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. 1d ago

    Before You Replace Your Breast Implants, Watch This

    📌 Discover The Après Affect: https://www.apresplasticsurgery.com The biggest mistake in breast implant revision is replacing the implant before figuring out what actually went wrong. Most women think a second surgery is just swap the old one for a new one. It almost never is. Your tissue has changed, your skin has stretched, and the implant pocket may not be the same shape it was years ago. Skipping that diagnosis is how patients end up back in the same chair a few years later. In this video, I'm going to break down the real questions that should come before any new implant decision, so you don't repeat the same surgery and end up with the same result. ⏱️ TIMESTAMPS 0:00 Before You Replace Your Breast Implants, Watch This 0:40 What's actually bothering you about your breasts 1:33 Did the implant change or did your breast change 2:53 Why going smaller is not as simple as it sounds 4:00 The trap of going bigger during revision 4:49 When the implant pocket is the real problem 5:33 Capsular contracture and hard breasts explained 6:52 What if you don't want implants anymore 8:30 The real question before you pick a new implant ❓ QUESTIONS ANSWERED Is breast implant revision surgery harder than the original augmentation? It can be, because your breast tissue has already adapted to years of carrying an implant, so the surgeon has to plan around anatomy that has already changed rather than starting fresh. The pocket, the skin envelope, and the scar tissue all factor into a revision plan in ways they never did the first time. Can I just get a smaller implant if my current ones feel too heavy? Going smaller is possible, but since your skin and tissue stretched around the larger implant over time, simply downsizing can leave extra looseness or a flatter upper breast if the plan does not account for that. A surgeon may need to address the pocket itself, not just swap the implant size, to get a result that actually looks lifted and full. Do I need a new implant if my breast became hard or painful? Not necessarily just a new implant. A hard or painful breast usually means capsular contracture, and the scar tissue and implant pocket often need to be addressed too, or the same problem can come back even with a brand new implant inside it. 📱 RESOURCES Website: https://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. 💬 If you're considering implant revision, tell me in the comments what's bothering you most, size, position, hardness, or something else. I read these and it helps me make videos that answer real questions. 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. Oct 8

    BREAKTHROUGH: A New Implant Approach for More Natural-Looking Breasts

    📌 Discover The Après Affect: https://www.apresplasticsurgery.com You want more fullness, but you do not want anyone to know you have implants. That is a real, specific goal, and it takes more than just picking a smaller implant to get there. Most women get told the answer is simply going smaller, but that ignores chest width, tissue thickness, and how the implant actually sits under the muscle. I am breaking down the newer approach that is changing what is possible for women who want a subtle, natural looking result, and explaining exactly why the technique matters as much as the implant itself. In this episode, I'm going to explain how a tissue preserving implant technique creates fuller, more natural looking breasts and who is actually a good candidate for it. ⏱️ TIMESTAMPS 0:00 BREAKTHROUGH: A New Implant Approach for More Natural-Looking Breasts 0:42 Why implant size alone does not equal natural 1:20 The real question if natural is your goal 1:59 What makes Motiva implants feel different 2:22 The Preserve technique explained 3:13 Who this approach is really for 4:16 What recovery actually looks like 5:06 Who is not a good candidate 6:15 What actually makes implants look natural ❓ QUESTIONS ANSWERED What is the Preserve breast augmentation technique? Preserve is a Motiva technique that creates the implant pocket while preserving more of the surrounding natural breast tissue instead of disrupting it, using a smaller access point and less muscle disturbance. This can lead to a softer, more natural look, less post-operative swelling, and a shorter recovery for the right candidate. Can breast implants look natural without going small? Yes, but the result depends on your existing breast tissue, chest width, and skin coverage, not just implant size. Two women with the same implant profile can look completely different because their starting anatomy, tissue thickness, and pocket placement are different, which is why the technique matters as much as the implant choice. Is Preserve a good option if I have sagging breasts? Not necessarily. If you have significant droop or very loose skin, an implant alone will not lift the breast, and adding volume to a sagging breast can actually make the position look worse, so a lift may need to be part of your plan. 📱 RESOURCES Website: https://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. Oct 1

    Breast Implants Before or After Kids? A Plastic Surgeon Gives His Verdict

    📌 Discover The Après Affect: https://www.apresplasticsurgery.com Should you get breast implants before kids or wait until after? This is one of the most common questions I get in consultation, and the honest answer depends on more than most women realize. Pregnancy changes your breasts in ways that have nothing to do with the implant itself, and the timing decision can affect your results for years to come. I see patients on both sides of this question every week, and the right answer is rarely as simple as a yes or no. In this episode, I'm going to break down exactly what pregnancy and breastfeeding do to augmented breasts and give you my real verdict on timing. ⏱️ TIMESTAMPS 0:00 Breast Implants Before or After Kids? A Plastic Surgeon Gives His Verdict 0:41 Can you still breastfeed with implants 1:19 What pregnancy does to an augmented breast 2:38 Does breastfeeding actually cause sagging 3:35 Can pregnancy make implants move 4:34 Will having kids mean another surgery 5:39 When I recommend waiting on surgery 6:36 What if kids are years away 7:41 Does implant size matter if you want kids later 8:29 The advantage of waiting until after kids ❓ QUESTIONS ANSWERED Can you breastfeed with breast implants? Yes, many women with implants are able to breastfeed successfully. Implants do not automatically stop milk production, but surgical technique can affect nerves, ducts, and breast tissue depending on how the incision and implant placement are done, so choosing an experienced surgeon matters if breastfeeding is a priority. Does pregnancy ruin breast implants? Pregnancy does not usually damage the implant itself, but it can change the natural breast tissue and skin around it, including stretching, volume loss, and changes in position sometimes called waterfall deformity. This can shift how the results look even when the implant remains completely intact, which is why some women choose to wait until after having kids. Should you get a breast augmentation before or after having kids? If pregnancy is likely within the next year or two, waiting usually makes more sense because your breasts are about to go through major change that could affect your results and require a revision. If kids are still years away, there is no medical reason to delay a procedure you already want, since the implants themselves will not stop you from having a healthy pregnancy later. 📱 RESOURCES Website: https://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. Sep 24

    Why Every Man Needs To Check THIS Before Getting Lipo

    📌 Discover The Après Affect: https://www.apresplasticsurgery.com If you're a man considering liposuction on your stomach, there's one thing you need to check before you book anything. Skip this step and you could end up thinner but still not looking the way you pictured. It happens more than you think, and it's rarely the surgery's fault. Most men blame the surgeon or blame themselves for not working hard enough, when the real issue is the type of fat they're carrying and where it's actually stored. In this episode, I'm going to explain the difference between the fat liposuction can remove and the fat it cannot touch, so you know exactly what to expect before you ever schedule a consultation. ⏱️ TIMESTAMPS 0:00 Why Every Man Needs To Check THIS Before Getting Lipo 0:56 Two types of belly fat explained 1:40 Why liposuction cannot reach visceral fat 2:30 Why men and women store fat differently 3:23 What happens when the wrong fat is targeted 4:36 Why weight loss must come before lipo 6:07 How to check your own fat with a scan 7:03 What to ask your surgeon before booking 7:45 Watch this next ❓ QUESTIONS ANSWERED Can liposuction remove visceral fat? No. Liposuction only removes subcutaneous fat located between the skin and the muscle. Visceral fat sits deep behind the abdominal wall, wraps around your organs, and cannot be surgically suctioned out, no matter how skilled the surgeon is or what technique is used. Why do men get different lipo results than women? Women typically store more fat in the subcutaneous layer, which liposuction can fully address, while men often carry more deep visceral fat, which surgery cannot reach. This is why two patients can get the same procedure from the same surgeon and walk away with completely different outcomes depending on where their fat is actually located, not on how the surgery was performed. How do I know if liposuction will work for my body? An InBody scan or DEXA scan takes under two minutes and shows exactly how much of your fat is subcutaneous versus visceral. If most of your fat is visceral, losing weight first through diet, exercise, or medical support will give you a far better outcome than jumping straight into surgery. 📱 RESOURCES Website: https://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. Sep 17

    How To Choose Breast Implants That Won't Harden

    📌 Discover The Après Affect: https://www.apresplasticsurgery.com Breast implants can get hard. Most women never hear why until it happens to them. The truth is, whether it happens to you is mostly decided by two choices made before you ever get on the table. In this episode, I'm going to break down exactly what causes capsular contracture and give you the three questions that reveal your real risk before you book breast augmentation. ⏱️ TIMESTAMPS 0:00 How To Choose Breast Implants That Won't Harden 0:47 What happens inside your body after implant surgery 1:20 The four stages of capsular contracture 1:58 The real cause of hardening: irritation 2:39 Textured vs smooth implant surfaces explained 3:23 Motiva implants and the half a percent contracture rate 4:02 Over the muscle vs under the muscle breast augmentation 5:00 Animation deformity and waterfall deformity risks 6:20 Three questions to ask before booking your surgery ❓ QUESTIONS ANSWERED What causes breast implants to harden? Hardening, known as capsular contracture, happens when the scar tissue capsule around an implant becomes irritated and thickens. The more irritation from blood, bacteria, or the implant surface, the harder that capsule gets over time. Are smooth or textured implants better for avoiding hardening? Smooth surfaced implants like Motiva cause much less irritation than older textured surfaces, which lowers the risk of capsular contracture. Motiva's five year data shows a hardening rate under half of one percent, compared to much higher rates with rougher surfaces. Is over the muscle or under the muscle placement better for breast implants? Placing implants over the muscle avoids cutting the pec muscle, which means no animation deformity and an easier recovery, while still keeping capsular contracture rates low with the right implant. Under the muscle placement can cause visible flexing distortion and a longer, more painful recovery. 📱 RESOURCES Website: https://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. Sep 10

    A Great Tummy Tuck Is IMPOSSIBLE Until These 4 Things Are Right

    📌 Discover The Après Affect: https://www.apresplasticsurgery.com A tummy tuck sounds like the obvious next step after weight loss. But most patients walking into a consult are missing at least one of four things that determine whether the results actually hold. Get any of these wrong and you risk a second surgery to fix the first. In this episode, I'm going to break down the four things that need to be true before a tummy tuck makes sense after significant weight loss. ⏱️ TIMESTAMPS 0:00 A Great Tummy Tuck Is IMPOSSIBLE Until These 4 Things Are Right 0:46 Mistake 1: Booking before your weight stabilizes 1:48 What "stable weight" actually means 2:23 Mistake 2: Tummy tuck vs body lift confusion 3:31 Why body lift fixes what a tummy tuck can't 4:08 Mistake 3: Getting the surgery order wrong 5:22 How to ask your surgeon about sequencing 6:14 Mistake 4: GLP-1 weight loss and muscle loss risk 7:38 Getting a body composition scan before surgery 8:19 The 4 things that make results hold ❓ QUESTIONS ANSWERED How long should my weight be stable before a tummy tuck?  Your weight should stay within a few pounds of the same number for at least three to six months, with no ongoing downward trend. Booking before that point risks the skin laxity returning as your weight continues to shift. Do I need a tummy tuck or a body lift after weight loss?  A tummy tuck only addresses the front of the abdomen, while a body lift treats the abdomen, hips, outer thighs, and buttocks in one 360 degree plan. If you lost 50 or more pounds, your skin laxity is usually circumferential, which makes a body lift the more complete fix. Can Ozempic or GLP-1 weight loss affect surgery recovery?  Yes, up to 50% of weight lost on GLP-1 medications without monitoring can come from muscle rather than fat. Since healing depends on protein reserves and muscle mass, a body composition scan before surgery helps confirm you're actually ready. 📱 RESOURCES Website: https://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. Sep 3

    Looking for a Plastic Surgeon near Portland? Watch This First

    📌 Visit www.apresplasticsurgery.com Most people picking a plastic surgeon compare the wrong things. Before and after photos, star ratings, and spring specials tell you almost nothing about whether you will actually be happy with your results. There is one credential that separates a real plastic surgeon from someone who took a weekend course, and most people never think to look for it. In this episode, I'm going to show you exactly how to vet a plastic surgeon in Portland, from the one credential that actually matters to how to spot an upsell before it happens. ⏱️ TIMESTAMPS 0:00 Looking for a Plastic Surgeon near Portland? Watch This First 0:50 Why "cosmetic surgeon" is not the same as plastic surgeon 2:00 Board certification, what to actually look for 2:47 Why your neighbor's surgeon might be wrong for you 3:44 Matching a surgeon's specialty to your goals 4:29 How to spot an upsell in a consultation 5:48 Signs a surgeon is advising you instead of selling you 6:03 Advanced options already available in Portland 7:31 What the right surgeon looks like, put together ❓ QUESTIONS ANSWERED What is the difference between a cosmetic surgeon and a plastic surgeon? In most states, almost any licensed physician can call themselves a cosmetic surgeon after a short course, but plastic surgeon is a real surgical subspecialty that requires years of supervised training and passing written and oral board exams. How do I know if a plastic surgeon is board certified? Look specifically for board certification by the American Board of Plastic Surgery on the surgeon's website or ask directly in a consultation, since that specific phrase confirms real surgical training rather than a weekend course. How can I tell if a plastic surgeon is upselling me during a consultation? A trustworthy surgeon will sometimes suggest doing less, waiting, or losing weight first instead of pushing every answer toward a bigger or faster procedure, and that willingness to slow you down is one of the strongest signs their advice serves your results rather than their bottom line. 📱 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. Aug 27

    5 Signs You're Losing Muscle on Ozempic (Not Just Fat)

    📌 Discover The Après Affect: https://www.apresplasticsurgery.com Up to 50% of the weight you lose on a GLP-1 medication can be muscle, not fat. The scale drops either way, so most people never know until the damage is already done. Rapid weight loss without a plan to preserve muscle can quietly undo your metabolism, your strength, and the shape you were actually trying to achieve. If you are on Ozempic, Wegovy, or Mounjaro, these five signs will tell you what you are really losing before it becomes a bigger problem. In this episode, I'm going to show you the five specific signs of muscle loss on GLP-1 medications and exactly what to do about each one. ⏱️ TIMESTAMPS 0:00 5 Signs You're Losing Muscle on Ozempic (Not Just Fat) 0:24 How GLP-1 medications trigger muscle loss 1:31 Sign 1: Losing weight but getting weaker 2:29 Sign 2: Fatigue deeper than a calorie cut 3:19 Sign 3: Softer, not leaner reflection 4:25 Sign 4: Skipping resistance training 6:00 Sign 5: Not knowing what you are actually losing 7:17 Body composition scans explained 7:50 Protein and resistance training targets 8:45 Why muscle loss matters long term ❓ QUESTIONS ANSWERED How do I know if I'm losing muscle on Ozempic?  Watch for increasing weakness, deeper fatigue, and a softer rather than leaner appearance as the scale drops, since these are the visible signs your body is burning muscle along with fat. If your strength keeps dropping even as the number on the scale goes down, that is a strong signal your body is pulling energy from muscle tissue instead of fat stores. How much protein do I need on a GLP-1 medication?  Aim for about 0.8 to 1 gram of protein per pound of lean body weight daily to help your body preserve muscle during appetite suppression. Since GLP-1 medications naturally reduce hunger, you often have to be intentional about hitting this target rather than relying on appetite to guide you. Can resistance training prevent muscle loss on Ozempic?  Yes, doing compound resistance training at least three times a week signals your body to hold onto muscle instead of burning it for energy during the calorie deficit. Combining consistent strength training with adequate protein intake is the most reliable way to make sure the weight you lose is fat, not the muscle you worked to build. 📱 RESOURCES Website: https://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.

Information

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