Safa Sharabi, MD

Hi there, I think you would have a great result with UTM or OTM, but in your case I may steer you towards under the muscle. Specifically, this is because of the slight indentation on the upper outer aspect of your left side towards your armpit. In my experience, an under the muscle approach does a better job a smoothing out that corner. On your right, I would do a dual-plane augmentation with would potentially help lift your right nipple to match your left, which is just a touch higher. In terms of implant type, a smooth round gel or nano textured implant would work well. They have slightly different benefits that you should definitely ask about during your consultation. I hope that is helpful! Happy to help however I can! Sincerely, Safa E. Sharabi, MD

Hi there, I am not seeing any significant signs of tuberous breasts-- you have a well defined fold and a good amount of skin on the lower pole of your breasts, and have no areolar herniation (breast tissue protruding forward through your areola. That being said, I would ask what your goals are for fat grafting. In my experience, fat grafting only results in a minimal increase in size, especially in light of the fact that you don't seem to have a lot of fat to give. Additionally, in lean patients like you, doing excessive liposuction to harvest the fat is very likely to cause contour irregularities. Happy to help however I can! Sincerely, Safa E. Sharabi, MD

Hello, Thanks for your question and photo. It appears to me that your eyebrows are in excellent position-- for this reason, I would not recommend a brow lift. What I notice is that although you don't have a severe amount of excess skin of your upper eyelids, your skin is a touch asymmetric-- with your upper eyelid fold appearing lower on your right. Additionally, you may benefit from some nano-fat grafting to the upper orbit. I'm linking a video that speaks to these types of procedures: Happy to help however I can! Sincerely, Dr. Safa Sharabi Female Board Certified Plastic Surgeon in Santa Monica, CA

Hi Nicole, Thanks for your question! If you're planning to increase the size of your implants, I would recommend some capsule work in the area of the divot to have the new implant fill in that spot. Alternatively, you could do fat grafting to that area to mask the divot using your own tissue. However, I would not recommend doing both-- it should be one or the other. I'm happy to help however I can! Sincerely, Dr. Safa SharabiFemale Board Certified Plastic Surgeon in Santa Monica, CA

Hello, I think it is definitely reasonable to do these two operations at the same time. Especially because, while I do see that you have some descent of your breast tissue on the left side, your nipples are in great position, so you may not need a full lift with the lollipop scars- perhaps just around the areola and along the base of the breasts, which would be better hidden. I'm happy to help however I can! Sincerely, Dr. Safa Sharabi, Board Certified Plastic Surgeon in Santa Monica, CA

Hi there,I think you would be a great candidate for a breast augmentation without a lift. You don't have that much extra skin and your nipple is already in a prime location.Sincerely,Dr. Safa Sharabi

Hi there,Yes, this is definitely possible. Since your nipples have already been grafted and have no sensation, one option would be to re-graft the nipples to a more natural position during that operation. Right now they appear to be quite high-- however, you could also just let them be high-- that part is totally up to you. But adding in an implant and reshaping the breast tissue is definitely possible.I'm happy to help however I can. Sincerely,Dr. Safa Sharabi

Hi there, I would suggest a plane change, especially if the animation deformity is what is bothering you the most. What I am seeing in your photos suggests that your muscle is pushing down on your implant causing it to shift downward. While gala flex will help support the implant and prevent the downward shift, it will not prevent the animation deformity from occurring, as your anatomy of your muscle and overlying breast tissue would be unchanged with this approach. I would suggest changing your implants to an above-the-muscle position, repairing your muscle, and possibly doing an internal breast lift to reposition your natural breast tissue over the implant. Happy to help however I can! Sincerely,Dr. Safa Sharabi

Hi there, Thanks for your question. If you want more fullness, I would suggest a submuscular (dual plane) augmentation. This would provide more coverage of the implant at the upper aspect, and a more gentle slope of the upper chest, as opposed to a more stuck-on appearance that may happen with an above-the-muscle approach. A lollipop breast lift (where you would have a scar around the areola and also from the areola down the base of the breast) would also help shift some of your volume from the lower aspect to the central aspect of your breast. I hope that helps! Sincerely, Dr. Safa Sharabi

Hello- I agree with you that a more moderate profile implant, and thus a wider implant would be best for you. While your breast diameter is narrow, I would recommend dissecting the pocket more towards your midline to fill that space towards your midline a bit. You also have a touch of tuberosity, which means your lower pole is a bit constricted and should be released to allow the implant to sit more naturally. A natural and improved appearance is totally possible-- it just has to be done by someone with a lot of experience with tuberosity. Sincerely, Safa Sharabi, MD