I had double-lumens implants (silicone inner lumen with saline outer lumen) implanted 36 years ago. I had major encapsulation. Mammograms suggested possible rupture. This week I have noticed some deflation and severe pain which has gotten gradually worse. I saw a surgeon about having them removed in 2012. He used fat to reconstruct breasts. I had both of my knees replaced in 2012/2013 so I put off dealing with the explant and lift. am making an appointment to see a surgeon but I am concerned that he will not know how to deal with bacterial and fungal infections. I go to a functional medicine doctor that I can consult for the medical protocol. Does Dr. Kolb use fat to reconstruct breasts after explant and removal of capsule?