Treatment Provider

Eric Pugash, MD
Certified Plastic Surgeon
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Hi ladies! I've been a member of Realself since...

Hi ladies! I've been a member of Realself since April 2015 and have researched breast augmentation extensively for the past year and a half. Thanks to this site, I felt so informed and made a very educated decision to have breast implant surgery with Dr. Pugash on October 18 (3 days ago).

I felt compelled to begin a review because my situation is a little different than most reviews I've read, in that I had to travel 8 hours by car (with my husband and 3 little ones - aged 9, 5 and 2). My consult/pre op was on Monday the 17th (New West office), surgery the following day (False Creek Surgery Center) and post-op Thursday the 20th (ASC Surgery Center), which was also the day we travelled home. We stayed in a suite hotel downtown Vancouver for 4 nights total and made it home last night.

I'm hoping to document my experience, recovery and results as well as help others who are considering an out of town procedure. I am such a cautious person so this whole experience has been quite out of character for me (scheduling a surgery before even meeting my doctor for example).

I am 41 years old, 5'8", 125 pounds and decided to get breast augmentation to restore the fullness I once had before pregnancy and breastfeeding my 3 children. I used to be a very nice 32 C (or 30 D) but I breastfed for many years (7 years total) which really changed things. I received 375cc on my left breast and 400cc on my right (due to slight asymmetry), Mentor memory gel smooth round HP silicone implants. My hope is to be a small D but I'm predicting that I may end up larger than that.

So far, I am so impressed with the results! I have no "frankenboob" or loose skin on the lower breast. I fully expected this since this is what Dr. P said it would look like. During my post-op, he was impressed with how great they looked. :). They are very hard and heavy right now though.

I am currently living Day 3 post-op and my recovery so far hasn't been easy. No complications but I had a terrible reaction to the tramadol pain medication (extreme nausea/dizziness) so I've just been taking a Tylenol/Advil combination, along with icing the sore and swollen areas. I have to admit, I didn't expect to be in this much discomfort. Maybe a silly thing to say, since it is a surgery after all! I had 3 unmedicated natural births so I thought my pain tolerance may be pretty good, haha. :).

This was my first surgery ever (and first anesthesia experience too) so to say I was a nervous wreck would be an understatement for sure. I still feel embarrassed by all my tears the day of surgery (I even "ugly cried" in front of the young and very handsome anesthesiologist). Nerves, doubts, fear of regret, fear of dying, you name it. I would wish I could be excited like most ladies here, counting down the days until "booby day!" Instead, I approached the day doom-fully, like I had a date with an electric chair instead. Haha! Oh my. Well, I did live through it (and so will all of you, who are getting closer to your surgeries) and so far so good. Only positive thoughts now for a speedy recovery and no complications.

I am a very lucky woman who has a helpful and supportive husband. As I lay here typing this, laying on a heating pad with ice packs under my arms and sipping a soup, my husband is handling the circus show downstairs (which would be our children). ;).

So hello to everyone here! I am very thankful to be a part of a group of lovely and supportive women. I will update and upload pictures when I can, for those of you who are interested :)

Day 3 Post Op photos


Before Procedure photos

Before pictures. I sent these to Dr. Pugash's office prior to my arrival, to see if I would require a breast lift. He advised me that I was a good candidate for an augmentation alone. 7 years of breastfeeding 3 children took a toll of them, for sure.

Provider Review

Certified Plastic Surgeon
610 Sixth St., New Westminster, British Columbia
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Answered my questions
After care follow-up
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Staff professionalism & courtesy
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Dr. Pugash has an amazing reputation and for good reason. He is a highly skilled and experienced surgeon and made this whole process as simple as it can be. I appreciate his no nonsense, realistic approach. His consult consists of all the information you need to know. If you have questions somewhere in the middle of his speech, he will very likely answer them before you ask. As for the outcome of my surgery, it's only been 3 days but the results are amazing so far. How they look this good so early on is beyond me. I didn't mind the wait time at all (busy doctors are booked up for good reason) and the staff at all 3 facilities I visited were so helpful and friendly. I had to travel 8 hours for this surgery (which was not easy with 3 young children in tow) but it was a small sacrifice to pay for a top Doctor. I highly recommend Dr. Pugash if you're interested in breast augmentation surgery. Almost 30 years experience, a perfectionist, realistic and highly educated. He's the one you want.