Ryan B. Tsujimura, MD

Boob greed...I went BIGGER!!! Revision surgery: 11/19/24 The photo on the left is my original "wish pic" I shared with my doctor back in January before my first surgery. He recommended 495cc implants (under the muscle), saying they should achieve the look I wanted. But they didn’t quite get me there. I started to get boob greed after reviewing my original wish pics and comparing them to my 495cc results. Fast forward to October—I did a ton of research, met with my doctor again, and decided to go bigger with 750cc silicone gel (under the muscle). I'm now one month post-surgery, and let me tell you, I finally got the results I was dreaming of! I couldn’t be happier. Looking back, I wish I had known that I’d lose about 15% of the initial volume once the swelling went down around the 6-month mark from my first surgery. And I didn't know just how big you have to go in order to achieve the look of most wish pics you see online. And that realization was a big factor in deciding to go larger this time. So when I sat down with my surgeon last month, he measured my base breast width at 12.5 cm. He had some initial concerns that 750cc implants might be too wide for me. I told him I didn't care if I had some side boob, so we proceeded with the surgery just before Thanksgiving. Well, let me tell you, ladies—I could have gone even bigger! I barely feel any side boob at all. For reference, I’m 5’7” with a long torso, so this size is practically perfect for my frame. Many doctors will advise against going this big, often because they don’t want to deal with complaints down the road or the potential risks that come with larger implants. But as long as you find a skilled, board-certified plastic surgeon (not a cosmetic surgeon—there is a difference!), your plastic surgeon can help determine the best size for your anatomy. Don’t be afraid to get ultra-high-profile implants like I did. They’ll drop and fluff slightly over time, so having that full upper pole makes a big difference in keeping their shape over time. Also, don’t let anyone scare you with the myth that larger implants significantly increase your risk of capsular contracture. That’s outdated information! Recent studies show the risk only increases by about 2%, and other factors—like smoking or a history of cancer—play a much bigger role. Capsular contracture is now known to be more about post-op infections due to improper sanitation and poor operating room practices, not implant size. So here’s my advice: do your research, find a board-certified plastic surgeon who knows what they’re doing, and don’t let fear hold you back from getting the results you truly want. I’m so glad I took the plunge, and now I’m absolutely in love with my results!

Do you want a TikTok doc who takes great before/after pics but has zero bedside manner, rushes through your appointments, and makes you look like a one-size-fits-all blow up doll? Or do you want a true surgeon and artist who works with your body, spends time connecting with you and setting your mind at ease, and meticulously restores you to your unique self? When you are under anesthesia and any one of a million things can go wrong, who do you want as your teammate, someone without board certifications or experience, who is more concerned with how the "after" photo will look on his instagram, than doing things properly and ensuring you are safe and proportional? Or a surgeon who has two board certifications, multiple hospital privileges, experience as an ER doctor, vascular surgeon-turned-plastic-surgeon, and decades and tens of thousands of surgeries under his belt? For me, as the mom of four, three with special needs, the choice was made based on ensuring I'd open my eyes again to see my kids. My safety was number one. But what surprised me most, is that Dr. Tsujimura is actually an artist and alchemist. He is truly talented and skilled at what he does. You get the best of both worlds: experience and artistry. First, I don't write reviews. Not a fan of reviews in general. However, I feel compelled to tell my story because I understand how stressful this decision is (or was for me) and how I painstakingly researched for months and months to make my decision. If this review can help someone make their decision, then it was worth it. Deciding to do an elective non-essential surgery for me took some soul-searching. After four kids, full-size 7.5lb each twins, pumping/breast-feeding for multiple years, and my weight fluctuating, I had tons of loose skin, an extreme separation in my abs, hernias (which were found during surgery and stitched up), and just an overall "sad" looking body from everything I'd gone through. I couldn't wear pants normally because of the apron of skin. My belly button even frowned. Even after diet and exercise, it was impossible for my skin to snap back from all the stretch marks and laxity. And to be upfront, I am not a small woman. I am 5'11" and close to 225 lbs. I was not looking to be thin and Kardashian-like. I just wanted to be restored to who I used to be before my body had done so much hard work. I was ready to put it behind me and move on to the next phase of life with no regrets. I decided to do this for me, and it was 100% the best decision I've ever made. I am only 3 weeks post op and still swollen, but I would do it again in a heartbeat. Was the recovery brutal and one of the hardest things I've ever done? YES. Was the result what I expected? NO. The result WELL EXCEEDED my expectations. Honestly, the result surprised me so much, there is a photo of my bandages coming off with my mouth literally agape and my jaw dropped open and I cried. I also threw up on one of the nurses and she went on business as usual without missing a beat. THIS is Dr. Tsujimura's team and they are STELLAR. From the top down, everyone has been sweet, gracious, down-to-earth, skilled, and treated me with respect and dignity. Even when I went in about a small question I had, Dr. T took probably one hour to answer all of my questions and personally walk me through my concerns. What strikes me as most important about Dr. T is his heart and soul. He wants to be there. He has a twinkle in his eye and a smile on his face EVERY. TIME. I. SEE. HIM. I have had experiences with different doctors where they would would talk golf over my gurney as I was being wheeled into the cold operating room, and who would walk in after I was put under. It's honestly terrifying to be put under, and even more anxiety inducing when nobody connects with you. Your final thoughts are of being scared. Of note, Dr. T sat at my side and locked eyes with me, making me smile and feel at-ease as the anesthetic kicked in. This really stuck with me. I told him at my last appointment how touched I was by that and his answer was that he did it because he had been on the other end and understood the importance of those small personal connections throughout the process. This is who you are getting. Someone whose mission in life - even to a spiritual level - is making people feel better about themselves. He's in it for the right reasons. During my consult, Dr. T also had some recommendations that I had questions about. Rather than dismissing my opinion, he was firm but spoke to me as an equal. He has a way of setting you at ease with his ability to answer any questions from a scientific and experience-driven perspective. You never feel hustled, rushed, or dismissed. You feel educated, empowered, and confident. I will reiterate that Dr. Tsujimura has beyond exceeded my expectations. He has taken a very emotionally- and anxiety-charged life event and made it feel safe, positive, and valuable. This is a big investment - monetarily, emotionally, physically - and you are setting aside the time and the energy to do something for you. I would 10/10 recommend Dr. Tsujimura, no questions asked. I am blown away.

Dr. Ryan Tsujimura was the first PS that I had consulted for a BA and after meeting with him, I felt completely comfortable and confident in him, so I knew I didn't need to keep looking for the right doctor. It was a few months after my consultation until I was able to save the money to schedule my pre-op and surgery. At my pre-op we talked about the actual size of implant and I had expected the biggest size to be 330cc, so when Dr. Tsujimura said 415cc I couldn't believe it!!! Today I am 5 days post-op and SO HAPPY with my results!!! So glad I trusted him on the size and type of implant, he definitely knows what he's doing. He is such a nice guy and easy to talk to, totally not judgemental, and has always made me feel completely comfortable. His experience made my surgery go so smooth with no complications and minimal pain. Honestly, i have not a one complaint about Dr. Tsujimura and highly recommend him.

Dr Tsujimura and Dr Holden work together in perfect harmony. Dr Tsujimura does the body and Dr Holden does the face. What a great thing. Two doctors for the price of one. They specialize in their area. Dr Tsujimura worked on me for 3 hours and Dr Holden for 7 hours. When I came in for my consult Dr Tsujimura knew what I wanted and help me to understand the process. I'm one week and one day after surgery. My arms are half the size. I can't believe I am going to spend my first Arizona summer in short sleeves instead of three-quarter sleeve. Dr Tsujimura has a soft spoken, fun, personality. You meet him and you feel instantly that you could be friends. He is so complimentary of staff members and Dr. Holden. Whatever is stopping you from doing something that makes YOU feel good, DON'T. I know this sounds stupid and maybe petty, but I am so excited. I'm 56. Life is way too short. My grandkids won't be able to play with my arms anymore, but I'll hold them just a little tighter

I can not say enough about this doctor Dr.Tsujimura and his GREAT STAFF!! This office is by far TOP NOTCH, Number #1!! The professionalism of Dr. Tsujimura and his staff make you comfortable from the minute you walk in the door. Results are beyond expectation, I would recommend this office to ANYONE. A truly gifted surgeon.

Dr. Tsujimura is an amazing doctor. He takes the time to understand what you want, and then executes it. I had my (second) beast augment done by him and the results were so great, it made me wonder how I lived with my original implants as long as I did (which I previously thought I loved until I got my new ones). I could not have asked for better results, and would recommend this skilled surgeon to anyone!

Dr T is amazing, I had a dream about this man I new his face but not his name.He was the one to fix me.My breast are so beautiful and perfect and I mean perfect.I had inverted nipples he fixed them both and two growths that was on my butt on each side.Iam so very happy with my new self Thank you so very much Dr T. Tinkergia

I got a full tummy tuck and lipo with Dr. T back in 2015. I loved my results! He truly took the time to answer my question, I never felt rushed or stupid for asking a question. I Totally trusted him and he really did a great job. Amazing doctor!

I had a full tummy tuck in 2013. At first I wasn't sure if I was a candidate, but Tsujimura's bedside manner was such a selling point for me to get this procedure. He is competent, easy to talk to, attentive, and confident. He never made me feel like he was rushing me out the door. What I loved most was that he seemed genuinely excited to do my tummy tuck and the results he thought he could acheive. He truly revels in his own work. Dr. T delivered on every promise and now I have the tummy beyond my dreams, complete with ab definition that he promised I could get after working out a bit. I am small and lean but never had a nice tummy or curves, and that got even worse after a few kids. I now have tight skin, tight ab muscles, and a figure! I would do this procedure 100 times over and trust this man completely!

I have wanted to get a breast augmentation for quite sometime but was apprehensive, I'm so happy I was referred to Dr.Tsujimura. He was very professional and attentive. I went in to him being very nervous and particular with what I wanted and expected. He gave me his professional and expert option on what I needed exactly for the look I was going for. He listen to my wants and concerns. He in the end gave me exactly what I asked for and I'm so well pleased. I have referred him many of times and will continue you to do so.