Transformative Breast Care for Beauty, Form and Confidence
Breast covers surgical procedures of the breast and chest, from augmentation, lift and reduction through to reconstruction after mastectomy or lumpectomy. It also holds the full range of revision work on previous breast surgery, including implant removal, capsule removal and treatment of capsular contracture, alongside procedures focused on the nipple and areola. Some options use implants while others use the patient's own fat, and gynecomastia surgery for men is included here as well. Dr. Sahar is a breast specialist whose work in this area has been published in peer reviewed scientific journals. Every procedure begins with a consultation to assess your anatomy, discuss your goals and build a personalized surgical plan.
Complete Breast Surgery Services Overview
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From augmentation to reconstruction, we offer individualized surgical options and expert revisions.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Why Choose Dr. David Sahar
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Specialized breast care combining artistry, scientific rigor and personalized surgical planning.
Board-Certified Breast Expertise
Dr. Sahar's published research and years of clinical experience ensure safe, evidence-based breast surgery and excellent outcomes.
Personalized Surgical Plans
Each procedure begins with a detailed consultation to assess anatomy, goals, and create a customized surgical roadmap.
Comprehensive Revision Care
We address implant issues, capsular contracture, ruptures, and aesthetic revisions using advanced techniques and individualized strategies.
Reconstruction & Oncoplastic Expertise
Specialized reconstruction after lumpectomy or mastectomy, integrating radiation planning and fat grafting for natural contour and symmetry.
What Our Clients Say
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The best experience! The doctors were amazing and very experienced. Jen was so great and m...more
Dr Sahar is a fantastic plastic surgeon and I highly recommend him to anyone wanting or ne...more
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Breast Surgery Frequently Asked Questions
Answers to common concerns about procedures, recovery, implants, reconstruction, and revision options.
Choosing the right procedure depends on breast shape, skin quality, volume goals, prior surgeries, and medical history. Dr. Sahar evaluates anatomy during consultation, explains options—augmentation, lift, reduction, reconstruction, fat grafting—and recommends a personalized plan focused on safety, aesthetics, and long-term results.
Recovery varies: most patients return to light activity within one week and resume exercise after four to six weeks. Initial swelling and discomfort subside over weeks; final shape settles over several months. Dr. Sahar provides specific post-op instructions to support healing and optimal outcomes.
All surgery carries risks—bleeding, infection, scarring, asymmetry, and changes in sensation. Capsular contracture is a known complication causing firmness or distortion; treatments include medication, capsulectomy, or implant exchange. Dr. Sahar discusses personalized risk profiles and preventive strategies during consultation.
Yes. Autologous fat grafting can refine contour, improve symmetry, and soften implant edges. It’s frequently used in reconstruction and augmentation revisions. Eligibility depends on available donor fat, prior treatments, and oncologic considerations; Dr. Sahar will evaluate suitability during planning.
Options include implant removal with or without replacement, capsulectomy to remove the capsule, implant exchange, pocket revision, and fat grafting for contour correction. Choice depends on symptoms, implant condition, and patient goals; Dr. Sahar tailors revision plans for safety and improved aesthetics.
Radiation can affect tissue quality, increase complication risk, and influence timing and technique. Dr. Sahar coordinates with oncology and may recommend autologous reconstruction, staged procedures, or tailored implant strategies to optimize healing, aesthetics, and long-term outcomes in irradiated breasts.