I. Nick Vial, MD

After being diagnosed with breast cancer, I was overwhelmed with fear, grief, and uncertainty. Choosing the right surgeon for my double mastectomy and DIEP flap reconstruction was one of the most important—and emotional—decisions I’ve ever made. I feel incredibly fortunate to have found Dr. Vial, Anna and the amazing staff at his office. From the very first consultation that my husband and I had with Dr. Vial and Anna we were treated with compassion and respect. They took the time to explain every option available to us, both through Dr. Vials’ office or through other facilities. They encouraged and helped us explore every option available before committing to a procedure. They also explained every step of the surgical process in detail—the intricacies of the DIEP flap procedure and post operative recovery—without ever making us feel rushed or unheard. During the scheduling process my husband tragically passed away. I was devastated but still had to move forward with cancer treatment. Dr Vial and his office reached out and embraced me with so much support. It was clear that I was not just another case, but a person going through something deeply personal. Dr. Vials and his staff went above and beyond to accommodate the unique circumstances I was facing. The surgery itself was a success beyond what I could have ever imagined. Dr. Vial combined incredible technical skill with an artist’s eye. The results are not only physically remarkable, but they’ve helped me feel whole again. The shape, and natural appearance post-reconstruction are a testament to his expertise. Dr. Vial’s careful planning and close follow-up made all the difference in my recovery. They were very dedicated to making sure I felt comfortable and safe in the recovery process so all I had to focus on was healing. Beyond surgical talent, what makes Dr. Vial, Anna and the office staff truly exceptional is their humanity. They were there through every stage—answering questions, checking in on my recovery, and making sure I felt supported not just physically, but emotionally. If you are facing surgery and trying to find someone you can trust with both your health and your sense of self, I cannot recommend Dr. Vial enough. He gave me back so much more than I expected—not just a reconstruction, but a renewed sense of confidence and healing. With heartfelt gratitude, Heather Roberts

Dr Vial is a talented and caring surgeon. He did excellent work, as well as having compassion and respect for me. Dispite my apprehensions, he and his staff was helpful and considerate, generous in answering my questions. I would strongly recommend him for any medical surgeries in his expertise.

After the emotional roller coaster of a breast cancer diagnosis, finding a plastic surgeon who understands reconstruction is key. I found Dr. Vial - thank you baby Jesus! He's a miracle within himself. And big bonus here - he tag-teamed with my Oncologist Surgeon, Dr. Walling and stepped right in after she performed the partial mastectomy to work his magic. Initial expectations were set somewhere between "functional" and "doesn't scare small children". Dr. Vial exceeded my expectations, even when they were set comically low. The reconstruction, reduction, and lift was a journey. A journey that involved discomfort, self-doubt, and the urge to question life decisions. Dr. Vial's calm demeanor and reassuring presence were surprisingly effective at keeping the inner monologue of panic at bay. He explained the options in detail, and somehow made it seem that a new, improved silhouette was possible. The results? My wardrobe is experiencing a renaissance. I can put on a shirt that previously I had struggled with, bra lines showing, boobs not at the right height, and would, most times, throw it in the "hell no" pile. Now? Now I put it on and think to myself, "Wow. That's what it should look like! Hell YES!" The symmetry is spot-on, the lift is a "lift", and the reduction? Gravity no longer holds quite the same dominion. To Dr. Vial, I would tip my hat to you, if I wore one, anyway. Thank you for proving that even after the storm, there's a surprising amount of beauty, confidence, and kick-assness, to be found in the aftermath.

I am officially 3 months post-op for a breast augmentation and could not be happier! After watching countless hours of YouTube vlogs of other women's experiences, I had a pretty good idea of what I wanted from a surgeon. During the consultation, it was immediately clear that Dr. Vial not only had the most natural results, but more importantly is using the latest technology and techniques. The entire team is wonderful too, offering support and always available to answer questions at a moment's notice. Needless to say, I highly recommend! In case it is helpful, I started with 32A (110lbs, 5’6”) and am now 32C (295cc, smooth, round, mod+ profile, Mentor MemoryGel Xtra).

I was treated by Dr. Vial and Dr. Walling at Bend Breast Care and I honestly cannot speak highly enough about them. Facing a double mastectomy is overwhelming but both doctors were in consistent communication with me every step of the way. I was 40yo at diagnosis, with two young daughters and running a business in Bend, OR. I spoke with doctors all over the country and the results of Walling and Vial were hands down the best. My double mastectomy plan for early stage breast cancer included: 1) nipple delay, 2) nipple and skin sparring double mastectomy with expanders placed and 3) exchange to 340cc mentor boost implants. There were definitely times along the way where I was really concerned about the final outcome. I put my trust in Dr. Vial and his team and I honestly can’t even believe how incredible the result is. I would highly recommend Dr. Walling and Dr. Vial for anyone facing breast reconstruction. I don’t know how they do it, but the results speak for themselves.

Words cannot adequately describe how thankful I am to Dr Vial for his expertise. He made me look almost 30 yr younger with a facelift, neck lift, and fat grafting. He is meticulous and a total perfectionist. His excellent surgical skill resulted in an outcome that has given me more confidence and made me look as young as I feel inside. He and his staff are superb. I feel blessed to have met Dr Vial, as he has changed my life. I would give him 10 stars if possible.

I wholeheartedly recommend Dr Vial and his team for any of your plastic surgery needs. He was my doctor for double mastectomy and breast reconstruction as well as fat grafting. His meticulous attention to detail and patience with answering any and all questions eased my mind every step of the way. His staff is friendly and caring and I am so glad I chose him as my doctor.

Dr. Vial is such an incredible surgeon! My experience with him for two separate operations exceeded my expectations! He is skilled, professional and has an eye for detail with the patience to ensure your results are exactly what you hoped for. He is honest and has integrity. Highly recommend.

I had a breast surgery with Dr. Vial and had a very good experience. I am a physician and he was recommended by my colleagues (which is a good sign!). He is a detail oriented, highly skilled surgeon and he is supported by an excellent staff. I am very pleased with the results and highly recommend Dr. Vial and his team.

I had a wonderful experience with Dr. Vial and his team. From the very first meeting to the final appointment a full year later, I always felt like my concerns were taken seriously. I have the BRCA1 gene and decided to have a prophylactic double mastectomy with reconstruction and fat grafting. Dr. Vial did an incredible job of assuaging my fears before, during and after surgery. Not to mention the results are incredible. Because we did fat grafting, he was able to take the fat from my hips and move it to the top part of my breasts to make them look more natural. But because he’s a thoughtful and careful surgeon, he also gave my hips and butt a nice shape in the process. I know several other people who have had this surgery done elsewhere, and none of their surgeons gave a thought to the area the fat was removed from. I say this just to point out how detail oriented Dr. Vial is. His whole team is wonderful. Anna always made me feel so seen and cared for, and everyone in the office is warm and kind. I have recommended his office to several people and will continue to do so! I’m so grateful to have had Dr. Vial and his team help me through this difficult year.