Stay Informed September 28, 2026

The 7 Principles Behind Natural Plastic Surgery in San Diego

The best plastic surgery is not always the most aggressive option. It is the one that fits you best.

Many women who come to see me in La Jolla and San Diego are not looking for a dramatic transformation. They want to look like themselves, just more rested, balanced, and confident.

I’m Dr. Banafsheh Sharif-Askary, a plastic surgeon and founder of BSA Plastic Surgery in La Jolla. I built my practice around a simple idea: modern aesthetic surgery should combine advanced technique with a deeply personal and thoughtful approach.

The following seven principles guide the way I practice plastic surgery in San Diego, from facial rejuvenation and breast augmentation to the care my patients receive before and after surgery. Each principle could be its own deeper discussion, but together, they provide the framework for my practice.

1. A Young Female Perspective on Aesthetic Surgery

I’m a young female plastic surgeon in San Diego, and that shapes the way I think about aesthetic surgery every day. I understand personally how much appearance can affect the way women feel, and how vulnerable it can feel to make decisions about your face or body.

A central part of my practice philosophy is ensuring that patients feel heard and supported throughout the process. I want each patient to know that her concerns are taken seriously, her goals are understood, and she can rely on a surgeon who remains accessible and personally involved before surgery and throughout recovery.

2. Fellowship-Trained, Current, and Intentional About Technique

I completed dedicated aesthetic surgery fellowship training, so my approach combines established surgical principles with newer, refined techniques. I trained with surgeons performing some of the most advanced aesthetic procedures and gained experience with a wide range of approaches to facial and breast surgery, including international training in Korea.

Newer does not automatically mean better. My training allows me to offer patients multiple options and select the approach that makes the most sense for their anatomy and goals. Sometimes that is a classic technique that has stood the test of time. In other cases, it may be a newer method that provides a more individualized result or a less intensive recovery.

3. Modern Facial Rejuvenation From Subtle to Comprehensive

Facial aging does not occur in one uniform way, so facial rejuvenation should never be one-size-fits-all.

For patients who need comprehensive rejuvenation, I perform deep plane face and neck lifting, which addresses the deeper layers of the face and neck to create a natural and durable result. However, not every patient needs, or wants, a full facelift.

I also offer less-invasive facial rejuvenation options for patients who are not ready for or do not require that extent of surgery. These include techniques performed through several-centimeter incisions discreetly positioned along the hairline.

The goal is to match the extent of surgery to the degree of aging and the patient’s individual priorities. This gives younger patients and those experiencing earlier facial aging thoughtful options that fall between nonsurgical treatment and a comprehensive face and neck lift.

4. Treating the Skin Itself

Modern facial rejuvenation involves more than lifting and tightening. It also requires attention to the skin itself.

I place a strong emphasis on skin quality, including texture, tone, fine lines, pigmentation, and overall radiance. Treatment may include advanced resurfacing and microneedling, regenerative approaches, and newer topical or skin-based therapies designed to create gradual improvement. When appropriate, I may also use techniques such as nanofat to address skin quality and subtle volume loss.

The focus is not on promoting one particular technology. It is on creating a thoughtful plan that addresses both the underlying facial structure and the surface of the skin so the final result looks cohesive and natural.

5. Modern Breast Augmentation Built Around Proportion

In breast augmentation, my priority is to create and preserve natural-looking volume and shape rather than relying on an unnecessarily large implant to produce the result.

I use tissue-preservation techniques designed to minimize avoidable disruption of the patient’s natural breast tissues. When implants are appropriate, I often select smaller, more comfortable options based on the patient’s anatomy, frame, and goals.

A significant part of my practice focuses on petite and natural-looking breast augmentation for women who want enhancement without an overly augmented appearance.

Natural does not necessarily mean small. It means proportional.

6. Academic Rigor Through UC San Diego

I serve on the faculty at UC San Diego, where I teach plastic surgery residents. An academic faculty appointment reflects an additional level of professional review, credentialing, and accountability. Being trusted to educate the next generation of plastic surgeons is a responsibility I take seriously.

Teaching keeps me engaged with current medical literature and requires me to continually evaluate surgical techniques, outcomes, and decision-making. Residents must understand not only how to perform an operation, but why it is appropriate, what its limitations are, and when another approach would better serve the patient.

I bring that same academic discipline into my private practice as a board-certified plastic surgeon in San Diego, so that every recommendation is grounded in training, evidence, experience, and sound judgment, not trends.

7. Personal Care in a Small Boutique Practice

This may be one of the most meaningful differences in my practice.

I want patients to have a personal relationship with their surgeon before and after surgery. I remain closely involved and accessible throughout recovery rather than allowing patients to feel as though they disappear into an office system once their procedure is complete.

BSA Plastic Surgery is intentionally small and personal. I want to know each patient, understand her goals, and remain familiar with the details of her recovery. For me, adopting newer techniques is only worthwhile when it is paired with thoughtful patient selection, careful surgery, and attentive postoperative care.

Schedule a Consultation

If you are considering plastic surgery in San Diego and want a surgeon who will listen carefully, explain your options clearly, and remain personally involved from consultation through recovery, I invite you to schedule a consultation at BSA Plastic Surgery in La Jolla.

Request Your Consultation

Breast augmentation, facelift, neck lift, deep-plane facelift, liposuction, fat grafting, and skin rejuvenation procedures are surgical or energy-based treatments that carry potential risks and complications. An individualized consultation with a qualified plastic surgeon is necessary to determine appropriate treatment options and discuss the potential risks, benefits, alternatives, limitations, and expected outcomes.

Request Your Consultation

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