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Dr. David Rankin is currently Chief of Plastic Surgery at St. Mary’s Medical Center in Florida and is board-certified by the American Board of Plastic Surgery. David Rankin M.D. practices Cosmetic and Reconstructive Surgery throughout Palm Beach County. His main focus and passion has become Breast Explant Surgery. His advanced training, attention to detail and natural artistic skills help him achieve beautiful patient results. Dr. Rankin has appeared in many local and national publications including The Doctors, Inside Edition, Daily Mail, People, US Weekly and more.
To get in touch with Dr. Rankin's team, go here: https://aquaplasticsurgery.com/breast-explant/
Can you imagine a world where the journey to natural beauty outweighs the allure of extreme cosmetic alterations? Today, Dr. David Rankin, Chief of Plastic Surgery at St. Mary's Medical Center in Florida, and I discuss the emerging awareness of breast implant illness and the growing trend toward embracing one's natural physique. Dr. Rankin shares his extensive expertise, providing insights into the complexities of breast explantation and the meticulous process required for removing implants and scar tissue.
Dr. Rankin sheds light on the significant health risks associated with breast implants, including symptoms like joint pain, fatigue, and memory loss. We discuss the rise in demand for explant procedures and the differences between silicone and saline implants alongside black box warnings. Delve into the challenges faced by surgeons during explantation, especially when dealing with ruptured implants and complications such as hematomas. Gain an understanding of the aesthetic concerns post-explant and potential solutions like breast lifts and fat grafting, particularly for patients with minimal breast tissue or those who have undergone mastectomies.
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Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:02):
Hi everyone.
It's me, sandy Cruz of Sandy KNutrition, health and Lifestyle
Queen.
For years now, I've beenbringing to you conversations
about wellness from experts fromall over the world.
Whether it be suggestions onhow you can age better,
(00:22):
biohacking, alternative wellness, these are conversations to
help you live your best life.
I want to live a long, healthyand vibrant life, never mind all
those stigmas that, as we reachmidlife and beyond, we're just
(00:44):
going to shrivel up and die withsome horrible disease.
Always remember balanced livingworks.
I really look forward to thisseason.
Hi everyone, welcome to SandyKay Nutrition, health and
Lifestyle Queen.
Today I am doing another episodeon breast implants, breast
(01:10):
explants and breast implantillness with Dr David Rankin.
He is board certified by theAmerican Board of Plastic
Surgery and he now only doesexplants.
I think he's got a prettyextensive waiting list.
He has done televisionappearances.
(01:33):
He is so knowledgeable and hasso much experience in breast
implants, breast explants.
He's seen many incidents ofbreast implant illness and I
invited him to the show becauselast year you can check it out
it's episode 146.
(01:55):
I think it was about a year,year and a half ago I recorded
an episode on breast implantillness.
Now some of the feedback that Ireceived from that episode was
that it was very biased.
It was with a health coach anda nutritionist you can look it
up, episode 146, and it's moreabout their experience on what
(02:20):
they have experienced themselvesexperienced with clients about
breast implant illness, and someof the feedback I heard was
well, you're getting informationfrom somebody who is quite
biased in that they don'tbelieve in it.
They're not doctors.
(02:40):
Listen, everybody's entitled tohave experience and opinions on
this.
I don't believe that you haveto have an MD behind your name.
However, in order for me to beobjective, I thought why
wouldn't I invite aworld-renowned plastic surgeon
(03:00):
who sees this every single day,which is why I brought this show
to you.
It is quite clinical.
It is not biased, it's justobservational according to
experience with actual implantsand explants and breast implant
illness, seeing it firsthand.
(03:21):
So I'm going to ask you toplease, please, share this
episode with anyone who mightbenefit.
I personally don't have much ofan opinion on this.
I have learned through otherpractitioners about this.
I do not have breast implants.
(03:42):
I certainly don't need them.
If anything, I would love abreast reduction.
Dr Rankin, hello, just kiddingaround, but my point is I don't
really have any bias towardsthis.
I'm just bringing this more forinformational purposes to
(04:02):
anyone who might want to listen.
But the evidence is prettyclear and if you go back and
listen to episode 146 and thenlisten to this, you're going to
get a pretty clear indication ofwhat's right for you personally
.
I'm going to tell you a littlestory.
Last weekend it was my 24thwedding anniversary.
(04:23):
We went out for dinner and I'mgoing to tell you a little story
.
Last weekend, it was my 24thwedding anniversary.
We went out for dinner and I'mlooking around and it was so
interesting because my husbandand I were looking and like, wow
, like all these waitresses andwaiters were so good looking,
mind you, they were young, okay.
And we looked over and I'm like, wow, look at this woman.
(04:46):
So you could tell, okay, mindyou, they weren't older like
myself, but everyone was natural, and I'm seeing a trend with
younger people, especially women, changing their looks.
And I'm like, why?
I saw this young woman?
(05:06):
She had curves, so obviouslynot on a Zempik, but she was
still fit.
She wasn't obese or overweight.
You can tell that her breastssat lower on her body and she
had sizable natural breasts andI was thinking, wow, this is
(05:27):
beautiful.
I thought it was beautifulbecause it's so rare.
And now, most often we see womenwith breasts right under their
chins.
I'm like that's not natural andyou can spot it a mile away.
That's not natural and you know, you can spot it a mile away.
And I'm not saying and I'm notcriticizing you if you have
(05:49):
implants, I'm just sayingnatural is beautiful.
And you know, as we get older,if we breastfed babies and then
there's genetics, of course ourbreasts are not going to sit as
high as they used to.
But who cares?
Right, mine certainly don't.
And then there was another womanthere who was a waitress and
(06:10):
she was quite small-breasted andvery tiny and I was like, wow,
she's beautiful too.
And nobody had lips that wereso blown up, ridiculous looking.
And again had lips that were soblown up, ridiculous looking.
And again, I'm not againstfiller as we age.
Jeez, like you all know, I do atiny, tiny half of one syringe
(06:33):
just to make sure that my lipsdon't start to curl, under no
offense, but you know, I'm justnot into old lady lips, that's
all.
But everything that I do is tokeep my looks looking like me,
maybe just a better version, amore slept version.
Not that I don't sleep, but mypoint is I understand it a
(06:57):
little bit more as we age.
But when I see young women withthese giant breasts that are,
you know, under their chins, andI'm like man, like right now,
personally, I would giveanything to have smaller breasts
.
Truly, that's how I feel and Ihave naturally large breasts.
(07:29):
Rambling here because I'm seeingthis thing in society, where
women are like we can agehowever we want to.
And you see Paulina Porizkova,she's a big advocate for aging
naturally and she's very extremeon the one hand.
And then there's very extremeon the other hand where you see
a lot of fillers and faceslooking distorted and giant lips
and giant breasts, and for meI'm like I just want to settle
(07:54):
in the middle and I don't wantto do anything that's going to
harm me.
So you know, if I was to findout that my baby Botox dose of
26 units every three months wasdoing me a ton of harm and it
was contributing to my toxicburden, I'd probably stop that.
(08:15):
So you know, people, I feellike we've kind of lost balance
and oh and how could I notforget balance?
Oh and how could I not forget?
Everywhere you turn.
Nowadays you're seeing Ozempicface and I know it's a big thing
, everyone's talking about it.
But I'm like, listen, there's aplace for Ozempic and GLP-1s.
(08:37):
There's definitely a place forit.
If you are obese, this isprobably a good option for you
because being obese is likelygoing to do more harm than
Ozempic, right?
But when you're seeing womenwho are maybe 5 pounds, maybe 10
pounds overweight not such abig deal going on Ozempic losing
(09:01):
muscle, not eating enough toeven sustain aging better and
aging well and their longevity,I think it's a problem.
And not only that.
It's a bigger problem becauseit distorts what is natural and
what is humane and what isnormal for a woman's body,
(09:25):
especially as she ages.
It distorts that.
Remember Marilyn Monroe shewasn't obese, but she had curves
, she was beautiful, she wasnatural.
And so all in balance, myfriends, all in balance, and
that's all I wanted to say here.
Friends, all in balance, andthat's all I wanted to say here.
(09:48):
Please go and follow me on mySubstack.
I'm really working hard on this.
These days.
Substack is actually going to belinked in this podcast it's
sandycruzsubstackcom andconsider subscribing.
First of all, it's free andit's a very different take on
wellness.
It's more explorative,philosophical, insightful,
theoretical, and it's to teachus to think critically for our
(10:11):
bio-individual self, versusbeing told how to think about
wellness.
I started this substat toencourage everyone to critically
analyze whether somethingresonates or not, as it relates
to wellness on all fronts body,mind, spirit, soul and it will
align with my upcoming bookBridging the Gap Between Science
(10:34):
and Soul.
We live in a world where we'reconstantly getting pinged with
new health information and Itruly believe that a world where
everyone can genuinely decipherresonance and have the choice
to do so would be a happier andhealthier world to live in.
So please go join.
(10:55):
Also, follow me on all of myother social media outlets.
It's Sandy Kay Nutritionanywhere and everywhere.
And now let's cut on through tothis amazing interview with Dr
David Rankin.
Hi everyone, welcome to Sandy KNutrition, health and Lifestyle
Queen.
Today with me I have a specialguest.
His name is Dr David Rankin andhe is currently Chief of
(11:19):
Plastic Surgery at St Mary'sMedical Center in Florida and is
board certified by the AmericanBoard of Plastic Surgery.
Dr Rankin practices cosmetic andreconstructive surgery
throughout Palm Beach County.
His main focus and passion hasbecome breast explant surgery.
(11:41):
His advanced training,attention to detail and natural
artistic skills help him toachieve beautiful results with
his patients.
Dr Rankin has appeared in manylocal and national publications,
including the Doctors InsideEdition, daily Mail, people, us
(12:01):
Weekly and more mail, people, usWeekly and more.
And today I asked Dr Rankin tocome and talk to us a little bit
about breast implant illness,about breast explants, what to
expect, and I thought why not godirectly to the expert?
Because somebody in mycommunity told me about Dr
(12:24):
Rankin.
So I reached out to his teamand I am so happy and grateful
that you came to talk to ustoday, so welcome.
Speaker 2 (12:33):
Thank you very much.
It's a pleasure to be here.
Speaker 1 (12:35):
Yeah, I'm happy to have you here because, as I
mentioned to you, I had recordeda show last year and there was
a lot of attention on that showon the topic of breast implant
illness, and I really want tohear it directly from you and
I'd like to know how you gotinto this specific area of
(12:59):
plastic surgery.
Speaker 2 (13:02):
So I've been practicing in private practice
for going on 20 years now.
When I started I did a fullgamut of plastic surgery a lot
of trauma and reconstructive andoromaxil facial surgery, upper
extremity.
It's just been the last five tosix years where I've really
focused almost exclusively onbreast ecoplan surgery and it
just happened naturally bystarting to do X plans, seeing
(13:25):
my patients get better, seeingtheir responses, and then I kind
of had a calling to do this asmy career.
Speaker 1 (13:34):
Well, obviously there was a demand for it, right?
Yeah, absolutely, people aretalking about it.
So much for joining us.
Speaker 2 (13:55):
Well, breast implants themselves are not lifetime
devices.
So that's number one.
Number two breast implants maycause health issues in women,
which we're finding out more andmore as time goes on.
Multitude of signs and symptomsthat women experience directly
(14:19):
related to the breast implants.
We don't really know at thistime what the cause is.
We're just seeing more and morewomen affected.
It's important to state thatnot every woman is affected by
their breast implants, but it'sthe ones that are have problems
or complications.
Those are the patients that Ifind in my practice.
Speaker 1 (14:45):
You know, you, I don't know if you would have
heard of this, but the firsttime I had ever even heard of
explant surgery was from thereal housewives of I think it
was Beverly Hills Yolanda.
She's one of the famous modelsand she went through all these
problems and it was like youknow, she talked about it
nationally on TV and I'd neverheard of this before.
So you know, it's interestingbecause a lot of women don't
(15:12):
want to believe that some oftheir symptoms might be
associated with the implants.
So maybe we should talk about,you know, what is the safety
profile?
What kind of implants are used?
Now?
Speaker 2 (15:30):
Most of the implants in the United States are from
two major companies.
There's FDA approval for thosehere.
In other countries we finddifferent types of implants, but
predominantly they are either asilicone implant or a saline
implant.
They're both both the silicone,saline implant.
They have a silicone outershell.
The saline is filled withsaline solution and the silicone
(15:52):
is filled with the silicone gel.
So those 95% of the implantsthat are implanted in the United
States are from those two typesand those two companies.
Speaker 1 (16:03):
And do you find?
Do they have the same warnings?
Because I had also learned thatthere is a black box warning on
implants.
Is that?
Speaker 2 (16:14):
true?
Yeah, that is true, that'srecent.
They have found in some women,in the scar tissue that forms
around the implant, certain typeof cancer formation.
They're very rare so we don'twant to alarm every woman with
breast implants, but it's apossibility.
So it's something important toknow.
(16:34):
Also, they found that women areexperiencing some systemic
symptoms, which are symptomsthroughout the body affecting
their health.
We don't know the numbers yetof what percentage of women are
affected and what are not, sowe're trying to elucidate those
things as time moves forward.
Speaker 1 (16:52):
What are those symptoms, and is it more with
the silicone or the saline thatthese symptoms are experienced?
Speaker 2 (17:05):
Yeah, in my practice I probably remove, I'd say, more
silicone than saline, but I'mseeing issues with both types.
The symptoms there's really amultitude.
If you look now on the Food andDrug Administration website,
they list the most commonsymptoms of breast implant
illness, which are joint pain,fatigue, memory loss, hair loss.
(17:30):
There's quite a few In mypractice.
I see quite a few more, justanecdotally, throughout my
patients see quite a few morejust anecdotally throughout my
patients.
Speaker 1 (17:46):
So I guess a pretty big question is how do you know?
How do you know?
Are there any tests that can bedone before you actually
undergo surgery?
Speaker 2 (17:55):
Yeah, unfortunately there is no test for breast
implant illness or BII rate.
Yeah, unfortunately there is notest for breast implant illness
or BII.
It's a diagnosis of exclusion.
I think when women are havingissues, first thing they need to
do is get checked up by theirnormal practitioner and do a
workup for any other causes thatmay be leading to these
problems.
If nothing can be found and mypatient is still having a lot of
(18:17):
issues many of them make thechoice to remove their implants
and see if that improves theirhealth.
And lo and behold, in mypractice I find most of my
patients do have improved healthonce they explant.
Speaker 1 (18:30):
See, that's the key.
Right there is that I guess youfollow your patients to see how
their symptoms are afterwards.
Speaker 2 (18:40):
Absolutely, absolutely.
I try and follow most of mypatients at least up to a year
and the majority of patients,when I say how are you feeling?
Do you feel better?
I'd say 85% plus in my practicedo feel better after expanding,
sometimes very, verysignificantly.
Speaker 1 (18:56):
Wow, that's interesting.
Is autoimmune on one of thoseautoimmune conditions, on one of
those warnings, or is that justsomething that people are
talking about?
Speaker 2 (19:07):
It is.
We know that there is acorrelation.
If you look at the very fineprint and some of the
manufacturer's own handouts, youcan see some of the autoimmune
diseases that have a higherincidence with patients with
breast implants.
Whether or not it's causingautoimmune or it's just
exacerbating a predisposition,we're not 100% sure.
Speaker 1 (19:28):
You see, that's what I always say too.
I'm always like there's just somany factors to our health and
our wellness and everybody's sounique.
So, for example, I might be awoman who is overweight.
I don't exercise, I don't eatwell, Um, you know, I eat a lot
(19:49):
of fast food, a lot of fry.
Of course I'm going to be moreat risk for anything.
And then, like you said, if Ihave implants, that just might
be like the last.
I don't know how to evenexplain that, but that might be
the last thing.
That just kind of triggers theoffset of many issues and
(20:11):
diseases.
Speaker 2 (20:12):
Yeah, it can be a tipping point and I see a lot of
my patients.
They really have fine-tunedtheir health, they've seen their
doctors and naturopaths andtake supplements and they're
able to maintain their level ofhealth.
Basically, it's patients that,like you said, are unhealthier
(20:33):
and not exercising and noteating good foods, they have
more of a propensity to developproblems, I feel.
Speaker 1 (20:40):
Well, it makes sense.
And then I guess it's twodifferent.
The way I'm looking at it as anon-physician is I look at it in
two different ways.
There's the symptoms, and thenthere's the fact that you might
actually see something.
You might physically seesomething wrong, like I mean,
(21:02):
listen, everybody who's onTikTok has seen those surgeons
that show um explanted implantswith the casing and the scarring
and you know, can you actuallyphysically see something?
And then you go oh yeah, okay,that explains it.
Speaker 2 (21:22):
In some patients you can.
So on the flip side ofnon-breast implant illness
related issues that women havethat makes them want to have
their implants out are thingslike rupture, ruptured silicone
implants, ruptured salineimplants.
Calcifications is when you geta calcium shell that forms
around the implant.
Capsular contracture, which iswhere the scar tissue around the
(21:46):
implant kind of goes crazy andsqueezes and causes pain and a
misshapen breast.
Also, women that have had five,six, seven, eight breast
surgeries.
They've gone bad, they've hadinfections they've had, and so
there's a whole multitude ofthings that make women say I
want to remove my implants.
Then, on top of that, now wehave the possibility of having
(22:07):
symptoms directly from theimplants themselves.
Speaker 1 (22:11):
Right.
And how are those issuesdiagnosed?
Do they do ultrasound, likewhat?
Do they do MRIs?
How do they find out if they're, let's say, there is a rupture?
Speaker 2 (22:22):
Rupture diagnosis the best thing is an MRI.
It's almost 100% conclusive.
A step down is ultrasound,which is also very good, but not
quite MRI level, and amammogram can sometimes
differentiate a rupture as well.
I have to ask you this Aremammograms safe for a woman who
(22:48):
has implants?
Well, I mean, there is apossibility of rupturing an
implant with a mammogram.
I think, as a woman, breastdiagnosis, breast care safety
evaluation is just extremelyimportant.
So I would never tell a womandon't get a mammogram.
I would say to speak with yourbreast practitioner and say
(23:10):
maybe an MRI, maybe ultrasoundwould be a better exam for some
of these women, particularlywith thin breast tissue or
capsular contractures.
So there is risks involved.
But diagnosis of breast canceris just.
We know how important that isfor women, of course, of course.
Speaker 1 (23:29):
So if a woman has implants, it doesn't necessarily
mean she's at higher risk forbreast cancer, unless it's that
specific one that you mentioned.
Speaker 2 (23:43):
That's correct.
We have not found a higher riskof breast cancer in women with
breast implants, unless it's ofthe ones that I was speaking of.
That can be a cancer diagnosisof the capsule itself, but again
, very, very rare.
We don't want to scare peopleon that.
Speaker 1 (24:02):
Yeah, yeah, okay.
So I know a lot of women in mycommunity who are extremely
health enthusiasts, enthusiasts.
(24:23):
And you know, some women mightsay, well, I do everything, I,
you know, I don't see why Iwould take my implants out.
And then some are starting toresearch and read more about
this.
So if you have no symptoms,would you say that there's
really probably not a lot ofrisk?
Speaker 2 (24:39):
Would you say that there's really probably not a
lot of risk.
I would tell a woman if theycame into my office and said I
have implants, I like the waythey look, I'm very healthy and
I feel great.
What do I do?
I would say just monitor yourhealth.
You know, if you have asilicone implant there's some
criteria for getting MRIs everynumber of years, ultrasounds
(25:03):
every number of years to makesure they're not ruptured.
But I think in those patientsthey shouldn't rush to explant.
If you've had a siliconeimplant for a number of years
and different plastic surgeonshave different numbers 8 to 12
years those women do want toprobably at least make a change.
I don't do any implants in mypractice but they want to
(25:24):
consider doing something in thattime.
Saline is a different story.
Saline implant like the waythey look, no symptoms, healthy
woman should just monitor.
Speaker 1 (25:34):
Okay, so it just sounds to me.
I don't know because I don'thave implants, so I just hear
from other women.
So is saline just less riskier,would you say?
Speaker 2 (25:50):
Well, to a certain extent.
Yes, you know, if you get asaline implant you can keep them
in much longer term than asilicone, not worrying about
silicone gel leakage and ruptureand not knowing if a saline
implant ruptures, a womanusually finds her breast goes
smaller right away.
So you know there's a ruptureand it's saline fluid.
(26:10):
It's not silicone gel.
In my practice and we don'thave the specific numbers of
silicone for saline, I see lessproblems with a saline implant
than a silicone.
With that being said, thesilicone implants.
Clinically it's a better feel.
It feels like more of a naturalbreast.
(26:31):
There's less chances ofrippling or palpating the
implant.
So there's definitely pros andcons of both, but I think if you
asked me which one was safer, Iwould personally say I think
saline is a better choice.
Speaker 1 (26:41):
Okay, but silicone might be a more popular choice.
Speaker 2 (26:46):
And that is correct, and it is a more popular choice,
I believe.
In Europe, you know, it'sapproaching 100%, and in the
United States it's gotten wayhigher since they were put back
on the market in 2006.
Speaker 1 (27:03):
So they were taken off for a while.
Speaker 2 (27:06):
Yeah, there's always been some questions of problems
with the silicone.
We've been through it and beenfull circle on these things for
many, many years.
So they were taken off andsaline was only available for a
number of years, and then theywere put back on the market in
November of 2006.
Speaker 1 (27:24):
Okay.
So I mean this.
I'm okay with going a littlegraphic, but what do have you
ever been shocked in a surgery?
When you go into surgery to doan explant, and it's just much
worse than you expected.
Speaker 2 (27:46):
Absolutely.
It's usually just really badruptures of older silicone
implants.
The older implants were more ofa liquid consistency.
Patients that have hadhematomas are bleeding inside
the chest cavity and that bloodsits a long time.
Those can be really messysurgeries also.
(28:08):
More often than not, theimplants, they look okay, they
look normal, that I remove.
I do a lot of ruptures also,but the ones, the shocking ones
are, you know, in my practice Isee them more often than most
doctors could do a lot ofexplants but um, those are uh,
(28:28):
those are more rare.
Speaker 1 (28:29):
So, then, your job as the surgeon is to clean up
whatever's in the area as well,like you have to like're saying
that they can be pretty badlyruptured and hematomas.
Like you have to clean up thearea, and is that even possible?
Is there long-term damage?
Speaker 2 (28:49):
Well, usually when an implant first ruptures, your
body has already formed scartissue around it.
We call it the capsule, andit's your body's way of walling
off a foreign body, sayingthere's this foreign body inside
me, I'm not sure what it is,I'm going to wall it off.
So most of the ruptures arecontained within that scar
cavity.
So if you can take out thatscar cavity along with the
(29:12):
implant and along with theruptured material, you try and
make sure that there's nocontamination of the of the
breast tissue, if you can.
Beyond that, you're right.
Cleaning out a lot ofirrigation with antibiotic
solutions and things like thatas well is done on every patient
as well.
Speaker 1 (29:34):
Okay, because every single woman I know is afraid of
what she's going to look likeafter she has her breasts
removed, her implants removed,and you know, like the fact is
is that your skin stretches.
And if, if it's a woman who'sin her fifties, well, the skin
(29:57):
is not as elastic as it was whenit was, you know, when she was
30.
So what happens then?
Speaker 2 (30:05):
So many of my patients I offer a breast lift
or skin tightening at the sametime as the explant because,
you're right, You've stretchedtissues, you've removed volume.
Things tend to want to go south.
So a lift at the same time issometimes a good tool that we
have.
Every woman is different inregards to possible outcomes.
(30:26):
The more difficult patients arepatients with very thin or
little breast tissue, patientswith really large implants.
Those are more challengingpatients.
Some patients the majority ofpatients turn out very well.
Other patients are morechallenging and you do have to
talk afterward about things likerevisions, fat grafting Fat
(30:49):
grafting is a nice tool to haveto do a couple of different
things.
It can fill in an area that hasa depression.
It can add volume and fullnessto the breast, but it's very
different than a breast implant.
You know, with grafting you canmaybe get a half cup size,
maybe a cup size bigger, butit's more of volumization of the
(31:11):
breast.
It's not an implant type oflook usually.
Speaker 1 (31:14):
Right, and where does that fat come from?
Does it come from a?
What does it have to?
What if a woman's really thinand doesn't have the fat?
Speaker 2 (31:23):
Well, it has to come from you or an identical twin,
but that doesn't happen veryoften.
But it has to be your DNAbecause it's your tissue.
If you take it from somebodyelse, like a kidney transplant
or anything like that, it'sgoing to fail, reject, right.
Usually it's traditionalliposuction.
We collect it in a machinethat's made for fat grafting and
(31:43):
it's injected into the breast.
You're right, the morechallenging patients for fat
grafting are the ones that havevery little fat.
I do a lot of fat grafting inmy practice for patients with
very, very little fat.
I do have a referral doctorthat I sent to that.
He's in North Carolina and he'skind of a magician at finding
(32:07):
fat in very thin patients.
Speaker 1 (32:10):
So I guess where would it come from?
The bum, the belly, the bellyhips, abdomen, inner thighs,
outer thighs, those are kind,kind of my, my go-to areas wow,
okay, and and I have to ask thisdo you get patients who have
had mastectomies to come and dolike fat grafts only, or to do
(32:33):
some sort of obviously notimplants, because you don't do
implants at all anymore, right?
Speaker 2 (32:40):
Yeah, I do have patients that have had
mastectomies, that want explants.
They're very challengingpatients aesthetically because
they have no breast tissue.
It's already been removed.
Right Mastectomy patients also.
I do have not had any successesin fat grafting them, because
there's nowhere to really graftthe fat.
It's such a thin layer oftissue.
(33:02):
So those patients either electto go we call it a flat closure,
which we try and smooth thingsout best we can.
Sometimes these patients arecandidates for what we call
autologous reconstructions, sothat's moving tissue from the
abdomen into the chest.
It's called a tram flap, soit's utilizing your own tissue
(33:23):
and there's certain plasticsurgeons that will specialize in
those types of procedures.
It's a pretty invasive, prettyintense procedure, but that's an
option as well.
Speaker 1 (33:33):
Do you get a lot of women who have had mastectomies
come and have their implantsremoved?
Speaker 2 (33:41):
I do, and I mean not as many as women without
mastectomies, just with implants.
But I have had a number ofwomen with mastectomies.
It's usually women that havehad poor outcomes with their
reconstructions or the implantsare very painful, they've had
infections, they have a lot ofsymptoms.
So those are the patients thatI would perform that type of
(34:04):
surgery on.
Speaker 1 (34:07):
And what happens once the implants are removed?
What if you have a patient thathas had, you know, pretty
severe ruptures?
I mean, what's the recuperation?
Speaker 2 (34:19):
Yeah, so the recuperation is not too
different than having yourimplants placed.
I always recommend just threeweeks of really taking it easy.
You can still walk around andmove around and do stuff, and
then six weeks is pretty muchback to normal activities.
I use a long acting anestheticcalled Expro.
(34:41):
It really takes all the painaway for about three days, which
is the most painful.
So most of my patients aftersurgery just take Tylenol.
Speaker 1 (34:48):
Wow, that's not too bad yeah.
Speaker 2 (34:52):
You know it's been a.
It's a medication that we kindof stole from the orthopedic
surgeons that use for knees forpain control, and we're starting
to use it a lot in plasticsurgery and it's really been a
paradigm shift in our paincontrol.
Speaker 1 (35:10):
Speaking of paradigm shifts, do you think that that's
what's going on right now inthe world?
I'm just seeing so many womenget explants, whether they have
issues or not.
Speaker 2 (35:30):
Like there's something changing in that women
are owning it, owning what theyhave, who they are.
Yeah, I agree there is a pushto be more natural.
The bigger breasts are not inas much as they were in the days
of Baywatch and those types ofshows, so smaller breasts are
more fashionable to a lot ofwomen and they want to be back
to their natural self.
There's a lot of women, youknow, just taking care of their
(35:53):
self holistically and this iskind of part of that process and
I think a lot of it has beeneducation and allowing women to
know that this could be part oftheir holistic problem, you know
, could be their implantscontributing to some of the
problems that they're having.
So I think knowledge andeducation has been really key in
this development.
Speaker 1 (36:12):
What do you recommend for a woman after she has
explant?
In terms of more of theholistic side, do you have
practitioners that you recommendthey go and work with if they
had complications?
Let's say they had a lot of youknow.
Of course, as a surgeon, you'regoing to clean up what you can,
(36:32):
but the fact is is that iftoxins are leaching in your body
for many, many years, it's notmaybe as easy to clean up.
What are your thoughts on that?
Speaker 2 (36:44):
A lot of my patients go on and do just full,
extensive blood panels, fullphysical examination, and if
there's problems in the blood orother medical issues that can
be treated, then that's what wedo.
I think the explant is kind ofpart one which makes a lot of
people feel better right awayand enables them to continue on
(37:07):
their health journey whenthey're feeling better, less
fatigued, less anxiety,depression and just feeling
better overall.
Speaker 1 (37:17):
Interesting.
Is that a symptom that you seewith women?
Speaker 2 (37:21):
I do, yeah, I do Quite often, yeah, yeah.
Speaker 1 (37:25):
Oh, that's interesting.
And age, is it from all agesthat you see that those symptoms
?
From all ages of patient orimplants or Patients that come
to you with symptoms, who haveimplants and are thinking or
want to have them explanted wantto have them explanted.
Speaker 2 (37:52):
I mean, in my demographic is from 20s to 80s,
implants that have been in ayear, implants that have been in
40 years.
So I see all types of patients,all types of implant durations,
absolutely.
Speaker 1 (38:02):
Wow, and I wonder.
You mentioned anxiety,depression.
Those are symptoms that you see.
Speaker 2 (38:09):
I see that a lot in my patients.
Um, you know, you have to bekind of cautious with lumping
everything into breast implantillness.
That's really still beingdefined.
I can only say what I see in mypatient population, um, but um,
you know, you know there is abig laundry list of symptoms
that women are self-proclaimingto experience and I do see many
(38:33):
of these things go away afterexpense.
Speaker 1 (38:36):
Wow, that is really fascinating that this is coming
about more and more and actuallyI'm going to say I don't think
it's a bad thing.
I don't think it's a bad thingbecause I feel like we're coming
into this world where women canage gracefully women who have
(38:57):
breastfed children, women whohave.
You know, like the fact is isthat aging doesn't necessarily
have to be an ugly thing andyou're trying to mask it, and
having implants is kind ofsomething that happens, where
women feel like they breastfedchildren and they're not what
they used to be, so they'retrying to maintain that
(39:18):
youthfulness.
Speaker 2 (39:21):
Yeah, I mean, everybody wants to look better,
wants to feel better, but I dothink a lot of my patients that
explanted really learned to lovetheir body, love their
naturalness, and it's aprogression for sure,
(39:41):
psychologically.
You know, having implants forlong periods of time and then
you know you get the completeopposite after.
So it's definitely a journey,but I agree with you it after.
So it's definitely a journey,but I agree with you.
I think that there is much moreof a push for women to embrace
themselves, embrace aging.
There's not as much pressure,although there still is pressure
on women of course it's easing,hopefully a little bit.
Speaker 1 (39:58):
Yeah, there is.
There's definitely pressure,but you know, women like myself
were in this this world ofhealth, span and longevity and
really it's more about what'sgoing on inside of you than
outside of you.
And I'm not saying I don't fallinto the aesthetic side of
wanting to age slower, but Ithink this is an important
(40:21):
conversation to say you know, isit worth your health?
Speaker 2 (40:27):
Yeah, exactly, and I think that knowing the risks and
the benefits, alternatives,potential complications going
into your surgery is reallyimportant.
I think many women in the pastwere told implants are going to
be fine, they're going to belifetime devices, you're never
going to have any issues.
But we know that's not 100%true.
So having those points in yourhead makes you make a more
(40:50):
informed consent.
Some women may say you knowwhat?
Maybe this isn't for me.
Speaker 1 (40:53):
Hmm, so if you were to knowing and seeing what
you've seen, what is your advice, as an expert in this area, to
a woman who is eitherconsidering implants or
considering explants?
Speaker 2 (41:15):
You know I, I have two young daughters and, um,
they know what I do and I I hopethat they never get implants
because I've seen the problemsthat they can cause in some
women and I think it's taking anunnecessary chance.
I would never demean a womanfor getting implants.
We all have our life andchoices to make.
(41:40):
As far as explanting, I thinkthat if you're having issues
that we talked about, withrecurring capsular contractures,
ruptures, infections, or youdeveloped a lot of strange
symptoms that you can't figureout, those are the women's that
should explant.
I think again, if you're doingfine and feeling good and
(42:00):
everything's going good, it'sjust monitoring and working with
your plastic surgeon and hopingthings don't take a turn for
the worse.
Speaker 1 (42:08):
What are the complications that can happen
after explant?
Speaker 2 (42:13):
It's generally a very safe procedure.
There's risks of bleeding.
We call it hematoma.
In my practice it's 1%, so I dofive 600 explants a year.
I get five or six hematomas.
It's a trip back to theoperating room.
Infection is rare but it doeshappen, Usually treated with
antibiotics.
Complication, you could say, isaesthetics right.
(42:34):
Everyone doesn't turn outperfect, so those are patients
you really have to work with.
I always try and come up with aplan of.
Sometimes there's smallrevisions, Sometimes there's fat
crafting.
So those are really the majorthings that I see in my practice
that are concerning Out of allof your patients.
Speaker 1 (42:54):
What would you say?
The percentages of the womenwho are happy once it's done?
Speaker 2 (43:00):
Probably 95%.
Speaker 1 (43:02):
Wow, that's, that's pretty big, that's pretty big,
that's pretty big.
Speaker 2 (43:07):
It's a big satisfaction.
Speaker 1 (43:10):
I would love for you to, because I've heard you have
quite the wait list.
Is that true?
Speaker 2 (43:17):
I do, yeah, I do.
Speaker 1 (43:19):
And there's only one, Dr Rankin right?
Speaker 2 (43:24):
Yeah, I do.
I always tell my patients thatbook your date.
If you want to try and move up,get on the cancellation list
because I have a lot of movementin my schedule.
Patients get pregnant, patientscan't travel, patients get sick
.
So we always try and movepeople up to their dates that
they are trying, know are tryingto achieve.
Speaker 1 (43:46):
And here's another question If you were going to
kind of give me a roughbreakdown, what?
Speaker 2 (44:01):
percentage of your patients are over 45 and what
percent are the younger women?
You know I haven't really donethe math on the numbers, but I
would say average patient in mypractice is probably right
around there about 45.
You know, I do have patients intheir 20s not very many.
I did a patient yesterday.
(44:22):
Implants were in for, I think,45 years, so I've done patients
in their eighties.
Speaker 1 (44:31):
Um, it just it's kind of all over the board.
And here's.
Here's another thing that Ialways kind of I've.
I've heard from women who havehad implants.
Their biggest thing is they'relike okay, well, I'm, you know,
over 50 now and am I going tokeep getting these and I'll be
like 70 and it'll be time for meto change my implants.
(44:51):
So I think, you know, thelongevity aspect is huge.
Speaker 2 (44:58):
Yeah, I see a ton of that Patients that say
specifically what you said.
I'm 50, I'm healthy, I feelgreat.
I don't want to have surgerywhen I'm 70.
You know, I want to do this nowand be proactive.
Again, that goes back againwith silicone versus saline.
You're more apt to considerthat if you have a silicone
(45:18):
implant, you really don't want aruptured silicone implant that
causes a complication later downthe road.
Speaker 1 (45:25):
And here's the other thing that I always see.
Obviously, you know, as we age,we are a little bit more
sensitive to any assaults thatcome our way.
As we're aging, we're just notas resilient and we have to do a
little bit more.
So that, I've heard, is anotherconsideration that women have
they're like well I'm healthynow, but you know that women
have they're like well, I'mhealthy now, but you know, in 10
(45:46):
years from now, what ifsomething comes my way, even
high stress, like we all know,there's that factor and there
are things in our lives that youknow we really don't
necessarily have control over.
So why add another thing to themix that could potentially
increase or exacerbate otherissues that are going on?
Speaker 2 (46:09):
Yeah, a hundred percent.
There's definitely more risk toundergoing anesthesia when
you're in your seventies than inyour fifties and, like you said
, you'll have othercomorbidities that can be
confounding when you go to dosurgery down the road also.
So for those patients they liketo do surgery down the road
also, so, um, for those patientsthey like to do something a
little, a little sooner whilethey're, while they're healthy,
(46:32):
this has been such a greatconversation.
Speaker 1 (46:34):
Is there anything that we missed?
We kind of ran through itpretty quickly, maybe because
it's, you know, almost sixo'clock dinner time.
Speaker 2 (46:41):
No, I think, um, I think we really covered all the
major points.
I think it's important to statethat if you do elect to have an
explant, you choose aboard-certified plastic surgeon
American Board of PlasticSurgery and someone that does it
all the time.
So, like anything in life,experience is key.
It's not the simplest surgeryin the world.
Speaker 1 (47:04):
You want somebody with experience, so that that, I
think, is a really good talkingpoint okay and do a lot of
surgeons do mostly explants,because I haven't heard of a ton
of them there's more and more,you know.
Speaker 2 (47:20):
As more women are wanting to have this done, more
plastic surgeons are steppingforward to accommodate them, I
think you should find a doctorthat does believe in breast
implant.
Illness also Makes sense.
That's important In my practice.
I don't put in implants, I justexplant.
(47:40):
Not necessarily that issomething that you have to look
for, but doctors that just focuson explanting and trying to do
the best in that regard, I thinkis someone maybe to look for.
Speaker 1 (47:52):
Okay, and you can find them across the United
States, canada.
Speaker 2 (48:00):
Yeah, absolutely of social media groups that are,
it's just all women talkingabout explanting and breast
implants and a lot of thosegroups are pretty good because
you can ask other women theirexperience that they've had and
it's good to have a referralfrom someone that's been through
the process and been to adoctor that has done a lot of
these.
Speaker 1 (48:19):
Yes, I've heard your name a few times, so that
obviously means something,because I'm in this whole world
of holistic wellness and peopleare talking about you, dr Rankin
, so that's a good thing.
Speaker 2 (48:32):
It's awesome.
Speaker 1 (48:33):
Yeah, so where can we find you?
Speaker 2 (48:36):
So on Instagram I'm DavidRankinMD and that's really
my main source of information.
I also have a website atDavidRrankinmdcom as well.
Speaker 1 (48:50):
Okay, that is perfect .
Thank you so much for your timetoday.
I know you're a very busy man.
I really appreciate you comingand speaking with us.
Speaker 2 (48:59):
It's my pleasure and keep doing the great work.
Thank you, keep doing the greatwork.
Speaker 1 (49:05):
Thank you.
I hope you enjoyed this episode.
Be sure to share it withsomeone you know might benefit
and always remember when yourate, review, subscribe, you
help to support my content andhelp me to keep going and
bringing these conversations toyou each and every week.
(49:28):
Join me next week for a newtopic, new guest, new exciting
conversations to help you liveyour best life.
Hi everyone.
It's me, sandy Cruz of Sandy KNutrition, health and Lifestyle
Queen.
For years now, I've beenbringing to you conversations
about wellness from experts fromall over the world.
Whether it be suggestions onhow you can age better,
(00:22):
biohacking, alternative wellness, these are conversations to
help you live your best life.
I want to live a long, healthyand vibrant life, never mind all
those stigmas that, as we reachmidlife and beyond, we're just
(00:44):
going to shrivel up and die withsome horrible disease.
Always remember balanced livingworks.
I really look forward to thisseason.
Hi everyone, welcome to SandyKay Nutrition, health and
Lifestyle Queen.
Today I am doing another episodeon breast implants, breast
(01:10):
explants and breast implantillness with Dr David Rankin.
He is board certified by theAmerican Board of Plastic
Surgery and he now only doesexplants.
I think he's got a prettyextensive waiting list.
He has done televisionappearances.
(01:33):
He is so knowledgeable and hasso much experience in breast
implants, breast explants.
He's seen many incidents ofbreast implant illness and I
invited him to the show becauselast year you can check it out
it's episode 146.
(01:55):
I think it was about a year,year and a half ago I recorded
an episode on breast implantillness.
Now some of the feedback that Ireceived from that episode was
that it was very biased.
It was with a health coach anda nutritionist you can look it
up, episode 146, and it's moreabout their experience on what
(02:20):
they have experienced themselvesexperienced with clients about
breast implant illness, and someof the feedback I heard was
well, you're getting informationfrom somebody who is quite
biased in that they don'tbelieve in it.
They're not doctors.
(02:40):
Listen, everybody's entitled tohave experience and opinions on
this.
I don't believe that you haveto have an MD behind your name.
However, in order for me to beobjective, I thought why
wouldn't I invite aworld-renowned plastic surgeon
(03:00):
who sees this every single day,which is why I brought this show
to you.
It is quite clinical.
It is not biased, it's justobservational according to
experience with actual implantsand explants and breast implant
illness, seeing it firsthand.
(03:21):
So I'm going to ask you toplease, please, share this
episode with anyone who mightbenefit.
I personally don't have much ofan opinion on this.
I have learned through otherpractitioners about this.
I do not have breast implants.
(03:42):
I certainly don't need them.
If anything, I would love abreast reduction.
Dr Rankin, hello, just kiddingaround, but my point is I don't
really have any bias towardsthis.
I'm just bringing this more forinformational purposes to
(04:02):
anyone who might want to listen.
But the evidence is prettyclear and if you go back and
listen to episode 146 and thenlisten to this, you're going to
get a pretty clear indication ofwhat's right for you personally
.
I'm going to tell you a littlestory.
Last weekend it was my 24thwedding anniversary.
(04:23):
We went out for dinner and I'mgoing to tell you a little story
.
Last weekend, it was my 24thwedding anniversary.
We went out for dinner and I'mlooking around and it was so
interesting because my husbandand I were looking and like, wow
, like all these waitresses andwaiters were so good looking,
mind you, they were young, okay.
And we looked over and I'm like, wow, look at this woman.
(04:46):
So you could tell, okay, mindyou, they weren't older like
myself, but everyone was natural, and I'm seeing a trend with
younger people, especially women, changing their looks.
And I'm like, why?
I saw this young woman?
(05:06):
She had curves, so obviouslynot on a Zempik, but she was
still fit.
She wasn't obese or overweight.
You can tell that her breastssat lower on her body and she
had sizable natural breasts andI was thinking, wow, this is
(05:27):
beautiful.
I thought it was beautifulbecause it's so rare.
And now, most often we see womenwith breasts right under their
chins.
I'm like that's not natural andyou can spot it a mile away.
That's not natural and you know, you can spot it a mile away.
And I'm not saying and I'm notcriticizing you if you have
(05:49):
implants, I'm just sayingnatural is beautiful.
And you know, as we get older,if we breastfed babies and then
there's genetics, of course ourbreasts are not going to sit as
high as they used to.
But who cares?
Right, mine certainly don't.
And then there was another womanthere who was a waitress and
(06:10):
she was quite small-breasted andvery tiny and I was like, wow,
she's beautiful too.
And nobody had lips that wereso blown up, ridiculous looking.
And again had lips that were soblown up, ridiculous looking.
And again, I'm not againstfiller as we age.
Jeez, like you all know, I do atiny, tiny half of one syringe
(06:33):
just to make sure that my lipsdon't start to curl, under no
offense, but you know, I'm justnot into old lady lips, that's
all.
But everything that I do is tokeep my looks looking like me,
maybe just a better version, amore slept version.
Not that I don't sleep, but mypoint is I understand it a
(06:57):
little bit more as we age.
But when I see young women withthese giant breasts that are,
you know, under their chins, andI'm like man, like right now,
personally, I would giveanything to have smaller breasts
.
Truly, that's how I feel and Ihave naturally large breasts.
(07:29):
Rambling here because I'm seeingthis thing in society, where
women are like we can agehowever we want to.
And you see Paulina Porizkova,she's a big advocate for aging
naturally and she's very extremeon the one hand.
And then there's very extremeon the other hand where you see
a lot of fillers and faceslooking distorted and giant lips
and giant breasts, and for meI'm like I just want to settle
(07:54):
in the middle and I don't wantto do anything that's going to
harm me.
So you know, if I was to findout that my baby Botox dose of
26 units every three months wasdoing me a ton of harm and it
was contributing to my toxicburden, I'd probably stop that.
(08:15):
So you know, people, I feellike we've kind of lost balance
and oh and how could I notforget balance?
Oh and how could I not forget?
Everywhere you turn.
Nowadays you're seeing Ozempicface and I know it's a big thing
, everyone's talking about it.
But I'm like, listen, there's aplace for Ozempic and GLP-1s.
(08:37):
There's definitely a place forit.
If you are obese, this isprobably a good option for you
because being obese is likelygoing to do more harm than
Ozempic, right?
But when you're seeing womenwho are maybe 5 pounds, maybe 10
pounds overweight not such abig deal going on Ozempic losing
(09:01):
muscle, not eating enough toeven sustain aging better and
aging well and their longevity,I think it's a problem.
And not only that.
It's a bigger problem becauseit distorts what is natural and
what is humane and what isnormal for a woman's body,
(09:25):
especially as she ages.
It distorts that.
Remember Marilyn Monroe shewasn't obese, but she had curves
, she was beautiful, she wasnatural.
And so all in balance, myfriends, all in balance, and
that's all I wanted to say here.
Friends, all in balance, andthat's all I wanted to say here.
(09:48):
Please go and follow me on mySubstack.
I'm really working hard on this.
These days.
Substack is actually going to belinked in this podcast it's
sandycruzsubstackcom andconsider subscribing.
First of all, it's free andit's a very different take on
wellness.
It's more explorative,philosophical, insightful,
theoretical, and it's to teachus to think critically for our
(10:11):
bio-individual self, versusbeing told how to think about
wellness.
I started this substat toencourage everyone to critically
analyze whether somethingresonates or not, as it relates
to wellness on all fronts body,mind, spirit, soul and it will
align with my upcoming bookBridging the Gap Between Science
(10:34):
and Soul.
We live in a world where we'reconstantly getting pinged with
new health information and Itruly believe that a world where
everyone can genuinely decipherresonance and have the choice
to do so would be a happier andhealthier world to live in.
So please go join.
(10:55):
Also, follow me on all of myother social media outlets.
It's Sandy Kay Nutritionanywhere and everywhere.
And now let's cut on through tothis amazing interview with Dr
David Rankin.
Hi everyone, welcome to Sandy KNutrition, health and Lifestyle
Queen.
Today with me I have a specialguest.
His name is Dr David Rankin andhe is currently Chief of
(11:19):
Plastic Surgery at St Mary'sMedical Center in Florida and is
board certified by the AmericanBoard of Plastic Surgery.
Dr Rankin practices cosmetic andreconstructive surgery
throughout Palm Beach County.
His main focus and passion hasbecome breast explant surgery.
(11:41):
His advanced training,attention to detail and natural
artistic skills help him toachieve beautiful results with
his patients.
Dr Rankin has appeared in manylocal and national publications,
including the Doctors InsideEdition, daily Mail, people, us
(12:01):
Weekly and more mail, people, usWeekly and more.
And today I asked Dr Rankin tocome and talk to us a little bit
about breast implant illness,about breast explants, what to
expect, and I thought why not godirectly to the expert?
Because somebody in mycommunity told me about Dr
(12:24):
Rankin.
So I reached out to his teamand I am so happy and grateful
that you came to talk to ustoday, so welcome.
Speaker 2 (12:33):
Thank you very much.
It's a pleasure to be here.
Speaker 1 (12:35):
Yeah, I'm happy to have you here because, as I
mentioned to you, I had recordeda show last year and there was
a lot of attention on that showon the topic of breast implant
illness, and I really want tohear it directly from you and
I'd like to know how you gotinto this specific area of
(12:59):
plastic surgery.
Speaker 2 (13:02):
So I've been practicing in private practice
for going on 20 years now.
When I started I did a fullgamut of plastic surgery a lot
of trauma and reconstructive andoromaxil facial surgery, upper
extremity.
It's just been the last five tosix years where I've really
focused almost exclusively onbreast ecoplan surgery and it
just happened naturally bystarting to do X plans, seeing
(13:25):
my patients get better, seeingtheir responses, and then I kind
of had a calling to do this asmy career.
Speaker 1 (13:34):
Well, obviously there was a demand for it, right?
Yeah, absolutely, people aretalking about it.
So much for joining us.
Speaker 2 (13:55):
Well, breast implants themselves are not lifetime
devices.
So that's number one.
Number two breast implants maycause health issues in women,
which we're finding out more andmore as time goes on.
Multitude of signs and symptomsthat women experience directly
(14:19):
related to the breast implants.
We don't really know at thistime what the cause is.
We're just seeing more and morewomen affected.
It's important to state thatnot every woman is affected by
their breast implants, but it'sthe ones that are have problems
or complications.
Those are the patients that Ifind in my practice.
Speaker 1 (14:45):
You know, you, I don't know if you would have
heard of this, but the firsttime I had ever even heard of
explant surgery was from thereal housewives of I think it
was Beverly Hills Yolanda.
She's one of the famous modelsand she went through all these
problems and it was like youknow, she talked about it
nationally on TV and I'd neverheard of this before.
So you know, it's interestingbecause a lot of women don't
(15:12):
want to believe that some oftheir symptoms might be
associated with the implants.
So maybe we should talk about,you know, what is the safety
profile?
What kind of implants are used?
Now?
Speaker 2 (15:30):
Most of the implants in the United States are from
two major companies.
There's FDA approval for thosehere.
In other countries we finddifferent types of implants, but
predominantly they are either asilicone implant or a saline
implant.
They're both both the silicone,saline implant.
They have a silicone outershell.
The saline is filled withsaline solution and the silicone
(15:52):
is filled with the silicone gel.
So those 95% of the implantsthat are implanted in the United
States are from those two typesand those two companies.
Speaker 1 (16:03):
And do you find?
Do they have the same warnings?
Because I had also learned thatthere is a black box warning on
implants.
Is that?
Speaker 2 (16:14):
true?
Yeah, that is true, that'srecent.
They have found in some women,in the scar tissue that forms
around the implant, certain typeof cancer formation.
They're very rare so we don'twant to alarm every woman with
breast implants, but it's apossibility.
So it's something important toknow.
(16:34):
Also, they found that women areexperiencing some systemic
symptoms, which are symptomsthroughout the body affecting
their health.
We don't know the numbers yetof what percentage of women are
affected and what are not, sowe're trying to elucidate those
things as time moves forward.
Speaker 1 (16:52):
What are those symptoms, and is it more with
the silicone or the saline thatthese symptoms are experienced?
Speaker 2 (17:05):
Yeah, in my practice I probably remove, I'd say, more
silicone than saline, but I'mseeing issues with both types.
The symptoms there's really amultitude.
If you look now on the Food andDrug Administration website,
they list the most commonsymptoms of breast implant
illness, which are joint pain,fatigue, memory loss, hair loss.
(17:30):
There's quite a few In mypractice.
I see quite a few more, justanecdotally, throughout my
patients see quite a few morejust anecdotally throughout my
patients.
Speaker 1 (17:46):
So I guess a pretty big question is how do you know?
How do you know?
Are there any tests that can bedone before you actually
undergo surgery?
Speaker 2 (17:55):
Yeah, unfortunately there is no test for breast
implant illness or BII rate.
Yeah, unfortunately there is notest for breast implant illness
or BII.
It's a diagnosis of exclusion.
I think when women are havingissues, first thing they need to
do is get checked up by theirnormal practitioner and do a
workup for any other causes thatmay be leading to these
problems.
If nothing can be found and mypatient is still having a lot of
(18:17):
issues many of them make thechoice to remove their implants
and see if that improves theirhealth.
And lo and behold, in mypractice I find most of my
patients do have improved healthonce they explant.
Speaker 1 (18:30):
See, that's the key.
Right there is that I guess youfollow your patients to see how
their symptoms are afterwards.
Speaker 2 (18:40):
Absolutely, absolutely.
I try and follow most of mypatients at least up to a year
and the majority of patients,when I say how are you feeling?
Do you feel better?
I'd say 85% plus in my practicedo feel better after expanding,
sometimes very, verysignificantly.
Speaker 1 (18:56):
Wow, that's interesting.
Is autoimmune on one of thoseautoimmune conditions, on one of
those warnings, or is that justsomething that people are
talking about?
Speaker 2 (19:07):
It is.
We know that there is acorrelation.
If you look at the very fineprint and some of the
manufacturer's own handouts, youcan see some of the autoimmune
diseases that have a higherincidence with patients with
breast implants.
Whether or not it's causingautoimmune or it's just
exacerbating a predisposition,we're not 100% sure.
Speaker 1 (19:28):
You see, that's what I always say too.
I'm always like there's just somany factors to our health and
our wellness and everybody's sounique.
So, for example, I might be awoman who is overweight.
I don't exercise, I don't eatwell, Um, you know, I eat a lot
(19:49):
of fast food, a lot of fry.
Of course I'm going to be moreat risk for anything.
And then, like you said, if Ihave implants, that just might
be like the last.
I don't know how to evenexplain that, but that might be
the last thing.
That just kind of triggers theoffset of many issues and
(20:11):
diseases.
Speaker 2 (20:12):
Yeah, it can be a tipping point and I see a lot of
my patients.
They really have fine-tunedtheir health, they've seen their
doctors and naturopaths andtake supplements and they're
able to maintain their level ofhealth.
Basically, it's patients that,like you said, are unhealthier
(20:33):
and not exercising and noteating good foods, they have
more of a propensity to developproblems, I feel.
Speaker 1 (20:40):
Well, it makes sense.
And then I guess it's twodifferent.
The way I'm looking at it as anon-physician is I look at it in
two different ways.
There's the symptoms, and thenthere's the fact that you might
actually see something.
You might physically seesomething wrong, like I mean,
(21:02):
listen, everybody who's onTikTok has seen those surgeons
that show um explanted implantswith the casing and the scarring
and you know, can you actuallyphysically see something?
And then you go oh yeah, okay,that explains it.
Speaker 2 (21:22):
In some patients you can.
So on the flip side ofnon-breast implant illness
related issues that women havethat makes them want to have
their implants out are thingslike rupture, ruptured silicone
implants, ruptured salineimplants.
Calcifications is when you geta calcium shell that forms
around the implant.
Capsular contracture, which iswhere the scar tissue around the
(21:46):
implant kind of goes crazy andsqueezes and causes pain and a
misshapen breast.
Also, women that have had five,six, seven, eight breast
surgeries.
They've gone bad, they've hadinfections they've had, and so
there's a whole multitude ofthings that make women say I
want to remove my implants.
Then, on top of that, now wehave the possibility of having
(22:07):
symptoms directly from theimplants themselves.
Speaker 1 (22:11):
Right.
And how are those issuesdiagnosed?
Do they do ultrasound, likewhat?
Do they do MRIs?
How do they find out if they're, let's say, there is a rupture?
Speaker 2 (22:22):
Rupture diagnosis the best thing is an MRI.
It's almost 100% conclusive.
A step down is ultrasound,which is also very good, but not
quite MRI level, and amammogram can sometimes
differentiate a rupture as well.
I have to ask you this Aremammograms safe for a woman who
(22:48):
has implants?
Well, I mean, there is apossibility of rupturing an
implant with a mammogram.
I think, as a woman, breastdiagnosis, breast care safety
evaluation is just extremelyimportant.
So I would never tell a womandon't get a mammogram.
I would say to speak with yourbreast practitioner and say
(23:10):
maybe an MRI, maybe ultrasoundwould be a better exam for some
of these women, particularlywith thin breast tissue or
capsular contractures.
So there is risks involved.
But diagnosis of breast canceris just.
We know how important that isfor women, of course, of course.
Speaker 1 (23:29):
So if a woman has implants, it doesn't necessarily
mean she's at higher risk forbreast cancer, unless it's that
specific one that you mentioned.
Speaker 2 (23:43):
That's correct.
We have not found a higher riskof breast cancer in women with
breast implants, unless it's ofthe ones that I was speaking of.
That can be a cancer diagnosisof the capsule itself, but again
, very, very rare.
We don't want to scare peopleon that.
Speaker 1 (24:02):
Yeah, yeah, okay.
So I know a lot of women in mycommunity who are extremely
health enthusiasts, enthusiasts.
(24:23):
And you know, some women mightsay, well, I do everything, I,
you know, I don't see why Iwould take my implants out.
And then some are starting toresearch and read more about
this.
So if you have no symptoms,would you say that there's
really probably not a lot ofrisk?
Speaker 2 (24:39):
Would you say that there's really probably not a
lot of risk.
I would tell a woman if theycame into my office and said I
have implants, I like the waythey look, I'm very healthy and
I feel great.
What do I do?
I would say just monitor yourhealth.
You know, if you have asilicone implant there's some
criteria for getting MRIs everynumber of years, ultrasounds
(25:03):
every number of years to makesure they're not ruptured.
But I think in those patientsthey shouldn't rush to explant.
If you've had a siliconeimplant for a number of years
and different plastic surgeonshave different numbers 8 to 12
years those women do want toprobably at least make a change.
I don't do any implants in mypractice but they want to
(25:24):
consider doing something in thattime.
Saline is a different story.
Saline implant like the waythey look, no symptoms, healthy
woman should just monitor.
Speaker 1 (25:34):
Okay, so it just sounds to me.
I don't know because I don'thave implants, so I just hear
from other women.
So is saline just less riskier,would you say?
Speaker 2 (25:50):
Well, to a certain extent.
Yes, you know, if you get asaline implant you can keep them
in much longer term than asilicone, not worrying about
silicone gel leakage and ruptureand not knowing if a saline
implant ruptures, a womanusually finds her breast goes
smaller right away.
So you know there's a ruptureand it's saline fluid.
(26:10):
It's not silicone gel.
In my practice and we don'thave the specific numbers of
silicone for saline, I see lessproblems with a saline implant
than a silicone.
With that being said, thesilicone implants.
Clinically it's a better feel.
It feels like more of a naturalbreast.
(26:31):
There's less chances ofrippling or palpating the
implant.
So there's definitely pros andcons of both, but I think if you
asked me which one was safer, Iwould personally say I think
saline is a better choice.
Speaker 1 (26:41):
Okay, but silicone might be a more popular choice.
Speaker 2 (26:46):
And that is correct, and it is a more popular choice,
I believe.
In Europe, you know, it'sapproaching 100%, and in the
United States it's gotten wayhigher since they were put back
on the market in 2006.
Speaker 1 (27:03):
So they were taken off for a while.
Speaker 2 (27:06):
Yeah, there's always been some questions of problems
with the silicone.
We've been through it and beenfull circle on these things for
many, many years.
So they were taken off andsaline was only available for a
number of years, and then theywere put back on the market in
November of 2006.
Speaker 1 (27:24):
Okay.
So I mean this.
I'm okay with going a littlegraphic, but what do have you
ever been shocked in a surgery?
When you go into surgery to doan explant, and it's just much
worse than you expected.
Speaker 2 (27:46):
Absolutely.
It's usually just really badruptures of older silicone
implants.
The older implants were more ofa liquid consistency.
Patients that have hadhematomas are bleeding inside
the chest cavity and that bloodsits a long time.
Those can be really messysurgeries also.
(28:08):
More often than not, theimplants, they look okay, they
look normal, that I remove.
I do a lot of ruptures also,but the ones, the shocking ones
are, you know, in my practice Isee them more often than most
doctors could do a lot ofexplants but um, those are uh,
(28:28):
those are more rare.
Speaker 1 (28:29):
So, then, your job as the surgeon is to clean up
whatever's in the area as well,like you have to like're saying
that they can be pretty badlyruptured and hematomas.
Like you have to clean up thearea, and is that even possible?
Is there long-term damage?
Speaker 2 (28:49):
Well, usually when an implant first ruptures, your
body has already formed scartissue around it.
We call it the capsule, andit's your body's way of walling
off a foreign body, sayingthere's this foreign body inside
me, I'm not sure what it is,I'm going to wall it off.
So most of the ruptures arecontained within that scar
cavity.
So if you can take out thatscar cavity along with the
(29:12):
implant and along with theruptured material, you try and
make sure that there's nocontamination of the of the
breast tissue, if you can.
Beyond that, you're right.
Cleaning out a lot ofirrigation with antibiotic
solutions and things like thatas well is done on every patient
as well.
Speaker 1 (29:34):
Okay, because every single woman I know is afraid of
what she's going to look likeafter she has her breasts
removed, her implants removed,and you know, like the fact is
is that your skin stretches.
And if, if it's a woman who'sin her fifties, well, the skin
(29:57):
is not as elastic as it was whenit was, you know, when she was
30.
So what happens then?
Speaker 2 (30:05):
So many of my patients I offer a breast lift
or skin tightening at the sametime as the explant because,
you're right, You've stretchedtissues, you've removed volume.
Things tend to want to go south.
So a lift at the same time issometimes a good tool that we
have.
Every woman is different inregards to possible outcomes.
(30:26):
The more difficult patients arepatients with very thin or
little breast tissue, patientswith really large implants.
Those are more challengingpatients.
Some patients the majority ofpatients turn out very well.
Other patients are morechallenging and you do have to
talk afterward about things likerevisions, fat grafting Fat
(30:49):
grafting is a nice tool to haveto do a couple of different
things.
It can fill in an area that hasa depression.
It can add volume and fullnessto the breast, but it's very
different than a breast implant.
You know, with grafting you canmaybe get a half cup size,
maybe a cup size bigger, butit's more of volumization of the
(31:11):
breast.
It's not an implant type oflook usually.
Speaker 1 (31:14):
Right, and where does that fat come from?
Does it come from a?
What does it have to?
What if a woman's really thinand doesn't have the fat?
Speaker 2 (31:23):
Well, it has to come from you or an identical twin,
but that doesn't happen veryoften.
But it has to be your DNAbecause it's your tissue.
If you take it from somebodyelse, like a kidney transplant
or anything like that, it'sgoing to fail, reject, right.
Usually it's traditionalliposuction.
We collect it in a machinethat's made for fat grafting and
(31:43):
it's injected into the breast.
You're right, the morechallenging patients for fat
grafting are the ones that havevery little fat.
I do a lot of fat grafting inmy practice for patients with
very, very little fat.
I do have a referral doctorthat I sent to that.
He's in North Carolina and he'skind of a magician at finding
(32:07):
fat in very thin patients.
Speaker 1 (32:10):
So I guess where would it come from?
The bum, the belly, the bellyhips, abdomen, inner thighs,
outer thighs, those are kind,kind of my, my go-to areas wow,
okay, and and I have to ask thisdo you get patients who have
had mastectomies to come and dolike fat grafts only, or to do
(32:33):
some sort of obviously notimplants, because you don't do
implants at all anymore, right?
Speaker 2 (32:40):
Yeah, I do have patients that have had
mastectomies, that want explants.
They're very challengingpatients aesthetically because
they have no breast tissue.
It's already been removed.
Right Mastectomy patients also.
I do have not had any successesin fat grafting them, because
there's nowhere to really graftthe fat.
It's such a thin layer oftissue.
(33:02):
So those patients either electto go we call it a flat closure,
which we try and smooth thingsout best we can.
Sometimes these patients arecandidates for what we call
autologous reconstructions, sothat's moving tissue from the
abdomen into the chest.
It's called a tram flap, soit's utilizing your own tissue
(33:23):
and there's certain plasticsurgeons that will specialize in
those types of procedures.
It's a pretty invasive, prettyintense procedure, but that's an
option as well.
Speaker 1 (33:33):
Do you get a lot of women who have had mastectomies
come and have their implantsremoved?
Speaker 2 (33:41):
I do, and I mean not as many as women without
mastectomies, just with implants.
But I have had a number ofwomen with mastectomies.
It's usually women that havehad poor outcomes with their
reconstructions or the implantsare very painful, they've had
infections, they have a lot ofsymptoms.
So those are the patients thatI would perform that type of
(34:04):
surgery on.
Speaker 1 (34:07):
And what happens once the implants are removed?
What if you have a patient thathas had, you know, pretty
severe ruptures?
I mean, what's the recuperation?
Speaker 2 (34:19):
Yeah, so the recuperation is not too
different than having yourimplants placed.
I always recommend just threeweeks of really taking it easy.
You can still walk around andmove around and do stuff, and
then six weeks is pretty muchback to normal activities.
I use a long acting anestheticcalled Expro.
(34:41):
It really takes all the painaway for about three days, which
is the most painful.
So most of my patients aftersurgery just take Tylenol.
Speaker 1 (34:48):
Wow, that's not too bad yeah.
Speaker 2 (34:52):
You know it's been a.
It's a medication that we kindof stole from the orthopedic
surgeons that use for knees forpain control, and we're starting
to use it a lot in plasticsurgery and it's really been a
paradigm shift in our paincontrol.
Speaker 1 (35:10):
Speaking of paradigm shifts, do you think that that's
what's going on right now inthe world?
I'm just seeing so many womenget explants, whether they have
issues or not.
Speaker 2 (35:30):
Like there's something changing in that women
are owning it, owning what theyhave, who they are.
Yeah, I agree there is a pushto be more natural.
The bigger breasts are not inas much as they were in the days
of Baywatch and those types ofshows, so smaller breasts are
more fashionable to a lot ofwomen and they want to be back
to their natural self.
There's a lot of women, youknow, just taking care of their
(35:53):
self holistically and this iskind of part of that process and
I think a lot of it has beeneducation and allowing women to
know that this could be part oftheir holistic problem, you know
, could be their implantscontributing to some of the
problems that they're having.
So I think knowledge andeducation has been really key in
this development.
Speaker 1 (36:12):
What do you recommend for a woman after she has
explant?
In terms of more of theholistic side, do you have
practitioners that you recommendthey go and work with if they
had complications?
Let's say they had a lot of youknow.
Of course, as a surgeon, you'regoing to clean up what you can,
(36:32):
but the fact is is that iftoxins are leaching in your body
for many, many years, it's notmaybe as easy to clean up.
What are your thoughts on that?
Speaker 2 (36:44):
A lot of my patients go on and do just full,
extensive blood panels, fullphysical examination, and if
there's problems in the blood orother medical issues that can
be treated, then that's what wedo.
I think the explant is kind ofpart one which makes a lot of
people feel better right awayand enables them to continue on
(37:07):
their health journey whenthey're feeling better, less
fatigued, less anxiety,depression and just feeling
better overall.
Speaker 1 (37:17):
Interesting.
Is that a symptom that you seewith women?
Speaker 2 (37:21):
I do, yeah, I do Quite often, yeah, yeah.
Speaker 1 (37:25):
Oh, that's interesting.
And age, is it from all agesthat you see that those symptoms
?
From all ages of patient orimplants or Patients that come
to you with symptoms, who haveimplants and are thinking or
want to have them explanted wantto have them explanted.
Speaker 2 (37:52):
I mean, in my demographic is from 20s to 80s,
implants that have been in ayear, implants that have been in
40 years.
So I see all types of patients,all types of implant durations,
absolutely.
Speaker 1 (38:02):
Wow, and I wonder.
You mentioned anxiety,depression.
Those are symptoms that you see.
Speaker 2 (38:09):
I see that a lot in my patients.
Um, you know, you have to bekind of cautious with lumping
everything into breast implantillness.
That's really still beingdefined.
I can only say what I see in mypatient population, um, but um,
you know, you know there is abig laundry list of symptoms
that women are self-proclaimingto experience and I do see many
(38:33):
of these things go away afterexpense.
Speaker 1 (38:36):
Wow, that is really fascinating that this is coming
about more and more and actuallyI'm going to say I don't think
it's a bad thing.
I don't think it's a bad thingbecause I feel like we're coming
into this world where women canage gracefully women who have
(38:57):
breastfed children, women whohave.
You know, like the fact is isthat aging doesn't necessarily
have to be an ugly thing andyou're trying to mask it, and
having implants is kind ofsomething that happens, where
women feel like they breastfedchildren and they're not what
they used to be, so they'retrying to maintain that
(39:18):
youthfulness.
Speaker 2 (39:21):
Yeah, I mean, everybody wants to look better,
wants to feel better, but I dothink a lot of my patients that
explanted really learned to lovetheir body, love their
naturalness, and it's aprogression for sure,
(39:41):
psychologically.
You know, having implants forlong periods of time and then
you know you get the completeopposite after.
So it's definitely a journey,but I agree with you it after.
So it's definitely a journey,but I agree with you.
I think that there is much moreof a push for women to embrace
themselves, embrace aging.
There's not as much pressure,although there still is pressure
on women of course it's easing,hopefully a little bit.
Speaker 1 (39:58):
Yeah, there is.
There's definitely pressure,but you know, women like myself
were in this this world ofhealth, span and longevity and
really it's more about what'sgoing on inside of you than
outside of you.
And I'm not saying I don't fallinto the aesthetic side of
wanting to age slower, but Ithink this is an important
(40:21):
conversation to say you know, isit worth your health?
Speaker 2 (40:27):
Yeah, exactly, and I think that knowing the risks and
the benefits, alternatives,potential complications going
into your surgery is reallyimportant.
I think many women in the pastwere told implants are going to
be fine, they're going to belifetime devices, you're never
going to have any issues.
But we know that's not 100%true.
So having those points in yourhead makes you make a more
(40:50):
informed consent.
Some women may say you knowwhat?
Maybe this isn't for me.
Speaker 1 (40:53):
Hmm, so if you were to knowing and seeing what
you've seen, what is your advice, as an expert in this area, to
a woman who is eitherconsidering implants or
considering explants?
Speaker 2 (41:15):
You know I, I have two young daughters and, um,
they know what I do and I I hopethat they never get implants
because I've seen the problemsthat they can cause in some
women and I think it's taking anunnecessary chance.
I would never demean a womanfor getting implants.
We all have our life andchoices to make.
(41:40):
As far as explanting, I thinkthat if you're having issues
that we talked about, withrecurring capsular contractures,
ruptures, infections, or youdeveloped a lot of strange
symptoms that you can't figureout, those are the women's that
should explant.
I think again, if you're doingfine and feeling good and
(42:00):
everything's going good, it'sjust monitoring and working with
your plastic surgeon and hopingthings don't take a turn for
the worse.
Speaker 1 (42:08):
What are the complications that can happen
after explant?
Speaker 2 (42:13):
It's generally a very safe procedure.
There's risks of bleeding.
We call it hematoma.
In my practice it's 1%, so I dofive 600 explants a year.
I get five or six hematomas.
It's a trip back to theoperating room.
Infection is rare but it doeshappen, Usually treated with
antibiotics.
Complication, you could say, isaesthetics right.
(42:34):
Everyone doesn't turn outperfect, so those are patients
you really have to work with.
I always try and come up with aplan of.
Sometimes there's smallrevisions, Sometimes there's fat
crafting.
So those are really the majorthings that I see in my practice
that are concerning Out of allof your patients.
Speaker 1 (42:54):
What would you say?
The percentages of the womenwho are happy once it's done?
Speaker 2 (43:00):
Probably 95%.
Speaker 1 (43:02):
Wow, that's, that's pretty big, that's pretty big,
that's pretty big.
Speaker 2 (43:07):
It's a big satisfaction.
Speaker 1 (43:10):
I would love for you to, because I've heard you have
quite the wait list.
Is that true?
Speaker 2 (43:17):
I do, yeah, I do.
Speaker 1 (43:19):
And there's only one, Dr Rankin right?
Speaker 2 (43:24):
Yeah, I do.
I always tell my patients thatbook your date.
If you want to try and move up,get on the cancellation list
because I have a lot of movementin my schedule.
Patients get pregnant, patientscan't travel, patients get sick
.
So we always try and movepeople up to their dates that
they are trying, know are tryingto achieve.
Speaker 1 (43:46):
And here's another question If you were going to
kind of give me a roughbreakdown, what?
Speaker 2 (44:01):
percentage of your patients are over 45 and what
percent are the younger women?
You know I haven't really donethe math on the numbers, but I
would say average patient in mypractice is probably right
around there about 45.
You know, I do have patients intheir 20s not very many.
I did a patient yesterday.
(44:22):
Implants were in for, I think,45 years, so I've done patients
in their eighties.
Speaker 1 (44:31):
Um, it just it's kind of all over the board.
And here's.
Here's another thing that Ialways kind of I've.
I've heard from women who havehad implants.
Their biggest thing is they'relike okay, well, I'm, you know,
over 50 now and am I going tokeep getting these and I'll be
like 70 and it'll be time for meto change my implants.
(44:51):
So I think, you know, thelongevity aspect is huge.
Speaker 2 (44:58):
Yeah, I see a ton of that Patients that say
specifically what you said.
I'm 50, I'm healthy, I feelgreat.
I don't want to have surgerywhen I'm 70.
You know, I want to do this nowand be proactive.
Again, that goes back againwith silicone versus saline.
You're more apt to considerthat if you have a silicone
(45:18):
implant, you really don't want aruptured silicone implant that
causes a complication later downthe road.
Speaker 1 (45:25):
And here's the other thing that I always see.
Obviously, you know, as we age,we are a little bit more
sensitive to any assaults thatcome our way.
As we're aging, we're just notas resilient and we have to do a
little bit more.
So that, I've heard, is anotherconsideration that women have
they're like well I'm healthynow, but you know that women
have they're like well, I'mhealthy now, but you know, in 10
(45:46):
years from now, what ifsomething comes my way, even
high stress, like we all know,there's that factor and there
are things in our lives that youknow we really don't
necessarily have control over.
So why add another thing to themix that could potentially
increase or exacerbate otherissues that are going on?
Speaker 2 (46:09):
Yeah, a hundred percent.
There's definitely more risk toundergoing anesthesia when
you're in your seventies than inyour fifties and, like you said
, you'll have othercomorbidities that can be
confounding when you go to dosurgery down the road also.
So for those patients they liketo do surgery down the road
also, so, um, for those patientsthey like to do something a
little, a little sooner whilethey're, while they're healthy,
(46:32):
this has been such a greatconversation.
Speaker 1 (46:34):
Is there anything that we missed?
We kind of ran through itpretty quickly, maybe because
it's, you know, almost sixo'clock dinner time.
Speaker 2 (46:41):
No, I think, um, I think we really covered all the
major points.
I think it's important to statethat if you do elect to have an
explant, you choose aboard-certified plastic surgeon
American Board of PlasticSurgery and someone that does it
all the time.
So, like anything in life,experience is key.
It's not the simplest surgeryin the world.
Speaker 1 (47:04):
You want somebody with experience, so that that, I
think, is a really good talkingpoint okay and do a lot of
surgeons do mostly explants,because I haven't heard of a ton
of them there's more and more,you know.
Speaker 2 (47:20):
As more women are wanting to have this done, more
plastic surgeons are steppingforward to accommodate them, I
think you should find a doctorthat does believe in breast
implant.
Illness also Makes sense.
That's important In my practice.
I don't put in implants, I justexplant.
(47:40):
Not necessarily that issomething that you have to look
for, but doctors that just focuson explanting and trying to do
the best in that regard, I thinkis someone maybe to look for.
Speaker 1 (47:52):
Okay, and you can find them across the United
States, canada.
Speaker 2 (48:00):
Yeah, absolutely of social media groups that are,
it's just all women talkingabout explanting and breast
implants and a lot of thosegroups are pretty good because
you can ask other women theirexperience that they've had and
it's good to have a referralfrom someone that's been through
the process and been to adoctor that has done a lot of
these.
Speaker 1 (48:19):
Yes, I've heard your name a few times, so that
obviously means something,because I'm in this whole world
of holistic wellness and peopleare talking about you, dr Rankin
, so that's a good thing.
Speaker 2 (48:32):
It's awesome.
Speaker 1 (48:33):
Yeah, so where can we find you?
Speaker 2 (48:36):
So on Instagram I'm DavidRankinMD and that's really
my main source of information.
I also have a website atDavidRrankinmdcom as well.
Speaker 1 (48:50):
Okay, that is perfect .
Thank you so much for your timetoday.
I know you're a very busy man.
I really appreciate you comingand speaking with us.
Speaker 2 (48:59):
It's my pleasure and keep doing the great work.
Thank you, keep doing the greatwork.
Speaker 1 (49:05):
Thank you.
I hope you enjoyed this episode.
Be sure to share it withsomeone you know might benefit
and always remember when yourate, review, subscribe, you
help to support my content andhelp me to keep going and
bringing these conversations toyou each and every week.
(49:28):
Join me next week for a newtopic, new guest, new exciting
conversations to help you liveyour best life.
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