Plastic Surgery Advice with Dr Aric Aghayan

Aric Aghayan
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Board certified plastic surgeon Dr. Aric Aghayan specializes in breast augmentation, body contouring, mommy makeovers, and post-weight loss procedures in the Pacific Northwest. With over 2,500 procedures and 14 years of experience, Dr. Aghayan shares honest, patient-first advice on plastic surgery, body transformation, and medical aesthetics. This is the kind of straight talk most surgeons won't give you in a consultation. Whether you're considering breast implants, liposuction, a tummy tuck, or a full body lift after weight loss, this channel helps you make smarter decisions before you ever step into an OR. New episodes weekly.

Episodes

  1. 1d ago

    5 Body Contouring Mistakes That Ruin Results (What 2,500 Procedures Taught Me)

    📌 Visit www.apresplasticsurgery.com Getting smaller and looking sculpted are not the same thing, and most people find that out too late. After 2,500 liposuction procedures, the mistakes that ruin results almost never happen during surgery. They get locked in before the surgery even starts, during the consultation. In this episode, I'm breaking down the 5 body contouring mistakes that quietly wreck results, and showing you how to tell in 10 minutes whether your surgeon thinks in shapes or just in suctioning. ⏱️ TIMESTAMPS  0:00 5 Body Contouring Mistakes That Ruin Results (What 2,500 Procedures Taught Me) 0:27 Fat removal is not the same as sculpting  1:34 Why removal alone leaves you flat and shapeless  2:04 The real work behind a good contouring result  2:50 Why adding volume matters as much as removing it  4:06 Fat grafting explained simply  5:04 Signs you are heading for a bad result  7:12 The biggest mistake with loose skin and lipo  9:50 How to spot a sculptor before you book  ❓ QUESTIONS ANSWERED  What is the difference between liposuction and body contouring?  Liposuction only removes fat, while body contouring shapes the body by removing fat in some areas and adding volume back in others. A surgeon who only removes fat can only solve half of the problem. Can liposuction fix loose skin?  No. Liposuction removes fat but cannot tighten loose skin, and removing fat from under loose skin can actually make the area look more deflated. Loose skin usually needs a skin removal procedure instead. How do I know if my surgeon is a good body contouring surgeon?  A good sign is if they examine your whole body and talk about how areas relate to each other instead of focusing only on the one spot you point out. Ask if they will add volume where needed and confirm they are board certified with real contouring experience. 📱 RESOURCES  Website: www.apresplasticsurgery.com  Instagram: https://www.instagram.com/apresplasticsurgery/ 🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice. ABOUT DR. ARIC AGHAYAN:  Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation. #PlasticSurgery #PlasticSurgeon #BreastAugmentation #Liposuction #BodyContouring

  2. Jul 16

    The Complete Guide to a Mommy Makeover (What Every Mom Needs to Know)

    📌 Visit: www.apresplasticsurgery.com You are doing everything right with your diet and the gym, and your stomach still will not flatten. After hundreds of abdominoplasty and mommy makeover procedures, I keep seeing the same structural damage happen over and over, and it is damage no amount of training or dieting will ever fix. In this episode, I'm going to show you what actually gets damaged during pregnancy, how to know if you're ready for a mommy makeover, and the one timing mistake that ruins more results than anything else. ⏱️ TIMESTAMPS 0:00 The Complete Guide to a Mommy Makeover (What Every Mom Needs to Know) 0:32 What a tummy tuck actually repairs 2:41 Why the tent pole analogy explains diastasis recti 3:14 The breast implant mistake most moms make 6:58 Do you need a lift, implants, or both 9:53 Signs you're a candidate for a mommy makeover 11:40 Why timing your surgery matters more than a wedding date 13:15 Two honest questions before you schedule surgery 14:20 Setting up recovery before you book anything 15:45 Final thoughts on structural repair versus vanity fix ❓ QUESTIONS ANSWERED What is diastasis recti and can exercise fix it? Diastasis recti is a separation of the two vertical abdominal muscles that happens during pregnancy. There is no muscle between them, so no amount of core work or exercise can bring them back into position, only surgical repair can address the actual gap and restore the abdominal wall structure. Do you need a breast lift, implants, or both after pregnancy? It depends on the degree of breast drop, or ptosis, not just the implant size. A lift raises the position of the nipple and areola, while implants restore lost volume, and many moms need both to get a natural, proportional result that matches their new body. When is the right time to get a mommy makeover? The best time is once you are truly done having children and your weight has been stable for about six months. Waiting for the right timing leads to one great outcome instead of needing a costly, stressful revision surgery later on. 📱 RESOURCES Website: www.apresplasticsurgery.com Instagram: https://www.instagram.com/apresplasticsurgery/ 🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice. ABOUT DR. ARIC AGHAYAN:  Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation. #PlasticSurgery #PlasticSurgeon #BreastAugmentation #Liposuction #BodyContouring

  3. Jul 9

    How To Burn Fat After 40: What Actually Works

    📌 Visit www.apresplasticsurgery.com Most people think getting in shape after 40 comes down to trying harder. It doesn't. I had chronic shoulder pain, chronic back pain, and joints that felt stiff every morning. I'm a plastic surgeon who sees this same pattern in patients every day. In the last 12 months I reversed all of it. At 47, I'm in the best shape I've been since my early 30s. It came down to three specific inputs I had been missing my entire career. In this episode, I'm going to walk you through exactly what I eat and do every day, why protein and creatine are the non-negotiable foundation, how insulin control is the piece most people never address, and four steps you can start tonight. ⏱️ TIMESTAMPS  0:00 What I Eat and Do Every Day as a 46-Year-Old Plastic Surgeon (My Health Protocol)  0:51 How I went from chronic pain to best shape since my 30s  1:28 Protein: why most people are dramatically underfueled  3:05 How to anchor every meal around protein first  4:09 Creatine: the most studied supplement people over 40 ignore  6:37 Insulin: the real reason fat loss stalls despite effort  9:13 Body composition scans and why the scale misleads you  11:06 How targeting inflammation cleared my chronic joint pain  13:24 My exact daily protocol: protein, creatine, training, and diet  16:19 Four steps you can start tonight ❓ QUESTIONS ANSWERED How much protein do you actually need over 40 to change your body composition?  The target is 1 gram per pound of lean body mass daily. For most people this is significantly more than they are currently eating, and it is the single biggest lever for preserving muscle and changing body composition after 40. Does creatine actually work for people who are not athletes or bodybuilders?  Yes. Creatine is one of the most-studied supplements in existence and supports both muscle energy production and cognitive function. After 40, neither muscle nor mental sharpness is maintained by default, and 5 to 10 grams daily directly protects both. Why can't I lose fat even when I'm eating less and working out consistently?  When insulin is chronically elevated from a diet high in sugar and processed carbohydrates, your body stays in fat storage mode regardless of calorie intake. Controlling insulin is the hormonal prerequisite for fat loss. Calorie restriction alone cannot override it. 📱 RESOURCES  Website: www.apresplasticsurgery.com  Instagram: https://www.instagram.com/apresplasticsurgery/ 🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice. ABOUT DR. ARIC AGHAYAN:  Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation. #plasticsurgerybeforeafter  #PlasticSurgeon #BreastAugmentation #Liposuction #BodyContouring

  4. Jul 2

    8 Questions Every Woman Should Ask Before Breast Augmentation (A Surgeon Answers)

    📌 Visit www.apresplasticsurgery.com Most women walk into a breast augmentation consultation with photos. Almost none walk in with the right questions. What you ask in that room matters more than any before and after photo on a surgeon's website. In this episode, I'm going to walk you through eight questions to bring to your breast augmentation consultation, including the one almost no patient ever asks and what the answer reveals about the surgeon sitting across from you. ⏱️ TIMESTAMPS  0:00 8 Questions Every Woman Should Ask Before Breast Augmentation (A Surgeon Answers) 1:38 Question 1: Implant placement, over vs under the muscle  3:28 Question 2: Implant brand and complication rates  5:15 Question 3: Your surgeon's personal capsular contracture rate  6:24 Question 4: How is the right implant size determined for you?  7:47 Question 5: Do I need a lift?  9:36 Question 6: How long will my implants last?  12:18 Question 7: Walk me through your specific recommendation for me  13:01 Question 8: What would you do if you were me? ❓ QUESTIONS ANSWERED Q: What is capsular contracture and how does implant choice affect the risk?  A: Capsular contracture is scar tissue that forms excessively around a breast implant, causing hardening and distortion. The risk is shaped by both implant brand and placement technique. Motiva implants placed over the muscle under the fascia have published five-year data showing a 0.5% capsular contracture rate, lower than any other brand's documented outcomes. Q: Do breast implants need to be replaced every 10 years?  A: No. The 10-year replacement rule applies to older implant generations and is not current guidance for modern cohesive gel implants. Sixth-generation implants have no required replacement schedule. Replacement is only necessary if a specific problem develops. Q: How should a surgeon determine the right implant size for my body? A: Proper sizing uses a structured assessment of chest wall width, breast base diameter, and tissue envelope, not just cup size preferences. The standard that matters is pairing that assessment with 3D imaging such as Vectra or Crisalix, so a patient can see how specific implants will look in their body before committing to surgery. 📱 RESOURCES  Website: www.apresplasticsurgery.com  Instagram: https://www.instagram.com/apresplasticsurgery/ 🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice. ABOUT DR. ARIC AGHAYAN:  Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation. #PlasticSurgery #PlasticSurgeon #BreastAugmentation #Liposuction #BodyContouring

  5. Jun 25

    It Took Me 14 Years of Surgery to Realize What I'll Tell You in 10 Minutes

    📌 Visit www.apresplasticsurgery.com Most people treat the consultation like a formality. They assume the operating room is where everything happens. After 14 years and over 2,500 procedures, I can tell you, that assumption costs patients more than anything else in plastic surgery. The OR just executes a plan. The plan gets built before you ever step inside one. In this episode, I'm going to walk you through what actually determines your surgical results: the consultation, the preparation window, and how to know if surgery is even the right answer right now. TIMESTAMPS  0:00 It Took Me 14 Years of Surgery to Realize What I'll Tell You in 10 Minutes 2:44 Why operating on an unprepared body is like building on a cracked foundation  3:38 The pattern I noticed after years of follow-ups  4:05 Case study: the CrossFit gym owner who wasn’t ready  5:55 The preparation window and why it’s open right now for most patients  6:49 Why I changed my mind about GLP-1 medications completely   8:25 How we use body scans, protein, and resistance training alongside GLP-1s  9:19 Visceral fat: the real target and why it matters beyond appearance  9:46 What surgery can and cannot change  10:14 Three questions to ask yourself tonight QUESTIONS ANSWERED What should I think about before my plastic surgery consultation?  Before your consultation, spend real time answering this question: what do you want to feel, not just look like, 12 months after surgery? Most patients walk in focused on anatomy and procedures. Surgeons who ask about desired outcomes; not just body parts, are giving you a fundamentally different consultation. If the surgeon is doing most of the talking in the first 15 minutes, that is worth noticing. Why do some plastic surgery patients get better results than others with the same procedure?  Preparation is the variable. Patients with stable weight, solid muscle foundation, and controlled metabolic health consistently get better results than patients with identical anatomy who haven't done that preparation. Same surgery, different outcomes. The ceiling for what surgery can do is partly determined by what you show up with. Is it safe to use GLP-1 medications like Ozempic before plastic surgery?  GLP-1 medications are not a shortcut. They are a tool that requires monitoring. Up to 50% of weight loss in an unmonitored program can be muscle mass, which weakens the body and reduces metabolic rate. At Apres Plastic Surgery, patients starting GLP-1s get body scans to establish a baseline, resistance training recommendations, and protein targets to protect lean mass. The goal is fat loss, especially visceral fat, not just movement on the scale. RESOURCES  🌐 Website: www.apresplasticsurgery.com  📸 Instagram: @apresplasticsurgery 🔔 Subscribe for a new episodes every week — honest plastic surgery information without the sales pitch. ABOUT DR. ARIC AGHAYAN  Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of experience and over 2,500 procedures, he specializes in breast surgery, high-definition liposculpture, and post-weight loss body contouring. He was the first surgeon in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation technique. Learn more at apresplasticsurgery.com. #PlasticSurgery #PlasticSurgeon #BreastAugmentation #Liposuction #BodyContouring

  6. Jun 18

    Liposuction vs. Tummy Tuck: How to Know Which One Your Body Actually Needs

    📌 Visit www.apresplasticsurgery.com You may have already done the research, seen the before-and-afters, and walked into a consultation knowing exactly which procedure you wanted. If the results you were expecting still haven't come, it is almost certainly because the procedure was matched to the wrong problem. In this video, I'm going to break down what liposuction and a tummy tuck actually do inside your body, the specific problems each one is designed to solve, and how to assess your own anatomy before your next consultation. ⏱️ TIMESTAMPS  0:00 Liposuction vs. Tummy Tuck: How to Know Which One Your Body Actually Needs  1:21 What liposuction actually does (it is not a weight loss tool)  2:49 How to know if you are a good liposuction candidate  4:25 What a tummy tuck actually addresses (it is not about fat)  5:02 Diastasis recti: the muscle separation that only surgery can fix  7:26 The two mistakes that lead to needing a revision  8:15 How to self-assess: the pinch test and the flat-back test  12:21 Why combining lipo and a tummy tuck gives the most complete result ❓ QUESTIONS ANSWERED What is the difference between liposuction and a tummy tuck?  Liposuction removes fat and reshapes architecture but does not address loose skin or muscle separation. A tummy tuck removes excess skin, repairs separated abdominal muscles (diastasis recti), and creates a flat front profile. They solve two completely different structural problems. How do I know if I need a tummy tuck or liposuction?  Pinch the skin of your lower abdomen. If it feels mostly like fat beneath the skin, liposuction may be the right answer. If the skin itself feels thin and loose with a lot of mobility, a tummy tuck is more likely what you need. A history of pregnancy or visible muscle separation when lying flat also points toward a tummy tuck. Can liposuction and a tummy tuck be done at the same time?  Yes, and combining them is one of the most common approaches for patients who need both. The tummy tuck addresses skin laxity and muscle repair, while liposuction refines the waist and addresses fat in areas the tummy tuck cannot directly contour. Together they produce a more complete and balanced result than either procedure alone. 📱 RESOURCES  Website: www.apresplasticsurgery.com  Instagram: https://www.instagram.com/apresplasticsurgery/ 🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice. ABOUT DR. ARIC AGHAYAN:  Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation. #PlasticSurgery #PlasticSurgeon #BreastAugmentation #Liposuction #BodyContouring

  7. Jun 11

    Stop Telling Your Surgeon What Cup Size You Want

    📌 Visit www.apresplasticsurgery.com Telling your surgeon "I want a D cup" feels like clarity. It's not. Cup sizes aren't standardized across brands, and the same CC count looks completely different on two different frames. You can't build a customized result around a measurement that means something different in every store. In this episode, I'm going to walk you through the anatomy-first sizing system that produces the most consistent, proportional results and show you the five questions your surgeon should answer before you commit to any size. ⏱️ TIMESTAMPS  0:00 Stop Telling Your Surgeon What Cup Size You Want  1:44 Why cup size is not a measurement your surgeon can work from  2:54 How the anatomy-first sizing system actually works  3:13 Implant base width and projection: what actually matters  3:49 Using 3D imaging to see your result before surgery  4:22 The hidden risks of going too big for your frame  7:21 Five questions every consultation should answer  8:32 How to choose the right implant for your anatomy  11:30 What to stop doing before your next appointment  12:22 How to prepare to get a better consultation ❓ QUESTIONS ANSWERED  Why doesn't cup size work as a breast augmentation goal?  Cup size is not standardized across bra brands, so a surgeon cannot translate "I want a D" into a surgical plan. Your chest width, breast base, skin quality, and existing volume are what actually determine the right implant for you. What are the real risks of choosing a breast implant that is too large?  Oversized implants stretch the tissue, cause visible rippling, and often produce a top-heavy appearance that does not age well. Many patients return for revision surgery to go smaller, which is significantly harder than the original procedure. 📱 RESOURCES  Website: www.apresplasticsurgery.com  Instagram: https://www.instagram.com/apresplasticsurgery/ 🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice. ABOUT DR. ARIC AGHAYAN:  Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation. #PlasticSurgery #PlasticSurgeon #BreastAugmentation #Liposuction #BodyContouring

  8. Jun 4

    5 Signs You Need a Body Lift, Not a Tummy Tuck (Most Surgeons Won't Tell You)

    📌 Visit www.apresplasticsurgery.com If you lost 50, 80, or 100 pounds and you are researching a tummy tuck, there is a good chance you are about to make the single most expensive mistake in body contouring. A tummy tuck addresses loose skin on the front of your abdomen. Weight loss happens everywhere. If you get this wrong, it does not just mean a disappointing result. It means a second surgery at more than twice the cost and double the recovery. In this episode, I'm going to give you the five specific signs that tell you whether you are a body lift candidate, not a tummy tuck candidate, and the exact checklist to bring into your consultation. ⏱️ TIMESTAMPS 0:00 Why tummy tuck only addresses 50% of the problem after significant weight loss 0:45 What a tummy tuck physically cannot fix (and why it is not the surgeon's fault) 1:02 How getting this wrong leads to a second surgery at twice the cost 2:29 Sign 1: Loose skin on your sides, hips, and buttock area (the 360-degree mirror test) 4:25 Sign 2: Volume loss in your buttocks (the deflation problem and how fat transfer addresses it) 5:59 Sign 3: Clothes that will not fit right even at your goal weight 8:27 Sign 4: Skin fold rashes, moisture, and sores (and how insurance may cover it) 9:57 Sign 5: You have lost 50 or more pounds 10:34 One surgery, one recovery, less total cost 10:45 The 5-question checklist to bring to your consultation ❓ QUESTIONS ANSWERED What is the difference between a tummy tuck and a body lift? A tummy tuck addresses loose skin on the front of the abdomen and tightens separated abdominal muscles. A circumferential body lift goes 360 degrees, addressing loose skin and volume loss on the sides, hips, buttock area, and back. After significant weight loss, a tummy tuck typically addresses about 50% of the problem and leaves the sides and back unchanged. How do I know if I need a body lift instead of a tummy tuck? Do the mirror test: stand in front of a full-length mirror and slowly rotate 360 degrees. If you see significant loose skin on your sides, hips, or back, not just your stomach, a circumferential approach will give you a more complete result. The 50-pound threshold is a strong additional indicator. If you have lost 50 or more pounds, a body lift is almost always the more appropriate procedure. Does a body lift cost more than a tummy tuck? There is an upfront cost difference. But patients who get a tummy tuck when they needed a body lift frequently return for a second procedure at considerably more cost and downtime than if they had done it comprehensively the first time. One surgery, one recovery, one anesthesia. That math almost always favors doing it right the first time. 📱 RESOURCES Website: www.apresplasticsurgery.com Instagram: https://www.instagram.com/apresplasticsurgery/ 🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice. ABOUT DR. ARIC AGHAYAN:  Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon.  With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation. #PlasticSurgery #PlasticSurgeon #Liposuction #BodyContouring #BreastAugmentation

  9. May 28

    Breast Implants Under the Muscle? A Plastic Surgeon Explains Why It's Outdated

    📌 Visit www.apresplasticsurgery.com Almost every surgeon is going to tell you to go under the muscle. Forums, blogs, and family members are going to say the same thing.  Most of that advice is based on outdated research and older implant technology that no longer applies to what is available today. In this episode, I'm going to walk you through five things about over vs. under the muscle placement that most surgeons never fully explain before surgery, including what animation deformity is, how Motiva implants changed the capsular contracture equation, and what the Preserve technique means for recovery. ⏱️ TIMESTAMPS 0:00 Why Under the Muscle Is Outdated Advice for Most Patients 0:36 Why Most Surgeons Are Still Recommending Submuscular Placement 3:03 Five Things to Know About Implant Placement Before Your Consultation 5:17 How Motiva Implants Brought Capsular Contracture Risk to 0.5% 5:55 The Downsides of Under-the-Muscle Placement Patients Never Hear 6:53 Animation Deformity: What It Is and the Simple At-Home Test 9:18 Why Over-the-Muscle Produces More Natural Results With Modern Implants 12:38 How to Decide Which Placement Is Right for Your Body 13:26 The Preserve Technique and Weekend Recovery Breast Augmentation ❓ QUESTIONS ANSWERED Q: What is animation deformity in breast implants? A: Animation deformity happens when the pec muscle, cut during submuscular placement, contracts and distorts the shape of the implant. The breast moves in an unnatural way when the chest muscle flexes. It does not happen with over-the-muscle placement. Q: Is over-the-muscle breast augmentation as safe as submuscular? A: Yes. With Motiva implants, capsular contracture rates are approximately 0.5% in five-year data regardless of placement. The concern that originally drove surgeons to go submuscular has been largely addressed by new implant technology. Q: What is the Preserve breast augmentation technique? A: Preserve uses a small incision, a channel separator, and a dilating balloon to create the implant pocket without cutting tissue. Most patients recover over a weekend and can return to lifting within one week, compared to six weeks with traditional submuscular placement. 📱 RESOURCES Website: www.apresplasticsurgery.com Instagram: https://www.instagram.com/apresplasticsurgery/ 🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice. ABOUT DR. ARIC AGHAYAN: Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation. #PlasticSurgery #PlasticSurgeon #BreastAugmentation #Liposuction #BodyContouring

  10. May 21

    5 Things Your Plastic Surgeon Isn't Telling You (From a Board Certified Surgeon)

    📌 Visit www.apresplasticsurgery.com Most plastic surgery practices have one goal: get you into the operating room as quickly as possible. The problem is, rushing into surgery is often the single biggest reason patients end up disappointed, overspent, or back for a revision they never should have needed. I have performed over 2,500 procedures across 14 years of practice. What I'm about to share are things most surgeons won't say because they cost practices revenue. Your outcome depends on hearing them. In this episode, I'm going to break down the five most important things your plastic surgeon probably isn't telling you, so you can make the right decisions before you ever step foot in an operating room. ⏱️ TIMESTAMPS 0:00 Why Most Consultations Lead to Disappointing Results 1:37 Truth 1: Surgery Might Not Be What You Need Right Now 3:47 Patient Story: 50 Pounds Lost, Diabetes Controlled, Real Transformation 6:29 Truth 2: Breast Implants Don't Need to Go Under the Muscle 9:04 Truth 3: You Are Probably Choosing Implant Size the Wrong Way 13:23 Truth 4: Body Contouring Is Not Just Removing Fat 17:04 Truth 5: Your Consultation Should Change Your Plan, Not Just Confirm It 18:15 3 Things to Write Down Before Any Consultation ❓ QUESTIONS ANSWERED Q: Do breast implants have to go under the muscle? A: No. Placing implants over the muscle in the proper plane carries the same low capsular contracture risk, with easier recovery and no damage to the pec muscle. The over-the-muscle approach is now standard in many practices using modern implants like Motiva. Q: Is liposuction a good option if I am significantly overweight? A: Not yet. Liposuction is not a weight loss procedure, and having it done before reaching a stable healthy weight often leads to loose skin that requires a second surgery. Reaching a healthy weight first leads to better outcomes with fewer procedures overall. Q: How should I choose the right breast implant size? A: Focus on proportions to your own anatomy, not a cup size or CC number. Cup sizes vary across brands and carry no objective meaning in surgery. A 3D simulation tool showing how specific implants look on your actual body is the most reliable way to make that decision. 📱 RESOURCES Website: www.apresplasticsurgery.com Instagram: https://www.instagram.com/apresplasticsurgery/ 🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice. ABOUT DR. ARIC AGHAYAN:  Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring.  He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation. #PlasticSurgery #PlasticSurgeon #BreastAugmentation #Liposuction #BodyContouring

  11. May 21

    Loose Skin After Weight Loss: A Plastic Surgeon Explains What Actually Works

    📌 Visit www.apresplasticsurgery.com You lost the weight. You did the hard part. And now you are looking at loose skin that no lotion, laser, or gym session is going to fix. Most patients spend thousands of dollars on non-surgical treatments before a surgeon finally tells them the truth. I am going to tell you that right now. In this episode, I'm going to break down five things you need to understand about loose skin after weight loss, including why most patients get talked into the wrong procedure and how to make sure that does not happen to you. ⏱️ TIMESTAMPS 0:00 Why loose skin will not retract no matter what you try 1:03 Why non-surgical treatments are a waste of money 4:33 If skin has not retracted by 6-12 months, it won't 5:21 Why a tummy tuck is the wrong procedure for most weight loss patients 6:09 The 2D vs 3D problem: what a tummy tuck cannot fix 6:56 What a circumferential lower body lift actually does 8:37 When you are NOT ready for surgery yet (timing criteria you need to know) 10:14 The three questions to ask yourself before any consultation 12:00 Why staging is necessary and what to know about combining procedures 17:31 Your three action steps for tonight ❓ QUESTIONS ANSWERED Q: Can non-surgical treatments like RF microneedling or laser fix loose skin after major weight loss? A: No. Significant weight loss permanently breaks elastin fibers in the skin. No topical, no device, and no resistance training program can repair that. Surgery is the only option that produces meaningful, lasting results. Q: Why is a tummy tuck usually the wrong procedure after massive weight loss? A: A tummy tuck is a 2D operation designed for post-pregnancy changes in the front of the abdomen. After massive weight loss, skin laxity exists 360 degrees around the body including the hips, buttocks, and waist. A circumferential lower body lift addresses all of those areas in a single procedure and produces a far more balanced and complete result. Q: When is the right time to have body contouring surgery after weight loss? A: You need to be at a stable weight for at least three months, ideally six, and within ten to fifteen pounds of your healthy goal weight. Operating before that point increases complication risk significantly and may require a second surgery if you continue losing weight afterward. 📱 RESOURCES Website: www.apresplasticsurgery.com Instagram: https://www.instagram.com/apresplasticsurgery/ 🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice. ABOUT DR. ARIC AGHAYAN:  Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon.  With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation. #PlasticSurgery #PlasticSurgeon #BodyContouring #WeightLossSurgery #BodyLift

  12. May 21

    Welcome to The Podcast with Dr Aric Aghayan

    Board certified plastic surgeon Dr. Aric Aghayan specializes in breast augmentation, body contouring, mommy makeovers, and post-weight loss procedures in the Pacific Northwest.  With over 2,500 procedures and 14 years of experience, Dr. Aghayan shares honest, patient-first advice on plastic surgery, body transformation, and medical aesthetics. This is the kind of straight talk most surgeons won't give you in a consultation.  Whether you're considering breast implants, liposuction, a tummy tuck, or a full body lift after weight loss, this channel helps you make smarter decisions before you ever step into an OR.  New episodes weekly.

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About

Board certified plastic surgeon Dr. Aric Aghayan specializes in breast augmentation, body contouring, mommy makeovers, and post-weight loss procedures in the Pacific Northwest. With over 2,500 procedures and 14 years of experience, Dr. Aghayan shares honest, patient-first advice on plastic surgery, body transformation, and medical aesthetics. This is the kind of straight talk most surgeons won't give you in a consultation. Whether you're considering breast implants, liposuction, a tummy tuck, or a full body lift after weight loss, this channel helps you make smarter decisions before you ever step into an OR. New episodes weekly.

Information

  • Creator
    Aric Aghayan
  • Years Active
    2026
  • Episodes
    12
  • Rating
    Clean
  • Copyright
    © 2026 Plastic Surgery Advice with Dr Aric Aghayan