Breast

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Breast Augmentation

Breast augmentation, or augmentation mammoplasty, enhances the size, shape and fullness of the breasts using implants filled with either silicone gel or saline. It suits people who want more volume, who want to restore fullness lost after pregnancy or weight loss, or who want to improve symmetry and overall body proportion. Implants can be placed through an incision in the fold under the breast, around the edge of the areola or in the armpit, and sit either over or under the pectoral muscle depending on your anatomy and preferences. Dr. Sahar is a breast specialist with extensive experience in both implant and autologous fat graft augmentation....more

Revision of Breast Augmentation

Implants that have shifted, hardened, rippled or ruptured do not have to be lived with. Revision of breast augmentation, also called breast implant revision or replacement, alters or corrects the result of an earlier augmentation, whether the reason is a cosmetic goal that changed, a complication that developed, or the effect of pregnancy, weight fluctuation or aging. Depending on what is being addressed, surgery may replace the implants, remove or release the scar tissue capsule, reposition an implant that sits badly, or remove the implants altogether. Dr. Sahar addresses all forms of breast deformity resulting from previous operations, with his work published in peer reviewed scientific journals....more

Breast Lift (Mastopexy)

A breast lift, or mastopexy, lifts and reshapes breasts that have begun to sag through aging, pregnancy, breastfeeding, weight change or heredity. Precise incisions are made, excess skin is removed, and the remaining tissue is reshaped into a higher, firmer position. The technique is matched to the degree of sagging: a crescent lift for minor cases, a vertical lollipop lift, or an anchor lift where sagging is more significant. Dr. Sahar brings over a decade of experience to these procedures and tailors each one, drawing on skin excision, areola reduction, auto-augmentation to enhance projection, and fat grafting to restore volume and upper pole fullness....more

Breast Reduction Center of Beverly Hills

Chronic neck, upper back and shoulder pain, indentations from bra straps, rashes and skin irritation, poor posture and limits on exercise and clothing are what bring most patients in for breast reduction. Reduction mammoplasty removes excess breast tissue, fat and skin, reshapes what remains, and repositions the nipple and areola for a more proportionate result. This is a weekly procedure in Dr. Sahar's practice, typically using the Wise-pattern inferior pedicle technique, and he has performed hundreds of them. Where physical symptoms have not resolved with physical therapy or other means, most patients are covered by health insurance....more

Breast Reconstruction

Breast reconstruction recreates the shape and appearance of a breast after mastectomy or lumpectomy, and can be performed immediately or delayed depending on your circumstances. Implant based options run in two stages with a tissue expander or direct to implant in one; autologous options use your own tissue, from fat grafting to pedicled flaps such as the latissimus dorsi or free flaps including DIEP, PAP and TUG. Nipple and areola reconstruction, sometimes completed with tattooing, often follows to finish the natural look. Dr. Sahar is known internationally for his clinical and academic work here, including the first prospective randomized trial of acellular dermal matrices in implant based reconstruction....more

Breast Revision

Breast revision surgery addresses dissatisfaction or complications following an earlier breast augmentation. Patients come in because their preferences have changed, because the aesthetic result was not what they wanted, or because of implant rupture, implant displacement or capsular contracture. Techniques include replacing the implant, repositioning it, removing excess scar tissue, or combining a breast lift with the revision to improve overall shape. Recovery varies with how extensive the revision is, and a support garment is usually worn while healing. Dr. Sahar has performed thousands of breast procedures over a decade, both primary and revision....more

Breast Implant Removal

Explantation removes breast implants and, depending on the case, some or all of the surrounding scar tissue capsule. People choose it for medical reasons such as rupture, pain, breast implant illness, exposure or infection; for cosmetic concerns including capsular contracture, asymmetry, nipple malposition or sagging; or simply because their preferences have changed. The surgeon may perform an en bloc capsulectomy, taking implant and capsule together, or leave the capsule in place, and a breast lift can be added afterwards to address shape and sagging. Dr. Sahar has over a decade of experience with implant removal and with mastopexy using an inferior breast flap to optimize nipple position and projection....more

Breast Implant Capsule Removal

Scar tissue forming around an implant is the body's natural response, but it can harden or otherwise become a problem, and capsulectomy removes it. The signs that bring patients in include hardness or firmness in the breast, pain or discomfort, a change in breast shape or position, swelling or inflammation, visible distortion or asymmetry, and general fatigue or autoimmune-like symptoms where breast implant illness is suspected. Removal may be total, en bloc with the implant still inside, or partial, based on what the case calls for, and imaging such as ultrasound or MRI may be used beforehand. The procedure is performed under general anesthesia....more

Breast Implant Capsular Contracture

Capsular contracture is the formation of thick scar tissue around a breast implant after augmentation, and it is graded on the Baker scale, from a breast that still feels soft and looks natural through to one that is hard, painful and significantly distorted. Contributing factors can include inflammation, infection, implant rupture or leakage, and accumulation of blood or fluid around the implant. Mild cases are sometimes managed without surgery through massage, medication or ultrasound therapy, while more advanced ones call for capsulotomy to release the capsule, capsulectomy to remove it, implant replacement, or a change in implant placement to reduce the risk of recurrence....more

Removal of Ruptured Breast Implant

A rupture can happen through trauma, such as a fall, a car accident or manual manipulation, or simply through normal wear and tear over time. A saline rupture is usually apparent almost immediately as the solution is absorbed by the body, while a silicone rupture often needs imaging such as ultrasound, MRI or CT to confirm. Surgery removes the compromised implant, generally through the incisions used for the original augmentation, and how extensive it is depends on whether the leak is minor or significant. Some patients choose to have a new implant placed during the same surgery, which is a decision to work through at consultation....more

Breast Fat Graft Transfer

For anyone who wants a natural enhancement without implants, fat graft transfer uses the patient's own fat. Liposuction harvests it from a donor area such as the abdomen, thighs or flanks, it is processed to remove impurities and excess fluid, and the remaining healthy fat cells are layered into the breast through multiple injections, contouring the donor area at the same time. The trade-offs are stated plainly: the increase in size is modest, not all transferred fat survives, and more than one session spaced several months apart may be needed. Dr. Sahar has performed hundreds of fat transfer procedures for both cosmetic and reconstructive reasons and won the ASPS Best of the Best award for his work on fat grafting....more

Nipple Reconstruction

Nipple reconstruction is usually the final step of a breast reconstruction, performed several months after the earlier surgeries so the reconstructed breast has had time to settle and heal. A new nipple is created either from a local flap of the breast's own tissue or from a small skin graft taken from the surrounding area, and the areola is recreated afterwards with tattooing matched to natural color and size. It is typically an outpatient procedure performed under local anesthesia, with most people back to their regular activities within a few days. It is often done on both breasts so the result is symmetrical....more

Retracted Nipple Repair

Inverted or retracted nipples can be present from birth or develop later through scarring or other breast conditions. Repair releases the tissue fibers holding the nipple inward and repositions it to project outward, working through small incisions at the base of the nipple that are hidden within its natural pigmentation or the areola. A shield is placed with sutures to protect the repair during initial healing. It is usually performed under local anesthesia with or without sedation, recovery is relatively quick, and results are typically permanent. Correcting inversion can also improve breastfeeding function in some cases....more

Areola Reduction

Areola reduction resizes the darker pigmented skin around the nipple, and suits people whose areolas are naturally large, asymmetric, or simply out of proportion with their breasts. A circular section of tissue is removed from the outer edge and the remaining tissue is sutured to the size and contour wanted, with the incision following the natural color transition so scarring stays discreet and fades over time. It can be performed on its own, usually under local anesthesia, or alongside another procedure such as a breast lift. Recovery is relatively quick and the results are generally permanent....more

Nipple Reduction

Nipples that are larger or more protruding than a person wants can be reduced through precise incisions, often placed around the areolar border. A segment or wedge-shaped piece of tissue is removed and the nipple is reshaped and closed with fine sutures, then protected with a dressing. It is frequently performed under local anesthesia with or without sedation, though general anesthesia is an option depending on preference and the extent of the procedure. The reduced size is visible immediately, mild swelling and discomfort settle quickly, most people return to normal activities within a few days, and results are typically permanent....more

Gynecomastia

Gynecomastia is enlargement of the breast tissue in males, affecting one or both sides, and is most often driven by a hormonal imbalance between estrogen and testosterone during puberty, with aging, or as a result of certain medications, endocrine conditions or substance use. Diagnosis involves a physical examination, a review of medical history, and tests to rule out an underlying cause. During puberty it sometimes resolves on its own, and where a medication or medical condition is responsible, treating that may be enough. Where it persists and causes significant physical or psychological discomfort, surgery uses liposuction where the tissue is mostly fatty, or excision where there is significant glandular tissue....more

Breast Fat Reduction

Also known as breast liposuction, this procedure removes excess fat from the breasts to bring them into better proportion with the rest of the body. Small incisions are placed inconspicuously, often around the areola or in the natural breast crease, and a thin hollow cannula removes fat by gentle suction while the breast is sculpted to the size and shape wanted. It is performed under local anesthesia with sedation or under general anesthesia, leaves minimal scarring, and most patients return to light activities within a few days. One thing to weigh at consultation: reducing volume can lead to sagging, which may call for a breast lift....more

Radiation and Breast Reconstruction

Radiation therapy changes the tissue it treats, leaving skin stiffer, less pliable and more prone to scarring, which makes reconstruction afterwards a genuinely different problem. Irradiated skin can be difficult to expand with a tissue expander, and an implant already in place when radiation is given may tighten and sit higher on the chest, creating asymmetry with the other side. Timing matters: surgery is generally delayed about a year after the last dose to reduce the risk of complications, and fat grafting is often used to improve tissue quality before an implant goes in. This is a particular area of interest for Dr. Sahar, who has over a decade of experience with these cases and published research on the safety of fat grafting in this setting....more

Body

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Abdominoplasty (Tummy Tuck)

A tummy tuck reshapes and contours the abdomen by removing excess skin and fat, tightening the underlying abdominal muscles and repositioning the belly button so the result looks natural. It is commonly chosen after pregnancy, significant weight loss or aging, where loose skin, stretch marks or muscle separation remain. A full abdominoplasty addresses the entire area from the pubic bone to the ribcage, while a mini abdominoplasty uses a smaller incision focused on the lower abdomen for patients with less excess skin and fat. Liposuction is usually included to improve the waistline, and adjuvant techniques such as J-Plasma, Vaser or RF may be added for skin tightening....more

Abdominoplasty (Tummy Tuck) Revision

Revision corrects or improves the result of a previous tummy tuck, and the reasons are usually specific: abdominal fascia that was not tightened enough, excess fat under the skin, dog-ears of protruding skin along the lateral incision, persistent loose skin, a belly button deformity, contour irregularity or asymmetry. It is also chosen after significant weight change, pregnancy or aging has altered the original result. The surgeon may use the original incisions, extend them or create new ones, then repair separated or weakened muscle, remove excess skin and fat, and use liposuction to sculpt the area and clear localized fat deposits....more

Mommy Makeover

A mommy makeover is not one operation but a combination chosen around what changed after pregnancy and childbirth. It commonly brings together a tummy tuck for loose abdominal skin and weakened muscle, breast augmentation or a lift to restore shape and volume, and liposuction to improve overall body contour; labiaplasty and non-surgical treatments such as Botox or weight loss injections are options as well. The procedures can be performed in a single session or staged over several, depending on your preference and your surgeon's recommendation. Recovery generally involves several weeks of rest and limited physical activity....more

Liposuction

Liposuction removes stubborn fat deposits from specific areas to improve the body's contour. Through small incisions, a tumescent solution of saline, local anesthetic and epinephrine is injected to numb the area and limit bleeding, then a thin hollow cannula is used to break up and suction out the fat. It can treat the abdomen, thighs, buttocks, hips, flanks, back, arms and neck among other areas, and is performed under local anesthesia with sedation or under general anesthesia. Results become apparent as swelling subsides over a few weeks, with a compression garment worn to support healing in the meantime....more

Thigh Lift

A thigh lift, or thighplasty, removes excess skin and fat from the thighs and tightens the tissue underneath for a more toned and sculpted contour. An inner thigh lift focuses on the inner thigh, addressing chafing and sagging skin, while an outer thigh lift targets loose skin on the sides of the thighs and the buttock area. It is typically performed under general anesthesia, with incisions placed along the inner or outer thigh depending on how much correction is needed and on your anatomy. Results are noticeable immediately and continue to improve as swelling subsides; most patients return to light activities within a few weeks....more

BBL – Brazilian Butt Lift (Gluteal Fat Transfer)

A Brazilian butt lift adds volume and improves the shape of the buttocks using the patient's own fat rather than an implant. Liposuction harvests fat from an area with an ample supply, such as the abdomen, waistline, back or thighs, it is processed to remove impurities and excess fluid, and the purified fat is injected in layers through small incisions. Dr. Sahar performs uBBL, ultrasound guided BBL, for every patient: the ultrasound guidance reduces the risk of fat being injected into muscle or large vessels, and he has investigated the safety of gluteal augmentation methods himself. Patients are advised to avoid sitting or lying directly on the buttocks for a few weeks while the transferred fat establishes a blood supply....more

Arm Lift (Brachioplasty)

Loose skin on the upper arms is not only a cosmetic concern; when there is enough of it, it gets in the way of daily activities. Brachioplasty removes excess skin and fat through liposuction, surgical resection or both, and tightens the underlying tissue where that is needed. Incisions run along the inner part of the upper arm, with their length and pattern depending on how much correction is required. It is usually performed under general anesthesia, although local anesthesia with sedation is sometimes an option, and arm movement is limited during the initial healing phase. Results show immediately and keep improving as swelling settles and wound healing progresses....more

Waist Reduction Surgery

Waist reduction surgery reshapes and redefines the waistline by removing excess fat and, where needed, excess skin. Liposuction through small incisions does most of the sculpting; skin removal is particularly common in post-weight-loss patients, who often have significant laxity, and the abdominal muscles can be tightened to sharpen the definition further. It is typically performed under general anesthesia, with a dressing or compression garment worn afterwards to support healing. Results are noticeable immediately and continue to improve as post-operative swelling subsides, with most patients back to light activities within a few weeks....more

Rectus Diastasis Repair

Diastasis recti is a separation of the abdominal muscles, often occurring after pregnancy, that leaves the abdominal wall weakened and the midsection bulging. Repair is performed through an incision along the midline of the abdomen, usually running from just below the breastbone to the pubic area, where the separated muscles are sutured back together to restore proper alignment and tighten the wall. Excess skin and tissue may be removed at the same time where there is significant laxity. Beyond a firmer, flatter midsection, the repair improves core strength and posture, which is why it matters to many patients well beyond how it looks....more

Scar Revision

Scar revision improves the appearance of a scar left by surgery, injury, burns, acne or another skin condition, and the technique is matched to the scar itself. Options include excising the scar tissue and closing with precise sutures for a thinner line, Z-plasty or W-plasty to alter the direction and tension of the scar, laser therapy to reduce redness and smooth texture, steroid injections to flatten a raised scar, dermal fillers to raise a depressed or atrophic one, and microneedling to stimulate collagen production. Recovery ranges from minimal downtime for the non-surgical treatments to several weeks for a surgical revision....more

Keloids

Keloids are raised, firm, rubbery overgrowths of scar tissue that extend beyond the boundaries of the original wound, which is what sets them apart from other raised scars. They form through an overproduction of collagen during healing, often run in families, are more common in people with darker skin types, and can be triggered by any skin injury including surgical incisions, burns, acne scars and piercings. Treatment options include steroid injections, surgical removal, laser therapy, silicone gel or sheets, cryotherapy, pressure dressings, interferon therapy, and in some cases radiation after removal to prevent recurrence. Keloids are not harmful, but they can cause discomfort and are often a real cosmetic concern....more

Hypertrophic Scar

A hypertrophic scar is raised, thick, firm and usually red or pink, but unlike a keloid it stays within the boundaries of the original injury. It results from an overproduction of collagen during the skin's healing process, and commonly follows surgical incisions, accidental injuries such as burns, cuts or abrasions, and in some cases acne lesions. Treatment options include silicone gel or sheets, steroid injections, pressure dressings, laser therapy and surgical revision, depending on the individual case. Proper wound care early on, keeping the wound clean, moisturized and protected from excessive sun exposure, also helps reduce the risk of one forming....more

Renuvion/J-Plasma Skin Tightening

Renuvion, formerly known as J-Plasma, is a minimally invasive skin tightening treatment that uses helium and a gentle stream of radiofrequency energy to create cold plasma, contracting the collagen-rich connective tissue beneath the skin. Rather than focusing energy on the thin surface layer, it treats the layers underneath that matter more for body contour, producing a three-dimensional shrinkwrap effect that can stand alone or be added to liposuction. Because it acts selectively on skin and connective tissue, it suits someone with moderate laxity and little fat who wants to avoid a more invasive operation. Most patients need only one treatment, results appear within a few weeks and may keep improving for up to a year....more

Immediate Reconstruction After Moh's Surgery

Immediate reconstruction repairs the wound left by Mohs skin cancer removal on the same day the cancer is taken out, rather than leaving it open for several days or a week, which is what makes it immediate rather than delayed. The Mohs surgeon's office and the plastic surgeon's office coordinate a date when both are available; the Mohs surgeon removes the cancer, and the patient is sent the same day, often with a protective dressing, to the plastic surgeon for reconstruction and closure. Depending on complexity, this may involve local tissue rearrangement, a skin graft, or regional or free flaps where larger sections of tissue are transferred. Stitches generally come out within the first week, and both immediate and delayed reconstruction are offered....more

Non Surgical Treatments

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Botox

Botox targets the small facial muscles responsible for lines and wrinkles, relaxing them so the skin above smooths out while your own expressions are preserved. Treatment areas include the forehead, frown lines, crow's feet, bunny lines, jawline, chin and neck bands, and beyond wrinkles it is used to control excessive sweating in the underarms, palms and feet and to ease chronic tension-related migraines. Each session starts with a consultation and a tailored plan; the area is cleansed, a topical anesthetic may be applied, precise markings are made, and Botulinum Toxin Type A is injected with a fine needle. Results often begin to appear within 24 to 48 hours, with the full effect visible in one to two weeks....more

$14.00+

Weight Loss Injections

Tirzepatide is a once-weekly self-injection, originally developed to manage blood sugar in type 2 diabetes and now recognized as a treatment for weight management. It targets both the GLP-1 and the GIP receptors, signalling the pancreas to regulate insulin, slowing digestion to promote fullness, and influencing the hunger centres in the brain to reduce appetite and cravings. Dosing options run from 1.5 mg to 7.5 mg per week, and treatment begins with a consultation including a comprehensive health history review and laboratory evaluation with the physician. Good candidates are healthy adults with a BMI over 30, or over 27 with at least one weight-related health condition, who are committed to balanced nutrition and regular exercise; it is not recommended for anyone with a history of medullary thyroid cancer, gallbladder disease, pancreatitis or multiple endocrine neoplasia type 2....more

$99.00 - $250.00

Our Services

Plastic Surgery Art and Science Institute: Dr. David Sahar, MD

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Breast

Breast Augmentation

Revision of Breast Augmentation

Breast Lift (Mastopexy)

Breast Reduction Center of Beverly Hills

Breast Reconstruction

Breast Revision

Breast Implant Removal

Breast Implant Capsule Removal

Breast Implant Capsular Contracture

Removal of Ruptured Breast Implant

Breast Fat Graft Transfer

Nipple Reconstruction

Retracted Nipple Repair

Areola Reduction

Nipple Reduction

Gynecomastia

Breast Fat Reduction

Radiation and Breast Reconstruction

Body

Abdominoplasty (Tummy Tuck)

Abdominoplasty (Tummy Tuck) Revision

Mommy Makeover

Liposuction

Thigh Lift

BBL – Brazilian Butt Lift (Gluteal Fat Transfer)

Arm Lift (Brachioplasty)

Waist Reduction Surgery

Rectus Diastasis Repair

Scar Revision

Keloids

Hypertrophic Scar

Renuvion/J-Plasma Skin Tightening

Immediate Reconstruction After Moh's Surgery

Non Surgical Treatments

Botox

Weight Loss Injections