Dr. Shaher Khan: Breast Implant Illness and Gaslighting: A Surgeon's Take on REAL Informed Consent

Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
SPEAKER_00 (00:00):
Hello everyone, welcome to episode number 57.
I have, I guess, what you couldcall a long-form deep dive into
the world of implants, or morespecifically, breast implants.
Despite being largely dismissedby the medical world, breast
implant illness, also referredto as BII, is a real disease.
And in case you didn't know,there is a massive but

(00:22):
non-publicized movement amongwomen to have their implants
taken out.
And if you or someone you careabout has breast implants or any
number of other types ofimplants, you'll want to make
time for this interview.
My guest here is Dr.
Shaher Khan.
He is a plastic surgeon whospecializes in breast implant
removal, a procedure known as anX-plant.
And I would say Dr.

(00:43):
Khan is a unicorn in the fieldof plastic surgery, and I say
that for two reasons.
One, he is someone who honorsthe Hippocratic oath to do no
harm, and two, he genuinelybelieves in informed consent.
In fact, he believes in it somuch that while he could make a
lot more money doing breastimplants, he exclusively does
explants because he believes itis harmful and unethical to

(01:05):
knowingly put toxic materialinto the human body.
So, what kind of toxins andhealth problems come from
implants?
Well, we cover that in detail.
To do that, Dr.
Kahn reads straight from theFDA's black box warning about
implants.
He reads warnings from themanufacturers and warnings from
the waiver women have to sign inorder to receive implants.
He also discusses the shelf lifeof implants and how often women

(01:29):
are supposed to get an MRI tocheck for ruptures.
And if you think the sideeffects listed in drug ads is
bad, wait until you hear whattrue informed consent would look
like for breast implants.
And given what is coming tolight about them, Dr.
Khan believes they willeventually be banned altogether.
It's that serious.
So just to toot his horn alittle bit more, another area
where Dr.

(01:49):
Kahn shines is his method ofremoval.
It is much more thorough thanwhat 99% of his peers do because
he goes the extra two miles tomake sure no dead or diseased
tissue is left in the body.
And Dr.
Kahn is also very transparent inwhat he does.
Thanks to one of his formerpatients, he has a robust social
media presence.

(02:09):
And through his channels, notonly can you see him in action
as a surgeon, but you can findthousands of other women eager
to tell their story of breastimplant illness and having an
explant.
And wait until you hear thestories of the health
turnarounds that happened forhis patients after having their
implants removed.
The only place I would quibblewith him a bit is his
perspective on detoxification,but that is a conversation for a

(02:33):
different day.
And you may be wondering of allthe topics I could host a show
about, why this one?
Well, if you've listened toother episodes, you know by now
that I am on a mission to dowhat the medical world was not
designed to do, and that is tohelp people find the root causes
of their health challenges,rather than play biochemical
whack-a-mole with theirsymptoms.
Implants, including dentalimplants, such as Dr.

(02:54):
Michelle Jorgensen and I talkedabout in episode number 48, are
a big upstream reason why peopleare so sick.
And while it's part of my intakeprocess, it still shocks me how
hard, hardly anyone in thehealthcare profession bothers to
ask basic questions about whatpeople are eating or what toxic
exposures they have, or whichare sometimes the same thing.

(03:15):
And I guess I'm I'm particularlyfired up at the moment because I
just did a conversation todaywith someone who had the typical
story of awakening to thereality that after all the fancy
testing is over, all the medicalworld really has to offer is
cut, burn, and poison.
And given that realization, theperson I was speaking with
pivoted to the so-calledfunctional world only to find

(03:35):
out that it is basically thesame exact model dressed up as a
natural medicine, where she thatthey just run a set of more
expensive tests.
They swapped out a fewmedications for a suitcase full
of supplements, told her not todo anything until she takes all
the supplements and get back tothe doctor in three months.
And friends, is that what wecall functional?
Like to me, that's I could argueis an embarrassment to the word

(03:56):
healthcare.
So anyway, I'll soapbox moreabout this in my upcoming book
and in my next podcast interviewwhere my guests and I are going
to take on a few of the sacredcows of medic of the medical and
alternative world.
That would include lab tests,supplements, and bioidentical
hormones.
So that episode is really goingto stretch your thinking,
especially if you consideryourself a healthcare
professional.

(04:17):
So, okay, rant over.
One final thought before I playthis interview.
I don't want to play an episodelike this one without first
addressing that while ourconversation is largely about
the physical healthramifications of implants, I
don't want to overlook theemotional impact of implants
either.
That may be even bigger, and itis a huge emotional decision to

(04:40):
opt for implants, and it isprobably an equally emotional
decision to opt for an X-plant.
So here's the deal.
Ladies long to be beautiful, andI think it's a wonderful part of
how God made them.
And from my half of the species,I can say we men appreciate the
effort you put into lookingbeautiful.
Please keep it up.
But, ladies, this episode is nota judgment of your choices or

(05:02):
about how you endeavor to makeyourself look beautiful, or even
an attempt to tell you what'sright for you.
I have not walked a mile in yourshoes, so who am I to tell you
what's best for you?
But I can tell you this mywife's beauty or her worth does
not come from her curves, and itis not diminished by wrinkles.
If you've ever met her, you knowshe's not hard to look at, but

(05:23):
her inner beauty is radiant, andI can say that it's only getting
better.
She shines on the inside and itlights up her face.
If you've met her in person, youknow what I'm talking about by
the way she greets you when youwalk into a room.
That is internal beauty ondisplay.
And so, friends, in case anybodyneeds to hear this, don't attach
your self-worth to somethingfading.

(05:44):
There's something to be said fordoing your best to age well
naturally.
So, whatever effort you put intoyour external beauty, I'd
encourage you to also put atleast that much effort into your
internal beauty, your virtuesand your grace for other people.
Do that, and you might end upalmost as beautiful as my wife.
So, okay, without further ado,here is my interview with a

(06:04):
special doctor who spends moretime caring for his patients
one-on-one than any doctor Iknow of.
He is so generous with his time,so much that he gave me two
hours of an interview rightafter he came out of surgery.
So, welcome to my conversationwith the man of humility and
integrity, Dr.
Shaher Khan.
All right, hello everyone.

(06:25):
Welcome to today's show.
My guest is Dr.
Shaher Khan.
So let me tell you a little bitabout this wonderful man.
He is a double board certifiedplastic and reconstructive
surgeon by both the AmericanBoard of General Surgery and the
American Society of PlasticSurgeons.
So, for context for how muchtraining he's had, plastic
surgery training includes 16years post-high school

(06:48):
education, including 10 years oftraining after medical school.
And more specifically, itincludes passing a written and
two-day oral examination.
So Dr.
Kahn is a breast implant illnessspecialist with a clinic in
Michigan and a new clinic inCalifornia.
And his practice is dedicated tothe removal of breast implants.
And he has patients from allover the world.

(07:10):
So one of the things I likeabout him the most, and I guess
we'll see how this interviewunfolds, maybe there's something
even more endearing about him,but uh he has really just a deep
commitment to transparency.
In other words, that he stillhonors what I think of as the
medical relic of informedconsent.
And he actually involves thepatients in education and
realistic expectations.

(07:30):
So, Dr.
Khan, with all that said, thankyou so much for coming and
welcome to the show.

SPEAKER_02 (07:34):
Yes, thank you very much.
It's an absolute pleasure to behere with you and to discuss uh
with our viewers about uh thevery interesting world uh of
plastic surgery.
And thank you very much for thisvery nice and warm welcome.
I should mention that believe itor not, I'm still learning every
single day.
Uh, the dean of my medicalschool on the first uh day of

(07:55):
orientation of medical schoolsaid a good clinician will
always be learning.
And as you can see, one yearfrom now, 10 years from now, 20
years from now, medicine isgoing to be very different than
what it is now, uh, the way itis practiced.
So a patient that came to methat I operated on just

(08:16):
yesterday from California, andwe are here in Michigan, she had
her mammogram that was read byAI, Artificial Intelligence, in
addition to the radiologist.
And so basically, this is uhwhere now it's becoming the
standard of care and practice.
The patient gave permission uhfor this newer technology in
addition to the radiologistreading.

(08:38):
Who could have ever imagined, uhmyself included, that when I
went to medical school thatfirst week of orientation, we
would be getting help from thecomputer uh system and from the
vast uh uh database that wehave.
As you will see, uh medicine isgonna change and only for the
better, and it's gonna get moreefficient and uh much more

(08:59):
practical.

SPEAKER_00 (09:00):
Man, well, I hope you are over the target on that
assessment.
That's great.
So, all right.
Well, give us the background,the story behind the person.
So, did you always know youwanted to be a surgeon?
And then what got you into thespecialty of breast implant
removal?

SPEAKER_02 (09:15):
So, this is a very good question.
Um, you know, for me, I knew mymom.
Um, my mother is a physician,she's uh uh OBGYN doc.
Um, and so I saw her over theyears, uh, you know, she worked
extremely hard.
Um, and I saw uh from within myfamily a lot of doctors.
So it was truly um, you know,seeing what was around me, uh,

(09:38):
the environment that uhbasically showed me that, you
know, this a lot of hard work,but a lot of satisfaction.
And truly that was the positivefeedback effect, if you will,
the re-energizing force thatliterally uh was driving my mom
and the so many other familymembers and friends uh that I

(09:59):
saw growing up over the years.
So I knew early on that I wasgonna be in medicine.
Now, within the world ofmedicine, they say you don't
choose your residency likesurgery or internal medicine or
radiology.
It ends up choosing you.
And so I knew that I reallywanted to do something with my
hands.
And so initially, you know,you're kind of going through

(10:19):
this many different phases inyour life as to, you know,
you're gonna do cardiothoracicsurgery, that was big.
Uh, thoracic surgery, it wasalso very big, burn surgery.
Everyone wants to do plastics.
It's, I think, very intriguingbecause it's not only
reconstruction, but also thecreativity of basically taking
care of a problem uh in a verythoughtful, systematic way.

(10:41):
Now, the first order of businessfor me was to do the general
surgery, which was a five-yearuh commitment after medical
school.
Uh, in between medical school, Itook a year off to do research
at Beth Israel Deaconess inBoston uh in a cardiothoracic
surgery lab.
And then, so that's where I gotexposed to the many aspects and

(11:02):
facets of surgery.
Now I did burns, two yearscritical care and burns
training.
And as you can see, the sickestpatients of the whole hospital
were in the burn unit becausethey have inhalation injury.
They're uh if they have uh 20,30, 60 degree burn, they're
there usually at the burnintensive care unit for one,

(11:22):
two, three months.
And these patients, they have tobe managed in the ICU type of a
setting and uh repeated back andforth operating room visits.
It's not uncommon to go back 10,15, 20 times, depending on the
severity of the big burn.
And this is where I didreconstruction with Integra,
which is artificial skin.
It is basically the artificialskin that's made up of shark

(11:45):
cartilage and bovine cartilage,uh, bovine uh collagen.
Now, during this aspect, I gotexposed to the world of plastics
because I was going to the ABA,American Burn Association
meetings, the plastic surgeryconferences, and then I saw my
patients that were thenultimately going to the plastic
surgeons because we were doingthe acute management, the burn

(12:06):
treatments.
And then for the touch-up andfor the fine-tuning and the true
sculpture of the, for example,the face, the hands, the arms,
the body, um, the function andaesthetics came into place.
So I truly got intrigued.
And then I started attending theconferences, and I had a
privilege of working as ageneral surgeon with the giants

(12:28):
uh at the Yield Plastic Surgeryprogram, for example, when I was
doing my drone surgery at theYielding Haven Hospital.
So Dr.
Persing, for example, Dr.
Grant, and uh a few othersurgeons uh that were there that
were truly uh the giants, uh,like Dr.
Steve Arian.
Um, you know, and so when I sawthis uh and having done the

(12:50):
burns, I knew early on, andhaving done the integra
research, I knew early on Iwanted to do plastics.
And this is where uh I wasprivileged uh to basically uh uh
uh get my training of threeadditional years.
So that's five plus two, that'sseven, and then three years uh
that is uh the plastic surgerytraining.
And truly uh that was aspectacular part where you know

(13:14):
we built up on what was theBurns training and also the
general surgery training that Idid.
So this is one led to the next,to the next, and it was truly
the great mentors that I've hadover the years, both in the
general surgery world andplastic surgery world, um, that
truly led me to getting exposedto the many aspects and facets

(13:35):
of uh plastic surgery.
I was in Cleveland, um, and thisis where at the Cleveland Clinic
and at university hospitals wewould have joint plastic surgery
uh programs, uh meetings,conferences, visiting
professors.
Um, and this is where everyMonday night, 7 to 10, we would
have the grand rounds.
I was there with Dr.
Bauman Gyron, who was the pastpresident, one of the giants of

(13:58):
plastic surgery.
I had a chance to shadow himquite a lot extensively, along
with uh Dr.
Gossein.
So again, it is these individualtalents that, if you will,
motivated me, persuaded me.
And it is truly a privilege tohave been trained uh by the by
the many amazing surgeons.

SPEAKER_00 (14:17):
I I sense the humility and just the I can see
how you make the comment thatthe profession kind of chooses
you.
So when did you first becomeaware of breast implant illness
specifically?

SPEAKER_02 (14:28):
So I knew this early on.
So in my general surgerytraining, I saw and took care of
many patients, um, hundreds, um,you know, when I was doing uh my
um uh breast uh rotation, uh,which is uh breast oncology with
Dr.
Lennon um at Yale New HavenHospital.
So this was my dedicated sixweeks and another six weeks that

(14:51):
I did, um uh that uh and so Isaw a lot of patients where they
had the mastectomy,lumpectomies, and now they were
undergoing reconstruction by theplastic surgeons.
So I saw firsthand foremost whatthe implants did.
Remember back then from 1992 to2007, the breast implants were

(15:11):
banned.
So you could only the siliconebreast implants were banned, so
you could only get salineimplants.
You could get silicon implantsif you were part of an
experimental, experimentalstudy.
Now I remember Dr.
Modlin, for example, telling usuh, you know, about uh hurt and
the harm that the implantscause, the many um effects of

(15:32):
having implants, the siliconeleaching.
Now, one thing that's veryimportant to note here is my
undergraduate major wasbiochemistry.
So I dealt with, you know, massspectroscopy, parts per billion,
you know, like when you measurelead in the water.
And so all these heavy metals.
And so I had interest uh and haddone the biochemistry aspect of

(15:55):
what is uh, you know, thechemical composition of what is
uh silicon implants and salineimplants.
So I saw firsthand uh the manypatients who came to us with
silicon mastitis, which isinflammation of the breast
tissue as a result of silicon,and they were hurting ruptured

(16:16):
silicon implants.
The patients with implants thathad ruptured and silica was in
their lymph nodes, patients thathad fluid around the implant
that was concerning for thatrare lymphoma, which is the
breast implant associatedanaplastic larcin lymphoma?
Remember, these are not lifetimedevices.
So the patients ultimately werehaving trouble sooner or later.

(16:39):
And every seven to ten years,um, you know, they need like a
replacement or and if a problemdoes arise, they certainly need
to be managed and definitivelymanaged.

SPEAKER_00 (16:50):
Okay.
Well, then what led you to focuson X-plant surgery in
particular?
Because my understanding, andcorrect me if I'm wrong, is that
of all the ways you could beusing your skills, that's not
the most lucrative of all thedifferent things in your line of
work.
But for some reason you'vepicked that as your specialty.
So what led you to focus on thatuh specifically?

SPEAKER_02 (17:11):
So a very good question.
So initially, plastic surgeryhas 3,000 operations, uh, from
cleft palate to pediatric toburns, uh, to skin cancer, big
flaps.
Uh, you also have the world ofcosmetic hand reconstruction,
you have nerve amongst manyother congenital problems, and

(17:31):
uh, the list goes on and on, andmany other creativities.
So, for example, uh, you know,when I got started in my
practice, I said, I'm not gonnado something that I don't
believe in.
And so I only did one set of uhimplants on a patient that had
breast cancer, she actually had,um, and so young 35-year-old
lady, and so she and Iconsented, and I did that one

(17:53):
case, and this was in order toget board certified, because
when you do apply for the oralboards, like you mentioned very
early on, they want to see onebreast, one hand, they want to
see one skin cancer, so just sothat they can question you and
see what the thought processwas.
Uh so you basically um uh spreadinto like the different uh
groups that they could uh testyou on.

(18:15):
And so you have to have abreadth of cases during your
first year so that you candiscuss what and how safe of a
surgeon, how professional of asurgeon you are.
So my same patients that I wasdoing hand, skin cancer, they
came to me and said, Doc, I wantyou to go ahead and replace my
implant, or I want you to goahead and place implants in me.
And so I said, No, I do not wantto go ahead and replace, but I

(18:37):
will just remove.
And the next thing you know, thetwo and two put together, I
said, I'm just gonna go aheadand remove.
And then I saw the pathology,the capsule, and I said, I'm
only gonna explant.
And believe it or not, Iexplanted one.
Six months later, I explantedanother, and then another uh
patient.
And the next thing you know,someone posted on uh Facebook as

(19:02):
to why and how I was doing it,because I will tell you, my
personality is I use the wordnot to go on social media.
I never had a Facebook accountback then, no Instagram, no
nothing.
Um, and so one of my patients,believe it or not, from Arizona,
came and she said, you know, sheworked for Google, she worked
for the UFC fighting uhspecifically.

(19:23):
Uh she was one of the uhmarketing people, uh very nice,
smart, wise lady.
And she said, you know what,I'll take it upon me that I'm
gonna just start showing whatyou're doing, because what
you're doing uh is uh unique,and not many uh of the uh the
surgeons are doing it in themanner that uh it should be
done.
And she was a very smart, wiseuh lady.

(19:46):
And so the next thing, you know,she managed it, and I didn't
even know what my Facebookpassport or account was.
And the next thing, you know,two to four, eight, ten, twenty,
two hundred, now we have fifteenthousand members.
And believe it or not, uh I haveI had a phone call last week
from Spain uh two days ago, twodays ago.
Uh, I talked to a patient fromIndia.

(20:07):
We have patients uh literallywere blessed to have patients
coming from all over the US umand Europe um and South America,
the Caribbean.
And so uh the the message hascertainly spread.
And now when I started, which isthe whole uh interesting fact, I
could never imagine in mywildest dreams that this is how

(20:29):
big it was gonna get this fast.
10 years ago plus minus uh whenit started.
Remember, when I started, thefirst, and yes, you very clearly
said the most financiallyrewarding surgery that's done is
augmentation.
Within 20 minutes each site,less than an hour, a surgeon can

(20:51):
do the surgery.
It's relatively verystraightforward.
Um, Dr.
Yoho was mentioning when heinterviewed me, he would do 10
minutes each site.
That's how proficient he was.
Um in is approximately a45-minute process, start to
finish.
Taking the numb, taking theimplants out, it's approximately
four hours plus or minus,depending on the size of the

(21:13):
implant.
And so this is essentially howit literally has spread.
And now I will tell you, morethan half of the surgeons in the
United States are offeringexplants from the many
celebrities, and many patientswho have come forth on social
media are sharing their journeysand that breast implant, unless
truly as of uh 2019, when theFDA black box warning came out,

(21:38):
a lot of patients uh uh wereaware as to the detrimental
effect of the implants.
And as you can imagine, this iswhere we are now.
And ultimately, if you ask me,the momentum is set up such that
in the next few months ofhopefully the next few years,
uh, there is going to be anotherban uh that I strongly believe
is only gonna come inevitably.

(22:00):
Um, and this time hopefully apermanent ban, not only to the
silicon, but the saline implantsas well.

SPEAKER_00 (22:06):
Wow, that would shake things up, I bet.
Well, uh what great backgroundto just understand how you got
there and wasn't even youweren't looking for it.
It just came to you because yousuccessfully helped somebody and
she took over and managing it,and here you are.
And yes, fantastic.
Okay, well, before we zoom in onbreast implants in particular,
let's just zoom out on theconcept of foreign bodies being

(22:29):
implanted into the human body.
Because I'm imagining there'speople listening to this who
don't have breast implants, butmay have some other things
implanted.
So, where might there be somesimilarities of symptoms from
breast implants to other typesof implants that people maybe
hadn't thought to correlate withthat?

SPEAKER_02 (22:46):
So this is a very good question.
Uh the the single most importantthing here is to ask what is the
chemical composition of theimplant that's being put in?
If you look at the many devices,you have teeth, i.e., dental uh
implants that are basically uhutilized.
You have implants like thepacemaker uh to regulate the

(23:08):
heart if someone has anenearrhythmia.
You have the chemo ports, forexample, you have hip-knee
devices, for example.
Uh, you have uh polypropylenemesh that's utilized for hernia
reconstruction.
So you have many differentproducts, chemical compositions
from titanium to stainlesssteel.
Now, what's interesting is I wastalking to a cardiologist who I

(23:30):
invited on my Facebook grouppage.
This was around the time ofCOVID, 2025, and you should one
should listen to that so you canhear a very smart, uh,
born-certified cardiologistright here in town who sent me a
patient and said she needs herimplants out because her
implants are causing her theharm, and you she needs to get

(23:52):
the implants removed.
And then when I brought him on,he told me he took care of a
patient once that had an implantin the hip.
And that implant made up ofmetal was putting out zinc or
this chemical metal ions thatwas diffusing into the body and
causing this patient to get someuh uh cardiopulmonary edema,

(24:18):
specifically fluid around theheart.
Um, and so the patient ended upneeding removal of the hardware
only to prove that it was indeedthe hardware that was the
underlying culprit, because itwas known to leach out these
metal ions from it, and justlike anything over time breaks
down.
And lo and behold, now this iscoming from the cardiologist who

(24:41):
basically showed a before whenthe patient was having this uh
fluid around the heart and thepericardial window that needed
to be done.
And now, with the implantremoved, the resolution of the
symptoms of the patient.
And obviously, she had what washardware in the hip that was
causing this underlying problem.
We hear of many other meshesthat the gynecologists have used

(25:06):
that have posed a problem forpelvic flow reconstruction.
Now, I'm not an expert in that,I'm not an expert in hip
implants, and neither am I anexpert in uh pacemakers uh or
other meshes, but I know for afact that the implants have
caused harm.
Now, let me go ahead and saythis because that's a very good,
smart, wise question.

(25:28):
I'm gonna say this definitively.
These are not my words.
If I may, this is the black boxwarning.
If you will, this is the yeah,if yeah, the the this is the the
mentor advertisement, if youwill.
And as you will see, this is thethe top part is the

(25:49):
advertisement itself, the modernhigh uh profile, the moderate,
excuse me, the moderate highprofile implant, and you can see
this is the black box warning.
And I'm gonna read breast, sothis is these are not my words.
Breast implants are notconsidered lifetime devices.
The longer people have them, thegreater the chances are that

(26:09):
they will develop complications,some of which will require more
surgery.
So this is tells you that if youhad them plus minus 10 years,
you're gonna have a problem.
Now they say patients receivingbreast implants have reported a
variety of systemic symptomssuch as joint pain, muscle
aches, confusion, chronicfatigue, autoimmune diseases,
and others.
Individual patient risk fordeveloping these symptoms has

(26:32):
not been well established.
Some patients report completeresolution of symptoms when the
implants are removed withoutreplacement.
Complete resolution of symptomsmeans cure of symptoms when the
implants are removed.
Then you will see the breastimplants have been associated
with the development of thecancer of the immune system
called breast implant associatedanaplastic larcell lymphoma, B I

(26:55):
A L C L.
This is the warning that the FDAput out several years ago.
Textured implants, they werebasically the allergones.
Then it says, quote, the thiscancer occurs more commonly in
patients with textured breastimplants than smooth implants.
Although rates are not well uhdefined.
Some patients have died fromBIALCL.

(27:15):
So as you will see, this is initself a big warning to anyone
who has implants that if you getthem maybe three years later,
five years later, ten yearslater, fifteen years later, plus
minus ten years, you're gonnarun into this problem.
And so this is where if you askthe vast majority of the

(27:38):
patients, they are not awarethat they were told that these
were not lifetime devices,meaning they were made to
appear, they were sold as onceyou get them, you're gonna have
them for life, which isincorrect.
And again, these are not mywords.
And now, as you will see, thoseimplants that were replaced in
2007 when the implants werereintroduced into the market,

(28:01):
now approximately 18 years, 15years later, these patients are
having ruptures.
If you look at the same same uhadvertisement, the top half part
talks about the nice qualities,the mentor memory gel boost,
breast implant portfolio.

(28:22):
Connect with the representativeabout the about the full lineup
of mentor memory gel boost,breast implant options.
Look at the bottom.
Important safety information,coat.
MRI screenings are recommendedthree years after initial
implant surgery, and then everytwo years after to detect silent
rupture.
So they're telling thesepatients who are getting

(28:42):
implants.
So if a nice 25-year-old studentor a young lady who uh wants to
get implants, wants to getimplants at 28 years of age, she
needs to get her first MRI, andthen 30, 32, 34, 36 every two
years.
And I'll tell you how many ofthe patients uh do get these

(29:03):
MRIs, less than 5%, if at all,right?
And this has been studied uh bythe American College of
Surgeons.
There, Dr.
Frank Lewis mentioned this atone of his meetings a long time
ago.
And the bottom line here is noone is aware of these hard
facts, not my words.
I did not create disinformation.
This is the black box warning,as you will see.

(29:23):
That's written again, anotherblack box warning printout.
Burbiatum, copy paste.
This is like the same warningyou see on a cigarette box on
all cigarette boxes.
This is that black box warningthat's written on the box
itself.
Unfortunately, on the day of thesurgery, no one's going to see
this black box warning becausethey're not going to have
access.
The surgeon has access to theimplants.

SPEAKER_00 (29:45):
And I imagine the same thing would apply to like
potentially to cheek or calf orchin or pec implants or
anything.
Anything people are inserting,there there is potential for the
body to attempt to rejectsomething that's not human
origin.
Is that a fair assessment?

SPEAKER_02 (29:59):
Right.
Exactly.
So the underlying problem here,um, Christian, is this this is
the problem.
And I'm gonna go ahead and readthis.
So this is again not my words.
I'm gonna go ahead and share thetitle so the the viewers and
listeners can see this.
Breast implants, certainlaboring recommendations to
improve patient communication bythe Food and Drug Administration

(30:22):
guidance issued September 29,2020.
So I'm gonna go ahead and turnto this one page.
This is where the surgeons mustdiscuss with their prospective
patients who are interested ingetting implants.
As you will see, page 14.
I understand that silicon canmigrate from my implant into

(30:44):
nearby tissues, for example,chest wall, lymph nodes, under
the arm, and organs, liver,lungs, where it may not be
possible to remove.
I understand that all breastimplants can interfere with
mammography and breast exams,which could delay the diagnosis
of breast cancer.
Mammography can also cause thebreast implants to rupture or

(31:05):
leak.
I should tell the mammographytechnician if I have breast
implants.
Now, if you look at this hearteffect, one out of eight or nine
women, one out of eight or oneout of nine women are gonna get
breast cancer.
And that you're gonna affect howmammography is gonna screen for
breast cancer.
So if you have a stadium full of80,000 patients, 85,000

(31:27):
patients, for example, 10,000 ofthem in their lifetime are gonna
get breast cancer, which is ahuge number.
And now you're telling me thatmammography is gonna interfere
with screening for breastcancer, which is the second most
common way of picking up onbreast cancer.
And you're being told thatsilicon can migrate in from my

(31:48):
implant.
So let's go ahead and read thenext line.
I understand that all breastimplants contain chemicals and
heavy metals.
I understand that most of thesechemicals stay inside the shell
of the implant, but smallquantities have been found to
diffuse gel bleed through theimplant shell of the silicon
gel-filled implants, even if theimplant is intact and not

(32:12):
ruptured or leaking.
A list of the components,chemicals, and heavy metals is
available in the patientinformation booklet brochure.
And just to be complete, onbottom of page 18, heavy metals
found in breast implants,arsenic, barium, beryllium,
cadmium, chromium, cobalt,copper, lead, magnesium,

(32:36):
mercury, nickel, platinum,selenium, silver, tin, titanium,
zinc, vanadium.
Now, what I've just read,Christian, here is this alone in
itself is convincing and realevidence that the FDA should
step up, or the plastic surgeonshould step up and put a
permanent band to the implants.

(32:57):
Because why are you lettingsilicone leak into the lymph
nodes or the surroundingtissues, the chest wall, lymph
nodes, and believe it or not,other biopsies have been done in
the lung, liver, and I showsilica, you're affecting how
mammography and self-monthlybreast exams potentially, how
mammography is altered, correct?

(33:18):
Uh and now you have the manyother problems that we have not
even discussed, Christian, uh,that affect the patient.
And the bottom line here is youknow, when it comes to at least
the silicone implants and thesealing, believe it or not, as
well.
The problem is very defined, asI just read.

(33:39):
I did not make this up.
Now, the other thing I want tomention here before I forget,
they should have banned thesealing implant too, in addition
to the silicone implants.
Because the saline implantscause the same hurt because that
shell is made up of silicone,and that shell of that saline
implant diffuses away thesesmall silicone particles that

(34:02):
the body recognizes, as you verywell said, as foreign.
And now this immune response,the body goes haywire because
it's trying to fight this enemyfrom within, that foreign object
that's being inserted into thechest.

SPEAKER_00 (34:17):
Yeah, one of the things that jumped out to me as
you were speaking, I have apodcast interview I did on it
was uh thermography versusmammograms.
And one nugget that jumped outto me as I was researching that
was just the roughly 45 poundsof pressure they put against the
chest just to create the imageon the mammogram.
And I can imagine thatcompression on an implant is

(34:38):
just more or less heighteningthe risk just of squeezing that
fluid out or creating otherproblems.
Does that make sense to you thatthat would also be a risk
factor?

SPEAKER_02 (34:46):
Absolutely, because remember, you have to move, put
pressure on, you have to get theright image.
This is why if you go and onelooks, you can get ukland views.
Uckland views are defined,modified views where the
technician can get goodrepresentative mammography
without hurting and disturbingand potentially harming the

(35:07):
implant.
Now, I will tell you, there isforce.
If a patient has a capsularcontracture or a large implant,
you will inevitably end upapplying force that will hurt.
And they're telling you youmight rupture, you cause harm to
the patient.
And so this has happened before.
And the bottom line here is thatuh, you know, just like you very

(35:27):
well said, there are unpleasantforces.
It's not a pleasant experiencesometimes for some patients.
It's a painful experience.
And believe it or not, there area lot of patients that I've
talked to over the years thathave chosen not to get implants
because it was a very painfulexperience.

SPEAKER_00 (35:41):
I can imagine.
Okay, well, let me just makesure I understand a couple
things.
So there's basically two typesof implants.
There's silicone and saline, isthat right?

SPEAKER_02 (35:48):
That's correct.

SPEAKER_00 (35:49):
I mean, there's only two companies that, as far as I
know, that make this material.
So it's that the studies or thewhat evidence you're pointing
out.
It wasn't typically that hard toknow what to study because
there's only two companies andthere's only two types.
And so that's come from a fairlywell-defined uh situation.
Is that correct?

SPEAKER_02 (36:07):
Yeah, so there are more companies.
Uh, the major, two major ones inthe United States are Mentor and
Allergan.
Okay.
Um now you have Centra, it wentbelly up and they sold uh
because of uh COVID, um uh as Iunderstand, and they sold it to
another company, uh Tiger, Ibelieve.
Uh that's like one of the, I donot know exactly the name.

(36:30):
Then there is another uhEuropean company that just got
last September, believe it ornot, 2024, a new micro-textured
implant, uh the Motiva uhestablishment uh got
reintroduced uh basically intothe market.
And you would think this ismicro-textured.
Remember, whenever you have atextured implant, you have more

(36:51):
inflammation.
But you know, the data in Europeis supposedly, I use the word
safe.
Now remember, any implant, thisis very similar to you smoke a
cigarette, you smoke a cigar,it's the same hurt, some less,
some more, whatever delivery ofthe nicotine, but the
carcinogens are there, if youwill, when it comes to the

(37:13):
smoking the cigarette or thecigar.
Silicon or signaling implants,be it the motiva or whatever,
it's the same problem becauseit's the silica, the heavy
metals, right?
And that leach into theperiphery, and this is what is
ultimately causing the hurt andthe harm.

SPEAKER_00 (37:30):
Okay, so no matter which company we're talking
about or what type of implant,there's known documented harms.
And what how would you rate thelevel of informed consent in
your industry in terms of makingpatients aware that these are
the risks?
How many people know that blackbox warning preemptively?

SPEAKER_02 (37:50):
I will tell you, majority of the patients
anecdotally, more than 90% ofthe patients have no idea what
this black box warning evenmeans.
Most of the patients do not knowwhat it means that they are not
lifetime devices, what is B I LC L.
And if I may, you know, andagain, not my words.

(38:12):
I'm just right now, Christian.
What I'm doing right now is I'mjust very innocently, without
any bias, I'm just reading toyou the risks that are related
to breast implants as publishedby the FDA, right?
So this is not even my now, thisis guess what?
Reproduced by the many thousandsand hundreds and millions of

(38:34):
patients worldwide.
And they're telling you righthere risks of breast implant
surgery, not my words, breastpain, skin or nipple areola
sensitivity changes or loss,asymmetry, impact of aging or
weight change on size and shapeof the breast, infection,
swelling, scarring, fluidcollections, hematoma, tissue

(38:57):
death of breast, skin, ornipple.
You have inability tobreastfeed, complications of
anesthesia, bleeding, chronicpain, damage to surrounding
tissue such as muscles, nerves,and blood vessels.
And then, if you look at, andthen they want you to initialize
right here that your surgeon, mymy physician, has discussed the

(39:20):
potential use of other uh thismy physician has discussed these
risks and has provided me withthe patient information.
Then the black box warning.
I understand that the long-termrisk of breast implants may
include painful or tightening ofthe scar tissue, which is a
capsule or contractor, ruptureor leaking of the implant,
wrinkling of the implant,visibility of the implant, so

(39:42):
it's visible, it does not lookideal, shifting of the implant,
which is malposition, or needfor reoperation.
Now, I will tell you if you arethis patient who's considering
implants, and if you're thepatient who has implants, and if
you just read this, you would belike, number one, I'm never

(40:02):
gonna get implants.
And number two, if you haveimplants, you're now just made
aware as to what are thedetrimental effects of implants.
Now, we live here in the motorcity, Christian.
We sell cars, you know, betweenChrysler Fort and GM, right?
If I make a car here and I tellyou it's gonna have an XL
problem or engine leak, or it'sgonna basically uh the radiator

(40:25):
is gonna require flushing everytwo years, or you know, and the
axle is gonna break down, oryou're gonna have electronic
problems with the dashboard.
I'm gonna say this to you,you're gonna be lucky even if
you sell one.
But this is unfortunately, yousaid it at the very beginning,
those two heavy words, informedconsent, which means the

(40:47):
patients have no clue about whatthey signed up for.
It was sold to them as safe, andunfortunately, it is catching
them by surprise.
And the most unfortunatesituation is what happens,
Christian, is when the patientsgo, they've had the implants 10,
15 years, they go to areputable, nice, good surgeon,

(41:07):
and the surgeon takes that firstimplant, 10, 15-year-old
implant, and then puts anotherone in.
And now you basically are saying10, 15 years later, you're gonna
have to come back maybe sooner,maybe later, with this problem.
Now, whatever I read, I did nottype this.
This was already published,written, and well accepted by

(41:28):
the medical plastic surgerycommunity.
What we need to do, andChristian, this is what you're
doing, is a very wise, smart,elegant job in a sense that
you're reaching the masses,you're letting them know if you
have implants, and this is whatmy message is to anyone if you
are hurting and you have thesesymptoms of what is suggestive

(41:49):
of what is breast implantillness, or you have a ruptured
implant, you have a capsularcontraction, you are in pain,
you have malposition, that thereis help out there for you.

SPEAKER_00 (41:59):
Yeah.
Well, it's okay.
So I'm trying to put myself inthe shoes of the listener here,
and I'm imagining if I'm a womanhearing this and thinking some
of those symptoms are mine.
There's there's plenty of peoplewho have symptoms that don't
have breast implants.
And so, how would is there someway that women can know or a
test or something that can helpthem identify if their symptoms
are actually coming from that ormaybe from something else?

SPEAKER_02 (42:21):
This is a very good question, uh, Christian.
So let me tell you exactlyverbatim what happened uh 6
o'clock in the morning, notyesterday.
I talked to one of my patientsfrom India, nice 36-year-old
lady, all the way in India, noHIPAA violation here.

(42:42):
So she and I get started, andshe's telling me she got her
implants uh done uh in NewDelhi, the capital, uh in 2009.
And then she said her symptomsstarted, and she started reading
off those symptoms like brainfog, fatigue, joint pain, GI
disturbances, her rashes.

(43:04):
She went to the dermatologist,allergy immunologist,
cardiologist for thepalpitations, and all of them
said, I do not know what you'retalking about.
You got a clean bill of health.
You look good, your numbers aregood, your EKG is good, your
echo is good, you have no lupus,you have no rheumatoid

(43:25):
arthritis.
And then they said to her, whichis very typical, there's a nice
psychiatrist who will help youout because you're too stressed
out.
And she's only 36, as smart assmart can get.
Software engineer, the realguru, if you will.
And you can tell just by talkingto her, she's very eloquent,

(43:46):
she's very smart, and she's verywise with her words and hurting.
And then she reads off to me,these are my symptoms that the
patients present that I havethem check off.
So she said she has 44-00symptoms.
Now, this is the diagnosis ofexclusion.
She said she has fatigue, brainfault, muscle aches, joint pain,

(44:09):
dry eyes, weight gain, uh, lowuh let me autoimmune phenomena,
rashes, she has vision withproblems, ringing in the ears,
uh, anxiety panic attacks, uh,anxiety, headaches, GI
disturbances, uh, symptoms offibromyalgia.
Now, this is the classic patternrecognition.

(44:31):
She went to all these doctors,subspecialists, they all said A
plus, A plus, clean bell ofhealth, you're, you know, got
flying colors and you when itcomes to your health.
Imaging was not done.
She's too young to have had anyimaging.
And labs, all are unremarkable.
Now she says to herself, I'm notcrazy, I know this.

(44:54):
Something is wrong.
And this is where she goesonline and she does, and this is
my typical patient, by the way.
She is their the the patientsare their own advocate.
And then she researches.
One patient, her husband puteverything on Google, and the
Google said, Well, you shouldlook into breast implant
illness.
One patient, she put all hersymptoms into Chat GPT, and Chad

(45:15):
GPT said, you know, you shouldconsider this as a differential
diagnosis, you know, includingLyme and uh, you know, and then
breast implant illness.
And now the patient startedreading, and she said, Well,
that's exactly me.
This one patient is me.
This is exactly what mycomplaints are.
Clean bill of health, normallabs, and a lot of complaints.

(45:37):
And the patient got explanteddone correctly, and she improved
remarkably well.
And when I asked her, Christian,what percent chance do you think
you have breast implant illness?
You know what she told me, quoteunquote, 120%.

SPEAKER_00 (45:54):
Yeah, I don't doubt it.

SPEAKER_02 (45:56):
I said to her, You're like, if I get a flight
nonstop to India, it's probably25 hours, 20 hours away.
I said, I'm sitting in this partof the world in the US, and
you're all in the in in NewDelhi.
I have not even examined you.
I've just listened to you.
And I said, 1 million percentyou got brace and plant illness,

(46:16):
because what else would it be?

SPEAKER_01 (46:18):
Right.

SPEAKER_02 (46:19):
I've never seen a doctor in 20 years, and I got
lupus and rheumatoid, and I cantell because this is the pattern
recognition.
Now, am I wrong?
I will tell you one day when shegets her ex-plan, which is going
to be very soon, you will hearfrom her own words like the many
thousands of patients, just likeDanica K.
Patrick, just like all thecelebrities who are coming
forth.
And every patient is thecelebrity, if you will, because

(46:41):
there is every patient's voiceis important, and you will see
this is that revolution, this isthat tsunami of patients that
are coming forth and basicallywarning uh the the implants out
because they know that theirgood health awaits them once the
explantation is done in theproper manner.

unknown (47:02):
Oh.

SPEAKER_00 (47:02):
Well, I can just I can picture that doctor's visit.
It's the yeah, you get all yourlab tests came back clean, and
they the best they've got,there's no real test for this.
It's just a collection ofsymptoms, and they use throwaway
diagnosis like fibromyalgia oranxiety and send you out the
door to go see a psychiatrist.
That's that sounds like I'mmaybe oversimplifying it, but
that sounds like a commonexperience.

SPEAKER_02 (47:28):
And then the the the one of the features of breast
implant analysis is anxiety,panic attacks, depression, some
small selective patients,suicidal ideation.
Now, the bottom line is theyhave to come up with the
diagnosis, and this isfibromyalgia, and anxiety is a
very nice, good diagnosis forbilling purposes because there
is no official, and that is thesad part, Christian, there is no

(47:49):
ICD-10 code for breast implantanalysis, even though they
mention it and the risks, right,and then the complete
resolution, right, and all that,but they do not want to put this
as a diagnosis because guesswhat?
All these patients will comeforth.
This is the problem.
Unfortunately, look, there aremany 17, 16-year-olds who are
doing dual cigarettes, right?

(48:10):
And they go about vaping everysingle day.
There are millions of patientswho have abused NORCO and Vikud
and all these narcotics.
Unfortunately, this is beingoverlooked and disregarded.
And now, this is, Christian, asocial media phenomenon.
Look, here you are spreadingawareness and letting and

(48:33):
educate the other patient.
And again, all what I have saidtoday is not my opinion.
These are hard facts, objective.
I picked this paper up and readit, read it, and I want you to
fact check each and everything,and you will see it's a
no-brainer.
Do no harm.
That's the oath I took.
Do no harm.
Ultimately, it's like playingmusical cheers or a Russian

(48:53):
roulette, if you will.
You know, if you're playing withuh the B I A L C L that, very
rare of rare to date, only 1300patients who have had this, but
this is relatively speakingunderreported.
Maybe it might be 2600, maybe itmight be 1500.
But the bottom line here isgoing back to this is what you
said is the diagnosis ofexclusion.

(49:15):
You've gone to the doc, the docsays you're in excellent shape
and health.
The patient looks at herchecklist and she says, What are
you talking about?
20, 30 symptoms, uh, 10symptoms, 15 symptoms.
This is young and old, and youwill see the many patients on my
Facebook group page.
If you go to the private breastand plant illness support group

(49:36):
page by Dr.
Khan uh or my YouTube channel,Khan Plastic Surgery Academy,
you will see the patientsspecifically talk about this,
and you will see the patientsliterally uh uh postoperatively
speak about the many uh reliefof symptoms that they have.
And well over 90% of my patientsanecdotally have sought relief

(49:58):
of the many symptoms of what isuh suggestive of breast implant
illness, capsula contraction, orrupture, or the hurt that they
had from the implants.

SPEAKER_00 (50:07):
Yeah.
Well, it seems not just is it amockery of informed consent,
it's you could almost argue it'smalpractice to do this at some
point.
And I've I've heard you talkabout in other videos like the
malpractice of um implants inpeople who already have other
illnesses.
So mention some of those in casesome people are not aware of
other comorbidities that arerelevant.

SPEAKER_02 (50:27):
Right.
So let me let me go ahead andagain, I want to mention this.
Uh so the let's go ahead and uhit's just so that we know this
is again, where am I comingfrom, right?
Remember, this is not my words.
Uh just this is a very good andsmart question that you asked

(50:49):
me, uh, Christian.
Um if you look at this one.
If you look at this list, itsays over here.

SPEAKER_00 (51:05):
You're reading the black box morning or the FDA
warning again?

SPEAKER_02 (51:08):
This is on page 10.
Um considerations for acandidate for successful breast
implantation.
I understand that I'm not acandidate for breast implants if
any of the following situationapplies to me.
I have an active infectionanywhere in the body.
Obviously, that's a no-brainer.
I have an existing cancer orpre-cancer of my breast tissue

(51:29):
that has not been adequatelytreated.
So let me go ahead and expand onthis.

(51:57):
Now, when some patients who havehad auxillary lymph node
dissection, they unfortunatelyend up getting implants.
And then if they do needradiation, the problems arise.
And this is what they're tryingto say.
Meaning, if you have cancer,existing cancer or pre-cancer of
the breast that has not beenadequately treated, and then you

(52:18):
need chemotherapy.
So I myself, I've seen patientsin my training, again, the
general surgery part of thetraining, having seen a lot of
patients, remember in the breastcenter, these patients who had
breast cancer confirmed on theirlymph nodes later on, and now
they had implants and now uhtissue expanders, excuse me, and

(52:38):
now they cannot get chemotherapybecause they have an open wound.
Chemotherapy slows down thewound healing or affects the
wound healing.
Sometimes when you have an openwound, you cannot get radiated.
And now the aesthetics isoverriding or taking precedence
or importance over treatment ofthe cancer, right?
That's what they're trying toprevent.
So a small subset of patientsthat you're pregnant or nursing,

(53:00):
they're telling you if you'renursing, look how many PA
patients get implants and thenthey nurse, right?
So this is a big question mark.
Um let me go in and uh I willjump to this nursing part in a
second.
I understand that if I have anyof the following conditions, I
may be a high risk for poorsurgical outcome, medical
conditions that affect my body'sability to heal, diabetes,

(53:21):
connective tissue disorder.
My neighbor had a kidneytransplant, and she got ended up
getting breast cancer.
Despite the kidney transplant,and you are on very strong
immunosuppressive medications,she ended up getting implants.
A big, if you ask me, problemwith that because this is
unethical to put in, becauseremember, you have wound healing

(53:44):
problems if you're on pregnancyor these strong
immunosuppressive medications.
Remember, you can have problems,and they're telling you right
here active smoker or formersmoker.
How many patients who have uhwho have been actively smoking
and get implants?
Currently taking drugs thatweaken the immune uh body, uh
the uh that weaken the body'snatural resistance to disease

(54:05):
such as steroids orchemotherapy, like pretinoso and
a tachrolimus.
This is the transplantmedications I was talking about.
History of chemotherapy orplanned chemotherapy, uh,
history of radiation therapy orplanned radiation.
So almost 30 to 50 percentcomplication rate in patients
who have had radiation,conditions that interfere with

(54:25):
wound healing or blood clotting,hemophilia, uh, blood clotting
problems, reduced blood supplyto the breast tissue.
For example, an 83-year-oldpatient getting implants.
I've seen this unfortunate78-year-old, this is not SMART.
Patients, I understand thefollowing conditions have not
been adequately studied todetermine whether the conditions

(54:47):
put me at higher risk,autoimmune disease, clinical
diagnosis of depression, haveother permanent implants, have
other products permanentlyimplanted in the breast.
So if you look at therecommendation, now what is
interesting is if you see overhere, um, and I just want to go
ahead and read this so that umthe patients uh understand that

(55:15):
again, Netrell implant, thenumber one manufacturer,
allergan, 50 built on a 50-yearlegacy of excellence and
innovation in breast aesthetics.
And they're telling you from1974 to 2021, they're telling
you important safety informationcontraindications.
Neutrelle 133, a smooth tissueexpander, should not be used in

(55:39):
patients whose physiologicalconditions sensitive over or
underlying anatomy, obesity,smoking, diabetes, autoimmune
disease, hypertension, chroniclung or severe cardiovascular
disease, or osteogenesisimperfecta, or use of certain
drugs, including those thatinterfere with blood clotting,

(56:01):
uh, who are psychologicallyunstable.
So they're see the the pointhere is if you have an
underlying problem likediabetes, immunosuppressive
estate, patients who havedecreased blood flow, patients
who have these underlyingautoimmune problems should not
be getting these devices.
And unfortunately, they're beingput in right and left nonstop

(56:24):
without any consideration tothese elevated risk.
And again, the informed consent.
Many patients uh were not madeaware that this was a
contraindication, that they gota tissue expander and then
implants, and then ultimatelylater on, or maybe when they had
the tissue expander, they neededradiation.
They were made aware it's ahigher risk, but how much

(56:46):
higher?
I will tell you statistically,anywhere from 30 to 50 percent.
So the point here is implants ingeneral are not safe even in a
healthy patient.
So if I am a patient, 25, 22years of age, I will not even
think twice about gettingimplants from what I have just
read alone.
And the point here is if youhave implants and you're

(57:06):
hurting, please get theattention you need so that you
get the surgery you need and thesurgery that needs to be done in
a very defined systematicmanner.

SPEAKER_00 (57:16):
Yeah, yeah.
Well, let's we'll we'lltransition to that.
But I think what we've done sofar is thoroughly establish the
problem.
And if the industry was actuallygiving real informed consent,
they'd put themselves out ofbusiness.
This would quit, this would end.
Is that fair to say?

SPEAKER_02 (57:29):
You know, I will tell you this is gonna
inevitably happen just like itdid with Dow Corning, right?
Because either whatever I justread, I just made up.
No, it is it is at the back ofthe journal that we read, right?
This is this is the FDA righthere.

(57:51):
This is the advertisement.
So this is the manufacturer'sadvertisement, and by law,
they're supposed to write downthe real risk.
Now, I wish this was given tothe patients, uh, you know, when
they got implants.
This is the guidance forindustry, uh, food and drug
administration staff.
I wish this read guidance forthe patients, right?

(58:12):
And it says contains non-bindingrecommendations.
You would think they would uhwrite down guidance for uh
patients wanting to getimplants, right?
That would be more uh of ainformed consent, right?
And if you ask Christian to sumit up, listen to what the FD is

(58:33):
saying, okay, listen this one,listen to what the manufacturers
are saying in the advertisementin the back with the risks.
Most importantly, listen to themany patients who have gotten
implants and then ex-plantedsuccessfully.
You will see how well and howmuch they benefited from getting

(58:54):
the explant because theirsymptoms improved.
And this is relatively speaking,90% of the patients are more.

SPEAKER_00 (59:01):
Yeah, I think I heard you say when you were on
Dr.
Yoho's podcast that you've neverhad a woman come and say, Man, I
got breast implants in, and mybrain fog disappeared, and my
digestion got better, and nowI'm sleeping well.
It's it's always the opposite ofthat.
And they just report feelingbetter once it's done.
So it correct me if I missedsomething there.

SPEAKER_02 (59:21):
Well, no, no, you you said it very well.
So uh thank you very much forbringing the point up.
So all my patients have saidmaybe uh the uh one or two, for
example.
They said they wish they hadnever gotten implants and they
wish they had removed themsooner so that they could have
reclaimed their life backsooner.

SPEAKER_00 (59:39):
Yeah.
Okay.
Well, let's talk about removalbecause from my research,
there's basically it looks likethree different types or styles
of doing the removal surgery,but you picked N blocks, so E N
B L O C as the way you do it.
So, why did you settle on thatmethod of removal over anything
else?

SPEAKER_02 (59:56):
So, as you will see now uh The let's go ahead and
define the term.
And what truly comes from whatis a cancer term.
So for example, someone has acancer of the head of the
pancreas, and you want to goahead and remove the tissue, the
good healthy tissue around it,if you will, uh, quote unquote,
because you do not want this tospill out.

(01:00:18):
You see what I'm saying?
And so you kind of enucleatedit, if you will, or end block so
that it's all contained, right?
You're not removing it piece bypiece.
So in order to extend this intothis explant uh world, that is
removal of the implant andcapsule.
The goal is anytime you have animplant, be it saline or

(01:00:40):
silicon, 100% of the time, youhave what is that capsule that
forms around.
The capsule forms aroundanything foreign in the body.
So for example, if someone has apacemaker or hip implant or
mesh, there is scar tissue orthe capsule that, if you will,
forms around it.
So in this case, the salineimplant, the silicon implant.

(01:01:01):
So as you see, this gelleaching, gel bleed phenomenon
occurs.
Now, when this, if you canimagine this is the implant, and
around it that capsule forms,you want to remove it all as one
piece, which is called endblock.
You do not want even a holeinside that capsule, that scar

(01:01:23):
tissue that's around theimplant, because let's say if
the implant is ruptured on theinside, you don't want the
internal contents to spill out.
Remember, this is like slime.
Once it gets somewhere, it'sthen everywhere.

SPEAKER_00 (01:01:34):
Yeah, I saw on one of your videos you had you were
had the one in your hand thatyou had taken out, and you're
kind of scraping it, and thenyou squeezed it just a little
bit, and it looked like whitepaint coming out of the thing.

SPEAKER_02 (01:01:46):
Liquid in it, and this is like I did a case last
Thursday at the hospital forthose patients who are
interested.
Please absolutely watch that aswell.
This is a patient that had anopen uh breast wound for almost
three months that came to methat had that fluid and a mass,
very similar to what you'retalking about, that happened to
be like muddy, if you will, andmustard colored as well.

(01:02:07):
Now, going back to, we do notwant to break that capsule at
all.
So that whatever the badness ison the inside, so that white
paint video that you're talkingabout, that was bacteria.
So you don't want that to spillinto the chest because if it
does, then it's gonna spreadeverywhere, right?
So this is where that word orterm end block comes in as a
description.

(01:02:28):
I stretched out from the cancerterminology because you want to
preserve all of this tissue andremove all of that scar tissue
and that inflamed tissue.
Now remember, as I read to you,there's gel bleed that occurs.
The silicon leaches into theperiphery, into the chest wall,
into the lymph and all.
So it then that capsuleessentially works as a filter,

(01:02:50):
if you will, in the majority ofthe cases to kind of block and
stop it.
And so the whole goal of thesurgery is to remove that whole
shell, including the capsule,majority of the times underneath
the muscle, directly on top ofthe rib, or in those select few
cases where the implant is abovethe muscle, such that none of
the internal contents come out.
And this is the end block.

SPEAKER_00 (01:03:10):
Okay.
And you have like a 100-100-0technique that you use.
So tell people what that means.

SPEAKER_02 (01:03:16):
So 100% of the time, 100% of the capsule must be
removed, with 0% of the capsuleremaining behind.
And that is what is the gist andessence of true X-plant surgery.
You do not want to leave thecapsule behind.
Because if you leave the capsulebehind, you're gonna leave the
silica behind, and now thepatient will continue to hurt.

(01:03:39):
Now, this is a big deal, what Ijust said, because this is this
one thing that if you were totake a thousand plastic surgeons
on one side versus me, they'regonna say we bet to differ.
Now it's my word against theirs.
Now, I'm gonna say two things asa Christian, because I'm on the
spot right now, right?

(01:03:59):
This is a big deal.
This is my reputation, this ismy career.
Here I have, and I'm gonna showyou my own patients, pathology
reports, pathology reports, myown patients, not all of them.
This is remember, whenever Iremove something, I cannot look

(01:04:21):
at it with my naked eye and say,Well, this is what I see that it
has to go to the pathologist,they stain it, and then they
basically look at it under themicroscope, hundred times
magnification, and then theystay.
So, for example, on this caseright here, final report
pathology, it says left breastimplant capsule.

(01:04:44):
Remember, this is that capsulescar tissue and the inflamed
tissue around.
It says refractile foreignmaterial compatible with
reaction to foreign materials.
Refrectile foreign materialcompatible with reaction to
foreign materials, and on theback, refrectile foreign
material is identified, whichmay represent breast implant

(01:05:04):
particles.
Now remember, this is thatleaching of the silicon, right?
I just read what the FD istelling us, right?
So had this capsule been leftbehind, the silica would be left
behind, and it would be like asif you're leaving part of the
implant behind.
And that small amount is enoughto trigger the immune response.
Remember, whenever you get avaccine, what do they do?

(01:05:24):
They give you one, two cc oflike the meningitis vaccine or
whatever uh the pneumovaccine orthe COVID vaccine.
They give you small, and thatsmall amount is enough for the
body to trigger your immuneresponse and make antibodies.
Now, I mean, and then there's areaction to the foreign
material.
So if you leave the the if youleave the capsule behind, you're

(01:05:48):
leaving silica behind.
Um, then I always do the C D30analysis just to be complete.
This is ruling out that B I A LC L.
So as you will see, patientafter patient, fibro, this is
the capsule on the right,fibrous capsule, which means
scar capsule with foreign bodyreaction to droplets of foreign

(01:06:09):
material consistent withsilicone.
Meaning there's silicon, they'retelling it silicon gel bleed,
it's leaching into theperiphery, it's going into the
capsule.
So it makes only sense to removeit.
Now, am I overkill in removingthe capsule?
No, this is what is required tohave the patients heal and
recover.

(01:06:29):
Look and look at this.
Not in all the patients, forexample, you will see on the
left, breast implant capsule,synovia-like metaplasia of the
wall of the surrounding capsulewith focal hystocitic reaction
to non-polarizable materialconsistent with silica.
This is what I read from theFDA, gel bleed leaching of the

(01:06:50):
silica into the periphery.
It's going into the capsule, andthe capsule is trapping it.
And this is why it is imperativeto remove foreign body giant
cell reaction to real drop lipsconsistent with extravacated
silicone.
Now, this is where you will seepatient after patient,

(01:07:11):
refractile, foreign materialpresent.
There is benign soft tissue andskeletal muscle changes
compatible with implant capsule,including fat necrosis, dead
fat.
So anything I see abnormal,looks abnormal, feels abnormal,
palpes abnormal, I removebecause I don't want to leave
that badness behind.

(01:07:32):
Let me read another one.
Foreign body giant cell reactionto rare droplets consistent with
extra vestigated silicone.
Not in all, but as you will see,now you will see.
So the capsule has to go becauseif you leave that behind, the
patient does not matter.
Now, another subset of mypatients have already gone to

(01:07:53):
another surgeon.
They remove the implant, butthat surgeon, well, like
majority of the surgeons, wellover 99% of them, do not believe
in removal of the capsule.

SPEAKER_01 (01:08:03):
Wow.

SPEAKER_02 (01:08:04):
Now those patients do not improve.
Some of them, believe it or not,even get worse, or they have the
same symptoms of breast implantillness that's on that
questionnaire, as if they stillhave implants, but the implants
have been removed.
And now they come to me forresidual capsule so I can remove
this silica that was left behindso they can get better.

(01:08:25):
And you're gonna see the samepatients go on social media and
see we want the capsule removed.
We want the capsule removed.
And this is where if you go,Christian to any plastic surgeon
in the United States whoadvertise it, and this is well
over 50%, you will see totalcapsulectomy, end block, end

(01:08:45):
block, end block, total, becausethe word has gotten around end
block, total capsulectomy is theking, is the is the is the goal,
it's the the the relief that thepatient's gonna have so that
complete implant, capsule, andinflamed tissue is removed.
And number two, in my practice,I always send the entirety of it

(01:09:08):
off so that we can rule out thatrare lymphoma, we can know why
what the pathologist says, andso that we have the peace of
mind, we're not missinganything.
And then I take cultures foraerobic, anaerobic, and fungal.
So it's a complete thoroughmeticulous workup.

SPEAKER_00 (01:09:23):
That's that sounds involved.
Okay, so talk through theprocess.
This like what would a woman gothrough to have a surgery like
this done?
What happens on the first phonecall, and then where does it go
from there?

SPEAKER_02 (01:09:34):
Um, so uh so patient calls me and then she says she's
interested in a phone call.
Very similar to the patient fromIndia, California.
Uh, believe it or not, whereverthe patient may be.
So phone call is very importantbecause I myself, not my
assistant, not my PA or nurse,when I talk to them, I tell

(01:09:56):
them, what are you, when did youget implants?
What are they?
So, first of all, I getobjective data as to how many
implants some people have had,two, three, four, five, six,
seven implants in theirlifetime, right?
Then I find out one was above orbelow the muscle, if she had
saline or silicone, if her oneof the first sets were ruptured
or not.
So I get a lot of objectiveinformation.

(01:10:16):
Then I say, What are yoursymptoms?
So essentially I tell them,please tell me what are your
symptoms that you're exhibiting.
Majority of them say I have one,three, five.
Some of them have half, some ofthem have all, some of them have
none.
Then I ask them, why do you wantyour implants removed?
Now, one one someone will say,Well, my implants are from 1996.

(01:10:39):
I said, That alone in itself isa reason.
Another patient said, I've gotrheumatoid arthritis.
I said, that alone in itself isa reason.
Some patients say I have like20, 30, 10 symptoms.
I said, those alone individuallyin itself are reasons.
Now another patient called andshe said, I don't have any
symptoms.
It was blank, Christian.

SPEAKER_00 (01:10:59):
Oh, really?

SPEAKER_02 (01:11:04):
And lo and behold, I go in and it turns out that the
right one was ruptured.
And she was smart because sheknew in her mind, even though
she was asymptomatic, she had nocomplaints.
And this is the silent rupture.
So then I make a determination.
Now, another patient came to meand said, I've never seen a doc
in 20 years.
I say, I'm sorry, go see a docand go see a subspecialist.

(01:11:26):
Another patient said, Well, I II do not believe in doctors.
I said, I'm not gonna manage youbecause you have to go see, make
sure your heart is good, yourthyroid is good.
You are you don't have, Godforbid, uh, you know, uh
underlying lupus Lyme disease,you do not have um uh uh
scleroderma or uh underlying uhproblems, for example, that

(01:11:47):
might be present, like multiplesclerosis.
Now, even if someone hasrheumatoid arthritis or any of
these symptoms and they want toget them out because they want
to be mentally free of thispotential hurt and poison,
because remember they're notlifetime devices, then I say,
please come because you want toget them out, just like when she
wanted to get them in.
But I tell my patients, you'rethe boss, you decide.

(01:12:10):
Now, sometimes one patient, likethe patient that I operated on
yesterday from California, shecalled me literally 13 days ago
and she said, I have rupturedboth implants and I want you to
put me on the table at the nextavailable time.
And I said, you know what?
When can you come here fromCalifornia?
When can you get the medicalclearance?
Because I get a clearance oneveryone so that when they do

(01:12:31):
come to me, I know their heart'snot a problem, their thyroid has
been checked, the adrenals havebeen checked, the other problems
have been rolled out.
Believe it or not, just before Imet you, Christian, there was
this one patient who has breastcancer.
I'm not gonna operate on someonewho has breast cancer and remove
the implants underneath themuscle, and she has because I

(01:12:52):
don't want to spread it from oneto the other.
Sometimes if you have breastcancer, you might have a
metastasis to the brain, Godknows.
And so I don't want to have todeal with a potential seizure or
something.
So I want to make sure that thepatient is sound and up to par.
So this is where I myself, Itake the initiative and I make
the determination, and I am verymuch hands-on.

(01:13:13):
And this is what I was talkingto you about.
The hardest part of my job is totalk to the patient and prep the
patient and determine if thepatient is a candidate for
surgery.
Believe it or not, Christian,the easiest part of the job is
to operate.

(01:13:35):
Then this the hardest part ofthe job, if you ask me, which is
the most cerebral, is to prepand clear and optimize.
Now remember, when you do thebest inter-operative and
postoperative course, is thebest pre-operative course,
meaning that you've already setthe stage, you've made sure that

(01:13:57):
the patient is not a poorlycontrolled diabetic.
Her heart is good, then shemeets criteria.
You have done the appropriateimaging so that when I do
operate, I know there's going tobe no turbulence.
Yes, some cases are much harder,some cases are very easy, but
all of them go through the samephase where the entire implant
capsule is removed.
So this is where my time withthe patient is key.

(01:14:20):
I cannot assign this to anothernurse or a PA or a nurse
practitioner or a medicalassistant or a my respect
because I will tell you, they'renot surgeons, right?
And with all due respect.
Um, and the point I'm trying tomake here is this is, remember,
a very involved process becauseyou have to make the decision to
operate.
That's the hardest part, even inanyone, right?

(01:14:42):
If someone has a perforatedvalve from diverticulitis, my
surgeon attending made the call.
I'm not gonna operate, I'm gonnasit tight because they were able
to give antibiotics and cool herdown and electively did the
surgery versus going in in themiddle of the night.
And see, this is where thatmental and experience, sixth

(01:15:08):
sense, all of that comes intoplay.
There was another patient shecalled and she literally told
me, I have this, this, this.
And I said, I'm sorry, I'm notgonna operate on you because I
choose not to operate on you,and you're not a safe operable
candidate.
And I made the decision, justlike I did with this patient
with breast cancer, that she'snot gonna go on the schedule at
all till I have that absolutecommitment.

(01:15:29):
There are patients, believe itor not, uh, Christian, one
patient came to me from CorpusChristi.
I looked at her and I said, Idon't like how you're looking.
And she was, she had a very mildwheeze.
And it turns out I called herdoctor up on the spot and I
said, You cleared my patient.
How did you clear this patient?
Because she is not optimal.
And it turns out she did notwant to take a asthma medication

(01:15:53):
that had steroids in it, and shewas afraid that she was going to
put on weight.
And I said, surgery's canceled.
She cried and she said, I spentso much money coming here.
Two days later, she called meand she said, I had early onset
pneumonia, and so thank you verymuch for not operating.
And this is where that wholedecision making comes into play
to make sure that the patientsare optimized and ready and

(01:16:15):
clear for the surgery.
And so this screening process isthe most, if you ask me,
integral part of the process,and this can very definitively
and safely be done.
So every patient gets theirmedical clearance.
I look at the clearance, myanesthesia team member looks at
the clearance independently ofme, and my nurse also.
So there's like a three checksand balance, so we're not

(01:16:37):
potentially missing anything.

SPEAKER_00 (01:16:38):
Wow.
That is way more thorough than Iwas expecting, but it's
brilliant.
It's like you actually aretaking it serious to be a doctor
and do all of your homework tocheck all the boxes to make sure
you're doing it well.

SPEAKER_02 (01:16:49):
Do no harm.

SPEAKER_00 (01:16:50):
We don't want turbulence in the air.
Do no harm.
Fantastic.
Okay.
Well, talk about then.
So that's the prep phase.

SPEAKER_02 (01:16:57):
Um, is there any particular mentioned, you know,
believe it or not, once I wasflying and they had us on the
taxi bay for four whole hours.
And I thought that's crazy.
We would have been there uh longI was actually going to
California.
And I said, we could have beenthere for the time we were
taxiing.
And they said we don't wantturbulence in the air.
I said, I like this pilotbecause we would rather be on

(01:17:18):
the ground for another eighthours.
I could care less because wedon't want any drama upstairs,
uh when we're in the air.
And so this is where this wholecheck and balance and wisdom and
whatnot else comes in.
You know, I will tell you, it'sa mindset.
It is has to come from theheart.
It is like your sixth sense,it's your training, it's your
experience.

(01:17:39):
All those years that youmentioned very early on, the
general surgery, the two yearsin the burn unit, but basically
doing the bronchoscopies andmaking sure that uh the patients
were well ventilated on aventilator and the three years
of plastics.
And believe it or not, eventoday, you're learning from
conferences like next month.

(01:17:59):
I'm going to the plastic surgeryconference.
You're learning from yourcolleagues and you're learning
from your experiences, you'relearning from your patients.
See, Christian, if I may, I willsummarize to you what is the
problem.

SPEAKER_00 (01:18:11):
Please.

SPEAKER_02 (01:18:12):
No one is listening to the patients.
Their complaints, their symptomcomplaints.
Everyone is disregarding them.
Go to the psychiatrist.
Oh, you look healthy.
I do not know what you'retalking about.
If it ain't broke, don't fix it.
You know, one of the patients,if I may mention, uh, you know,
from a little while ago, shesaid, I want, and she requoted

(01:18:35):
my words.
She said, I want to take care ofa small fire now versus the
whole house is on fire, right?
And so I want to take care ofthis badness before this
ruptures, right?
And this is why they're tellingyou get an MRI at year three and
then two every two years.
Because are you gonna wait for arupture and they say, hey, I'm
gonna now get my implantsremoved because now I have a
rupture?
No, you don't want to wait for arupture because who knows, it

(01:18:58):
might have gone more now to thelymph nodes because now it's now
less contained, it's ruptured.

SPEAKER_00 (01:19:04):
Fantastic.
And so I can appreciate just howthe thoroughness, but then the
fact that you that pilot saying,sorry, too much turbulence.
Your surgeries are four hours.
You had to sit on the tarmac forfour hours.
You're like, you know what?
It's better this way, it's it'sworth the effort.
So there's the surgery itself,and then there's the recovery

(01:19:24):
after that.
So tell people about what theycan expect post-surgery, what
kind of recovery window are theylooking like the day after or
the year after, etc.

SPEAKER_02 (01:19:33):
So, what I want everyone to do is go to my
YouTube Shorts, so YouTubechannel, and then under shorts,
and you will see that videosfrom the operating room.
So, as you will see, these arevery invasive surgeries,
involved surgeries, four hours.
Remember, if you get 100 plasticsurgeons, Christian, 97, 99 of

(01:19:54):
them will not want to do thesurgery.
They don't want to even hear it.
And then the two, three, fourwho do not want to lose the
business of the patient ofgoing, sorry, patient going
elsewhere, they will say, Wewill do it.
Then when the going gets toughand the tough gets going, and
the capsule needs to be removedoff of the rib, this is where

(01:20:15):
the surgeon's integrity,professionalism, honesty, and
the physical mechanical ability,the surgeon's experience, the
commitment gets tested.
And this is what I've saidbefore.
One free soldier who's gonnafight from his or her heart is
better than 10 hired ones whoyou pay to fight for you.

(01:20:36):
They will never fight like you.
And this is where the surgeon'sbelief comes into play, and this
is where the entire capsule isremoved directly off of the
ribs.
Now, just like after a tummytuck, you're looking at six
weeks before you gently startworking out as I direct, and I
as I tell uh my patients.

(01:20:57):
If you have had surgery today,you will see two-thirds of my
patients don't need much of painmeds, maybe past two or three
days.
So that is definitely very wellestablished.
If you go to the Facebook grouppage, you will see and hear that
directly from the patientsthemselves.
Within five, six, seven days,the patients are driving.
So that in itself is a lot offreedom.
If you have a desk job at weekthree, with confidence you're

(01:21:20):
going to be able to work on yourdesk job.
And if you have a job that whereyou are a nurse at the hospital
where you have to lift 200pounds, you're looking at easily
three months because remember,you have to let that muscle
settle underneath which theimplant was.
Because you cannot go aboutmoving your arms and the muscle
now may get pulled or bleeding,other problems can occur.

(01:21:40):
Just like after a kneereplacement, you have it 50% of
the job is getting the best jobdone by the surgeon.
The other 50% is done by thepatient to get the best
recovery.
So if you have a surgeon whodoes the perfect job and the
patient does not go for therapyafter a knee replacement, or the
patient starts walking on itprematurely because he was an

(01:22:01):
immature 18-year-old kid whosaid, I'm gonna play basketball
on it, you're gonna see that thebest surgery goes down the drain
and the recovery goes down thedrain and problem complications
arise.
So my patients, I tell them,listen, you come in here with
your heart, I pour my heart andsoul into the surgery, and you
pour your heart and soul intoyour recovery.
And you're gonna see and you'regonna notice that those patients

(01:22:25):
who are well read, who tiedtheir arms for not moving the
arms, because remember, if youstart moving your arms, you're
gonna start moving that sod ontop of the soil that you just
planted.
You don't want to disrupt that.
Same thing, you don't want tomove after a tummy tuck right
and left your sit-ups.
Just like after the surgery, youdon't want to be doing your
movement of the arms.
Um, you know, I like to say thetrump dance, right?

(01:22:47):
Um so you want to be verylimited in your arm movements.
You want to let that heel and dowant to let that muscle settle
or the breast tissue settle backon the chest.
And this is where then I tell mypatients at week six on average,
90%, 80% of my patients, I havethem working out.
So if someone has an 800ccimplant below the muscle

(01:23:08):
ruptured and it's all contained,that person's recovery is very
different from a patient who has200 CC implants and they were
above the muscle, where themuscle was not cut by the
initial surgeon.
So I dictate and I direct mypatients post-op because I only
know, and no one else talks tothem except for I, because I

(01:23:28):
only know what happened in thewar.
And I do these surgeriesregularly, and I know all my
patients personally because Ispend a lot of time with them.
I treat each and every singlepatient as if they're like the
president of the US, meaning100% attention.
Each one of them has full accessto my cell phone, and it's
one-on-one, so that I hear and Itell each one of them what to

(01:23:49):
do, what to expect, and Ibasically kind of hold their
hands in the post-hob recoveryphase.
So it's integral for theirrecovery that they will have the
best recovery possible.
So give me, give you an example,like you asked me, Christian, if
they are sleeping on the bed,you want three pillows so that
you're already half halfway up.
You're not gonna twist and turnin bed and use your arm muscles

(01:24:12):
underneath which the wholeimplant was sitting.
You're not gonna twist and turn,you're not gonna use your arms
to get up.
And so this is where thecompliance of the patients who
buy wedge pillows is good.
Now you don't have to buy awedge pillow, but if you're
asleep on two, three, fourpillows, you're gonna be good.
If someone is a restlesssleeper, they can put a gentle
scarf around their arm to kindof remind them that not to move

(01:24:34):
their arm out because whenthey're sleeping, sometimes they
don't realize how much they'removing their arms.

SPEAKER_00 (01:24:39):
Well, that brings up another question because I'm
fairly well studied in fascia orthe myofascial system, and I
understand anatomy trains, andI've I'm aware of the problem of
scar tissue and how sticky itcan get post-surgery.
I even have a friend or two whohave had the surgeries and just
have major complicationspost-surgery because they're so
stiff everywhere.

(01:25:00):
One even had to go to the ERbecause she had obstruction in
her bowel because this scartissue spreads as you cut one
part of the body.
It's not like it stays where theincision is.
It builds a web to rebuild thisintegrity of the structure.
So talk to me a little bit aboutthe scarring that can happen,
whether it's breast implants orjust any sort of surgery, talk

(01:25:20):
about the how do yourehabilitate or account for even
just moving tissue around in thebody.
Sometimes people take fat fromone place and move it to
another.
What is that doing internally?
What would informed consent looklike to accept that surgery and
then recover from something likethat?

SPEAKER_02 (01:25:37):
So this is a very good point.
Now, let's look at this.
Anytime you do any surgery, beit the appendix that was
ruptured or the gallbladder orsmall bowel, or be it the hand
or the face, and in this casethe breast, you're always going
to induce or form scars becausethat's how the body heals.

(01:25:57):
Now, let's look at the belly.
Because the belly was enteredand now there is scar tissue
healing, these adhesions form.
So that bowel, for example, thisis what happened to your friend.
The bowel gets entangled in thisweb of adhesions, and sometimes
you can get a bowel obstruction.

(01:26:18):
It's very rare, it does happen.
But now the bowel getsstrangulated, and now the
surgeons sometimes have to goand release the scar or the
bowel because they don't want itto die, if you will, because
it's going to suffocate theblood supply and the oxygenation
to it.
Likewise, on the chest, when thesurgery is occurring below the
muscle, this is where vastmajority, 95% of more of the

(01:26:39):
implants, 90% or more of thetimes the implant is below the
muscle.
That area directly below themuscle and on top of the rib is
where the scarring occurs.
And I want that scar to form sothat the muscle now sticks back
onto the chest.
Case close.
Because what was normally thereto begin with?
Really nothing other than pecminor and the uh and the ribs.

(01:27:04):
And so the layer of that fasciaon top of the serratus anterior
was removed in order to do theend block or 100% total
capsulectomy.
The fascia of the intercostalmuscle, the fascia of the
serratus anterior, the fascia ofthe pectoralis minor, the
periaostium, that's the layerdirectly on top of the rib, and

(01:27:25):
the uh the bone part of the rib,and the pericondrium, the layer
directly on top of the cartilagepart of the rib.
All of that fascia is removed inorder to do a complete total
capsule removal.
So if you can imagine you havelike a balloon filled with
water, and that's the implant,if you will.
And then you have it resting onlike a chair, like a leather

(01:27:47):
chair, for example.
And that is stuck.
You have to remove that leatherpart of the chair in order to
completely safely remove thewhole capsule.
Because if you try to removethat capsule off of that leather
part of the chair, it the thethe water is gonna leak out, the
implant, the capsule, thewhatever, if there's fluid, that
white paint, or whatever, it'sgonna the internal contents are

(01:28:08):
gonna leak out, right?
We do not want that.
Now, guess what?
Every single day, surgeries aredone on kids, right?
Uh surgeries are done on adultsin a very defined systematic
way.
Tamitaka is done in a similarfashion, right?
Arm lift, thigh lift, and howdoes it heal?
The scars form and the bellythen sticks back onto the

(01:28:30):
abdominal muscles, and now thepatients are happy and going
about their business.
In this case, we have to removethe capsule.
That is the single mostimportant take-home message for
this talk.
And in the matter of removingthe capsule, the fascia has to
go.
And you're not losing anythingby removing the fascia off of

(01:28:50):
the chest wall because now thatheart, that stickiness that
you're talking about is going tocause that muscle to stick back
back onto the rib cage.
And this is exactly what wewant, and that is that six-week
process that we're talkingabout.
Look, we take here once one dayI was operating next door, I see
my pediatric plastic surgeoncolleague, he's doing a rib

(01:29:15):
harvest on a 10-year-old tobasically reconstruct the nose.
Rib from that kid, that sparepart, if you will, and
reconstruct the nose.
Done every day, right?
Or you take the palmaris longustendon that's right here, it's a
spared part tendon, and we do atendon reconstruction.
The point I'm trying to makehere is that it is relatively

(01:29:38):
very safe for the implant andthe capsule and that fascia of
those respective muscles that Isaid, and the
periosteoparicondum to beremoved, and then that
stickiness would allow for thatmuscle to settle.
And then when you start workingout, you will build on that
muscle and you're not going tohave any deficit.
So if you see now six weeks,you're not going to get a frozen

(01:29:59):
shoulder because you're Movingyour arms around and remember
people with the rotator cuffedhere and they have a frozen,
like literally, they're puttheir arms put in this special
uh device such that you're notgonna even move it a centimeter.
They bounce back as if theydidn't have that three-month
restraint, right?
So after six weeks, plus minus,the patients bounce back better

(01:30:21):
than ever before.
No one has a frozen shoulder.
The only patients that have afrozen shoulder issue is that
they had it to begin with.

SPEAKER_00 (01:30:29):
Okay.
Wow.
Well, thank you for answeringthat because I've always
wondered how the what the impactof mobility would be
post-surgery, regardless of thetype of surgery, just that in
particular for breast implants.
So thank you for answering that.
Well, just with, I guess use theproper disclaimers and talk
about individuality, et cetera.
But um, what kinds of healthissues have you seen resolved

(01:30:52):
post-surgery?
What are some of your yourfavorite stories of women that
have been transformed?

SPEAKER_02 (01:30:56):
Believe it or not, you you I request each one and
every one of your listeners,don't listen to me, listen to my
patients themselves.
Because this is the magic ofFacebook.
And I use the word logic becauseI never believed in Facebook
till my patient told me.
You hear the patient's storiesthemselves.
Go to Google Images, type inbefore, after ex-plant, and you

(01:31:18):
will see the patients' ownfaces, no makeup, before explant
and after.
You go to my Facebook page, youwill see the many patients who
have high energy, relief of thedryness of the eyes, migraine
relief, heart palpitationrelief.
Uh, these are patients, the22-year-old to the 89-year-old

(01:31:40):
patient that have sought relieffrom the X-Plant.
The capsular contractor pain,the ability to basically sit up
straight and relief of thefibromyalgia issues, the many
symptoms of joint pain,neck-back pain problems, the
hallmark features are therheumatological joint problems,
weight loss.
Some patients now becausethey're depressed, they're in

(01:32:01):
bed, they slept eight, 10 hours,and now they slept another two
because they were still tired.
Now, because their joints arenot hurting, they have more
energy, they're outside, they'renow less depressed, they're
working out more, they're losing37 pounds, 15 pounds, 10 pounds.
Their faces are looking morerefined and less inflamed.

(01:32:22):
And you see this yourself.
You will see the patients,believe it or not, some patients
have even called me and said,now I finally got pregnant.
There has been reports that itdoes alter the reproductive
system.
Clearly, so many of my patientshave said they were driving back
to Missouri or back home, andthey said their cycles have come

(01:32:43):
back, and they were withoutcycles, their monthly cycles for
like years.
Not my hopes.
I did not make any of this up,right?
And that is the beauty of theFacebook.
So you hear the patients.
This is a movement by the ladiesfor the ladies, and I'm just
enabling this information sothat the patients are hearing
that there is the relief.

(01:33:03):
And these are patients who havenothing to gain.
And I just want to go ahead and,Christian, say this clearly.
I have no disclosures, I have nofinancial commitments with any
companies or any Facebook groupowners or any person, except for
the fact that I want to help thepenny patients realize that if

(01:33:23):
they're hurting, that they havethis relief that certainly
awaits them, if that is what youultimately need.
And this is where going throughthe single most important thing
one needs to do is go to theYouTube page and the Facebook
page primarily.
Now, Instagram is more like fun,like five second to 20, 30
seconds, one-minute videos.

(01:33:44):
TikTok is more fun, like youknow, it's not, it's a very
serious topic.
If you look at all my videos,they're very serious.
I, you know, the the closest Igot was that Trump joke, I
guess.
Uh, but the point I'm trying tomake here is that the you have
to be, these are patients' reallives.

SPEAKER_01 (01:34:01):
Yeah.

SPEAKER_02 (01:34:02):
You have not only a patient, but the significant
other.
You have the kids that arehurting, the grandkids that are
here seeing it, the jobs thatthey are not able to perform,
the disability that thesepatients are going on.
And remember, this is justhistory repeating itself.
I didn't make any of this up.
To be honest, sarcastically, Isay, I wish I was putting in
implants.
You know, life would be so muchbetter.

(01:34:23):
I just want to mention onething.
A true, genuine surgeon whobelieves that explantation is
only explanting and notaugmenting, which means that not
only me, i.e.
the surgeon, but my partnerwho's sharing the same office
space, is also not augmenting.

(01:34:43):
I hear of many surgeons, andbelieve it or not, one of these
surgeons wanted to buy mypractice.
I just, for the fun of it, said,let's see what he has to offer.
He said, in my practice, I haveme, myself, the face of the
practice, I go out there, showmy face that I'm the king, I'm
the best, and I'm the this, andI only explain, and I believe in

(01:35:06):
your stories, and I do this,this.
Whereas if someone calls andsays we want an augmentation, he
says automatically we divert thetraffic to this other
co-u-surgeon that works withthem so that we don't want to
lose this traffic.
And so we capture now people whoare genuinely interested in

(01:35:26):
getting an ex-plant, and theysee they only want someone who
explants, so now we can marketmyself better, and we have the
other surgeon who will take allaugmentations.
So you have to be very carefulin the world that we live in
that your surgeon and thepractice as a whole that
building that structure is notcapitalizing on augmentations
and certainly also capitalizingon explants, because you cannot

(01:35:50):
go both ways.
Uh the earth is not round andthe earth is not flat.
You have to accept which one itis, and you cannot have it both
ways.
And your practice, yourfinancial gain cannot come from
augmentation, period.
Because the moment you do, if Iput in one implant,
automatically my practice goesdown the drain, right?

(01:36:13):
All whatever I send goes downthe drain.
And likewise, in a similarfashion, you have to, as the
patient, you have to be verycareful.
There are some surgeons whotalk, but then send the patient
to another surgeon who basicallyhas no idea as to how and what
is going on, you know, and thethe ultimate way is to have the
high definition pictures andvideos.

(01:36:33):
And this is what I was alludingto earlier.
On the YouTube shorts, you willsee high definition videos that
I give.
Every surgeon should and musthave their own Facebook page
where his or her previouspatients are now freely with
direct messaging, privatetexting, talking and checking

(01:36:55):
and authenticating the surgeon,be it myself, whoever it may be,
and this is where ultimately,Christian, this is what it boils
down to the surgeon, thepersonality of the surgeon, the
integrity of the surgeon, thebelief of the surgeon, and the
honesty of the surgeon, becausethis is a surgery where if you

(01:37:16):
were to get a gallbladder out,small bulb resection or
thyroidectomy in California, inTexas, in New York, it's going
to be done the same way.
When it comes to explantation,you go to 10 different plastic
surgeons, you're going to get 10different answers.
And within their practices,you're going to get 10 different
ways of doing it.
If it's an easy surgery, thesurgery is done in the way where

(01:37:37):
they describe in the heartsurgery, they cauterize the
capsule.
Remember, that is not goodenough because you leave the
badness behind.
It has to physically be removed.
And in my practice, it takesfour hours, plus minus.

SPEAKER_00 (01:37:51):
And I can see why so many women are drawn to your
particular method.
I don't know any doctor thatspends that much time with
people.
And I've got some doctors Ireally respect.
That is a remarkable amount oftime and a very admirable level
of conviction behind what you doand how you do it.
So I'm I'm honored to have youand amplify your message.
Uh, I've got a couple other justtactical questions, and then I

(01:38:14):
really want to get just finishup with the emotional end of
this with you.
So, do you have any particularuh detox protocols you recommend
before or after the surgery forpeople that are going through
this process?

SPEAKER_02 (01:38:26):
Excellent question, Christian.
So the only detox is where thesurgeon removes the whole
capsule and the implant and allinflamed tissue.

SPEAKER_00 (01:38:33):
Okay, so that's what the part you're doing then.
Okay.

SPEAKER_02 (01:38:36):
No chelating agent, no product, no demethylating or
methylating agent or anythingthat one needs to buy or invest
in in order to detoxify.
Because that is pure, utter,trendy, not scientifically
proven.
If that was the case, thesepatients who have the hurt

(01:38:57):
should be taking it and bebenefiting, right?
And so the body in itself takescare of the recovery.
The only detox is where thesurgeon is removing the whole
capsule along with the implantand as one system, as one
entity.

SPEAKER_00 (01:39:10):
Okay.
Do you have any other adjuncttherapies that you recommend
post-surgery?

SPEAKER_02 (01:39:16):
So post-surgery, I say to my patients, eat smart,
eat healthy.
You are what you eat, becauseyou want to have the right
protein building blocks.
That's very important.
True for any surgery, right?
Number two, you one when themuscle is cut, the pectoralis

(01:39:36):
major, to put the implantunderneath the muscle in itself
gets compromised because nowyou're not able to.
So if you have like aprofessional athlete who lifts
heavy weights and you cut hismuscle, the that same second you
cut his muscle, his career isover.
If you look at the shoulderright here, it has the anterior,

(01:39:58):
this is the pec major, right?
And the whole neck back shouldercomes into play, like a football
player, right?
This is a very strong muscle,pec major, pectoralis major.
You can Google this.
You got the pec minor, you gotthe serratus.
This is the anterior muscles.
Then you got the muscles, thedeltoid that move the arm up,
that abiduct the arm away.

(01:40:20):
That's right here, the deltoid.
This is the tripod camera thatthe camera is on, right?
So one leg is this anterior, theother one is the deltoid that
goes up and down, and then thethird one leg, if you will, is
the posterior, like which isgoing backward.
So they all work in unison.
So if you have to lift somethingheavy, you have to balance, you

(01:40:41):
have to lift something over yourhead, they all work in unison.
Now, the moment you cut themuscle in the front, all of a
sudden there is unopposedposterior movement and lateral.
So you destabilize the shoulderbecause you're cutting this
muscle.
So now let's say if you have tolift a gallon of milk or
something heavy like a backpack,and then you flex your peck,
guess what?
You're gonna flex your implant.

(01:41:02):
This is in the vast majority ofthe patients where the implants
are below the muscle.
Now, once I remove this implant,six weeks go by.
I then tell my patient and Idirect them, each one
individually, you get thetwo-pound weights and build not
only on that pec minor that'sunderneath, but the pec major,
the deltoid serratus, the neckback, shoulder, latissimus, all

(01:41:24):
the muscles of the neck back,and do gentle yoga, and then you
build your muscle better thanever before, than when you had
the implants.
Just the weight of the implantscan in itself limit your
movement.
If someone has a capsularcontraction and then this this
restricts and limits the armshoulder movement, that will
limit arm movement.

(01:41:45):
The inflammation from theimplant in itself can cause
these fibromyalgia issues thatyou were talking about.
So, with that gone, you're gonnasee the patients only improve.
And I start them on thisregimen, not through a
therapist.
Because remember, when you go tothe therapist, they tell you,
let's do therapy protocol, theColorado protocol.
Like uh, you don't want tofollow that protocol.
You want to follow the protocolof your sixth sense because if

(01:42:07):
your right implant was ruptured,that's gonna take a little bit
longer than the left.
You see what I'm saying?
And so you follow your internalsixth sense physical therapy,
and the best physical therapistis the patient.
So you look at the YouTubevideos, type in upper neck,
back, shoulder exercises a monthand a half after, that's three
months after the surgery, and asdirected by me, you will see

(01:42:28):
you're gonna be better than everbefore.
So eating is smart and good.
This is what you and I should bedoing to begin with.
And exercising, you will seethat alone is required.
You don't need any detoxprotocol, you don't need any
three months or two months ofwhatever special rehab, because
that's starting to be blunt,pure, utter garbage.
It's don't waste your money,don't waste the sometimes you do

(01:42:52):
not even know what's in it.
Believe it or not, one patienthad this special detox bottle,
and it turned out that she wasgetting some abdominal pain.
Another patient before had highpotassium because God only knows
what's made in it.
It's not regulated by the FDA.
You could make it Christian inyour backyard or in your garage

(01:43:13):
or in your kitchen and have anice label and sell it on eBay.
And unfortunately, people willbuy it, and especially when you
put the name MDA behind yourname, it sells a lot.
Um, believe it or not, one therehave been at least five groups
that have come to me and theysaid, We will give you
literally, I'm not exaggerating,a lot of fraction of the money

(01:43:36):
that we're gonna make if youjust touch our product and you
promote it, because all of yourpatients will end up buying it.
And I said, shame on you forcoming to me like this.
And they said, You will make alot more money, you're gonna
have a nice beach vacation.
And I said, I don't need any ofthat.
So this is waste of money andultimately hurting your body

(01:43:57):
because God only knows wherethis product is made in, be it
the backyard or China or SouthAmerica.
And this is not scientificallyproven.

SPEAKER_00 (01:44:06):
Yeah, I I know a bit about detox, and I can concur
that there is a ton of waste andstuff that just does not work in
that world.
My next episode is gonna be allabout the uh, I guess we could
say the shady pharmaceuticalworld of supplements and all the
stuff that goes into them.
So that I I'm familiar with whatyou're talking about.

SPEAKER_02 (01:44:28):
Yes, yes.
No, I will tell you, Christian,you know, just what we have
talked about, if you put that ondateline or you know, 60
minutes, I promise you you'regonna be the best investigative
reporter that they would haveseen in a while.
Because not my story.
The story of the manufacturers,the uh and I warn you, you know,

(01:44:51):
this may be a first ofthree-part series.
Next time, if you want, bringyour audience and have them ask
me questions because I will bemore than happy to answer any of
those questions that any of yourlisteners, viewers might have.
And you can certainly create abig movement because, you know,
this is not going anywhere.
No one's gonna shut thisindustry, uh, meaning this

(01:45:12):
X-plant world uh down.
And if anything, this industrywill certainly, and it's feeling
the hurt, by the way, becausethe patients are realizing, you
know, at the end of the day, thetruth will always prevail.

SPEAKER_00 (01:45:24):
Yeah, well, we're gonna need plastic surgeons for
burns and glass pallets and somany things, but we don't need
to be poisoning and harmingpeople.
And to just have that the peopleredirect their energy to
something helpful would be agreat change.
So all right.
Well, what let's shift gears alittle bit.
One last topic I want to ask youabout because I don't know
anybody better to ask this.
I've I remember hearing Dr.

(01:45:45):
Yoho, who, as you know, did alot of plastic surgery as well.
He I'm kind of paraphrasinghere, but he more or less said
what he realized over the yearsdoing all these plastic
surgeries was that a lot ofpeople and our patients would
were kind of just almost tryingto overcompensate for an
emotional issue or an identityissue, and they somehow
perceived that they would viewthemselves differently or they

(01:46:07):
would improve their standingwith other people's if they had
a plastic surgery.
So I guess to the extent thatthis is in your wheelhouse, talk
about what's potentially a heartissue that drives women to be
interested in implants in thefirst place.
And where might a plasticsurgeon or plastic surgery be
kind of more of a way ofaddressing an emotional symptom
rather than getting to the heartissue that plastic surgery would

(01:46:29):
never be able to fix.

SPEAKER_02 (01:46:31):
See, this is a very good point.
It comes, you know, uh let me goahead and go.
This is a very, very nicequestion.
And let me answer it in a verykind of defined way, but like a
very systematic way.
One of my own nurses, a longtime ago, who's done a lot of

(01:46:56):
explants, she herself gotimplants, and she has removed a
lot of my implants ruptured,patients in pain.
And the driving force was hersignificant other fiance who
said, I want you and I'll payfor it.
Right.
Another patient who said, I wantto get an explant.

(01:47:16):
I said, Why are you coming to menow?
Because you knew about thisrupture from this MRI.
She said, My husband is deadnow, I can make my own
decisions.
Now, these are hard facts,right?
Another patient, becauseremember, uh, the patient who
wants to be hurting, right?
Okay, now another patient cameto me and she said, I just want
him out like now.

(01:47:37):
And I said, You lived throughthe Dow ban 1992.
You could got in the out, andDow Corning was gonna pay this.
Was a class action lawsuit.
She said, I actually did awaiver.
I said, I love them so much, butnow I'm in pain.
Now, I will tell you how manytimes I I, you know, this is
real life situations, right?

(01:47:57):
I talked to a friend of mine whogot a nice big fancy car.
A month and a half later, hesaid, you know what, this was
the biggest mistake of my lifethat I got this.
Now, getting an implant, gettinga car, or having voting for
someone and having votersremorse, right?
We go through, and this is whatlife is, right?
Now, going back to this questionwhere number one, the system is

(01:48:19):
telling you it's safe and youdeserve the best, and you need
to get implants because it'sgoing to hand enhance your
physical profile as you getolder past kids, right?
So the message here is here youare.
Now remember, big picture,plastic surgery.
I go to the card.
If someone goes to thecardiologist, they're having a

(01:48:40):
heart attack or they're havingarrhythmias or palpitations.
Someone goes to therheumatologist, they're having
joint problems.
Someone is a goes to thepediatric, pediatrician, they're
having like sore throat or gotno shots that they're gonna get
or you know, abdominal pain.
Someone goes to the allergyimmunologist having allergy
immune problems, right?

(01:49:00):
Whatever it may be, kidney,kidney problem.
When someone goes to the plasticsurgeon, they're like excellent
shape and health, meaningthey're like, they're now going,
and something's gonna be done,be it a facelift, that's gonna
supposedly enhance theiremotional state of, hey, I can
go now and I'm gonna lookyounger and I'm gonna look
better, I'm not gonna get asmany wrinkles, uh, or I'm gonna

(01:49:23):
be more presentable.
Or now I worked so hard my wholelife, now I'm gonna do something
for myself.
Like this is what the patientshe went to Korea and she got
her implant and she said, uh, mykids are in college, now I said
I want to do something.
The bottom line here is it'sokay and healthy to do, but the
whole goal here is do no harm.
So, number one, the system tellsyou that they are safe, right?

(01:49:46):
If a 25-year-old college kid uhwho just graduated from a PhD
school, or a 22-year-old collegekid who graduates, or
35-year-old young mom who's hadkids now, 40-year-old who wants
to have implants, they go intothe doctor's office and they
say, This is excellent, you'remaking the right decision.
We actually have a cancellation,we'll put you on next week, and

(01:50:06):
you deserve the best.
And there is no highlight of therisks.
Now, remember, this is a Westernphenomenon, too.
Meaning, if you look at implantsin the rest of the world, the
U.S.
by far has the maximum number ofimplants that as any country has
400,000 plus-minus.
That's how many people getimplants in the United States.

(01:50:29):
This is an affluent factor aswell, because people in the U.S.
have a lot more money than anypart of the world.
Now, going back to the pointwhere in the world that you see,
where you have style, you haveyoung, you have shows, you have
Hollywood, you have the stars,you have the Cosmopolitan
magazine that's showing there isa certain expectation that one

(01:50:52):
has, how they want to look andhow and what.
Now remember, this is the wholetake-home message.
Informed consent.
Those two big heavy words thatyou used very early on in this.
The bottom line here is you needto, as a consumer, know what
you're signing up for, what yourexpectations are, what your
realizations are.

(01:51:12):
If you know that you are gonnaget something that you're gonna
be able to track and follow, andyou want to, I say go for it.
But my point here is as aphysician, don't do something
that's ultimately only gonnaharm you, which is consistent
with that black box warning.
Life, they're not lifetimedevices.

(01:51:33):
They might be associated withlymphoma and all those other
problems that are in.
Yes, someone might have a Idon't want to use the word
self-esteem, but these are theexact words that my patients
mention.
Or I'm concerned about my looks.
Now I will tell you, I'mconcerned about how I look too.
Now I will tell you, it wouldhave been better, Trishan, had I
shaved.
Because you know what?

(01:51:53):
I want to look better.

SPEAKER_00 (01:51:55):
Thank you for bringing that up.
I've been meaning to tell youabout that.

SPEAKER_02 (01:51:57):
It would have been better.
Remember, I moved about fiveminutes because I said I want to
have a good background, right?
I don't want to have a bigbackground, right?
I I want to look good too.
I will tell you, I will neverget a facelift in my life.
And I can tell you, I can tellten of my friends, and they will
say, just get on the plane andthey'll cover for everything.
They'll say, Don't pay usanything because they'll they're

(01:52:18):
my close friends, right?
I will never gray, my gray hair,I will never die them because
you know what?
I like to be natural, organic,and this is who I am, right?
Now, this is my take, myphilosophy, my personality.
Do no harm because I don't wantto get those godmoths from those
dyes, something.
But I don't want to change who Iam.

(01:52:39):
I want to get as many wrinklesas I want.
Now, if I get wrinkles where I'mgoing to get lateral hooding and
shading, I'm going to get ablaphroplass because I want to
be able to see it.
And that's what insurancecovers.
The point here is we live in theworld of Instagram and you have
images and you see yourself onso many millions of pictures on
Facebook and YouTube.

(01:53:00):
Oh, oh, I could look better.
You know, look at this otheryoung person.
And we it is normal and human,right?
It is natural.
I got these new frames, and Isay, you know what?
I could do better, but I say,you know what?
It's go, it gets the job done,and I'm okay.
Yeah, I'm not too excited aboutit.
You know, I could have been alot picky.
But, you know, let me give youan example.

(01:53:22):
I I got my eyes tested in March,and I needed to get the frames
done, and now just Monday, theycalled me and said your glasses
are ready.
Because so for me, it was not abig deal.
Now, for someone, it's a bigdeal.
Time and money.
The overall point, and this is adeep, heavy question, you want
to do whatever you want, but youneed to know what you're signing

(01:53:42):
up for so that if you do get it,you need a face peel.
You want to know what the risksare.
If you want to get implants, youdon't want, and you deserve the
best, you want the best, youhave earned it.
You reward yourself, but rewardyourself with something that
your mind tells you absolutelydon't do it.

(01:54:03):
And your heart tells you,absolutely don't do it.
Because you know what?
If you just listen to all whatthis said and what the FDA said,
and what the patients aresaying, and what I am saying,
kind of putting it all together,the message is a big fat.
No, don't take the chance, it'snot worth it.
Because sooner or later later, aRussian roulette or the musical

(01:54:25):
cheers, your time will be up,and you'll be caught by
surprise, and you don't want tofeel the hurt.

SPEAKER_00 (01:54:30):
Yeah.
Well, thank you for that.
So um, how how can a woman'spartner best support her through
a process like this?
What would you say would besomething that would be
meaningful that you may haveseen?

SPEAKER_02 (01:54:40):
Yeah, so I will say just listen to the many other
patients who have had implantsso you can see what the risk
versus benefit because whatcould be a better example than
other patients who have beenhurt?
Ultimately sooner or later, theywill be hurt, right?
Uh, and because now there are alot of patients, for example,
who live happily.
There are supposedly 35 millionpeople on earth who have

(01:55:01):
implants.
Now, there are a million whohave and who will say that this
is the best thing that has everhappened to them and good for
them.
And I want them to enjoy.
But God forbid that ruptureoccurs, God forbid the capsular
contraction occurs, God forbidthey got this fluid around their

(01:55:22):
implant, God forbid they gotpain or malposition and all
those symptoms that I read.
Um, and you need to know thatyou have to scream them, you
need to know that you haverelief available.
Sometimes you see, well, uh youknow, you you and if I just may
mention, and again, I do notknow if this is a good analogy,
but you'll get it.

(01:55:42):
You're gonna get a high-risecondominium uh in Tampa, you
need to know you're gonna get ahurricane maybe next year or 10
years, or the biggest one maybe25 years from now.
God knows, hopefully never,right?
But the time is gonna come,right?
Do you want to be in thisuncertainty?
Because there are patients ofmine that I talked to who

(01:56:05):
removed the implant within 10weeks.
I talked to one patient uhalmost four weeks ago who was in
that situation, that patientfrom Korea.
She got implants three monthsago and she said, I want him
outright tomorrow.
And she's gonna come her way.
Because she said, I don't likethis, uh, I don't like how I
look.
I don't like how it's sitting onmy.

(01:56:25):
I said, You might be, I believeit or not, I told her this.
I said you might be goingthrough more, so don't make a
quick decision, sit on it.
Maybe you might see in threemonths this is the best thing
you did.
So I told her this, you know,genuinely, I said, don't rush
into a judgment.
So let it sit.
Maybe you're kind of doing somuch social media, but let it
sit.
And maybe this might besomething.

(01:56:46):
Now, this is where I don't wantto cause fear in her.
I want her to get that.
I told her, listen, go to see myFacebook live and what I read
about the lymph nodes beingladen with uh silica, right?
That's now that's real, right?
That's I didn't make that up.
That heavy metals that'sleaching into the so she got the

(01:57:06):
message.
I told her if I were her, Iwould take him out tonight, you
know.
But she's gonna make thedecision, and I told her all the
options so she herself has thatfreedom to decide.
And so the patients themselves,one patient I talked to, if I
may, and this is gonna kind ofthese examples help patients,
because I talked to my patients.

(01:57:27):
One patient got 47 years of age,had a ruptured left breast
implant on an MRI.
She sought me out, phoneconsultation out of state from
the Carolinas, and she said,What should I do?
I said, It's a no-brainer.
If you have a ruptured implant,you need to take it out.
That's why they wanted to get anMRI, that's why they're
screening, and we don't wantthis to kind of go into the
periphery.

(01:57:49):
She said, I went to a localsurgeon, and my local surgeon
said, he's board certified too,that your exam's unremarkable.
So what you have a ruptured MRIthat show uh ruptured implant on
an MRI, you're gonna be okaybecause it's not truly broken,
live heavily ever after or tilla problem.
I say that's wrong, right?

(01:58:10):
Now, these are two differentmessages.
And the point here is, and thegoing back to the question that
you asked, you as a consumer, asa patient, as a human being,
make the decision on your own,and you learn from the hard
objective facts that are reallyout there, that really define

(01:58:32):
for you what is it that isreality, what is going to likely
happen, and the preparation forwhat is gonna be the obvious.
Sooner or later, maybe never.
Maybe someone might die from aheart attack and they never got
to see the ruptured implant.
Remember, they're not lifetimedevices.
So, on average, let's say if youlook at the the patients,

(01:58:55):
they're happy, right?
But this is where if you'resigning up for something that
will give you that esteem thatyou're looking for, but at the
same time, you're looking forphysiologic recovery.
Um, I will end with this onethought that the patient said, I
don't care about how I look, Ijust want to feel better.

(01:59:17):
That tells you a lot.
And I said, No, I'm gonna makesure that you're gonna look the
best I can make you look givenyour circumstances, such that
you get the symmetry that I'mgonna aesthetically achieve that
balance you're looking for,minus removal of the implants.
If God made you to be a cup Abefore surgery, you're gonna end
up being a cup A because that'swhat God intended you to be.

(01:59:40):
You cannot be uh back to whereyou were.
Uh, the point being you have toI use the word accept that this
is your baseline given yourgenetics from mom and dad.
So there's a lot of emotionalslash um uh input that one will
have.
I Think I will summarize it bestwith this example, Christian,

(02:00:03):
because I think all theseexamples kind of help formulate
the thought as to what you needto do.
There was two patients I canthink of.
One had melanoma of the thumb,cancer, the worst cancer one can
have melanoma, skin cancer.
The textbook says amputated thejoint before, because that way

(02:00:23):
you don't want a recurrence.
I will tell you that you know,if I was the patient, and we
know what the patient said, canyou go a little bit before so
cut more of it out?
There is less of a chance.
Another patient had necrotide.
No, and this is because therewas spread.
And this is where it was closerto the joint at the base of the

(02:00:45):
nail.
And he said, maybe do you thinkif you went a little bit more
proximal, there will be less ofa chance for it to spread?
Because the textbook says ifit's more than two millimeters
depth, you have to go twocentimeters or the joint.
Now remember, melanoma is adifferent issue.
You have to look at manyfactors.
Um that, but ultimately the thedepth and satellite lesions,
whatnot else.

(02:01:05):
These are the patients' ownwords.
If one of the patients that Itook care of myself had
necrotizing soft tissueinfection of the leg.
And believe it or not, that niceyoung gentleman, 27 years of
age, ended up losing his leg,and he was smiling the next day.
And he said, Doc, you saved mylife.

(02:01:25):
The point I'm trying to makehere is if someone got a
mastectomy because of breastcancer, and I will never know,
neither will you, Christian,what it is to have breast
tissue, right?
Right.
And what it is, but this iswhere do no harm, right?
Do no harm.
Many patients have told me thatthe trauma of going through the

(02:01:46):
cancer and the chemo and theradiation was one, but the
trauma of having to go throughthe multiple reconstructions
over 10, 12, 14 years was muchworse and prolonged misery.
And for them, they don't evenremember the cancer part, they
remember all these.
And then remember, this is whereyou, as the patient, you have to
do your homework, your research.

(02:02:06):
Look at all these examples.
These are real life examples.
My goal and your goal,Christian, and anyone who's
listening is the same.
And I'll end with this yourgoal, Christian, and my goal is
the same.
To live to 120 without a trip tothe doctor.

SPEAKER_00 (02:02:25):
Yes.
A future free of doctor visitssounds wonderful.

SPEAKER_02 (02:02:30):
I would say healthy, no medications, no visit to the
ER, no visit to the doctor.
I'll tell you, I'll I will doanything for that to be a
reality because I know I know aswe all get older, we got
problems, right?
That is do no harm.
And that's what the oath I took.
That's what the studying and allthe hundred hours per week that

(02:02:51):
I did for 20 years that I stilldo to an extent 80, 100 hours a
week, maybe more.
The bottom line here is do noharm, keep the smiles.
So when I got 10 wrinkles on myface, Christian, I haven't good.

SPEAKER_00 (02:03:06):
Yep.
Very good.
All right.
Well, last question.
So I guess if you could justgive one message of hope to uh a
woman perhaps suffering withbreast implant illness, who's
probably felt unheard ordismissed, or maybe even been
gaslit by the medical professionand told that's not really real.
It's just in your head.
What would you say to encouragea woman in that situation?

SPEAKER_02 (02:03:28):
Joy talk to your fellow friend, fellow sister,
fellow neighbor who's gonethrough this, who's going
through this, talk to yourhusband who is the best support
you're gonna have, talk to yoursignificant other, talk to your
daughter, talk to your neighbor,best friend, talk to whoever.

(02:03:49):
It really helps mentally thatyou know there's relief out
there.
How many patients have I talkedto, Christian, on the phone?
And they said, just talking toyou made my day, and now I have
a target, I have relief, I havea diagnosis, I mean I have the
symptom relief that I'm lookingfor, like this one patient from
India.
You should have seen how excitedand how happy she was once she

(02:04:12):
found out that, and she said120%, right?
Yeah.
Now she knew from and I'll tellyou, if you look at her pattern,
it was like the perfect rubberstamp, you know, with the name
change.
So talk to someone, read on theYouTube, talk and connect with
the Facebook next member who hasgone through, who's heard him,

(02:04:32):
whose only interest is to helpyou teach and educate so that
you know deep down within, youknow, the relief is there,
resolution of the symptoms arethere that they're awaiting you,
right?
90% statistically.
There's the Utah plastic groupof surgeons that said they
remove implants, 90% of theirpatients got better.
Dr.
Metzinger out of Louisiana, whodid uh 110 patients, 90% of his

(02:04:58):
patients got better.
This is what they're talkingabout, right?
The black box warning, completeresolution means cure, right?
Now, not in all patients, but atleast we're giving it the best
shot.
And done in a very thoughtful,systematic way because the whole
capsule implant and all what isremoved, number one, is tested.

SPEAKER_00 (02:05:18):
Oh, well done.
Okay, well, I got what I loveabout what you said is there's
hope in there.
And it's that is really goodfuel for the heart.
And it's finding other peoplewho've maybe a few steps ahead
of you on the process who cangive you some perspective and
lessons from the road andpartners who can support you and
empathize and really wrestlewith who you are and what it
means to be human, and thatmaybe you're you're good enough

(02:05:40):
the way you are, the way Godmade you, and and to lean into
that and not try to paper overor plastic surgery over heart
issues with surgeries you maybenot maybe didn't need in the
first place.
It's it's um it's a fun paradigmto explore.
And thank you for taking thetime to explore it with me
today.
So um tell people where they cango to find you or any other last

(02:06:02):
words you have, what kind ofanything else about your online
support and and so on.

SPEAKER_02 (02:06:06):
Please go to Executive Plastic Surgeon or
Executive Plastics Surgery.com.
That's my website.
Over there, you will see theYouTube channel, the Con Plastic
Surgery Academy.
You will also see the FacebookPrivate Breast Implant Illness
Support Group page.
Talk to the you talk to theother patients, go to the
Instagram, TikTok.
You have go to my uh YouTubelive, YouTube shorts, YouTube

(02:06:31):
videos, go to my Facebook page,see what the patients are
seeing, learn from the patients.
The best advocates are thepatients.
And certainly your surgeon whofrom his or her heart cares and
is genuinely interested inproviding you the relief that
you need, and who's transparent,who really has had that, you
know, uh that social media uhattestation.

(02:06:55):
Because remember, you're talkingto me, all my patients are
talking, and they are alltalking about it that validates,
that authenticates, and thatspreads the good word that you
know what is the relief, what isthe process?
Knowledge is power, thatknowledge is that uh that
support, that excitement thatyou know that you're not crazy.

(02:07:17):
Believe it or not, I will saythis, Christian.
One of my friends said, I amcrazy and my patients are crazy,
and that I share.
And I said, Thank you very much.
Uh my good friend that you toldme that.
And so, you know, as you willsee, the many patients who have
that anxiety, depression, panicattacks, or like this patient

(02:07:38):
from India who was referred toas psychiatrist because they
thought that she was trying tomalingering or trying to take
advantage, or believe it or not,the many patients uh who have
reached out to me and they saidtheir surgeon said that I was
fear-mongering.
Uh, you know, I was uh, youknow, the the this was uh not
the case, but you know what?

(02:07:58):
The the truth is gonna rise.
Uh and I tell this if I wasfear-mongering, I should be uh
not doing that because uh Ishould be augmenting.
And augmentation takes one hour,whereas explantation takes four
hours, not only financially, butphysically to do the surgery.
It is tough.
It is it is an invasive surgery.
That in itself will be relief.

(02:08:20):
So any surgeon who's onlyexplanting, that word
fear-mongering would not beused.
But this is what unfortunatelythe world we live in, everyone's
trying to dismiss you, includingmyself.
So I want my patients to knowthat you're not in this alone.
Uh, that, you know, the the therelief is there.
And if you put the two intotogether, you will have that.

(02:08:43):
And I used my patient again,that 120% diagnosis that this is
what it is.

SPEAKER_00 (02:08:48):
Yeah, right on.
All right.
Well, I'll have links foreverybody in the show notes
where they can find you and yourwork.
And uh from the bottom of myheart, thank you for what you
do.
Thank you for the extended time.
I know you just came from asurgery, so I know you are a
busy guy with a lot going on,but the fact that you would
spend the time to get this wordout and do it so thoughtfully
and methodically says a lotabout who you are.

(02:09:10):
So thank you so much for comingon the show today.
And I'll have to have you backin the future.

SPEAKER_02 (02:09:14):
Yeah, my pleasure, Christian.
I say this to you and anyonewho's listening who has this
platform, whoever it is, likeDr.
Yoho, wonderful man, good doc,uh, good heart, good heart.
And he seems to spread good.
Um, you know, the uh I want youif you want to interview me, I'm
more than happy.
And Christian, if you ever wantme to answer any of your

(02:09:36):
questions again, I'll be morethan happy to come on.
A pleasure.
I I I admire that you not manypeople know about this,
especially the men that you wentand did your homework, did your
research.
You were well read on this uhbreast implant analyst.
So you asked very goodquestions.
It was a pleasure to discusswhat is a very important topic
that I will tell you because ofyour words, you're gonna touch

(02:09:59):
literally, I will say, hundredsof thousands of lives, because
it's not only the patient, butthe patients, uh, the friends,
the relatives, like we weretalking about, that you're gonna
touch.
So good, good job there.

SPEAKER_00 (02:10:10):
Well, thank you very much.
I appreciate the kudos.
I do put a lot of thought intothem.
So we'll talk to you again soon.
Thank you so much.

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