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Breast Implant Illness

By: Dr. Robert Whitfield
  • Summary

  • 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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Episodes
  • Episode 63: Rethinking Indoor Air Quality: Beyond Traditional HVAC Systems
    Apr 25 2024
    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 ...
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    49 mins
  • Episode 62: Unlocking the Link Between Oral Health and Overall Well-being: Insights from Dr. Kelly Blodgett
    Apr 18 2024
    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 ...
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    45 mins
  • Episode 61: Can Breast Implants Be Removed Safely?
    Apr 11 2024
    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 ...
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    14 mins

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