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Lumpectomy Reconstruction

Lumpectomy Reconstruction before and after photos by Sherber and Rad in Washington, DC

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Lumpectomy Reconstruction before and after photos by Sherber and Rad in Washington, DC

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dr ariel rad

@drarielrad

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💎 There are some pearls of wisdom in my beautiful patient’s story:
1️⃣ She was most concerned about the visible cords in her neck, so-called “platysmal bands”, which were made worse by liposuction that she had done in Omaha. Not only does liposuction, or any superficial fat reduction treatment, make bands worse because de-volumizing is like skeletonizing the neck (never a good thing), but it’s the absolute wrong treatment for bands. Bands are caused by a “bowstringing” effect — like a cord connected from jawbone to collarbone that tightens and bows outwards — as we age this worsens. The only way to correct bands is to disconnect the base of the platysma muscle from the collarbone (a safe step called “platysmotomy”) which allows the platysma muscle to elevate more effectively during platysmaplasty, the lifting step that defines the jawline and neck angle. Not doing one or the other will have a high risk of band recurrence and poor neck lift result.

2️⃣ She said that one of her goals is a “preventative facelift” where she can enjoy a subtle refresh and at an earlier age. As a modern concept, this makes tremendous sense because deep plane facelifts done with high skill and artistry, combined with healthy strong tissues, can lead to subtle refreshes that loose fantastic, last 15-20 years and allow patients to enjoy their results for more of their lives. Gone are the days of waiting until you’re in your 60s.

3️⃣Do your research! As she did, look at not only procedures and doctors, but look at many results and listen to your instincts. Then go deeper and ask about how patients are kept safe — the key in my practice is surgery in the safest possible environment —a hospital-based surgery center— where I work with expert anesthesia and nursing teams in a facility equipped to handle anything. Safety + skill = Priceless!

I love that she loves her Rad ReFresh facelift results which are permanent because surgery was done with skill, safety and compassion…all the ingredients for success!
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#DeepPlaneFacelift #DeepStructuralNecklift #FatGrafting #NaturalFacelift #FacialOptimization #RADReFresh #BeforeAndAfter #FaceliftExpert #SurgicalArtistry #sherberandrad

What inspires me most as a surgeon? Helping patients uncover their most authentic physical beauty through nuance, restraint, and a vision we shape together. Surgery is a serious endeavor which I take very seriously. I’m continually setting a higher bar of excellence for myself to create unparalleled beauty that inspires you. It starts with listening for what quietly holds you back. I imagine the most naturally beautiful version and explore what improvements resonate deeply with you. Once that becomes clear, then I design a bespoke operation that brings that vision to life. Then it’s about safe execution through technical excellence, and then guiding you through recovery safely and compassionately.

To be clear, true transformation starts within. Facelift surgery isn’t a substitute for self-worth—that must already be in place. Rather, it is a tool to reflect and magnify your self confidence through the highest expression of natural, timeless beauty. You must be grounded in your life, your work, and your support system first. Once that foundation is strong, we build from there. And from that place, the potential is limitless. 💫 🫶🏻
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#facelift #inspiration #beforeandafter #aesthetics #deepplanefacelift #naturalfacelift #confidencefromwithin #radfaceops #sherberandrad

“Facial Proportion 101”: For patients with disproportionately long foreheads or high hairlines that cause facial imbalance, forehead reduction (hairline lowering) surgery is a powerful tool in facial optimization. Oftentimes this manifests as an overall long face as compared to its width, relative small central features such as eyes and lips, and dominating forehead by its sheer surface area.
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Surgically I make a precise “micro zigzag” incision that carefully preserves each thick hair follicle (thin “vellous” or baby hairs don’t contribute to scar camouflage and so are removed) along the natural hairline. I release the scalp attachments and gently stretch it forward, anchoring to the bone surface to offload tension from the incision line. This allows the scar to heal imperceptibly as a thin line tucked under hair follicles that grow through it.
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This approach aligns with principles of visual attention studied in the 1960s by Yarbus, who demonstrated through eye-tracking research that human gaze is predominantly drawn to the eyes and mouth. Surgical techniques that enhance or draw attention to this “triangle of focus” can therefore contribute meaningfully to perceived beauty.
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Hairline lowering is one such indirect method. In women, it can soften the facial frame and create a more youthful, neotenous aesthetic. In men, when paired with other structural refinements, it can improve proportion without compromising masculine definition. When carefully planned and executed, forehead reduction contributes to overall facial harmony by guiding attention to the expressive features of the face.
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#ForeheadReduction #deepplanefacelift #beforeandafter #RadRefresh #FacialOptimization #sherberandrad

Facial fat grafting is the gold standard to restore youthful features — and I use it for 3 specific aesthetic effects:
1️⃣ Volume Restoration
With age, tissue atrophy deflates the soft tissue envelope, causing droop and wrinkles. Fat grafting powerfully revolumizes the lips, under eyes, cheeks, temples and even the forehead, for natural restoration of youthful plumpness.
2️⃣ Contour & Smoothness
Natural ogee curves must blend seamlessly across facial subunits. I use ultra-fine cannulas to gently disperse fat in micro-volumes for smooth results. I can even subtly increase protection, curvature and blend across borders.
3️⃣ Skin Rejuvenation
Fat contains both adipose cells and also stem cells, magical cells that can give rise to any cell type. Although science has yet to decide the exact mechanisms, we know that stem cells have a rejuvenating effect on the surrounding skin through powerful chemical signals.
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Patients often ask: “What if the fat doesn’t take?”
Incomplete take usually results from poor tissue quality—or poor technique. Thin, poorly vascularized tissue can’t support fat well. And injecting large volumes instead of layered micrografts reduces success. Be that as it may, in skilled hands fat grafting works very well when used properly and not overdone. Natural-looking results depend on proper bone structure. That’s why I often combine fat grafting with bone-enhancing implants for support and balance, rather than over volumizing to make up for lacking structure.
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Every face is a work of art—and there’s no one-size-fits-all formula. After over 5,000 fat grafting procedures, I’ve refined my technique to maximize take and deliver beautiful, lasting results.
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#FacialFatGrafting #DeepPlaneFacelift #FacialOptimization #NaturalResults #FatTransfer #FacialRejuvenation #sherberandrad

🫶🏻I love that she loves her glow after comprehensive RAD ReFresh! My signature deep plane facelift, deep structural necklift (gland and subolatysmal fat/strap muscle reduction), endoscopic lateral brow lift, canthal release, microfat grafting and upper lip lift restored balance and femininity.
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The neck is the foundation and by reducing bulging saliva glands, fat and strap muscles (all safe maneuvers in skilled hands) all tissue layers can redrape upwards in a tension-free way, revealing both a clean jawline and neckline. Offloading the skin envelope avoids a downward pull on the ears, leading to undetectable scars around them (zoom in to see how well hidden her scars appear) and features that look refreshed, not tight. Brighter, more open eyes with better symmetry from lateral brow lift and softer surface complexion from fat transfer gives an incomparable glow. Now her face has a light, bright and attractively refreshed complexion.
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Every lift I perform addresses the deep fascial layers—platysma in the neck, SMAS in the face, and TPF in the brow—ensuring longevity and tissue integrity. From my experience with over 2500 facelifts patients like her can know that they’ll look like themselves, just refreshed and restored. And the beauty of the RAD ReFresh is that she’ll enjoy this result for years to come.💫
— #beforeandafter #deepplanefacelift #DeepStructuralNecklift #endoscopicbrowlift #faceoptimization #RadRefresh #sherberandrad #faceliftexpert #sherberandrad

💯 Two years post-op and what a transformation for this nice gentleman who flew in from the Midwest for surgery. He came to me concerned about a heavy neck, weak chin, and lack of definition in his lower face. He also wanted brighter looking eyes.
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I treated him with a deep structural neck lift, deep plane facelift, chin augmentation, and upper blepharoplasty. His case was especially complex: his salivary glands and deep neck muscles — including the digastrics and strap muscles — were significantly enlarged, and his hyoid bone sat unusually low, making the neck angle hard to define.
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This was a classic example of volume mismatch — where the deep tissues of the neck don’t fit within a small, recessed jaw. Traditional neck lift with platysma tightening alone wouldn’t have achieved this result, nor would his scars have healed so well. He needed deep volume reduction and skeletal augmentation to optimize results. Now, his jawline is strong, his neck defined, and the results look completely natural. And his eyes are brighter which only complemented his brighter more attractive look.
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#deepplanefacelift #deepstructuralnecklift #deepplanenecklift #facelift #beforeandafter #aesthetics #faceoptimization #RadReFresh #sherberandrad

Only 6 weeks and I’m so happy for her…
• Deep plane facelift
• Deep structural necklift
• Lower blepharoplasty
• Microfat grafting
• Endoscopic browlift, canthal lift
Rad ReFresh at its best!
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#deepplanefacelift #radrefresh #radfaceops #beforeandafter #aesthetics #sherberandrad

1. What is a “beautification —or ‘optimization’—facelift”? In my view it enhances a face’s attractiveness towards an “aesthetic ideal,” whereas a rejuvenating facelift restores a face to a prior appearance that has shifted with the passage of time. While a youthful look can be a result of both, my approach to face optimization surgery targets the 4 psychological “beauty cues” to which humans are wired to respond: neoteny, symmetry, sexual dimorphism (features that conjure masculinity or femininity), and supra-averageness (think overall facial harmony). An “optimized” face looks natural yet induces the observer to resonate with beauty cues more intensely than the prior appearance — a subconscious effect. Surgical modification of anatomy to strike the right balance of these cues, and not overdoing one or the other, is the art, while patient goals and anatomy are the drivers, not simply age.

2. How do I do it?
In younger patients and for those who aren’t showing classic signs of age, the indication for an optimization facelift is a bottom-heavy appearing face. While often mistaken for premature aging, the real driver often is inadequately projecting bone structure — here, the skeletal framework can’t support tissues and drooping creates a sagging, pseudo-aging appearance. In this situation, we first need to enhance the underlying framework so that a facelift can be effective and last. On the other hand, a facelift done on an unsupported frame is like hanging a heavy ballgown on a thin hanger — it’s destined to slide off. So my strategy first is to optimize bone structural support by augmenting the midface, and deep plane face and neck lift to reposition tissues on a strong foundation. This can often be done safely in 1 surgery.
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There are many other nuances to optimization but the most important is safety. I ensure that every surgical plan is tailored to anatomy and goals, and that each patient is physically and psychologically optimized before embarking on life improving surgery.
Thanks to @joleneewrites for including me in her fantastic article.
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#faceoptimization #beautificationfacelift #deepplanefacelift #aesthetics #sherberandrad

Safety is my #️⃣1️⃣ priority, and facelift risks fall into 3️⃣ main categories: bleeding, tissue injury (mainly to facial motor nerves), and anesthesia/airway risk.
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In the hands of an experienced and talented surgeon, bleeding and nerve injury are rare. My hematoma rate is ~1 in 250 — 🔟✖️lower👇 than the 1 in 25 national average — thanks to meticulous surgical technique called “hemostasis”, precise blood pressure control with my anesthesia team, and careful patient selection. Permanent facial nerve injury is extremely unusual with nuanced anatomical understanding, even in revision cases, which I liken to a skilled pilot navigating a plane through turbulence.
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Anesthesia and airway safety depend on the environment and the team. There’s nuance here, too — managing precise depth of anesthesia, airway protection in longer cases, and being fully equipped to handle rare —but non-zero— emergencies. These events are uncommon but potentially lethal, and I don’t take even the slightest chance. That’s why I operate only with board-certified anesthesiologists and expert nurses in a surgical center within one of DC’s top medical centers that has the capability to provide the highest levels of care.
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By contrast, surgery in a small, poorly equipped facility with limited staff and experience — especially in patients with medical conditions — can compound risk.
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Patient selection is key, as well. I work with patients’ primary doctors to ensure they’re in optimal physical and psychological health. And while I always discuss risks with patients, they need not worry because every aspect of care is optimized for safety: it’s like flying a new plane with an expert pilot and skilled crew in clear skies — you’ll arrive safely. Look for many beautiful results — and laser focus on safety.
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#deepplanefacelift #DeepStructuralNecklift #safetyfirst #facialrejuvenation #aesthetics #beforeandafter #RadRefresh #RadFaceOps #sherberandrad

📰 I was recently invited by @joleneewrites to discuss one of the most talked-about trends in plastic surgery with @allure —the ‘beautification facelift.’ Surgical techniques have advanced so significantly in the past decade that we now have the ability to create results that are stunning, yet so natural they’re virtually undetectable. I specialize in delivering plausibly deniable beauty.
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The article articulates debate around younger people undergoing these surgeries, and I’m very clear in my consultative process that not everyone is a candidate for surgery. Ethics and expertise matter. I turn away patients when motivation or expectations aren’t right or the anatomy doesn’t support a safe, successful outcome. Proper patient selection isn’t just good practice—it’s non-negotiable.
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My approach to face optimization is never about chasing trends or copying a look. It’s about understanding the architecture of the face—what supports it, what reveals age or asymmetry—and enhancing it in a way that preserves identity while restoring harmony. This might mean a deep structural necklift to sculpt heaviness that’s genetically driven, or augmenting bone structure in subtle yet powerful ways that bring the entire face into better balance…but not to alter identities or change to extremes.
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I operate only in accredited facilities with board-certified anesthesiologists, and we ensure that my patients are deeply prepared—medically, emotionally, and aesthetically—for what lies ahead. So when you see results that make you ask, ‘Did they or didn’t they?’—there’s art and science working. But make no mistake, first and foremost safety and ethical care are my top priorities.
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#RadReFresh #FaceOps #RadAesthetics #beforeandafter #plasticsurgery #aesthetics #sherberandrad

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