Plastic Surgery Advice with Dr Aric Aghayan

📌 Visit www.apresplasticsurgery.comYou 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 ANSWEREDWhat 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

📌 Visit www.apresplasticsurgery.comTelling 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

📌 Visit www.apresplasticsurgery.comIf 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.⏱️ TIMESTAMPS0:00 Why tummy tuck only addresses 50% of the problem after significant weight loss0:45 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 cost2:29 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 weight8:27 Sign 4: Skin fold rashes, moisture, and sores (and how insurance may cover it)9:57 Sign 5: You have lost 50 or more pounds10:34 One surgery, one recovery, less total cost10:45 The 5-question checklist to bring to your consultation❓ QUESTIONS ANSWEREDWhat 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.📱 RESOURCESWebsite: www.apresplasticsurgery.comInstagram: 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

📌 Visit www.apresplasticsurgery.comAlmost 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.⏱️ TIMESTAMPS0:00 Why Under the Muscle Is Outdated Advice for Most Patients0:36 Why Most Surgeons Are Still Recommending Submuscular Placement3:03 Five Things to Know About Implant Placement Before Your Consultation5:17 How Motiva Implants Brought Capsular Contracture Risk to 0.5%5:55 The Downsides of Under-the-Muscle Placement Patients Never Hear6:53 Animation Deformity: What It Is and the Simple At-Home Test9:18 Why Over-the-Muscle Produces More Natural Results With Modern Implants12:38 How to Decide Which Placement Is Right for Your Body13:26 The Preserve Technique and Weekend Recovery Breast Augmentation❓ QUESTIONS ANSWEREDQ: 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.📱 RESOURCESWebsite: www.apresplasticsurgery.comInstagram: 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

📌 Visit www.apresplasticsurgery.comYou 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.⏱️ TIMESTAMPS0:00 Why loose skin will not retract no matter what you try1:03 Why non-surgical treatments are a waste of money4:33 If skin has not retracted by 6-12 months, it won't5:21 Why a tummy tuck is the wrong procedure for most weight loss patients6:09 The 2D vs 3D problem: what a tummy tuck cannot fix6:56 What a circumferential lower body lift actually does8:37 When you are NOT ready for surgery yet (timing criteria you need to know)10:14 The three questions to ask yourself before any consultation12:00 Why staging is necessary and what to know about combining procedures17:31 Your three action steps for tonight❓ QUESTIONS ANSWEREDQ: 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.📱 RESOURCESWebsite: www.apresplasticsurgery.comInstagram: 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

📌 Visit www.apresplasticsurgery.comMost 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.⏱️ TIMESTAMPS0:00 Why Most Consultations Lead to Disappointing Results1:37 Truth 1: Surgery Might Not Be What You Need Right Now3:47 Patient Story: 50 Pounds Lost, Diabetes Controlled, Real Transformation6:29 Truth 2: Breast Implants Don't Need to Go Under the Muscle9:04 Truth 3: You Are Probably Choosing Implant Size the Wrong Way13:23 Truth 4: Body Contouring Is Not Just Removing Fat17:04 Truth 5: Your Consultation Should Change Your Plan, Not Just Confirm It18:15 3 Things to Write Down Before Any Consultation❓ QUESTIONS ANSWEREDQ: 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.📱 RESOURCESWebsite: www.apresplasticsurgery.comInstagram: 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

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.