Plastic Surgery Advice with Dr Aric Aghayan Thu, 28 May 2026 11:05:15 -0400 en-us © 2026 Plastic Surgery Advice with Dr Aric Aghayan yes 391b2ecc-8a94-5d53-bc76-20152f2556e2 Aric Aghayan episodic false 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.

]]> Buzzsprout (https://www.buzzsprout.com) plastic surgeon, board certified plastic surgeon, breast augmentation surgeon, body contouring surgeon, mommy makeover surgeon, liposuction surgeon, tummy tuck surgeon, breast implants over vs under the muscle, breast augmentation Aric Aghayan https://storage.buzzsprout.com/la3v7huig56asmy3qewovo5iw45k?.jpg Plastic Surgery Advice with Dr Aric Aghayan Breast Implants Under the Muscle? A Plastic Surgeon Explains Why It's Outdated Breast Implants Under the Muscle? A Plastic Surgeon Explains Why It's Outdated 📌 Visit www.apresplasticsurgery.com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Most of that advice is based on outdated research and older implant technology that no longer applies to what is available today.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0:00 Why Under the Muscle Is Outdated Advice for Most Patients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

]]> 📌 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

]]> Aric Aghayan Buzzsprout-19225872 Thu, 28 May 2026 11:00:00 -0400 1249 breast implants over vs under muscle,above muscle breast augmentation,submuscular implants disadvantages,Motiva breast implants,animation deformity breast implants,capsular contracture prevention,breast augmentation placement,Motiva Preserve technique,bre full false Loose Skin After Weight Loss: A Plastic Surgeon Explains What Actually Works 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

]]> 📌 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

]]> Aric Aghayan Buzzsprout-19214099 Thu, 21 May 2026 11:00:00 -0400 1235 loose skin after weight loss, body lift after weight loss, tummy tuck vs body lift, circumferential lower body lift, GLP-1 loose skin surgery, body contouring after weight loss, plastic surgery after weight loss, skin laxity treatment, post weight loss bo full false 5 Things Your Plastic Surgeon Isn't Telling You (From a Board Certified Surgeon) 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

]]> 📌 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

]]> Aric Aghayan Buzzsprout-19214095 Thu, 21 May 2026 11:00:00 -0400 1235 plastic surgery, plastic surgeon, breast augmentation, liposuction, body contouring, breast implants, tummy tuck, mommy makeover, plastic surgery consultation, implants over the muscle, body lift after weight loss, liposculpture, how to choose breast impl full false Welcome to The Podcast with Dr Aric Aghayan 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.


]]> 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.


]]> Aric Aghayan Buzzsprout-19214089 Wed, 20 May 2026 21:00:00 -0400 38 plastic surgeon, board certified plastic surgeon, breast augmentation surgeon, body contouring surgeon, mommy makeover surgeon, liposuction surgeon, tummy tuck surgeon, plastic surgery Portland, plastic surgery Pacific Northwest, breast implants over vs u trailer false