Episode 108: Dr. Randall Feingold

This episode addresses breast implant illness (BII) and the considerations surrounding explant surgery. Dr. Rob Whitfield, a board-certified plastic surgeon, emphasizes the importance of recognizing and managing BII, discussing its symptoms and available treatment options. He shares insights into the surgical process and highlights personal stories from women affected by the condition. Dr. Randall Feingold, a specialist in breast reconstruction, explores alternative approaches such as using natural tissue solutions instead of implants. He underscores the significance of performing a total capsulectomy when dealing with implant-related complications to ensure comprehensive removal of problematic tissue. The discussion also covers the challenges of treating patients with low BMI, the advantages and safety of fat transfer techniques, and the FDA’s acknowledgment of systemic symptoms related to breast implants. Additionally, the episode explores the complexities of removing older silicone implants, the importance of analyzing removed capsules for malignancies or infections, and the prevalence of bacterial colonization within capsules. Dr. Feingold highlights the benefits of capsule removal, including potential improvements in breathing and reductions in anxiety. Overall, the episode provides in-depth insights into the medical and surgical considerations surrounding breast implant illness and explant procedures, offering valuable information for patients and practitioners alike.