a healthier environment. Visit https://jaspr.co to learn more and make the switch to cleaner air today! You may use our code “DR. ROB” when purchasing your JASPR Pro
Oral health isn't just about having a nice smile; it's essential for our overall health, impacting different areas of our well-being. Similarly, when considering breast implants, it's crucial to recognize that their impact extends beyond cosmetic enhancement, potentially affecting overall health. Understanding the interplay between oral health and systemic health is vital for making informed decisions about medical interventions and ensuring holistic well-being. Embark on a journey through the world of holistic health and dental care with insights from Dr. Kelly Blodgett – a biologic dentist from Portland, Oregon. In today’s episode, we discuss the intricate connection between oral and overall health, the impact of environmental factors, and the importance of informed decision-making for optimal well-being. Oral health and gut microbiome, with a focus on root canals and biofilms I deeply resonate with the principles Dr. Blodgett upholds, especially regarding oral health practices, particularly in patients with conditions like breast implant illness. Many patients are on a journey to rid their bodies of foreign substances that could potentially trigger inflammation, and biologic dentistry offers valuable insights and techniques to support them along this path. While it's widely acknowledged in both the dental and medical communities that gum disease is a significant issue, the attention it receives sometimes overshadows other potential sources of inflammation. Dr. Blodgett has observed the risk associated with root canals. The process of performing a root canal effectively creates a dead organ within the body by removing the tooth's blood supply. What's concerning is that the porous nature of the dentin surface allows microbes to infiltrate and thrive within these teeth, essentially turning them into chronic sources of toxicity. Over the years, Dr. Blodgett has seen remarkable improvements in patients' overall health following the removal of these dead teeth. We've integrated PCR testing of scar capsules into our practice which examines DNA fragments and this approach has yielded great results. Dr. Blodgett highlights the significance of understanding biofilm formation, particularly concerning teeth that no longer have a blood supply due to procedures like root canals. In an upcoming series based on 900 consecutive samples, we found that approximately 30 to 34% exhibited biofilm colonization, consisting of various microorganisms like bacteria, fungi, and mycobacteria. This microbial presence within the roots suggests a significant deviation from what's considered normal. Despite efforts to ensure quality testing by sending samples to a research-based laboratory specializing in PCR testing, there remain limitations in detecting microscopic processes through macroscopic examinations like CT scans, MRIs, or regular X-rays. Furthermore, Dr. Blodgett emphasizes the interconnectedness of oral health with overall well-being, noting how disruptions in the oral microbiome can contribute to various systemic problems. Issues such as poor digestion, irregular bowel movements, and compromised nutrient absorption can stem from an imbalanced microbiome, impacting the body's ability to heal and function optimally. Oral health and hygiene, including protein intake and its impact on teeth Maintaining normal digestive processes is crucial for overall health, as it impacts our gut microbiome and downstream health outcomes. The intricate relationship between oral health and the gut microbiome is fascinating insofar as oral health isn't just about aesthetics or chewing food; it's integral to proper digestion and nutrient absorption. For instance, missing teeth can hinder the chewing process, affecting how well we break down food and utilize nutrients. Managing the oral microbiome thus involves navigating various factors that can impact it. Common practices, like consuming acidic beverages or having multiple metal fillings, can disrupt the delicate balance of the mouth's ecology. It is therefore necessary to address these issues proactively rather than turning a blind eye. Addressing these issues involves considering the energetic and biological implications of dental treatments and materials used, as well as acknowledging potential sensitivities individuals may have to certain substances. By adopting a more holistic approach to oral care, we can better support both oral and systemic health. Oral health and its impact on overall health, including the importance of proper dental care and the risks of poor oral hygiene Many individuals are transitioning towards a more natural and holistic approach to well-being, especially those who have undergone procedures like breast augmentation or reconstruction and are now considering removing breast implants. In my practice, I emphasize the importance of dietary adjustments, including cutting out gluten, dairy, and processed sugars, to support overall health and well-being. These dietary changes are crucial as sugar, in particular, can be highly addictive and detrimental to health, impacting brain function and energy levels. That is why I always encourage clients to maintain a balanced fluid intake, neither overly acidic nor alkaline. During the preparation phase, I focus on increasing protein intake while cutting out unhealthy carbohydrates and fats. Digestive enzymes are also provided to aid in protein digestion, preventing gut discomfort and fermentation. Although I don't have a specific diet regimen, I advocate for a higher protein intake tailored to individual needs, typically ranging from one and a half to two and a half grams of protein per kilogram of body weight per day. This adjustment may require creative solutions for those struggling to meet their protein goals, such as incorporating amino acid supplements or protein-rich smoothies. In terms of oral health, dietary adjustments and fluid intake can have a significant impact. For example, high-protein diets may lead to buildup on teeth surfaces, as observed during teeth cleaning sessions. While protein intake remains essential for optimal functioning, managing its effects on oral health requires attention to hygiene and possibly adjustments in dental care routines. In surgeries, dentists often check for dental problems. If there's an issue, like infection or inflammation, the surgery might be postponed due to the risk of bacterial spread and potential complications like endocarditis. However, the sad truth is that despite longstanding awareness of these risks, they're not always taken seriously. This shows the need for greater emphasis on oral health in overall health management. Dental implants and cancer risk, with a focus on root canals and lymphatic drainage The standards set by organizations like the American Heart Association highlight the risks associated with microbial exposure in dental procedures. Surgeries involving heart valves, knee replacements, and hip joints pose risks because they share the same lymphatic drainage and blood supply pathways as the mouth. Despite this knowledge, the potential risks of microbial exposure from procedures like root canals are often overlooked. In fact, there are cases that show that addressing sources of toxicity, such as root canals, can lead to remarkable improvements in health, including relief from symptoms like cancer. Moreover, while titanium implants have been hailed as effective tooth replacements, they can lead to peri-implantitis, a condition characterized by inflammation and bone loss around the implant. This inflammation can have systemic effects, particularly in individuals already prone to inflammation, such as those with breast implants or joint issues. Despite the potential risks, there's often a lack of scrutiny within the dental profession regarding the broader systemic implications of these procedures. Health issues related to plastic water bottles, pesticides, heavy metals, and gluten sensitivity The environment we live in exposes us to various toxins like phthalates from plastic water bottles, glyphosate from pesticide-laden foods, and heavy metals from contaminated groundwater. Each person's response to these exposures is unique, influenced by factors like their genetic makeup and lifestyle choices. As a healthcare provider, listening to patients' personal anecdotes and understanding their history and exposures can provide valuable insights into their health challenges. Through attentive listening and assessment, healthcare professionals can better support patients in navigating their health journey. Detoxification, air quality, product safety, and optimizing oral health for overall wellness Understanding the impact of toxins on our health, especially considering individual genetics and vulnerabilities, is crucial. Lifestyle factors like poor diet, lack of sleep, and exposure to harmful substances can disrupt our body's detoxification processes, particularly affecting women due to their sensitive endocrine systems. Improving diet and lifestyle habits can have a profound impact on overall health, including oral and gut health, empowering individuals to initiate positive changes for themselves and their families. Thankfully, you can take proactive steps such as using resources like the Environmental Working Group website (https://www.ewg.org/) to make informed choices about the products they use, including dental care items. Addressing air quality is also crucial, especially in areas prone to mold and pollution, as poor air quality can have significant health implications. While filtered water is widely recognized as essential, filtered air is often overlooked but equally important for overall well-being. Understanding and improving air quality can have a profound impact on health, particularly for those sensitive to environmental factors like pollen and pollutants. Implementing air filtration systems in dental offices has become increasingly important, especially
There are instances wherein breast implants may cause some complications. Some women may experience health issues related to breast implants, such as pain, discomfort, or inflammation. Thus, for purposes of easing the pain and diminishing the long-term effects caused by breast implants, many women resort to explants or removal of breast implants. In today’s episode, we’ll be answering one of the frequently asked questions during and outside consultations as regards breast implants – can they be removed safely? What’s the difference between injuring the lung and injuring the chest cavity? I often get asked by my patients if it’s safe to remove breast implants because apparently, they’ve been told by other surgeons that it’s unsafe to remove the capsule. Removing such, according to them, can cause further complications including injury to surrounding structures, especially the lung. That’s why it’s necessary for us to debunk this misconception which is causing fear to many women. I’ve been to several summit meetings and spoke about this issue. To clarify, this procedure is entirely safe to do. Personally, I stopped using drains a few years ago and just focused on explants with no drains and no other procedure to perform. I’ve only encountered one infection and that’s still a safe percentage. So far, I’ve done over a thousand successful explants. Supposing that in five cases in those thousands of explants, an entrance into the chest cavity occurred – that's different from injuring the lung. You're merely creating an opening in the chest cavity underneath where the intercostal muscle is. We’re making this opening because you can't really go through the actual rib. Instead, you have to go between the ribs. You then close it by evacuating the air and creating the seal or putting in a small catheter to get the air out through a one-way valve called the Heimlich valve. Such a valve is usually used for chest drainage and prevents the return of gases or fluids in that space. And to avoid any mishaps or other effects, we have to conduct follow-ups for the patient including chest X-rays. What are the risks and benefits of explants? There are risks and benefits for breast implant removal and so, if you're thinking about having this kind of surgery, it's crucial to recognize these factors. Other surgeons would say that it’s risky to conduct breast implant removal as it would cause infection, bleeding, and other complications around the breast area. However, I’ve done over 1,500 procedures without any problem and that’s saying something. That’s an attestation that it is a safe procedure. Many women experience health issues related to breast implants, such as pain, discomfort, or inflammation which is why we offer breast implant removal or explantation to relieve them from these symptoms. In relation to this, we'll be launching a training program for surgeons doing breast implant removal procedures. We’re raising awareness that this is not something that you should be worried about. This is why it’s important to find a reputable surgeon with appropriate knowledge and one who uses safe techniques and instruments. It was easy for me to transition to doing explants since I’m a reconstructive plastic surgeon for the majority of my career. I predominantly did cancer reconstruction where I was exposed to all these tissues and areas. And so, this isn’t something that’s unusual for me. In our previous episodes, we talked about inflammation and other symptoms caused by breast implants. We also talked about how helpful the Holistic Accelerated Recovery Program (HARP) is in optimizing the healing process. It all boils down to identifying as many root causes of inflammation as possible and diminishing those around the time of surgery, as well as balancing out hormones and improving your diet. Once we identify and decrease the causes of inflammation, everything’s going to be better. The types and durations of anesthesia also contribute to this since there are some people who don't do well with general anesthesia. I never take these procedures lightly because I want to make sure that everything's taken care of properly so that at the end of the timeframe of recovery, we won’t have any issues. We also have to make the patients understand that we need to optimize their liver and kidney function as well as their hormones. It is also important to have a modified balanced diet and maintain a healthy lifestyle. We always prepare our patients for the procedures to set them up for success. What are the next steps if you’re unhappy with the aesthetics of your breast implants? There are instances wherein women are unhappy with the outcome of their breast implants. By augmenting the breast, you're masking asymmetry. So when we do an explant, we're identifying these areas that were treated initially for that purpose. I personally prefer and lean on fat transfer to help with that problem although, you can always do different skin lifts. If you have enough breast tissue, you can modify that with a vertical lift which gives you the lollipop scar because that allows you to reshape the bottom of the breast. There are many factors to take into consideration when doing all these procedures and so it’s really important to have a clear discussion with the patient. As we’ve always emphasized, it's important to find a provider who recognizes breast implant illness as a real entity and has a plan to support you both before, during, and after surgery. If you want to consult with us, you may reach out to us. We conduct a Holistic Accelerated Recovery Program which has been very beneficial and effective for our patients. Links and Resources 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/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield’s approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.
Breast lift procedures are sought after by individuals looking to restore firmness and shape to their breasts. As surgeons work to restore a more youthful and lifted appearance to the breasts, they often face the challenge of repositioning the nipples to achieve optimal symmetry and aesthetics. This involves careful consideration of factors such as nipple placement, skin elasticity, and breast volume, all of which play a significant role in determining the surgical approach. In this episode, we'll focus on nipple removal during breast uplift procedures. Whether you're considering undergoing a breast uplift yourself or simply curious about the intricacies of cosmetic surgery, this episode promises to offer more valuable insights. Breast Lift Techniques and Patient Considerations Breast lifts are complex procedures often combined with other surgeries like explants and fat transfers to achieve balance and desired results. During these surgeries, the nipple complex may be temporarily removed and repositioned to achieve better symmetry and aesthetics. Explant surgeries involve removing breast implants and associated capsule material, which is important for patients with concerns like biofilm or breast cancer lymphoma. Reshaping the breast depends on the amount of each patient's existing breast tissue. The goal is to provide patients with safe and effective procedures while addressing individual concerns and achieving desired outcomes. Breast Reshaping Techniques and Measurements Breast lift procedures require careful consideration of various factors to achieve optimal results, particularly concerning the position and appearance of the nipple complex. Each patient's unique anatomy, including skin elasticity, nipple placement, and breast volume, requires a personalized approach to surgery. In cases where the nipple sits lower than desired, such as with a low-set nipple complex, surgeons may recommend a vertical lift technique accompanied by a lollipop scar pattern. This method allows for the repositioning of the nipple without complete removal. Instead, a delicate process involves gently removing the top layer of skin surrounding the nipple to facilitate repositioning while preserving the underlying tissues and blood supply essential for nipple health. Moreover, strategic fat transfer techniques play a crucial role in enhancing the overall appearance of the breasts post-lift. By strategically adding fat to areas such as the cleavage, surgeons can achieve a natural-looking result while avoiding excessive projection to the sides, ensuring symmetry and balance. Keeping the nipple complex intact is very important during these procedures. Surgeons take great care to retain their attachment and blood supply, avoiding unnecessary damage that could compromise their appearance or function. After the surgery, patients undergo a comprehensive post-operative care regimen, which may include hyperbaric oxygen therapy, lymphatic massage, and red light therapy. These treatments aim to accelerate the healing process and optimize results, promoting faster recovery and enhancing overall patient satisfaction. Links and Resources 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/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield’s approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.
The significance of maintaining a healthy diet extends beyond mere physical nourishment; it impacts every aspect of one's life, from energy levels to mood and overall quality of life. By reducing the intake of processed foods high in sugars, unhealthy fats, and additives, individuals can lower their risk of developing these health issues and improve their overall longevity. Join us as Nicole delves into the importance of adopting a healthy lifestyle and prioritizing nutritious food choices. From the meticulous sourcing of high-quality ingredients to the preparation of dishes free from harmful additives, Nicole demonstrates how The Well embodies a commitment to promoting health from the inside out with a deep-rooted belief in the transformative power of food. Healthy Eating and Gluten-Free Options in a Restaurant Setting Nicole had always been immersed in the service industry, growing up in her family's long-standing restaurant business, yet initially uncertain about making it her lifelong career. However, she found herself deeply drawn to the daily interactions, the sense of community, and the joy of being around people. It was this passion for connection that fueled her desire to create something truly unique in the dining landscape. The inspiration behind their restaurant concept stemmed from a simple yet profound question: Why should people have to choose between eating well and dining out? She thought it didn't make sense that eating out often meant giving up healthy options. So, they decided to create a restaurant where people could enjoy dining out without compromising on nutritious food. Collaborating with a renowned nutrition consultant named Liv, they embarked on a journey to redefine the standards of restaurant dining. Liv's expertise guided them in curating a menu that not only prioritized nutrient density but also celebrated bold flavors and vibrant ingredients. Together, they meticulously crafted dishes that combined healthfulness with culinary excellence, setting a new benchmark for their brand. They also teamed up with designers to make sure the restaurant felt inviting and lively, breaking away from the typical look of health-focused places. They wanted it to be a spot where people could come for anything, whether it's grabbing a smoothie after a workout or celebrating a special occasion, and feel comfortable. Through their dedication to quality, community, and holistic well-being, they aimed to redefine the very essence of dining out, one nourishing meal at a time. Discovering the Healthy and Delicious Menu of The Well Personally, I’ve been avoiding gluten because I’m gluten-sensitive. As for my family, it has already been almost a decade of eating gluten-free. And yet, we still struggle to find real gluten-free food amidst all the processed "gluten-free" products. Thankfully, I discovered The Well during a late meeting at another restaurant nearby. Intrigued by its promise of health-conscious dining, I quickly became a regular, even gifting my patients with cards to enjoy meals there. The Well’s menu philosophy was simple: stick to the basics and focus on real, whole foods. Free from gluten, dairy, soy, seed oils, GMOs, and refined sugars, their dishes were carefully crafted to prioritize quality and nutrition. Also, they prioritize sourcing their ingredients organically to ensure that their patrons are not exposed to potentially harmful pesticides. And so, they specifically avoid using non-organic versions of the produce items listed on the Dirty Dozen list as compiled by the Environmental Working Group, which identifies produce items with the highest pesticide contamination levels. One of the standout items for me at The Well is undoubtedly the bone broth, and it's not just because of its exceptional taste. This hearty broth has earned its place as a favorite among patrons, thanks to its unique preparation method and undeniable quality. Made from high-quality bones, carefully selected and simmered overnight, it's a labor of love that infuses every sip with rich flavor and nourishing goodness. According to Nicole, they use a large emulsifier to blend the ingredients, ensuring that all the essential nutrients, including collagen, are retained. Each order is then ladled out and blended again in a Vitamix blender to achieve a smooth and frothy texture, resulting in a delicious and nourishing beverage. Whether enjoyed on its own or incorporated into other dishes, The Well's bone broth is a testament to their commitment to providing not just delicious, but also wholesome options for their guests. More of Nicole’s personal favorites on the menu are the roasted beet salad, salmon, and chicken bone broth. She also loves and recommends the chilaquiles, which she describes as uniquely flavorful and perfect for breakfast. Healthy Eating and Menu Options at a Restaurant At The Well, they're all about redefining healthy eating with flavorful and diverse options, ensuring wholesome food doesn't mean sacrificing taste. Their menu has evolved, embracing local brands like Cha Cha! Foods for tortillas and it's all good for gluten-free bread in sandwiches. One of their favorites is the chicken salad sandwich which is a lunchtime delight. Recently, they've introduced new dishes like coconut curry squash and organic brown rice pasta, catering to families seeking both nutrition and flavor. Their focus on kid-friendly choices reflects their commitment to creating a welcoming environment for families, recognizing the importance of early exposure to savory foods over sugary items. Their dedication to providing nutritious options extends to their beverage offerings as well. Despite offering a full bar, they prioritize using natural sweeteners like maple syrup and local honey, ensuring that even indulgences like cocktails are made with quality, homemade ingredients. This holistic approach underscores their mission to offer delicious yet wholesome dining experiences for all their patrons. Healthy Local Restaurant in Austin, Texas The atmosphere at The Well reminds me of dining in Spain, where quality ingredients, diverse menu options, and a relaxed ambiance come together seamlessly. With outdoor seating available at both locations, patrons can enjoy the pleasant Austin weather while savoring their meals. The restaurant has garnered a loyal following, with many patrons becoming regulars. Reflecting on her European heritage, particularly her family's Greek roots, Nicole sees similarities with the focus on using fresh, locally sourced ingredients and simple, flavorful cooking. The goal at The Well is not to reinvent the wheel but to return to the basics of nourishing, wholesome food that promotes overall well-being. Like in European villages with abundant quality ingredients, The Well focuses on preparing dishes that optimize health without sacrificing taste. The commitment to sourcing high-quality ingredients and preparing food without harmful additives like seed oils and gluten resonates strongly with the community. Nicole and her husband, rooted in the local community with their two young daughters, are dedicated to providing an optimal dining experience that promotes both physical and mental well-being. For those looking to visit The Well, you may visit them from these locations: 2nd Street, Westlake, and Studio 3. This accessibility ensures patrons can enjoy nutritious, inflammation-friendly meals wherever they are. Links and Resources 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/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield’s approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.
I can’t emphasize enough the fact that breast implant illness remains to be a topic that’s not often talked about by many, especially in the medical community, despite its several effects. Usually, women undergo explant surgery in an effort to heal their breast implants. Today, we’ll be talking about the link between breast implants and cancer and I hope you learn more about breast implant illness as we continue to delve into the symptoms, latest surgical techniques for exploitation, and the recovery process for breast implant illness in my podcast series. Different cancers associated with breast implants associated with anaplastic lymphoma Following the premise that there aren’t a lot of research studies about breast implant illness, what many people don’t know is that there are different cancers associated with breast implants. One of the kinds of cancer associated with breast implants is anaplastic large cell lymphoma (ALCL) which is a rare type of blood cancer. Textured implants have a very rough surface that was meant to help hold the implant in place, but it is supremely irritating to the tissues. This causes a T cell response which can ultimately lead to this lymphoma. There are studies regarding this condition as early as 2008. In fact, there's a study in the Netherlands that was conducted wherein patients had textured implants and they observed that there was a development of lymphoma. This was further supported by more diagnoses in the United States where cases of anaplastic large cell lymphoma were recorded yearly. There's a new entity called breast implant associated squamous cell carcinoma (BIA-SCC) which has been found as a very rare tumor that may appear in the capsule around the breast implants. There is limited data on this but medical organizations and institutions are pushing for increased clinical awareness and more evidence-based studies regarding this. From our previous episodes, we’ve talked about the correlation of inflammation and breast implant illness. Inflammation fundamentally and directly causes or triggers the development of these other cancers associated with breast implants. Are you on a journey to healing and wellness but unsure of where to turn? Look no further than Dr. Rob’s Solutions. Textured implants are becoming a problem which is why many markets have stopped the production of textured devices. In Europe, the US and even other countries, they have already limited the usage of textured devices. The traditional way of using smooth round implants in performing breast augmentation remains to be the best recommendation. If you’re overwhelmed or unsure in your journey to healing and wellness, look no further – Dr. Rob’s Solutions is here. We fully understand the unique challenges that come with breast implant illness. We offer a wide range of products and services from the highest grade supplements to comprehensive lab testing to aid you in your journey to recovery. Our supplements are specially formulated to support detoxification while our medical grade skincare products are designed to nourish and protect the skin. We also offer comprehensive lab testing to help identify any underlying health issues that may be contributing to your symptoms. And for those who are ready and planning to undergo an explant surgery, we have the Holistic Accelerated Recovery Program (HARP) if you’re interested. This will help you further understand how your unique body can accelerate and optimize healing. Don't let the uncertainty and confusion of breast implant illness hold you back any longer. Trust the experts at Dr. Rob’s Solutions to provide you with the resources and support you need to take control of your health and wellness. How do we safely evaluate and monitor these patients as part of our practice? First things first, we look for any pre-existing conditions like autoimmune disorders or anything that would affect the immune system and aggravate the current condition of the individual. If someone has a pre-existing cancer condition, we have to closely look at that. But breast cancers are different from lymphomas and as of date, we haven’t seen nor recorded any case of such. From my experience with lymphoma, it’s safe to conclude that it’s really necessary to provide intense care for the patient. Many devices have a rupture rate that increases over time but thankfully, the devices produced now have more longevity. We have to safely evaluate and monitor these patients. And as part of my oncology practice and cosmetic practice, I always encourage patients to do follow-up care involving regular medical checkups whether a few weeks or months after as a routine. If we needed ultrasound or whatever test was necessary, we'd use that to better characterize both the health of the patient and device. From a structural standpoint, we want to know that it's intact. And so, everything becomes challenging not just for the providers but also for the clients who want to have these procedures done for whatever purpose. Like what I always say, there has to be a clear discussion and review of relevant information such as their health history, their family’s health history, and other potential correlations between the development of these cancers or breast cancer for that matter. Personally, I make use of functional genetics in crafting individualized plans for our patients and I suggest that we should leverage genetics whenever possible. And I hope that in the future, that is the way we'll be able to address and evaluate potential risks for these cancers developing in patients and put everybody in the best possible position for success. Links and Resources 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/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield’s approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.
How can you prevent breast implant illness? We’ve already defined what breast implant illness is in the previous podcast episode. It’s a broad term but to put it simply, it is a component of the overall inflammation in your system. There’s also a need to look at the other components that contribute to your overall inflammation in order to prevent breast implant illness or at least prevent it from worsening. That’s why we have to identify food sensitivities as well. We have to look at how your body absorbs the food you consume. An analysis of your stool sample’s DNA may be conducted to identify what stimulates you to become inflamed from your diet. However, it remains to be a tough challenge understanding and diagnosing how much inflammation someone has. Consequently, it’s difficult to understand and diagnose breast implant illness because of that. With my experience of doing thousands of explants, I already know my way through this. One of the potential ways to reduce your risk of developing inflammation that contributes to breast implant illness is identifying your surgeon for the best possible operative procedure whether it’s for reconstructive or cosmetic surgery. It greatly helps to have a great and trusted surgeon to discuss your condition with. Choosing the right implant for your patient. It’s important to carefully choose the right implant for your patient. The size of the implant must fit the frame of the patient while still giving an aesthetic outcome. Make sure to monitor the status of your patient and her implant throughout the patient’s healing journey not just during the first year but also for the subsequent years to ensure that there are no issues. In my clinic, we have been using a high definition ultrasound for monitoring. If there’s a change in implants, check with your provider to see if there is a change. For those who noticed any changes in your implants, make sure to check with your provider to confirm if there’s any noticeable change or trauma. After that consultation, make sure to follow up just to make sure. There are alternative therapies for those who are not comfortable with the risks associated with breast implants. We perform fat transfer for patients seeking natural breast augmentation. It accentuates the natural breasts’ form and unlike in an implant, it’s between the skin and fatty layer and above the breast tissue. It’s difficult to change more than a cup size with a fat transfer so if you’re the patient, clearly set out your expectations with regard to what you’re seeking to change visually. It’s important to make sure that the patients understand all the risks and benefits of the procedures. For fat transfer, factors such as the skin stretch, overall breast size, pregnancies and other history of the patient who wants to get a cup size change are taken into consideration. As for breast implants, the patients are informed about the risks of breast implant associated cancers and other risks associated with the development of breast implants. That’s why having a qualified professional surgeon who is knowledgeable about these things is important. If they don’t really understand things like how a patient’s genetic predisposition or overall toxicity affects the implants, it’s going to be tough for them to understand your condition and keep track of the status of your implants. Links and Resources 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/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield’s approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.
Breast surgery, particularly explant procedures, often involves more than just the physical removal of implants. It's a transformative journey that can profoundly affect an individual's sense of self, relationships, and overall well-being. Considering the far-reaching effects they may have, taking a holistic approach becomes crucial. We’re joined by Dr. Amanda Savage-Brown, an advocate for comprehensive and holistic care and the author of "Busting Free”, as we delve deep into the emotional and psychological aspects of breast surgery recovery. Throughout this episode, we’ll explore more about the importance of taking a holistic approach and how individuals can cultivate a positive mindset, build a support network, and engage in self-care rituals that promote healing from within. Holistic Approach to Breast Surgery Recovery Dr. Amanda Savage-Brown is an advocate for a comprehensive and holistic approach to breast surgery recovery that extends beyond physical healing to encompass psychological and emotional well-being. Her approach aligns seamlessly with our primary goal, which is to redefine the traditional notion of post-surgery recovery. This approach acknowledges the complex interplay between our physical selves and emotional experiences, recognizing that surgery alone cannot address deeply ingrained beliefs and feelings about self-image and worth. It’s also crucial to prioritize psychological and social support as they are integral components of the holistic breast surgery recovery process. By acknowledging and addressing these emotional aspects, patients can fully seize the opportunity for personal growth and transformation that accompanies the surgical process. In her collaboration with our program, Dr. Brown brings invaluable expertise in psychology and emotional wellness, enriching the recovery journey for patients. By integrating psychological services into the program, patients receive comprehensive support that addresses both the physical and emotional dimensions of their recovery. This collaborative approach underscores the program's commitment to providing holistic care that fosters not only physical healing but also emotional resilience and well-being in the long term. Mental Flexibility and Inner Work for Explant Patients Neglecting the mental, emotional, and social aspects of breast surgery recovery can hinder comprehensive healing and growth. Dr. Savage-Brown recognizes that breast surgery recovery involves more than just physical healing—it's also about navigating complex emotions like worries about self-image or fear of rejection. She stresses the importance of facing these feelings head-on, providing guidance to help individuals navigate them authentically. By encouraging self-awareness and aligning actions with personal values, she offers a way to grow and find fulfillment beyond just coping with challenges. Central to Dr. Savage-Brown's framework is the concept of psychological flexibility, a dynamic process rooted in Acceptance and Commitment Therapy. This approach enables individuals to respond to challenging thoughts and emotions with adaptability and resilience, rather than succumbing to rigid patterns of avoidance or suppression. By cultivating inner flexibility, individuals can navigate the complexities of the recovery journey with grace and authenticity, ultimately emerging stronger and more empowered. She empowers individuals to embrace their inner strength and resilience, fostering a sense of agency and purpose in their recovery journey. Her expertise in our program enriches our commitment to holistic care as she provides patients with the right tools and support needed to thrive emotionally and psychologically. Together, we aspire to redefine the paradigm of breast surgery recovery, promoting not only physical healing but also profound emotional and psychological well-being. Mindset and Self-Care for Chronic Illness Patients Our dedication to our clients and their swift recovery highlights the crucial nature of our involvement, especially in ensuring the efficacy of treatment for explant patients. The holistic approach includes various treatments like testing, detoxification, massage, oxygen therapy, and supplements. Maintaining a positive mindset is equally important. While it's natural to experience moments of frustration, sadness, or fear, cultivating a hopeful outlook can significantly impact overall well-being. This involves focusing on the present moment, practicing gratitude for small victories, and reframing challenges as opportunities for growth. Practicing self-care rituals can also contribute to a positive mindset and overall wellness. Engaging in activities that promote relaxation, such as meditation, yoga, or spending time in nature, can help alleviate stress and improve mood. Additionally, prioritizing healthy habits such as regular exercise, balanced nutrition, and adequate sleep can support physical health and mental resilience. Optimizing Implant Care Through a Multidisciplinary Approach Willingness is a powerful concept, one that's often overlooked in our busy lives. As recommended by Dan Sullivan, the WinStreak app encourages users to reflect on the positive aspects of their day and set intentions for the next. It's a small shift in mindset, but it can make a big difference in how we perceive our experiences. I’m sure many of us struggle to savor moments of success or express gratitude for the people and things that matter most. We're constantly moving from one task to the next, rarely pausing to acknowledge our wins or show appreciation to ourselves and others. But taking the time to celebrate our achievements and express gratitude can profoundly impact our overall well-being. By incorporating practices like gratitude journaling and mindfulness into our daily routines, we can cultivate a more positive mindset and sustain our resilience in the face of adversity. And by acknowledging the interconnectedness of our physical, emotional, and psychological well-being, we can work toward optimizing healing and achieving excellence in our care. Links and Resources 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/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield’s approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.
Saline implants stand as a popular choice for individuals seeking breast augmentation or reconstruction. However, despite their widespread adoption, saline implants are not immune to the occasional occurrence of rupture, presenting a significant concern for both patients and practitioners. In this episode, we talk about managing saline implants and discuss the aspects of breast implant surgery. With a keen focus on both the challenges and the innovative techniques inherent in this specialized field, we uncover the complexities of saline implant management and saline deflation. Saline Devices and Their Complexity Managing saline devices, often exceeding 400 CC's and even reaching up to 500 or 900 CC's in my own experience, presents a significant complexity. This complexity arises primarily from the inherent characteristics of saline implants, which lack the compressibility of their silicone gel counterparts. Unlike silicone gel implants, which can be compressed, saline implants maintain their full form, making them particularly challenging to manipulate, especially when placed beneath the breast fold. Operating around these firm implants, especially from below, requires skill and precision. Our goal is to remove them without damage, keeping everything intact. However, doing this with saline implants requires careful planning and expertise. Treating Ruptured Saline Implants There are different approaches we can take when dealing with larger implants, like overfilled ones. We might opt for a traditional method or even a vertical approach. Throughout my career, situations have arisen where individuals, while visiting town, experienced a rupture in their saline device. Through the years, I've encountered numerous patients facing similar circumstances. Essentially, within about a week of a rupture, the saline in the implant typically drains out harmlessly, as it's sterile and gets absorbed by the body without any issues. Patients should discuss with their surgeon and arrange for a replacement if desired. This process is somewhat traditional, and it's important to act relatively quickly because once the implant is removed, the pocket starts to close. For patients with overfilled saline implants, I won't proceed with surgery without deflating the implant first. Deflating the implant is a safe procedure done using sterile techniques, similar to what's done if a rupture occurs. Using Deflation to Visualize Breast Changes after Surgery Often, patients don't have their implant information readily available, making it challenging to determine the exact fill volume. After controlled deflation in the office over a period of two to four weeks, the tissues settle down, offering a glimpse of their natural state. While it's not an exact replica due to the short timeframe, this visual assessment aids in understanding the current situation. It also facilitates discussions about additional procedures like skin lifts or fat transfers. Retrieving pre-implantation photos can be difficult, especially if records are paper-based or the implanting surgeon has retired. In our system, everything is electronic, ensuring easy access to records through our app. I also provide patients with a video of their surgery, documenting the removal process and examining the implants. While deflation doesn't fully restore the breasts, it provides valuable insights, making it a useful tool for both patients and surgeons. For any inquiries, subscribe to our YouTube channel, comment on our video, or send us a DM on Instagram. Links and Resources 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/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield’s approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.
Breast implants have been used for a relatively long time now. However, there is not enough research studies or discussions based on its effects which is why Breast Implant Illness (BII) is quite a new topic especially in the medical community and is not yet widely recognized. Because of the lack of information and awareness with regard to the long-term effects of breast implants, many women suffer from breast implant illness. In today’s episode, we’ll be talking about the different aspects of breast implant illness. When you have multiple things contributing to inflammation, it’s even more complicated. Breast implant illness is already challenging to treat on its own. And so, it’s already a given fact that when a person has multiple factors contributing to the inflammation, it makes everything more complicated including the diagnosis and treatment. Since experiences with breast implants vary, the symptoms also vary widely. Some people may experience only mild symptoms, while others may experience more severe symptoms that badly affect their way of living. Personally, I’ve done more than a thousand consultations regarding breast implants and they have helped me understand breast implant illness more comprehensively. There are those who suffer from memory problems, brain fog or mental health problems whereas some experience symptoms such as shortness of breath and palpitations. Other symptoms of Breast Implant Illness There is also a tendency that you’re going to experience problems in your gastrointestinal (GI) system. The common symptoms are acid reflux, constipation, diarrhea, bloating, overall swelling, and other digestive problems. And for some, they get aggressive skin symptoms like body acne and full body rashes. Usually, people have already gone to several healthcare providers or other specialists before they have found me. Their concerns generally boil down to the fact that no one knows what’s wrong since their blood tests, medical tests, and everything else look normal. At present, there is limited awareness of both allopathic and functional medicine practitioners but the good thing is that there is more work being done both at a basic science level and at clinical research levels to help expand our knowledge and understanding. The immune system plays a role in breast implant illness which is why we conduct some provocative tests to help the patients have a better understanding of their own immune system and how it relates to their illness. There’s a glutathione challenge with liposomal glutathione and more often than not, it's really enlightening to folks that something as simple as that can help them understand how they don't really detoxify well. Everything plays a role in breast implant illness – where we live, where we work, what we eat, what we drink, and the air we breathe. People are all at risk to have leaky gut, which further exacerbates this problem. There are many people at risk of having a leaky gut, which further exacerbates the problem. That’s why it is important to identify what stimulates your gastrointestinal tract. If you successfully accomplish that, you’ll be able to know your food sensitivities and everything else in relation to your digestive process. I’m sure we are all aware of the different kinds of diet from plant-based diets, keto, and others. However, these dietary lifestyles don’t work for others. Maybe that's just not what they're supposed to do because they don't have the correct enzymatic makeup genetically to handle those types of diets. My whole testing program involves functional genetics, total toxicity, inflammatory markers, and complete blood work including hormones. Once you add everything up, you'll be able to see the pattern of symptoms. And so what we want to do is to first identify the symptoms and correlate these to breast implant illness in order for us to provide the appropriate plans and treatment to get the patient back on the right track. The importance of genetics in the treatment of breast implant illness. Overall, genetics along with the standard tests conducted are vital in the treatment of breast implant illness. As time goes on, we'll focus on that even more as a specialty of medicine and a personalized approach in using someone's genetics to identify and explore toxicity and to optimize patients so they can live their best life. In conclusion, the implant is a big generator of the problem in most cases and the good news is that we have a program for those patients faced with such problems. Many of our clients under our Holistic Accelerated Recovery Program (HARP™) are doing extremely well in terms of recovery. All thanks to the whole team who has been working hard and really devoting their hard work to help patients live their best life. Links and Resources 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/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield’s approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.
I’m often asked whether or not there is a correlation between breast implants and mold toxicity. This is a topic that sparks considerable interest and concern among patients, as they seek to understand any possible implications for their health and well-being given the prevalence of mold-related health issues and the widespread use of breast implants. In this episode, we aim to raise awareness and address such inquiries with clarity and accuracy, drawing upon both scientific evidence and clinical experience to provide informed insights and guidance to my patients. Mold toxicity and Breast Implant Illness There's considerable evidence suggesting a connection between high mold toxicity and breast implant illness in women. Through extensive testing, it's been found that around six of thousands of tested samples have shown the presence of fungi, which includes mold. When I look at the numbers, it's clear that the instances of confirmed mold presence in breast implant illness cases are extremely low. Typically, there's a specific explanation for these cases, like one patient who was a triathlete and likely picked up mold during swimming competitions. It's crucial to recognize that water harbors various bacteria, fungi, and viruses, contributing to these isolated incidents. However, in my extensive experience working with patients who have breast implants, I've observed that mold exposure is often tied to environmental factors such as air or food contamination. For example, Aspergillus, a prevalent type of black mold, presents a significant risk. This mold can thrive in various environments, including damp areas in homes or buildings, and can contaminate food sources if proper storage and handling practices are not followed. Additionally, mold tends to grow more in certain weather conditions or times of the year, so patients need to be aware of possible exposure risks. While there are rare cases of mold directly in breast implants, the main focus should be on tackling environmental sources of mold to lower health risks for patients with implants. Food and Wine Safety, Including Ochratoxin and Mold in Coffee and Grains When it comes to items like food and wine, it's important to be aware of the presence of ochratoxin, a type of mold toxin commonly found in wine worldwide. While the European Union has strict guidelines regulating ochratoxin levels in wine, the same standards aren't in place in the United States. This means consumers need to exercise caution, particularly when it comes to wine consumption. Choosing wines labeled as dry farm or organic can provide a more reliable option, particularly for individuals particularly sensitive to mold toxins. Dry farming techniques involve cultivating grapes without irrigation, relying solely on natural rainfall, which can reduce the risk of mold growth compared to grapes grown using conventional methods. Coffee production similarly poses a risk of mold contamination, so it's important to look for mold-free options. Brands like Bulletproof Coffee, founded by Dave Asprey, have gained popularity for focusing on providing mold-free coffee products. Being mindful of mold contamination in various food items, including grains and cereals, is essential for maintaining overall health and minimizing exposure to mold toxins. Breast Implant Illness, Toxicity Testing, and Detoxification Protocols The occurrence of mold exposure stems from a combination of factors, as I've observed in many of my patients and personally experienced living in Austin, where severe winter weather and inadequate home infrastructure can lead to water leaks and mold growth. Given these risks, I advise individuals who are particularly sensitive to mold to consider investing in air filters. However, when considering these various options, it’s crucial to ensure they can effectively filter mold spores, which are smaller than bacteria, to safeguard against health issues. This is particularly important for individuals who may have genetic variations impacting their detoxification pathways, as they may be more susceptible to the adverse effects of mold exposure. Beyond simply filtering out mold spores, it's also essential to consider the overall air quality within the home. Factors such as humidity levels, ventilation, and the presence of other pollutants can all contribute to the proliferation of mold and impact indoor air quality. As a plastic surgeon who focuses on breast implant illness, my team and I are experienced in understanding the genetic factors and toxicities that affect our patients. We conduct urine toxicity tests and utilize glutathione challenges to assess their problems and tailor treatment plans accordingly. By focusing on improving the quality of fluid, food, and air intake, we aim to reduce inflammation, which we know correlates with symptom improvement. Addressing mold exposure requires personalized protocols based on toxicity testing results and individual tolerance levels. Given the prevalence of sensitivity among our patients, careful consideration and tailored detoxification strategies are essential for managing their health effectively.
In the second half of our two-part series on recovery following breast implant removal surgery, you’ll hear more about how we help patients recover faster from breast implant removal surgery. Because lymph nodes are the body’s primary system for fighting infection, we prioritize lymphatic massage as an important step for speeding the healing process along. For this therapy, patients are cared for by our expert lymphatic massage therapist and treated with the Ballancer Pro to flush out toxins, boost the immune system, and shorten recovery time by releasing fluids. When a fat transfer is included in the surgery to restore volume back into your breasts, the fat is placed between the skin of the breast and above the breast tissue. Dr. Whitfield’s experience caring for thousands of patients over the years ensures that everything he does including fat transfers are safe and do not create issues with future mammograms. Links and Resources 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/
In recent years, the prevalence of health issues associated with breast implant surgery has gained significant attention within the medical community and among patients. This heightened awareness has shed light on a condition known as Breast Implant Illness (BII), which is characterized by various symptoms ranging from inflammation and chronic fatigue to autoimmune responses. Casey Araujo joins me in today’s episode to offer her valuable insight into the aspects of breast implant illness, particularly related to breast implant surgery, removal, and post-recovery. This is to raise awareness about breast implant illness and advocate for a holistic approach to surgical care, emphasizing the importance of mindset, lifestyle modifications, and social support systems in achieving optimal outcomes. Breast Implant Surgery and its Effects on a Person's Body In 2016, Casey made the decision to get implants at the young age of 23, without much prior research. She didn’t fully understand its potential consequences. She shared that she always felt a desire to have larger breasts as she was growing up because of external influences. Initially, she didn't find her implants too large, but eventually, they became the main focus of her appearance, causing discomfort. Within six months of the surgery, she faced inflammation and rapid weight gain. She thought it was just part of the recovery process, but the inflammation persisted, along with rashes and chronic fatigue. As time passed, her symptoms worsened, but she dismissed them as typical signs of aging and hormonal changes. However, with no improvement in sight, she began to suspect a more serious underlying issue. The inflammation was severe and noticeable, affecting her face, midsection, and arms. She also started experiencing other symptoms like hormonal issues, dry skin, and swollen lymph nodes. Despite consulting various specialists, including GI doctors who recommended dietary changes, the root cause remained elusive. The discomfort from the implants intensified over time. Despite opting for saline implants under the muscle, they never felt comfortable. She couldn't lie on her stomach or sides without experiencing sharp pains and burning sensations, especially around the left breast where the incisions were made. Over time, her health got worse to the point that she started feeling depressed and anxious. Although she seemed happy on social media, she was actually going through a tough time. It wasn't until about six or seven years after getting the implants that she stumbled upon information about breast implant illness during extensive research into her deteriorating health. Chronic Illness and Breast Implant Removal She didn't associate the autoimmune disease she was diagnosed with in high school with her breast implants. However, as she researched further into breast implant illness, she realized that there might be a connection. Exploring various avenues of functional medicine and nutrition, and undergoing therapies and treatments, she found no relief from her symptoms. It wasn't until she stumbled upon stories of other women's experiences with breast implant illness that she began to consider the possibility. Even then, she was in denial, unable to believe that her implants could be the cause of her suffering. A pivotal moment came during a trip to Spain when one of her saline implants ruptured on day three, leaving her left breast flat. This rupture became a clear sign that something needed to change. Despite her initial panic, she ultimately opted for a replacement surgery, only to find that her health deteriorated further afterward. This experience served as a wake-up call, signaling to her that it was time to remove the implants. She saw the rupture as her body's way of telling her that these implants were not compatible with her health and needed to be removed for good. Post-surgical Recovery and Inflammation After undergoing a replacement surgery following the rupture, her recovery was much worse than expected. She experienced severe muscle pain, nerve damage, numbness in her arms, and increased inflammation which were unusual. Her recovery issues raised concerns about potential complications. Post-replacement, she noticed significant differences in her implants as they felt harder, caused more chest pain and discomfort, and even affected her breathing. The rupture served as a turning point, prompting her decision to have her implants removed and so, she had a consultation with me. My usual approach is empowering individuals to make informed decisions rather than dictating a course of action. However, after extensive research and introspection, she realized that her implants were likely the root cause of her health issues. Meditation and breathwork helped her tune into her body, reinforcing her decision that implant removal was necessary for her well-being. With plans to start a family, she opted against procedures like lifts or fat transfers, prioritizing the removal above all else. Mindset Preparation for Breast Implant Removal Surgery Truthfully, there is a need for caution and boundaries when seeking support online. Make sure to always surround yourself with positive support, particularly from loved ones, in navigating such journeys. That is why I associate Casey’s smooth recovery with her preparedness and positive mindset before, during, and after surgery. Casey diligently prepared herself mentally, physically, and emotionally for the surgery. She explored various holistic practices like meditation, breathwork, energy therapy, and more. Her proactive approach, coupled with a strong support system, facilitated her transformative recovery experience. Casey's experience highlighted the importance of additional support resources, such as health coaching and patient advocates, in navigating the complexities of explant surgery and breast implant illness, especially considering the negative impact of social media on mindset and decision-making. The addition of health coaching aims to offer holistic support beyond medical intervention whereas patient advocates, who were former patients themselves, provide invaluable insight and empathy. Links and Resources 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/
It’s normal to worry about how you’ll feel waking up after surgery, and if you’re suffering from breast implant illness (BII), you may be even more worried about recovering from those symptoms. Dr. Whitfield goes above and beyond to make the post-op experience as comfortable and painless as possible. He seeks the answers to the difficult questions about what’s causing each individual’s symptoms of BII and continues to care for and follow up with his patients for a full year after explant surgery. Dr. Whitfield’s post-op protocol begins on the night before surgery with anti-nausea medicine, Celebrex to decrease inflammation, and a neuromodulator for anxiety. During surgery, a long-lasting block called Exparel prevents pain and keeps nerves calm for several days. This also minimizes the need for narcotic pain medication, which can make you groggy and cause constipation. If you’ve had an epidural or had this experience from another surgery, you already know why constipation should be avoided! To minimize the risk of infection, Dr. Whitfield does not use drains. Contrary to popular belief, the research shows that drains cause more infections because incisions are exposed to the outside environment and irritated by the drain itself. Lymph nodes are the body’s system for fighting infection, and lymphatic massage is an important step for speeding the healing process along. For this therapy, patients are treated with the Ballancer Pro to flush out toxins, boost the immune system, and shorten recovery time by releasing fluids. Finally, and most importantly, you’ll receive the pathology and PCR test results, which looks at 150 different types of bacteria, fungus, and mold. This episode is part 1 of 2 about the recovery process following breast implant removal surgery. Links and Resources 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/
Whether you’re having your breast implants removed or never had them at all, the volume lost can be replaced with your own fat and beautiful, long-lasting results can be achieved. During a fat transfer, fat is taken out of areas it is unwanted and transferred to different areas where fat is desired. Fat is the perfect filler because it is versatile and able to maintain itself over time. Fat can be used to restore volume, reduce skin laxity, and improve shape, which is one reason why procedures such as the Brazilian Butt Lift (BBL) have become so popular in recent years. In this episode, Dr. Rob explains the process of fat grafting, including how the procedure is done, the precautions which must be taken to preserve and protect the fat at every point in the process, and how much fat you can expect to retain. Links and Resources 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/
Because there are so many unknowns for women with breast implant illness, Dr. Whitfield’s approach to each and every breast implant removal surgery is as cautious and precise as the treatment of a breast cancer patient. While performing breast implant removal surgery, or “explant” surgery, Dr. Whitfield does everything possible to keep capsular tissue intact without compromising the shell of the implant. The goals of the procedure are the same, whether the case is a total capsulectomy, a precise total capsulectomy, or an en bloc capsulectomy: to take everything out, as intact as possible. Having cared for thousands of breast patients in his career, Dr. Whitfield has seen it all and knows how risky it can be if something is missed during an explant procedure. By taking all of the material out undisturbed, he ensures a more accurate pathology report at the end of the case. In this episode, hear Dr. Whitfield thoroughly explain the surgical techniques he uses to successfully remove breast implants. Links and Resources 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/
During the pre-op appointment, you’ll meet with Dr. Whitfield to review the surgical plan, take photos, and discuss medications. Most importantly, Dr. Whitfield will cover the ERAS recovery protocol to set you up for a smooth experience once you’re out of surgery and resting at home. For local patients, this short check-in is scheduled 1-2 weeks before surgery, and for traveling patients it will take place 1-2 days before. This episode is the essential guide to Dr. Whitfield’s time-tested recommendations for a safe, speedy, and comfortable recovery, including what to wear, when to get up and start walking around, how to eat, and when you can expect to start feeling like yourself again. Links Follow Dr. Rob on Instagram https://www.instagram.com/drrobertwhitfield/ Read more about Breast Implant Illness https://www.drrobertwhitfield.com/surgical/breast/breast-implant-illness/
Many women suffering from Breast Implant Illness (BII) have been feeling terrible for a very long time and just want to feel better. Hear how Dr. Whitfield helps prepare his Breast Implant Illness (BII) patients to bounce back as fast as possible after surgery and rule out other conditions that could be contributing to chronic illness. In the weeks leading up to surgery, Dr. Rob’s comprehensive pre- and post-op program investigates for other issues like Lyme disease, environmental exposure, or micronutrient deficiencies, and tests for thyroid conditions and hormonal imbalances. Links and Resources 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/
A breast implant illness consultation (or discovery session, as we like to call it) with Dr. Rob is an in-depth exploration of symptoms and potential causes of BII. The purpose of the discovery session is for women affected by this chronic illness to get much-needed answers. Having consulted with over 800 patients, Dr. Robert Whitfield is well-versed in the patterns and symptoms affecting women experiencing chronic illness. Thorough and cohesive, the discovery session addresses a range of conditions including brain fog, GI issues, diet, and autoimmune disease, eliminating the need for multiple specialists. Dr. Rob devotes as much time as needed to understand each individual’s unique situation, ensuring the path forward is effective and delivers much-needed healing and a speedy recovery for patients. For more healing resources create by Dr. Rob, visit our store - Dr. Rob's Solutions at https://drrobssolutions.myshopify.com Links and Resources 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/
Women who believe their implants are making them sick report a wide range of symptoms including extreme fatigue, muscle and joint pain, headache, brain fog, hair loss, rashes, dry mouth and eyes, depression, anxiety, and insomnia. These conditions appear within a few months to several years following surgery, and seem to more often follow a secondary surgery like revision or exchange. But the exact cause is difficult to pin down because other conditions like Lyme disease and toxic mold exposure can cause similar symptoms. Using PCR testing (instead of traditional CLIA-based lab testing), Dr. Rob discovered that over 60% of the breast implants he removed all had one thing in common. Dr. Rob describes his methodology for identifying this complicated, misunderstood condition and shares his treatment strategies utilizing nutrition and genetic testing to put his patients on the path to healing. For more healing resources create by Dr. Rob, visit our store - Dr. Rob's Solutions at https://drrobssolutions.myshopify.com Links and Resources 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/
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