Breast Implant Illness Dr. Robert Whitfield

Although undergoing breast implant surgery has benefits, it also involves short-term and long-term risks like any other surgical procedure. There could be bleeding, infection, and scarring as short-term risks while for long-term risks, there are cases involving capsular contracture.


Reasons as to why women get breast implants vary but more than that and the benefits of having implants, they should also be informed by their provider about the risks of breast implant surgery. That’s why I’m here to discuss breast implant surgery and the risks that come with it.


What are some of the changes that can happen to breast implants as you age?

We all know that as we age, we experience many physical changes. Some people lose weight and some gain weight. However, your implants will remain the same. But it is the breast appearance that we’re more concerned about as they may start to sag off of the implants.
There may be a deformity as you age and your skin loses its elasticity over time. You will then have two issues – you’ll have the breast implant sitting higher and the breast tissue coming off of the face of the implant.


When that happens, you’re more likely to need additional surgery. In case the tissue is aging off, you can recommend to your patient to undergo a lift surgery. This may be the case for women who were pregnant or had children and experienced expansion of the tissues with milk production and contraction after discontinuing breastfeeding. There may be stretch marks or other physical changes to the breast aesthetics.


What is mastopexy augmentation?

In relation to the changes caused by various factors, we mentioned having a breast lift surgery otherwise known as mastopexy augmentation. Its purpose is to lift, reshape, and tighten the breasts for the improvement of their appearance.


If you're considering having procedures involving the skin, however, keep in mind there will likely be more complications related to skin infections. Obviously, there's more scarring when you're doing something like that because it's a visual scar that is going to be down the front of the breast and around the areola complex, unlike that in a primary augmentation, where it's probably under the fold around the nipple or in the axilla.


Why you need to choose a board-certified or board-eligible plastic surgeon.

Like I always say, it’s important for you to choose a reputable board-certified plastic surgeon for these types of procedures. They have undergone a certification process demonstrating their knowledge and skill to have them qualified to perform breast implant surgery.
It's crucial to conduct thorough research and choose a breast implant surgeon who is skilled, qualified, and has a successful track record to ensure that you receive safe, high-quality care and get the greatest outcomes.


As a professional who did oncologic reconstruction for a long time, I was faced with many challenges with people who have pre-existing medical conditions. These cases trained us to be careful at every step of the process.


That’s why if a young woman came in for a consultation for a breast augmentation and upon collecting her information, I discovered she has a family history of lupus, rheumatoid arthritis, or other autoimmune disorder, I would not recommend that she get a breast implant for augmentation.
Given their pre-existing autoimmune situation and considering that they would then progress to other therapies, hormone suppression, radiation, and others, their situations would be so complicated.


Your surgeon should make sure that they’re doing their best to monitor your situation before, during, and even after your surgery to avoid any complications. Before surgery, a plastic surgeon should conduct a thorough evaluation of the patient's health history and family history, including any medical conditions, medications, and allergies.


During the surgery, your plastic surgeon must take all the precautions in ensurin

While breast implants or breast augmentation are generally considered safe and effective, there has been growing concern about their potential link to neurological symptoms. There have been several patients over the past years complaining about symptoms of neural inflammation such as brain fog, headache, sound sensitivity and light sensitivity.


And that’s why we’re here to shed light on this topic. In this episode, we’ll answer the concern of many as regards breast implants and whether or not they can cause neurological symptoms.


Can breast implants cause neurological symptoms?

Whenever a patient tells me they’re experiencing headaches, light and sound sensitivity and brain fog, my initial thought is that it is related to neural inflammation and environmental toxicity.


It must be determined whether or not the patient has been exposed to environmental toxins because these toxins would complicate neural inflammation. Many cases in Texas, Florida, California, and Georgie are rooted from this circumstance.


We really have to take into consideration the environment the patient is in. Being exposed to moist environments like being near rivers, oceans, lakes, or the like where there may be high mold counts which you’re unaware of triggers inflammation and other issues or complications in having breast implants.


If someone had a preexisting neurologic condition, this could certainly be worsened in conjunction with a mold exposure. And as we've discussed in our previous episodes, breast implants can be responsible for inflammation. Thus, these other disease processes can result in further inflammation and give you neurologic symptoms.
Some research studies provide that immune reactions triggered by the breast implants, such as inflammation or an autoimmune response, may contribute to the development of neurological symptoms. Other factors like genetic predisposition, pre-existing medical conditions, and individual patient characteristics may also affect the development of neurological symptoms in some patients with breast implants.


Identifying the Signs of Neural Inflammation

We conduct a lot of tests to really identify the issues and further understand what’s happening. We have toxicity testing and inflammation testing which greatly helps in resolving these issues.


As much as possible, we try to start everybody on Dr. Rob’s Solutions Immune Support bundle for the stimulation of the system to excrete the toxins in the urine. Consequently, we'll have a better idea on how to characterize and develop treatment plans.


We closely and regularly monitor the patient to see how they’re managing their inflammation. We check for signs and symptoms of specific inflammatory processes to determine what we can do to provide them help.


More than the help we provide, we make sure our patients are cared for as we help them throughout their healing journey. So what we always do is be as comprehensive as possible.


Links and Resources

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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 settl

By embracing a holistic approach that considers not only the surgical procedure itself but also the patient's overall health and well-being, practitioners can optimize the recovery process and enhance long-term outcomes. Functional medicine emphasizes the interconnectedness of various bodily systems, recognizing the importance of factors such as nutrition, inflammation management, and stress reduction in promoting healing. When applied with conventional techniques, these can play a crucial role in supporting patients more comprehensively and effectively.


In this compelling discussion with Taylor Dukes, we explore the various aspects of recovery in her brain tumor healing journey, shedding light on the importance of holistic approaches to healing, from addressing inflammation to optimizing restorative sleep. Join us as we unravel personal narratives, share valuable insights, and highlight the critical role of support systems in the recovery process.


Functional medicine, integrating conventional and holistic approaches to healthcare

Taylor recounts a period of significant stress and trauma in their life, exacerbated by working night shifts in an ICU in Austin, Texas. Despite being previously healthy, she found herself experiencing various health issues, including hair loss, joint pain, stomach problems, and skin inflammation. Despite consulting various specialists and undergoing invasive procedures, she struggled to find answers to her declining health.


Her desperation to recover led her to seek alternative approaches, eventually leading her to functional medicine practitioner Ann Shippy, who significantly improved her health through testing and dietary changes. This experience propelled her into the field of functional medicine, where she subsequently worked as a nurse for Amy Myers and eventually opened her own practice.


Brain tumor diagnosis, treatment, and healing journey

Amidst her newfound health and career success, she received a Prenuvo scan – a full-body preventative scan. This led to the shocking discovery of a brain tumor, despite her lack of symptoms. Reflecting on her journey, she emphasizes the integrative approach of functional medicine, combining conventional and holistic practices to address illness at its roots. Her experiences highlight the significance of thorough patient history and consideration of factors like lifestyle, genetics, and environment for achieving optimal health outcomes.


Following the unexpected discovery of a brain tumor, Taylor went through the stages of acceptance and preparation. She also explored the treatment options available. With an integrative approach to healthcare in mind, she sought complementary methods to address the tumor, emphasizing the importance of early detection and intervention.


Utilizing a combination of diet modifications, alternative therapies, and stress reduction techniques, she diligently prepared her body for surgery over a span of five months. This proactive approach not only allowed her to explore various treatment modalities but also facilitated the remarkable feat of shrinking the tumor by half before undergoing surgery. Collaborating with healthcare professionals across different disciplines, including a neurosurgeon and integrative treatment centers, she took charge of their healing journey with determination and resilience.


Integrative oncology and preparing the body for brain surgery

Addressing inflammation is a cornerstone of my approach to health and wellness, and it's something I consistently highlight. Whether you're dealing with chronic health issues or simply striving for optimal well-being, managing inflammation is key. One of the most powerful tools in combating inflammation is through dietary intervention, and this is where the ketogenic diet comes into play.


A strict ketogenic diet involves drastically reducing carbohydrate intake and focusing on clean, whole foods that are rich in healthy fats and nutrient-dense, low

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

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

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