Breast · Beverly Hills, CA

Breast Reconstruction

Q: Can breast reconstruction be performed immediately after a mastectomy or lumpectomy?

Yes, reconstruction can be immediate or delayed. The choice depends on cancer treatment plans, including timing of radiation, wound healing, and patient preference. Your oncologic and reconstructive teams coordinate timing to balance cancer care with optimal reconstructive outcomes.

Q: What are the main differences between implant and autologous reconstruction?

Implant reconstruction uses prosthetic devices and may involve expanders or direct-to-implant work, avoiding donor-site surgery. Autologous reconstruction uses your own tissue, which can provide a natural feel and permanent volume but includes donor-site scars and longer recovery.

Q: How does a two-stage implant reconstruction work with expanders and timing?

Two-stage implant reconstruction places a tissue expander first to create a breast pocket; the expander is later exchanged for a permanent implant. Timing depends on healing and any adjuvant treatments; the team plans expansions and the exchange around oncologic care.

Q: What are DIEP, PAP, and TUG free flap reconstructions and how do they differ?

DIEP, PAP, and TUG are types of free flaps that transfer tissue from different donor sites using microsurgery. They differ by donor location, tissue composition, and scar placement; the choice is based on available tissue, prior scars, and reconstructive goals.

Q: When is nipple and areola reconstruction typically performed after reconstruction?

Nipple and areola reconstruction is usually staged after the primary breast mound has healed and settled. Tattooing is often used to match color. Timing is individualized to optimize healing and aesthetic results and to coordinate with any planned revisions.

Q: What should I expect during recovery and follow-up care after reconstruction?

Expect staged postoperative visits to monitor healing, manage drains if used, and plan any expansions or exchanges. Follow-up includes wound checks, scar care instructions, and scheduling of refinements; the Beverly Hills office coordinates appointments for ongoing care.

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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.

The technique, explained

How Breast Reconstruction Works at our Beverly Hills Practice

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Learn surgical options, timing choices, and what shapes results after mastectomy or lumpectomy in Beverly Hills.

Choosing a reconstruction method

Choosing a reconstruction method begins with clinical factors — whether you had a mastectomy or lumpectomy, whether radiation or chemotherapy is planned, and your overall health and body type. Personal goals matter equally: symmetry, scar placement, recovery trade-offs, and whether you prefer to use implants or your own tissue all shape the recommended approach.

Logistics and lifestyle influence decisions in Beverly Hills too: many patients coordinate reconstructive surgery with oncologic treatment and daily schedules, combining appointments with nearby errands or stays in the Golden Triangle area. Dr. Sahar and the team review surgical reports and imaging to align timing and technique with each patient’s circumstances and preferences.

Implant-based reconstruction details

Implant-based reconstruction commonly runs in two stages using a tissue expander that is later exchanged for an implant, though direct-to-implant one-stage reconstruction is an option in selected cases. Acellular dermal matrices are sometimes used to support implants; Dr. Sahar’s clinical research, including a prospective randomized trial, informs how these materials are applied in practice.

Patients should weigh trade-offs: implants avoid donor-site surgery but may require future procedures for exchange, revision, or to address effects of radiation. Nipple and areola reconstruction typically follows to refine the breast’s appearance; the team discusses likely scar patterns, revision possibilities, and how local follow-up is scheduled in Beverly Hills.

Autologous reconstruction and finishing touches

Autologous reconstruction uses a patient’s own tissue to recreate the breast and ranges from targeted fat grafting to pedicled flaps like the latissimus dorsi and free flap transfers such as DIEP, PAP, and TUG. Each option has different donor-site implications, vascular requirements, and aesthetic outcomes, so the surgical plan is individualized based on body habitus and reconstructive goals.

Finishing touches often include nipple and areola reconstruction and medical tattooing to unify color and projection. These steps are usually staged after the primary reconstruction has settled. Follow-up care is coordinated from the Beverly Hills office, allowing patients to return for staged refinements alongside other appointments in the area.

If you are considering breast reconstruction, bring pathology reports, operative notes, and a list of priorities for appearance and recovery to your consultation. That information helps Dr. Sahar recommend implant or autologous approaches and set realistic expectations for scarring, donor sites, and staged procedures.

Our Beverly Hills location near the Golden Triangle and Santa Monica Boulevard provides convenient access for follow-up and coordinated care with oncologic teams. Staff can help schedule appointments to fit workdays, shopping, or travel, and will explain next steps for surgery logistics and postoperative visits.

What Our Clients Say

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Read testimonials from our satisfied customers

The best experience! The doctors were amazing and very experienced. Jen was so great and made me feel so comfortable. Always available to answer questions, just the best overall!!...more

Janette Rodriguez

September 24, 2026

Dr Sahar is a fantastic plastic surgeon and I highly recommend him to anyone wanting or needing plastic surgery. He did my breast cancer reconstructive surgery and I finally feel like I have the symmetry I’ve been wanting after years of surgeries by other surgeons. Dr Sahar is the best in his field. All the nurses in his practice are also wonderful. 5 stars!!!...more

Renee Stauffer

September 15, 2026

I cannot recommend Dr sahar highly enough! From my very first consultation to my final follow-up, he made me feel comfortable, heard, and genuinely cared for. His kindness, compassion, and dedication to his patients made the entire experience exceptional.
I had liposuction with fat grafting to my breasts, and I am beyond thrilled with my results. The liposuction gave me a beautifully contoured shape, and the fat grafting created breasts that look so natural, full, and beautiful. The results exceeded my expectations, and I feel so much more confident. His attention to detail and incredible surgical skill truly show in his work.
The entire staff was just as amazing—friendly, professional, caring, and always welcoming. They made every visit a pleasant experience and were always there to answer my questions and make me feel comfortable.
If you’re looking for a highly skilled, compassionate surgeon who truly cares about his patients and delivers beautiful, natural-looking results, I wholeheartedly recommend him. Thank you for changing my confidence and giving me results that I absolutely love!...more

Veronica Brambilla

July 31, 2026

I don’t write reviews often but I want other women, like myself, who are looking for a surgeon, to see this. I found Dr Sahar while doing a search, not knowing any doctors in So Ca and scheduled an appointment. I liked him and his credentials are excellent. He performed an extremely complex 4-1/2 hour surgery on me. That was 4 days ago. I have not experienced any post op pain at all. I took 3 1/2 tablets of an opioid for 1 day because I kept thinking that pain was going to start. I stopped taking anything the 2nd day. Today, Dr Sahar removed my dressings and there is no bruising, no evidence of an incision and my breasts look beautiful. I am humbled and grateful to have found a surgeon with Dr Sahars level of experience and expertise. No regrets or disappointment here! This was truly a good decision!...more

Bonnie Lovette

June 15, 2026

Dr. Sahara and his entire team are absolutely amazing! From the very beginning, they made me feel supported, cared for, and comfortable throughout my reconstruction journey.

A special thank you to Marisol and the office staff, who went above and beyond to help me get an earlier surgery date so I could be more comfortable. They are always so kind, helpful, and genuinely a pleasure to see every time I visit the office.

Dr. Sahara did an incredible job with my breast cancer reconstruction. I am beyond happy with my implant removal, fat transfer and the results he achieved. The care, skill, and attention to detail he provided have made such a positive impact on my confidence and quality of life. I am so grateful for how I look and feel today.

Thank you, Dr. Sahara, Marisol, and the entire team for your exceptional care. I highly recommend this practice to anyone considering breast reconstruction....more

Kelley Granlund

June 5, 2026

Dr. Sahar is the best!!!
He takes the time to listen to your concerns and explains everything. You are in great hands with Dr. Sahar and his team....more

trino sandoval

May 15, 2026

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Frequently Asked Questions

Get answers to common questions about Breast Reconstruction.

Can breast reconstruction be performed immediately after a mastectomy or lumpectomy?

What are the main differences between implant and autologous reconstruction?

How does a two-stage implant reconstruction work with expanders and timing?

What are DIEP, PAP, and TUG free flap reconstructions and how do they differ?

When is nipple and areola reconstruction typically performed after reconstruction?

What should I expect during recovery and follow-up care after reconstruction?

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