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.

  1. 5d ago

    How to Lose Weight on Ozempic Without Ending Up Saggy, Hollow, and Older-Looking

    📌 Visit www.apresplasticsurgery.com GLP-1 drugs didn't come from a surgeon, but they've changed my field more than any new tool or technique ever did. I'm seeing a wave of patients with a problem almost nobody warned them about, and it's not where you'd expect. The scale goes down, but something else changes too, and most people don't notice until it's too late to easily fix. In this episode, I'm breaking down what GLP-1 medications like Ozempic, Mounjaro, and Zepbound are actually doing to your face and body, and what to do right now so you come out the other side looking like yourself instead of hollowed out. ⏱️ TIMESTAMPS 0:00 How to Lose Weight on Ozempic Without Ending Up Saggy, Hollow, and Older-Looking 1:03 The drug reshaping my entire practice 2:04 What GLP-1 weight loss does to your face 3:09 Why deflated skin behaves differently than full skin 3:36 The bigger problem hiding under fast weight loss 4:49 The real risk: losing muscle instead of fat 5:17 What a monitored weight loss program actually tracks 6:09 Why judging GLP-1 users is outdated 7:00 The one thing that decides your outcome 7:33 Simple steps to protect your results tonight ❓ QUESTIONS ANSWERED Does Ozempic or GLP-1 weight loss age your face? Yes. Rapid fat loss can drain the fat cushion under facial skin, causing hollow cheeks, deeper folds, and a face that looks older even though the body looks smaller. This happens because facial fat pads shrink just like fat anywhere else, and once that support is gone, skin has nothing to rest on. Do GLP-1 medications cause muscle loss? Without monitoring, resistance training, and enough protein, as much as half the weight lost on these medications can come from muscle instead of fat, which weakens the body and makes future body contouring surgery harder. Losing muscle instead of fat also changes how skin retracts, which can leave more looseness behind than expected. How do you lose weight on GLP-1 drugs without losing muscle? Eat roughly one gram of protein per pound of lean body weight, add two to three resistance training sessions a week, and get regular body composition scans to confirm you are losing fat, not muscle. These three habits together are the difference between a body that looks toned after weight loss and one that looks deflated. 📱 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 23

    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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

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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.

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  • Creator
    Aric Aghayan
  • Years Active
    2026
  • Episodes
    13
  • Rating
    Clean
  • Copyright
    © 2026 Plastic Surgery Advice with Dr Aric Aghayan