Treatment Provider

Eric Pugash, MD
Certified Plastic Surgeon
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26 Years Old, 115LBS, 400CC

Since highschool I’ve always been very self conscious of my smaller chest and I knew that breast augmentation was something I really wanted to get later down in the road.. I was a 32A and I hated the way certain things fit or didn’t fit I should say..
Anyways fast forward to April 2021. I hadn’t looked into BA much however I was very aware of some of the risks involved in it. I’ve heard very good things about Dr Pugash and I knew he had a very long wait list so I decided to go ahead and book my consult with his assistant Simone who was absolutely amazing and efficient in answering any questions or concerns. First available time was February 14 2022. (Considered it a Valentine’s Day gift to myself haha.)
It was a virtual consultation and it kind of was more informative on risks and such. My first impression of Dr Pugash was that he wasn’t as warm as I hoped. However I tend to be an overly sensitive human being haha. I did already know that I would be moving forward with the procedure regardless so this consult wasn’t really make or break for me. I put my $2500 deposit down to secure my date for June 9th and booked my Pre-Op for April I believe.
When Pre-Op finally came along, I went in thinking I wanted 350CCs. I did plenty of online research comparing myself with the photos and statures of others.. (Very hard to pick that way since similar sizes can look different on everyone!) I just knew that I wanted to be a full C or max D. I was also very aware of boob greed so I did end up deciding on 375CC sub muscular inframammary incision.
I did have many questions from the time in between all three appointments and Simone was always very prompt and understanding. I felt like a bother but she was consistently available to help regardless of the time.. A week before my surgery I actually ended up voicing my concern that I didn’t go big enough and she assured me that it wasn’t too late to change my mind. She went ahead and ordered 400CCs for me as well as the 375CCs. She let me know that I could make a last minute decision on my surgery date which made me feel at ease that they really want you to make the best choice possible for yourself no matter what.
Fast forward again to surgery day! My appointment was for 11am so I arrived early with lots of nerves. My first time having any surgical procedure ever and I was thinking very much about that old movie “Awake”. (Anesthetic awareness is a huge fear of mine.) I checked into Valley Surgery Centre and the nurses were very kind and comforting. Answered the covid questionnaire, took the rapid test and into the gowns I go. The nurse administered some medications which I didn’t really listen to tbh (painkillers and antibiotics I think?). Was able to chat with the anesthesiologist for a bit who made sure I knew that anesthetic awareness is a real thing but very very uncommon for situations like this. (I had to ask!)
Dr. Pugash then came in shortly and confirmed the procedure, the size, the incision and all the small details. Went into the operation room shortly where they inserted the IV (ouch I hate needles), asked me a few standard questions to make sure I was who I said I was and what operation I was getting. Shortly after they put the mask on and I woke up in the recovery room. I was very tired and groggy of course and I definitely felt like I could have slept some more. I wasn’t in a whole lot of pain, more discomfort than anything else and I wanted to rest for longer however I wasn’t able to. (This part felt a little rushed to me. After I woke up I was out of there within 15 mins.)
Got home and rested a whole lot and day one post op was very unpleasant for me. All the common suspects.. Very tight chest (like an elephant was strapped to me), muscle spasms in the breast, fatigue, you name it. I took the pain killers like clock work every four hours. This was the same for the first two days after. It was unbelievably painful and uncomfortable for me. I ended up stopping the pain killers the end of day two because it was causing me to be bloated and constipated.
Day three and four post op, the chest pain and spasms were a little less severe however now I was experiencing an immense amount of back and neck pain. Most likely because my chest was so tight and hurt so bad that I ended up hunching over to compensate most of the time. I slept a lot and really didn’t want to move whatsoever. I couldn’t bear it.
Day 4 I had my post op appointment with Dr Pugash (yesterday.) Nothing exciting, told me I looked as I should and gave me the massages to use and instructed me that I could shower etc. By the end of this day, I’m feeling extremely frustrated and overwhelmed.. I can’t lift even a full water bottle, I can’t open doors, I can’t open lids.. I can’t even really breathe properly because I still feel the compression in my chest not to mention the compression on my ribs.. People I saw said I looked very pale.. The surgery was taking a huge physical and emotional toll on me. Post op depression.. I ended up crying for twenty minutes last night already regretting the decision (which I know is normal sometimes.) This is something I’ve always wanted and I knew recovery wouldn’t be a walk in the park but I didn’t realize how badly it would effect me. I just don’t want to get out of bed because I become tired and frustrated very quickly.. And I stress about these massages because my breasts are still so tender and raw. I don’t want to sound like a whiney brat because I made this decision for an elective surgery but it’s been really really really tough.
Anyways hopefully this was helpful or informative in anyway. Will update soon if there are any changes…

Provider Review

Certified Plastic Surgeon
610 Sixth St., New Westminster, British Columbia
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