Dr. Mohebali seems to be renowned for his breast surgeries, but he deserves much more recognition! I had a complex case of hypertrophic scarring after a botched facelift surgery. On the recommendation of a physician friend who had been operated on by Dr. Davis for facelift, I sought his expertise. He did a fantastic job correcting the scarring and achieving an excellent overall result with the facelift revision. I can't recommend him enough.
So Excited!!! I just booked my surgery for Dec 24th at 5:30 am. They were able to get me in much earlier than expected and just in time as a little X mas present. He came highly recommended by every Mill Valley mom I talk to about any sort or treatment or surgery. Michelle is amazing right off the batt. I met Dr. Khashayar Mohebali right away and he explained everything about the angles we were dealing with in my profile and immediately was able to show me why I could use a lift as well as an implant. My mom was also with me and agreed, I'm probably in level 2 ptosis meaning that my nipple is a little lover than my crease. Then we explored implant types, I chose the gummy hybrid because i need to fill out my upper breast since that is where I lost most of the weight. My goal is to be somewhere between a D and DD. have some room in between them, and also not get to wide. Still I need to fill above to achieve that cleavage look without pushing my boobs up artificially. I plan on them looking rather natural(its natural for me because I'm 5'5" and am pretty curvy already (with a push up I'm usually at a d+, but i only wear it because if not the look a little low.) I'm splitting hairs here. At the end of my consultation I added some lipo to the armpit area because I feel it will make a tremendous difference. ******little bit about my procedure: I had very full C's growing up ...like since 8th grade. I am 29 at the moment. After gaining weight two years ago I am finally back to my normal weight of 135. Unfortunately my recently full, swollen D breasts (from weight gain and a slight hormonal imbalance) were not longer D's but sadder C's. (see pics) They aren't bad, I like the peachy/TearDrop Shape, but i have Grade 1 or 2 ptosis. I like my nipple size, but I hate the lines in the middle of my chest that form when I don't have enough support in a bra or bathing suit. They stretched out and I'm missing volume on the top. Also they make me look like I have worse posture than I do, and I hate how that looks(and hearing my mom call me out about bad posture when its just my boobies that are an inch or 2 lower than she thinks LOL). I plan on having children in 3-4 years, I wore a push up bra for most of my years and I do think that it could be one of the reasons why I lost some volume as well. The procedure is SO WE DECIDED.... Procedure: Breast Lift with Implants (375CC M+) The silicone gummy mix. Armpit Fat Removal/Lipo A Updated on 26 Dec 2020: Alright so, first I would like to apologize for all of the typos on my original post! Now for an update my first attachment is a pre op photo of me in the OR. Dr. Mohebali came in himself and drew a line down the center of my chest went over some of the results and just what I should be expecting and just kind of ease me into it from there I went straight into the operating room and I literally close my eyes and woke back up and was done with my surgery. It was really comforting because the nurses we’re all telling me how great Dr. Mohebali is and what a great job he does before hand so that really used to be into it. literally as I came home that day(my surgery was at 5:30 am which I loved. I was surprisingly fine right after the surgery(see video) One thing that really helped was my fiancé who took a bed sheet and put it over the couch so that I could hang out there. We just got a puppy too so it was a little scary knowing that my dog who typically jumps up would have to learn pretty quickly do not jump up on me at all. Immediately after my surgery I could feel a release of pressure and weight. Before I had dears that would get really swollen I think it had something to do with the unequally distributed weight over the bottom of my breast. Updated on 26 Dec 2020: Ok so immediately I felt pretty good(same day, sorry I’m posting a day or 2 after). I forgot to mention that I requested some lipo for my underarm area as well so that has definitely contributed to some stiffness and a tiny bit of discomfort. One hack we utilized was putting a bed sheet on the couch(I have a puppy so it helped let her know that that is my spot) it also keeps it clean. I cold immediately feel less pressure on my breasts with more structure and firmness. I have no idea where my nipples are! LOL no feeling as of now. I slept great! My breasts were swollen the day of surgery (but e sized them before) so this procedure was meant to lift but maintain my shape (I lost volume on the top from weight gain a year or 2 ago, so they were bottom heavy and missing volume on the top, more so at certain times of the month, so it was hard for me to commit to the procedure because sometimes they looked great and full!). Updated on 26 Dec 2020: I am feeling great. Like I could go to work. I’ve stopped taking the pain medication (48 hrs post op) and switched to Advil. They are high for now as expected. I am so happy so far. I want to see the scars so bad!! Eeeee! No lore boobs farts, only one air pocket yesterday. A little tightness on the side I didn’t use as much. Also could be due to how I slept. Thanks for reading!
I had my pre-op yesterday. Between reviews here and my doctor, I feel pretty well prepared. I am 43yo, never had kids, am 5’4”, and 147 lbs. I wear a 34HH and would like to get to a “full C.” And now I have to come up with words to describe how I want my future breasts to look. How does this sound: -full and round, so a nice fullness on top, not just the bottom -perky (higher) -nipples facing forward (and smaller) -bit of separation between the breasts -don’t extend much past the rib cage -full enough to hide some tummy I’ve shown a few pics from here. Thoughts on what else I can say? Or do I need to get out a ribbon and measure and be more precise? Updated on 2 Oct 2020: Surgery updates: Here is a surgery update. Surgical center pushed my surgery out a week, so I had to isolate after my covid test 1 more week. This cause a bit of a work issue, since that was the week I had full coverage. But it worked out. I spent the time cleaning, and organizing, and prepping. Put everything up high, at a level I could reach them. And felt ready. So surgery 9/28 at 7:30am. Got in, did the admission, and was wheeled into surgery, where I don’t even remember falling asleep. Woke about 3 hours later, and was nauseous, so they gave me meds for that and more hydration. At 11:30am, my parents took me home. Got out of the car, made it up the steps, took 1 Norco, and went to bed. Monday and Tuesday my parents woke me, or gave me 1 Norco every four hours. (I didn’t sleep well at all, but am really good at pretending.) And I ate a bit of food every time I took them, and walked around for a few minutes. TIP: start taking colace right away! I wish I had. I don’t like Norco, and wasn’t really in pain. So on Wednesday, I switched to 3 Advil every 4 hours, and took the colace. This felt much better. And I had to work (I’m an assistant, WFH, and only had partial work help.) I mostly checked emails, and calendared a few things throughout the day, but rested the rest of the time. This night was my best night’s sleep. There was some blood in the gauze in my bottom t-sections. And hoped it was just a bit of oozing. Thursday was more of the same. And was the day I could shower, but couldn’t bring myself to open the bandages yet. So mostly, a bit of work, lots of tv, and doing nothing. And I finally had a bowel movement, and it was rough. (TIP: Take the colace!) I also, didn’t sleep great Thurs night. I don’t know if because it was too warm, or I had rested too much, or couldn’t get comfortable (I’m a side sleeper, and my back and neck hurt a lot at night, trying to sleep on my back.) So Friday, today, I worked in the morning, toom the Advil (now mostly for my back), had another rough bowel movement (TIP: Take The Colace!) and took my first shower. Taking off the bandages, there are no steri-strips or anything hiding any of the scars. And I’ll be honest, I got REALLY woozy in the shower after seeing it. The bottom t-spots are definitely a bit open, and the left side was bleeding a bit. Not a lot, but a bit. Took a fast shower, not as thorough as I would have wanted, because I was afraid I was going to get sick. And got out, and laid on my bed to dry off, and calm down. Then I rebandaged myself, and now I’m writing this. I’ve been emailing my surgeon’s PA with updates. And I think everything is going to plan. I see them for post op on Wed. All in all, I’m so glad this is done, that the pain wasn’t at all bad, and now I just need to be patient and let it heal. Only thing, there is nothing left to hide my tummy. (Hoping some of this is surgery bloat.) But now that I see it, I hope I’ll make better food choices, to get it rock solid.) Updated on 7 Oct 2020: Just to start off I want to say that any weeping or oozing or the little spots at the bottom t-sections stopped by Sunday, so the PA was right that was just normal. And likely caused by taking off a bit of scab when taking the bandages off for that first shower. So yay! Since my last update, this Sunday was day 6, and I felt good enough to go for a walk, and took my second shower, which was way better than the first. And was the first day I started to feel almost back to normal. Which is shocking to me, I was fully prepared for way more pain and needing to be on the medication, and being super groggy and laid up in bed for a week and a half. So to be able to go for a walk on zero pain meds and take a shower and feel good, was great feeling. On Monday I started back at work but definitely took it easy. And I went for a walk and I still felt pretty good. I definitely thought I would be more tired then I was, but I did stop to take more breaks. I should note that my current job is at my dining room table where I am an admin and mostly just checked emails all day. On Tuesday I took another shower and by now I’m feeling pretty good. The only thing I notice is that it feels like my breasts are in too tight of a sports bra but also not being fully supported at the same time and it’s a weird feeling. Today is Wednesday, and day 9, and I had my first post op appointment with my doctor. He said that incisions are all healing well, and said that some of the surgical glue-scabs will start to lightly flake off. Their only concern was that everything is really itchy and they think I’m still swollen, so we’re going to keep an eye on that. But I think that’s because my period is about to start, and so instead of my breasts getting tender they’re just itchy. Hopefully that’s all it is, and I will keep you posted. And kind of lastly I just want to say that the spot that has been in the most discomfort or pain are my ribs. It’s like the ribs right below my breasts, along the sides and then kind of on the back. Not really sure why, but wanted to point that out if others experience it. Updated on 12 Oct 2020: Today was 2 weeks post op. I’m still itchy and swollen, but I think less so than last week. The surgical glue is starting to fall off. And the breasts are starting to feel like they can hold themselves up without a bra. And I can see the shape better, and I’m really happy. Also, and crazily, I swear my sway back is less curved already. Outside of the itching, the only “pain” I feel is if I twist, and I feel a pain in the middle of my ribs. So, good to note, I still need to limit my movement. Really the hardest next part is just being patient. Updated on 20 Oct 2020: Another week of healing in the books. Last week I was super itchy and swollen, and the skin around the incisions were really red. At the post-op apt. the dr and PA made a note of it, but didn’t ask me to come back sooner, so I thought it must be slow healing and ok. Well, it stayed that way for another 4 days, and I was starting to get worried, but this weekend, all that subsided, and the swelling is WAY down. The scabs and surgical glue are slowing coming off. The current discomfort comes from: - my nipples are super sensitive, and get irritated if I move too much. - I still can’t twist very much, or I get a pain in the middle of my ribs. - there is a weird rope like feeling that is pretty sore running vertically below my breasts, along the ribs. I can only imagine those are some internal sutures, but they can get sore. - since week 2 my hair seems to be falling out a lot. I think from the “trauma” of the surgery, so I got some hair skin and nails vitamins, and am doing a scalp treatment with argon oil with rosemary essential oil. In hindsight, I would recommend starting the vitamins sooner and getting the topical Benadryl spray for the itching. One more week til I can try sleeping on my side. I’m so looking forward to that. Overall, I think, while proportional, my breasts are slightly larger than I may have wanted. But they are so much better. And they won’t go down too much if I try to lose weight. So that’s good. Updated on 22 Oct 2020: Found out about the rope-y pain things along my ribs. This is from my PA. “Happy to hear you’re recovering well! Thanks for sending the photo over, and we do see this sometimes after surgery - it’s called Mondor’s cords: During surgery, we routinely cut through some blood vessels going to the skin when we make that horizontal lower incision Sometimes this can cause back-up of the blood that is now reaching a dead-end and it can get a little swollen and irritated. It’s something we call phlebitis, or inflammation of a vein. The good news is, it tends to resolve on its own as you heal. Things that can help treat the discomfort from it are warm (not hot) packs and ibuprofen (Advil or Motrin). It can take a few weeks, but it does go away on its own.” As always, just knowing that it is all normal makes me feel better. Updated on 15 Sep 2021: One year post-op I meant to post updates at the 3 months, and forgot. One thing on the itchy, redness, and swelling for me…turns out I’m allergic to surgical glue. So others may not experience that. The reduction size settled to a 34D. And for my frame, they work. Remember this was based off of photos that I wanted to end up looking like vs. asking for a cup size. And since I’d never been flat, it might have looked weird to go to small. Also, with any weight loss (that I’m still working on) I didn’t want to lose more. The scars ended up looking like the indents you get at the end of the day from your bra. That’s it! They stayed very flat, and aren’t red or too shiny. I’ll be honest, I was not great about massaging the scar tissue, and there are one or two spots where you can feel the scar, but it doesn’t look any different. And there is a bit of a “dogear” on the sides where I didn’t do liposuction. I’m told if you do, you won’t have that. The nipples still have sensitivity, and there is so much lift. In some of the pics, it doesn’t look like there is, but I’m bad at taking selfies. Between surgery (and WFH for COVID) I pretty much only wear bras to workout. It is amazing! I’m so grateful to Dr. Mohebali, and Anya his PA, and Edna at the desk. They always made me feel comfortable, and reassured me through the whole process. https://www.realself.com/dr/khashayar-mohebali-corte-madera-ca#reviews Updated on 17 Sep 2021: I’m so grateful to Dr. Mohebali, and Anya his PA, and Edna at the desk. The whole team made me feel comfortable and reassured throughout the process of my breast reduction. When people say, I should have done this sooner, it is true! But I’m glad I waited until I found Dr. Mohebali. I can’t imagine a better outcome. I was able to go from a 34HH to a “perky” 34D. I can wear tops that I never thought possible, my back and shoulders feel so much better, and my self-image is leagues better.
I can say enough about Dr. Mohebali and his staff. I had saline implants in for 15 years and one of them deflated. I decided to take them out and get a lift. The office staff were so nice and welcoming. Dr Mohebali explained the procedure and what to expect after. The staff at Marin Specialty center were also wonderful. I was a little nervous, but everything went smoothly and I couldn't be happier with my results. I would definitely recommend Dr. Mohebali for anyone looking for cosmetic surgery.
I recently had my implants removed. One implant had ruptured and my original surgeon never told me about how to properly care for them. I have recently interviewed 4 different plastic surgeons - 2 male and 2 female. All with different takes on breast implants from what I should do in my current state, ie. a ruptured implant and how I should proceed going forward. I went with the surgeon with the wisest opinion and closest to what I felt was the best treatment plan. I had them both removed and had a breast lift . He also reattached my pectoral muscles that had been released during my initial surgery. My original surgeon (7.5 years ago) did a fine job- no scars- went through the nipple - silicon gel implant by Mentor. The explant surgery went well and the recovery had been ruff. No work for 5 weeks and I’m in business for myself, so I’m living off savings. Mentor was supposed to reimburse some of my surgical costs but has not yet done that because of lack of correct information with my plastic surgeon office. This seems to be the biggest problem with the breast augmentation surgery/business, there is no clear best practice, and the breast implant companies are putting out faulty medical devices. I believe that breast implants should be taken off the market until they are totally safe and surgeons know how to care for their patients properly.
Because of health issues, I recently chose to have an en bloc breast implant removal procedure. I knew that in order to fully regain my health, I needed to chose a surgeon with experience in this area and a commitment to removing the entire capsule. I chose Dr. Mohabali. Not only does he perform en bloc breast implant removal procedures on a regular basis, he is also the head of surgery at Marin General Hospital. ( North of San Francisco) He was totally empathetic to my belief that I had breast implant illness and even helped me to expedite my surgery because I wanted it done as quickly as possible. I’m recovering now and feeling better than I have in years. I’m am so appreciative of Dr. Mohabali cannot recommend him enough!
I loved my transformation every step of the way with Dr. Mohebali and his staff and am so incredibly grateful for this experience of a lifetime. Everything was smooth, easy & professional, and everyone was so friendly, fun and caring... I always felt that I was in the best hands and being taken care of. My results are a DREAM COME TRUE (check out the photos). I finally feel like "me." Dr. Mohebali is an artist... he fully understood what I communicated with him, and was always very confident with a great sense of humor. I absolutely love the outcome, and my experience from beginning to end. My shoulders don't hurt anymore, I feel so much lighter, I don't have to wear a bra if I don't want to, my clothes fit better, and I am comfortable in my body now. Ahhhh thank you from the bottom of my heart. Updated on 9 Mar 2019: This is a photo with a white, fitted shirt and no bra. This would NEVER happen before the surgery. In fact, I didn't even feel comfortable without a bra in any kind of clothing. I feel so much lighter, perkier and more youthful.
I am so blessed and grateful to have found Dr. Moheabli. I was looking for a surgeon that was able to perform a bilateral full enbloc implant removal, and when I met with Dr. M, I knew he was the doctor for me. Him and his staff were not only warm and welcoming, but they made me feel at home, and like I was in the right hands. They made me feel confident that I was making the right decision and they also recognize Breast Implant Illness, which is why I went to see them. I had my surgery one week ago today, and I am BEYOND stoked and happy with my results. This was the only surgery I wasn't completely sick afterwards, and one week later I feel absolutely amazing. I was also shocked by how great my new (old) breasts look, even though I had large implants in for almost 4 years. I can't recommend Dr. Mohebali enough!!!! He saved my life.
I just had my breast reduction done by Khashayar Mohebali. I must say from the moment I met him both my husband I were over the moon happy. He is a highly skilled surgeon with exceptional skills. He took the time to answer all my questions, he did a beautiful job on my new perky breasts and the office staff couldn't have been more efficient, warm and caring. Dr. Mohebali has a great sense of humor, he is kind and caring. I would never go to any other surgeon other than him. I am so grateful to Dr. Mohebali...
Had en bloc done July 2018. Dr. Mohebali and his staff are amazing. Surgery went well and little to no scarring! I feel so much better already. If I ever have any work done in the future, with question I will return to Dr. Mohebali.
Yes, I usually can and do perform muscle repair after an en bloc procedure. I think it gives a better long term result with less chance of having an animation deformity. Make sure you have surgery with someone familiar with both en bloc and muscle repair. Good luck.
In my experience, if properly released (which sounds like it was given your nice outcome), it shouldn't go back to how tight it was. It will either be completely resolved or significantly improved. In some cases, a residual amount of memory of that fold comes back after implant removal. Will need an exam to really know that.
Implant removal and lift is the most common surgery we perform and can be safely perform with great outcomes. It allows for one surgery and one recovery to get the look you desire. Select an experienced surgeon in that procedure and good luck.
As you stated, besides implants the only other option to enhance your breast volume would have been fat grafting. However you do not have enough donor fat to get the result you want. Smaller implants are probably your only option.
Both options given to you are good.My preference would be to exchange both your implants to different sizes and place Galaflex. I found it easier to use, consistent and a cheaper option for lower pole support. Good luck.