Vado Plastic Surgery

I am one week PO from my breast lift with augmentation. Even though Im just one week PO Im already so happy with my results. Dr. Lyly is amazing and help me through out the process. She is so knowledgeable and answered all my questions. All the staff is so nice and I felt cared. Scars were a big issue for me but so far Im beyond happy of my results.

After researching for 2 years (right after my C-section) I found Dr Z at HZ plastic Surgery in Orlando.

I had a terrible experience with both c-sections. The last one having a student doctor preform with the same DR. that happened to be on call that did my last surgery. He bleed into me and cut my daughter. It was a nightmare.

Anyways, I worked my ass off to pay out of pocket to get this fixed. Dr. Z’s bedside manner was relaxing and just what I needed to be at ease for a third surgery. His work is like art. You can tell he puts a lot of care into what he does. I was under local anesthesia and remember coming in and out talking lmao. He seemed like he didn’t mind and answered all of my questions. I was a nervous wreck before. He took his time with the Lipo which really showed that he cared. He explained to my step mother, who was with me that he removed the scar tissue and I even snapped a photo of what was removed. I’ll post it if asked. It’s not for the weak, both my dad and husband were not happy with the picture my step mom sent lol.

I come back in a week and will update from there. Wanted to give as many details as possible while it was fresh in my mind.

A few things leading up to surgery was the contact with the office using an app called Klara. All questions were promptly answered and helped prepare me for my surgery. Things I wish I was able to do would be to talk to Dr. Z himself during my pre-op to calm my nerves. I have a good read of people and wasn’t sure with the staff in person that I made the right choice though over the app it was a wonderful experience. Once I met him before surgery as I mentioned before his energy was calming and he really seemed to care to answer any and all questions. I still rate my experience so far a 10 out of 10.


Lastly, I drove 7 hours to have Dr. Z preform my surgery. I sat with a few doctors in Pensacola and could tell right off the bat that they were not the one for me. If you are traveling I highly recommend him. I stayed in a Airbnb that also sanitized everything for my comfort.

I had breast augmentation with Dr Lyly HZ Plastic Surgery on July 6th. I for 450cc in the right breast and 415cc in the left breast as this one was slightly larger in the base. Both under the muscle moderate profile. I'm 5'9, 4 breastfed children and weigh approximately 140 pounds.

I don’t think I will ever go to a different plastic surgeon. Both he and his staff have been incredible. My surgery was 2 weeks ago and my results are already better than I expected. He revised my tt scar and bellybutton from a different surgeon’s work. I am not exaggerating, my bellybutton looked like a cat [RS bleep] before Dr. Afshari got a hold of it. Dr Afshari took this tummy tuck by someone else and revised some of it to make it look exactly how I wanted it to from the beginning. With his (obviously) laser superhuman vision and skillful hands he made my bellybutton look better than it has ever looked in my 41 years on this earth. If you’re looking for a bellybutton revision or just a new bellybutton in general (weird but go awff) and you’ve got some dollars to throw around .. you’ll find a guy on IG in Virginia… he’s known as THE belly button king, Don’t go to him… I’m going to sound so cheesy but I don’t even care … I found the Florida Bellybutton king before anyone gave him that title.. because well, I just gave it to him in this review. I’ve seen so many bellybuttons after tummy tucks and so many suboptimal ones (most of them, really) that it makes me wonder how a surgeon didn’t attend the bellybutton seminar, watch the bellybutton YouTube, or read the bellybutton book and just chose to do whatever with it when everyone knows it’s the focal point of the stomach… I wonder, since the bellybutton is the last part of tt surgery maybe a majority of the plastic surgeons out there are just over it after sewing that long cut on a tt and just Frankensteining these bellybuttons … I digress, I didn’t go to medical school so my analysis of what happens in the OR is probably never going to make it into a medical journal so I’ll stop commenting on that.

The point I’m trying to make is Dr. Afshari is not growing weary after sewing your tummy up, he’s feeling refreshed, warmed up even, for the task of making you look not-surgeried (surgeried is a word, yes) by NOT giving you a less-than-pretty-obvious-tummy-tuck bellybutton. He’s out here doing the Lord’s work. I know I only had a bellybutton and scar revision by him but his IG will prove how skilled he is in a variety of human parts. All my friends have told me they are taking shots from my bellybutton once it’s healed… and I can’t lie, I wish I could take one from it too… I’m not that bendy though.

Just turned 40. Mother of 4. Very saggy boobies of course. Had my first child at 17 and lost perkiness immediately. This surgery was along time coming. My sister found HZ Plastic Surgery in Orlando FL. My Dr was Dr. Afshari. I AM SO HAPPY WITH MY TREATMENT AND ESPECIALLY MY RESULTS. The whole staff is so kind and professional. They went out of their way to make sure I was informed leading up to my surgery and comfortable during and after. I'm excited to see how they settle and fluff. I am so happy with my decision. 415cc under the muscle. Moderate profile.

Updated on 29 Nov 2022:
I’m on day nine. The pain subsided about four to five days ago. I’m finally doing massages. I was so worried it would hurt, but they don’t. And they have actually helped me feel more comfortable. I wanted 450cc, but Dr. Afshari didn’t believe it would be best. I’m so glad I trusted him because my skin is at capacity with stretching. The massages help the skin stretch. I’m loving what it’s starting to look like. Dr. Afshari is an artist.

Updated on 30 Nov 2022:
I am loving everything about my new twins I’m looking forward to when my scars aren’t as tender. Massaging has helped a lot. Last night was the first night I slept thru the night and didn’t wake up from the tightness discomfort.

Updated on 6 Dec 2022:
Just removed my tapes. They were causing all that redness that’s present. I literally feel so much better now. Dr. Afshari is amazing! My nipples are perfect. My shape is symmetrical! My scars are so clean! I am so thankful I chose to trust him! My left breast is slightly larger than my right breast naturally and I didn’t ask him to correct it. It’s not noticeable to the naked eye and it’s been like hat my whole life so I don’t mind. Looking forward to starting my scar treatments! Overall super satisfied!

Updated on 12 Dec 2022:
Today is the first day of my 4th week. I’m still a little sore around the nipples and the anchor incision. My skin is still stretching around my cleavage. I get a little itchy around the bottom incision. I’m looking forward to not feeling anymore soreness. Still loving my results.

Updated on 24 Dec 2022:
Everything is moving along nicely. However this afternoon I was surprised with this. My right breast was already doing that, but my left boob did not look like this this morning. Should I be concerned? It’s Christmas Eve so I’ll wait until after Christmas to call. I have a virtual appointment on the 2nd of January. It’s Christmas time and I’ve been indulging in some wine. Could that be causing problems?

Updated on 30 Jan 2023:
Tus has been the best experience ever. I finally stared my scar care this week. My incisions opened so I had to wait a bit to start. My twins are dropping and I’m loving how fun getting dressed is now. Definitely happy with my decision an results so far.

I went to Dr. Lyly Nguyen at HZ Plastic Surgery in Orlando FL and had the surgery on 6/28/22.

Quick stats:
- 115 lbs
- Starting breast size is 30D on my larger side (left), probably closer to a B cup on the smaller (right) size (hard to measure properly)

What I got:
- 140cc natrelle inspira soft touch on the smaller (right) side, nothing on the larger (left) side
- Subfascial placement (over the muscle)

Pics are attached of pre and post op. I think the asymmetry is kinda hard to see straight-on, so some alternate views included.

Everyone has some asymmetry and often minor size differences, but I was 1-2 cup sizes different and it made finding and wearing bras a miserable experience. My main motivation was getting the cup size evened out so that I could comfortably fit into a bra. A secondary motivation is that the asymmetry can be noticeable and I've had to avoid certain clothes and bras so that I didn't draw attention to the size difference, and it would be nice to not have to worry about that. The surgeon pointed out that I also have a concave chest on the smaller breast side, which greatly contributes to the asymmetry. It is noticeable once I was alerted to it, and easy to feel and see the dip from left to right.

I originally asked the surgeon to reduce the larger breast because I was uncomfortable with the idea of an implant (BII concerns me). But given the size of the smaller one, I'd have really small boobs after, and the bigger one would have probably needed both a lift and lipo. So the surgeon recommended an implant for the best and most natural result. I came around to the idea after doing more research on my own and having some more conversation with the surgeon. The surgeon and office never pressured me or rushed me, which I really appreciated. (For anyone wondering why I didn't get both breasts done and increase overall size, well, it's already hard enough to find a 30D bra. I'm not about to go any bigger on cup size lol. I love the size of my larger breast already.)

I went with over the muscle because I've always had a hard time building upper body strength and my hobbies are upper body intensive, so I really didnt want to risk losing any strength. I was also was kind of scared of the submusclar pain and recovery. The surgeon made sure I understood that there is greater risk of implant edge showing, especially because I am very thin and have the concave chest on that side. There is also risk for rippling and CC. I was okay with all these tradeoffs. I also personally think over the muscle will allow the implant to sag with gravity at a closer rate to the natural larger breast.

The surgeon also made sure I understood that 100% symmetry is impossible. The breasts will not look the same and they will not be the exact same size, but she said the implant would definitely get me closer to my goal of "both breasts are the same cup size." She warned me that it may end up bigger than the natural breast, but definitely not as disproportionate as before. We discussed doing 170cc, which was the smallest size Natrelle offered for my breast width. I tried on the 170 sizer with a bra and it looked enormous so I was kind of nervous about the size. The surgeon also ordered the 140cc size (even though it was not a match for my breast width) as an option to compare during surgery.

The procedure was about 30 mins and the surgeon ended up choosing the 140cc implant.

Anesthesia and meds knocked me out pretty bad since I'm a lightweight. The nurses actually removed my anti-nausea patch right before surgery (which was 3 days earlier than I was supposed to remove it) because I couldn't walk straight, and I stopped taking the nerve pain meds only a day after surgery because I was experiencing memory and vision loss side effects.

The pain was a lot more than I expected for the first couple of days, given that I got such a small implant and over the muscle. I guess I was just too optimistic lol! I thought I'd made a huge mistake at first, but that was the pain talking lol. It sucked but after a week I felt so much better already. I stopped taking painkillers after 8 days. (I was only taking tylenol, although I was prescribed oxy. I didn’t want to risk taking it, and I wasn't in enough pain to need it.)

I had a lot of nerve pain in my right arm, but at my 1 week checkup the nurses told me to start moving that arm around and using it more, and that really helped. The pain significantly decreased after just 2 days of methodical movement (slowly increasing range and speed). I am pretty much using that arm normally now. The nurses also gave me some breast squishing and moving exercises to get the implant and capsule moving. That has helped too. I have some sensitive spots still and now that I'm getting some feeling back in my nipple, it's super sensitive, but it's improving over time.

I'm happy with how it looks so far. When I first took off the bra I panicked because it was swollen and looked huge to me, but after just a couple days the swelling significantly decreased and it looks much more natural. The sizing looks more proportional to the larger breast too. I'm curious to see how it turns out over the next few months as any remaining swelling decreases and the implant softens. The implant is still pretty tight so its hard to get a good comparison of cup size. I am thinking it might end up still being smaller than the natural breast, even though the surgeon warned me that it could end up being bigger than the natural one.

Dr. Lyly has been kind, honest, and thorough throughout the process. I have felt very comfortable with her and happy with the results so far.

Updated on 19 Jul 2022:
Overall, I feel like not much has changed in the last week -- in a good way! The breast with the implant still looks great. I can't really imagine it changing a lot more in appearance. I have posted a photo comparison in one of my casual bras so you can really see how much of a difference the implant makes in the evenness. I am starting to see how the implant might make my concave chest more noticeable, since the implant edge doesn't have much tissue to transition it to the concave part, but I'm not planning on being naked in front of everyone so it feels like a non-issue to me.

Finally can wear sports bras instead of the surgery bra, which has been great. The nipple and bottom half of the breast are still very sensitive. I am still getting the occasional mild nerve twinge in my arm, but usually only when it is fully extended.

The nurses had recommended that I take the incision tape off before 3 weeks, so I took it off at 2 weeks. Kind of wish I'd left it on longer because afterward, the incision felt like it was getting rubbed by the surgery bra seams, so I picked up some cushion-y non-stick gauze pads, which have really helped keep it comfortable and not rubbed raw. Otherwise, not much pain at the incision site. Mostly discomfort when I stretch it too much. It is really quite a small incision, so I am impressed with how it looks.

I am supposed to keep sleeping on my back until 6 weeks, but as a stomach sleeper, this has been torture! I have ended up on my side a few times (for only an hour or so) just to relieve the discomfort and back pain. I suspect the side sleeping is more of an issue for people with larger implants, because it feels perfectly comfortable to me at this point. I am still trying to follow instructions though lol.

I am also getting antsy about not being able to exercise, but I can start mild cardio next week. Since I'm not really having any pain and feel pretty much fine, it has been hard to be sedentary! I do notice that I tire easily when I do go out to stores and such, but I am 99% sure that is due to me being a lump on the couch more than it is due to surgery recovery at this point.

Updated on 9 Aug 2022:
Today is 6 weeks! I feel like everything looks pretty much the same, which is good. Pic attached.

Between weeks 3 and 6, the incision has healed up pretty good and no longer hurts. I'm getting more feeling back in my breast every day. I have no more nerve pain in my arm either. Overall, the implant is really feeling like it's just part of my body now.

I've been doing daily walks since I passed the one month mark, and have felt like I could do normal physical activity for a while now. But I will wait to get cleared by the surgeon first.

I also was able to go out and buy some wireless bras to wear since my sports bras are really quite tight and not what I wanted to be wearing during recovery. I almost cried in the fitting room when bras fit both boobs at the same time lol. I am so used to having to deal with a giant gap between the small breast and the bra! It was super nice to have lots of options that fit me. I have been so much more comfortable wearing these bras and having cups that fit me.

So overall, things are going great. Zero regrets!

Updated on 24 Jul 2024:
2 years later, I am still very happy with the results of my surgery. The breast looks pretty much the same as it did at week 6 -- no additional settling or movement. The incision scar is barely visible and is placed pretty much directly in the boob crease, which is perfect.

I dealt with some tingling and nerve pains on that arm when touching/pressing the skin above the implant, or the armpit area. I still get some tingling, but it is not painful. I continued to massage the area to work through it, and that seems to have worked to reduce the frequency. I also noticed that overly stretching the skin was uncomfortable at first (i.e. reaching fully above my head and hanging off of a pull up bar), but I made sure to ease into that position with gentle stretching, and that issue went away after a couple months.

I do still have numbness in some areas of the breast. This isn't an issue for me, but could be for some people. I think it's just a risk you take with a surgery like this.

I have had close friends "test out" how the implant breast feels to their touch vs my natural one, and nobody can tell. It's honestly amazing how natural it feels. Most people can't correctly identify the implant by sight either.

So overall, very happy and would recommend! I'm also happy to answer any questions/comments people have.

It's been a little over a year since my breast-reduction and tummy tuck (no lipo, no implants). I could not be more pleased!

I never thought I would be wearing a 2 piece ever again but I am.

Dr. Z did has my full trust and he did such a great job I'm getting my next procedure in a few months.

Dr Z definitely has a gift. Thank you so much for the confidence!

Excelente. mi resultado con el Botox fue el que realmente esperaba. Sabe escuchar lo que uno quiere, ahora una fiel cliente. Atención profesional , explican con claridad todos los beneficios y las posibles consecuencias. Ambiente limpio y muy cordial.
Asistencia en idioma español. Gracias

I just wanted to extend this review for the awesome and wonderful staff at HZ plastic surgery. I have been coming here since February of this year for the most amazing and super talented Michelle Fletcher Master Injector extraordinaire APRN! Michelle possesses such a welcoming atmosphere apart from her masterful artistic approaches to her craft she is a true artist and genius in her field!! Could not thank her enough! What Michelle has done has given me back the self confidence that I have been lacking which is truly priceless. I would recommend her without the shadow of a doubt to anybody reading this review!! I also would like to think the front desk staff for always greeting me and taking care of me with such a welcoming atmosphere. Thank you all so very much again!!

I've wanted implants since I was 16 and realized that they stopped growing. I am 36 now, I'm done with breastfeeding and what not of parenthood.
Today was my augmentation surgery. I chose a doctor and practice that had great customer service and follow through. I am hoping to land in a D or DD.
I was extremely apprehensive and anxious today. The surgical team was very reassuring that I will love them and I am in good hands. I'm out now from surgery for about 10 hours now. My husband has been helping me all day and I'm so appreciative because there is so much I can't do right now. It feels like a super tight bandage or ace band across my chest. On a scale of 1-10 the pain this morning was a 7 and now I'd say it's about a 5. They are high and squared.
Crossing my fingers for a great outcome!

Updated on 15 Nov 2020:
I asked to avoid hydrocodone as my pain management because it completely messes me up internally. I had a c section and when taking that drug it literally made food rot in my stomach. I was prescribed tramadol, but it was just barely cutting the pain. I got permission to add Tylenol on top of the muscle relaxer and tramadol which is not managing the pain well.
Everything is still very high and tight.

Updated on 15 Nov 2020:


Updated on 16 Nov 2020:
I had my surgery on November 13, 2020 but for some reason RealSelf won’t let me correct the date. It’s been 4 days since surgery.

I have much better range of motion in arms without pain. Boobs are still high and swollen. I fight with the surgical bra constantly because it’s all the way into my armpit, too tight and hurting, or the strap is hurting. I generally hate this thing and my doc wants me to wear it for 3 weeks. I’m sticking to it though because I trust his judgment.

Pain is manageable. I still feel a lot of pressure and wonder about these things popping out of my chest somehow, though I know that’s irrational... it’s just so tight. Boobs are starting to itch. My sleep hours are irregular because I’m on the couch recliner. It’s easier to get up and down without needing assistance.






Updated on 21 Nov 2020:
I am cleared to lift my arms and start massaging to help release and prevent capsular contraction. I can also sleep on my back now.
Boobs are still high and tight. Hopefully the massages will start helping.

Updated on 21 Nov 2020:
I wanted to focus on my experience with Dr. Z and his staff. When looking for a doctor to do the procedure, HZ stuck out to me be as of the amount of respect given to each member of his staff. It wasn’t just the guy doctor standing in front of his bevy of beautiful nurses. Each staff member is showcased really, which tells me he thinks they are equally important, not just him. He promotes from within, that indicates to me that he invests in his employees. The phones are answered quickly. The staff is informed. As you can see, I am looking for a well oiled machine, because I need every hand or whomever will be working with me to not be clouded by a bad boss, jerk co-worker, or some other office Semantic that may distract from my need. I am getting my breast cut open after all...
Dr. Z is calm and intelligent. I enjoyed his humor and respect for me feeling so out of place while topless in a room and people I just met looking at me partially naked. The staff put me at ease. Dr. Z heard all my thoughts and provided his opinions. I booked my surgery before leaving. At pre-op, I have the pleasure of meeting his Physician’s Assistant Kelsea. This wonderful lady gracefully and with humanitarian kindness, answered every single question I had, whether it was through email or in the office. I greatly appreciate how caring and through Kelsea was in getting me through the surgery as even after. I’d say I was needier after the surgery. LOL I never felt like a burden though I apologized profusely during the first week after the surgery when I lost my shit. Somewhere between having t-Rex arms, a compression bra, sleeping in a recliner, and pain... I lost my normally composed disposition over the compression bra. Let me tell you, that thing will test your resolve, but after 5 days or so the pain subsides and it’s no biggie. Yet, Kelsea calmly explained and understood, sought to provide remedy if possible.
At this point I am a week post op. They gave me this adorable little gift bag after my appointment. I am just wholly satisfied by the care and wonderful treatment of everyone in their team. Everything is organized and flows incredibly well.
Thank you HZ Plastic Surgery team. ????

Updated on 26 Nov 2020:
Looking as expected, sitting high still but they are loosening up. I am doing my massages 3 times a day and taking the allergy med prescribed. The implant is moving much better than when I started massaging. I don’t feel as though they have dropped any but it’s only two weeks out and that’s normal. I have no pain and the incision tenderness is going away as well unless the compression bra sits on it.

I don’t love how they look like balloons stuck on still and waiting for the drop and more natural look. I do like the size too.

One more week of the compression bra!!

Updated on 27 Nov 2020:
Woot woot!!!

Updated on 4 Dec 2020:
Nothing major to report. Breasts are softening, thankfully. I see some very minor dropping. I am doing my massages twice and and taking the allergy medicine prescribed to help prevent capsular contracture. I also graduated out of the compression bra and strap! Yay!!!



Updated on 11 Dec 2020:


Updated on 13 Dec 2020:
I am a month out now! Some days they feel squishy but firm, other days they just feel firm. I massage them twice a day as prescribed. I can do cardio but.... I got a tattoo so now I have to wait another week. Lol it was so close! I am still looking forward to the drop and fluff where some of the volume transfers to the lower pole.

Updated on 18 Dec 2020:


Updated on 19 Dec 2020:
They are still relatively firm but I feel like they are starting to look more natural. I see so many people rush to go get measurements but honestly I haven’t. I measure 30 in band and 36 bust which is a 30DDD. It hard to wrap my mind around that number. With the pandemic I can’t just go to a store to try on bras. I signed up for Adore me and for the first time in my life, I am excited to try on bras. My entire life I have avoided lingerie and buying nice bra because it was such a sore spot in my life. I’m excited to see my husbands response. Looking forward to more dropping and fluffing! 6 week mile mark coming up.

Updated on 22 Dec 2020:


Updated on 29 Dec 2020:
Everything is coming along well. I had my 6 week check up and my righty needs to drop more so I am told to do more massages. I am continuing with those twice a day for 3 months along with zafirlukast.

I am released for active duty! Woot woot!! I finally got an actual bra and I am a 30DDD which is amazing. It is funny though, when I think a DDD I think massive boobs. I don’t think I have massive boobs. They are great and wonderfully proportioned to me but not what I emvisioned a DDD to be. That’s ok! I’m not complaining. I’d much rather had what I have now than what I had before or some ridiculous balloon boobs. I would like to see the torpedo shape soften a bit more, which I am sure will come in time.

There is no pain, I am free to work off 2020 weight gain again, and my husband loves them. I’m happy.

Updated on 14 Jan 2021:
I’m happy to report squishy boobs that are settling nicely. I don’t regret the decision one second. I adore the staff at HZ plastic surgery. I love the results, the confidence, and the extra pizzazz my relationship has now.