Jennifer Hutchison
Episode 14

Double D Breast Implants For Asymmetry

Jennifer Hutchison

This episode includes topics about

The Plastic Surgeon Podcast welcomes Dr. Sajan’s patient, Jennifer Hutchinson. Jennifer underwent a breast augmentation with Dr. Sajan. She discusses her motivations for surgery and experience through the entire process, from consultation through postoperative care.

Jennifer’s case was unique because her breasts were asymmetrical due to pregnancy and breastfeeding. Her breasts were essentially two different sizes. This made it difficult for Jennifer to fit into tops and bikinis. As her children got older and she quit breastfeeding, she knew it was time to seek the breast augmentation she wanted since having her first child.

Jennifer spent a long time researching doctors and initially decided to go with a different doctor in California. After getting cold feet, she found Dr. Sajan’s website and social media. Seeing Dr. Sajan’s dedication to transparency in his live surgeries on Snapchat made Jennifer feel comfortable booking a VIP consultation with Dr. Sajan.

Getting the full VIP experience with a completely private consultation, Jennifer booked surgery with Dr. Sajan. Dr. Sajan placed two different size gummy bear breast implants to even out her asymmetry and achieve Jennifer’s goals.

Subscribe to the Plastic Surgeon Podcast for more plastic surgery stories from real patients and providers. Follow Dr. Sajan and the Plastic Surgeon Podcast on social media @realdrseattle.

Learn more about Dr. Sajan’s plastic surgery at

Transcription pending. Check back soon!


Dr. Javad Sajan 00:00 

Ever wonder what motivates people to get plastic surgery? Did they regret it? What can we learn from the stories of plastic surgery patients? We're here today to explore those questions and get some of the answers today with my guest, Jennifer Hutchison on the plastic surgeon podcast.

Dr. Javad Sajan 00:31

Hello, my friends, and welcome back and thanks to all of our listeners for the amazing feedback we have had so much fun. And we look forward to more of your insights and suggestions. Please rate and review us on Apple podcast to help us get you more amazing content on the plastic surgeon podcast. We listen to real plastic surgery, stories of triumph and pain from real patients and providers to further understand why would they risk their life under the knife? I'm Dr. Javad Sajan today. My guest is the wonderful, amazing, fantastic VIP Jennifer Hutchison. We're here today to talk about your journey, how we came to know each other and the procedure that you underwent, Jennifer, how's your day been today?

Jennifer Hutchison 01:09

It's been great.

Dr. Javad Sajan 01:11

So as we start, I would want to tell the, our listeners what you had done. Tell us, please.

Jennifer Hutchison 01:16

I got these beautiful new boobs.

Dr. Javad Sajan 01:19

So Jennifer had breast augmentation done when you had gummy bear implants, right?

Jennifer Hutchison 01:23


Dr. Javad Sajan (01:23

Awesome. And she's actually part of our VIP program. So we'll chat a little bit about that too. And just have you shared with people, what you thought about that?

Jennifer Hutchison 01:30


Dr. Javad Sajan 01:31

So Jennifer, where are you from

Jennifer Hutchison 01:33

Originally I am from Northern California

Dr. Javad Sajan 01:37

Where in Northern California?

Jennifer Hutchison 01:38

In Napa.

Dr. Javad Sajan01:39

Is that where you were born and raised?

Jennifer Hutchison 01:42

For the most part, I mean, I went to school and everything in Napa. Yeah.

Dr. Javad Sajan 01:46

And what did your parents do?

Jennifer Hutchison 01:47

My mom's a realtor and my dad is in the tech world.

Dr. Javad Sajan 01:52

Oh, that's cool. And when did you move to Seattle area?

Jennifer Hutchison 01:57


Dr. Javad Sajan 01:59

What made you want to move or led to it?

Jennifer Hutchison 02:01

My husband's from here.

Dr. Javad Sajan 02:03

How did you meet your husband.

Jennifer Hutchison 02:05

Wine tasting in the Napa Valley? Like every true love story begins.

Dr. Javad Sajan 02:10

And that was in 2014 you said.

Jennifer Hutchison 02:13

A year or two earlier than that Yeah.

Dr. Javad Sajan 02:16

And were you with friends? Did he invite you out? How did that happen?

Jennifer Hutchison 02:19

No, I was working and he came in with another couple and he swears by love at first sight. I took a little longer. Yeah.

Dr. Javad Sajan 02:31

So what did he have to do to get your attention?

Jennifer Hutchison 02:34

It was one of those. I'm a big believer in a vibe. It was a vibe. It was like a chemistry. Yeah. The day that I met him as a human knew, he existed on this planet two years to the day we got married.

Dr. Javad Sajan 02:51

Wow. And how did he ask you out?

Jennifer Hutchison 02:55

He didn't ask me out.

Dr. Javad Sajan 03:02

Then how did this happen?

Jennifer Hutchison 03:02

The girl he was with, it was another couple. She slipped me his phone number, which happened a lot in the Valley. Okay. And I had never responded to anyone before, but for some reason I texted him and I was like, "Hey, how long am I supposed to wait to hear from you"?

Dr. Javad Sajan 03:20

That's cute.

Jennifer Hutchison 03:21

And he's like, "Oh, we're at this, we're doing a wine tasting at a wine bar downtown". I'm like, "Great. I'll be there in half an hour".

Dr. Javad Sajan 03:28

And that's how it started.

Jennifer Hutchison 03:30

And then the next morning he asked me to coffee, he's a pilot and he was in uniform and it was all right.

Dr. Javad Sajan 03:42

Is he like a private Pilot or does he work for a big airline?

Jennifer Hutchison 03:46

A big airline.

Dr. Javad Sajan 03:47

He's a big airline pilot. And you all were living in California. And was he living there or was he from Washington state?

Jennifer Hutchison 03:53

He lives up here and he moved down there with me for a little bit. And then a year later we moved all the way up here with my two kids. And then we had a baby.

Dr. Javad Sajan 04:08

And when you moved, you were working at the winery there. When you came here, what did you do?

Jennifer Hutchison 04:13

I was working for a real estate company and ultimately decided when I moved that I was going to do it myself go solo.

Dr. Javad Sajan 04:26

So you were an agent?

Jennifer Hutchison 04:27

I wasn't licensed in California. No. I just worked for a real estate team and affirm and did some backend paperwork number crunching.

Dr. Javad Sajan 04:36

And you did that part-time while you were working at the winery. And then when you came here, you wanted to go all in and you had pregnancies, right. And you notice changes. Did you notice some changes with your body with that? What changed Jennifer?

Jennifer Hutchison 04:51

Well, let's see. I never had boobs, played sports, which was an advantage at that point to not have boobs. And then I had kids and nursed a three of them. I don't know if you've been around a lot of nursing women, but some of your children tend to favor a boob. Yeah. All three of mine favored the same boob.

Dr. Javad Sajan 05:19

Did you try moving them over?

Jennifer Hutchison 05:21

No, I hadn't thought of that. Of course I though of that. Try to everything. Like dude what a brilliant idea. Where were you? Like? Of course I tried that, obviously. I think at some point I even tried like hot sauce, like-

Dr. Javad Sajan 05:39

Its like the nail Polish to put on kid's fingers. Right. It makes sick.

Jennifer Hutchison 05:43

Nothing worked.

Dr. Javad Sajan 05:46

And how long did the breastfeeds, those three kids?

Jennifer Hutchison 05:48

For too long.

Dr. Javad Sajan 05:52

Breastfeeding you know how good it is for your children? There's no substitute. I mean, sometimes people can that's. Okay. Well, there's nothing better you can do during that phase, if you're able to do that. What changes did you notice when in your body? During pregnancy and then after that?

Jennifer Hutchison 06:08

Okay. So at this point, we're going to talk about each boob independently because they were different.

Dr. Javad Sajan 06:13

Let's do that.

Jennifer Hutchison 06:14

Yeah. Great. So have the one that everyone liked, that one was great. Even after nursing coming in clutch looked great in a bikini. You name it, the reject boob.

Dr. Javad Sajan 06:26

Okay. That's mean to be mean to your, to your breast right now.

Jennifer Hutchison06:30

Well I can say that now because it's in the past now. I love them both equally. The reject boob. I mean, I couldn't wear low cut tops or pick out certain bikinis. You had to like prop this one up.

Dr. Javad Sajan 06:47

So how did you balance do bikini's to make them look well level? How did they look off? We want to fallen out or tell me to tell us the difference.

Jennifer Hutchison 06:57

No. It's like I had the one great boob that they're both ever solid boobs like one was almost an A and the other one was like almost a C. It was a pretty significant difference. There. They were different boobs, literally. And that's what I hated about them. I wouldn't have minded it so much if they match, like, if they were both small or they both looked good in a pushup, but it was, if I put a pushup bra on like Victoria secret has this add two cup push-up bra that bras magic. I think they even call it the bombshell. That is legit for the bad boob, but the good boob I mean, I'm getting areola busting out the top. Like, nobody wants that, you know, date night, just start. Okay. Maybe some people are into that, but you know,

Dr. Javad Sajan 07:54

Most people wouldn't like that. Yeah. I mean the public, maybe your husband might be okay with it.

Dr. Javad Sajan08:01

Yeah that was the problem. The inconsistency between the two.

Dr. Javad Sajan 08:05

Sure, sure. And did you notice any changes anywhere else, abdomen?

Jennifer Hutchison 08:13

I feel like I'm supposed to say yes, absolutely.

Dr. Javad Sajan 08:18

I want you to be, to say the truth. If he's not everyone does, this is not about sales. This is about your story.

Jennifer Hutchison08:24

Okay. No, I got the rest is fine. I mean, my butt started dropping a little bit and I'm like, the hell are you doing get higher? Like you're supposed to be up here. Where are you going? But that's it.

Dr. Javad Sajan 08:37

And I think that's true. And I think for many women like yourself who have high-quality skin that take care of themselves, good genetics, they don't have a lot of changes and that's awesome. And that situation surgery works well because you can really target what you may or may not want to do. Other women will have significant changes. Their, especially in their abdomen with three pregnancies. Out of all the patients I've seen, you were probably in the top 5% for the quality of your skin. Yes. As far as, you know, low stretch marks, good.

Jennifer Hutchison 09:08

It's like a plaque or something. That's what? I feel so special

Dr. Javad Sajan 09:14

It was true. You have great genes in you. Good physique and you take good care of yourself. And that's why you find yourself in a position where you can pick what you want to do. And when. For some people it's a more limited option. And we'll talk about that when we get into it. So you notice these changes in your body and what did you think about them? How much did they bother you?

Jennifer Hutchison 09:35

I would say different phases and seasons, obviously sweater, season. I don't care. That's fine. Whatever. Bicine season, I hated it. It sucked.

Dr. Javad Sajan 09:49

And when did you decide that you wanted to change something about them?

Jennifer Hutchison09:55

After pregnancy number one,

Dr. Javad Sajan 09:59

Why don't you do what made you want to wait until you had a couple more?

Jennifer Hutchison 10:02

Finances, number one. And then I knew I wanted more kids and I didn't want to spend the time and the money to do it until I was ready to kind of be selfish or the recovery, the finances, all of it, all of it.

Dr. Javad Sajan 10:31

Why did you feel it was selfish?

Jennifer Hutchison 10:34

Mostly because of the recovery. I didn't want to take the time away from real life. I'm also a super independent person. I don't like to ask for help with anything. And so having that sort of downtime where it is in my best interest to recover and not do things I wasn't ready to prioritize.

Dr. Javad Sajan 11:00

What do you say? You're the kind of person who wants to be in control?

Jennifer Hutchison 11:03

Without a doubt. 100%. Yes.

Dr. Javad Sajan 11:08

So were you, you think you were scared that you wouldn't have control during your recovery?

Jennifer Hutchison 11:12

Yeah, absolutely. In fact so much so that when we ultimately did have the surgery, my husband and I stayed at the hotel, local, I didn't want the distractions of our real life and home to play a part in that I needed to compartmentalize.

Dr. Javad Sajan 11:38

Makes sense. And then after your pregnancies, you came to a point in life where you felt more comfortable doing something, correct?

Jennifer Hutchison 11:45


Dr. Javad Sajan 11:45

And what was different at that point?

Jennifer Hutchison 11:52

I wasn't needed as much. My youngest is in first grade now. And when she went to kindergarten, it was a whole new world. Not needing to be as a mom you're constantly needed what's for dinner. Where's the toilet paper. You name it. You're always needed. You're the answer to everything. When all my kids were in school, it was almost culture shock at all the empty time I had in a day and could finally focus on myself, which I didn't know that I was missing. Just to be very clear. It's not like I was missing something, but I started working out and just prioritizing myself. And at that point I started to get in shape, but my boobs were not changing. The problems are still there.

Dr. Javad Sajan12:51

How did you start looking for someone to help you for surgery?

Jennifer Hutchison 12:54

I do have OCD and I naturally just, when there's something I'm not familiar with, I want to know absolutely every thing there is to possibly know about that. I found a doctor in Southern California that I swore I was going to fly down and go to this doctor and do all these things and whatever. And in my research of that check and out to be honest. And.

Dr. Javad Sajan 13:33


Jennifer Hutchison 13:33

Because I didn't feel like it should be that much work

Dr. Javad Sajan 13:40

To fly down there and do it all.

Jennifer Hutchison 13:42

Yeah, that sounded real extra. Like that's a bit much, you know, which I'm glad I had that realization.

Dr. Javad Sajan 13:51

How did you find that doctor in Southern California?

Jennifer Hutchison 13:54

Okay. First a friend of mine who lives in Vegas, told me about him. And then I started following him on Instagram. And his catchphrase is the 24 hour augmentation. So you know, the guy,

Dr. Javad Sajan 14:15

A lot of people use that and I know what they're referring to when they say that.

Jennifer Hutchison 14:19

And then I too researched it and was like, that's not, what I want. That's not it. And I stumbled across your marketing and ads and your Instagram page. It's like, Oh, you've liked this procedure. And I saw one of your links to your Snapchat. Then I added you on Snapchat and it got real real quick.

Dr. Javad Sajan14:52

What do you mean?

Jennifer Hutchison 14:55

If anyone doesn't follow his Snapchat? You should because it's awesome. I'm not, I don't have a sensitive stomach. I'm not, I can see everything. And I was glued to my phone for her countless hours.

Dr. Javad Sajan15:08

Oh, that's awesome.

Jennifer Hutchison 15:09


Jennifer Hutchison 15:09

No it was awesome. I think, I don't know if you remember, when we went in for my surgery, I was like, you're going to snap this. And you did. And I watched it like eight times.

Dr. Javad Sajan 15:19

That's awesome, we should, we'll pull it in link it. That's great. So watching so on Snapchat, live stream surgeries, lie for the patients that give us permission obviously. And a lot of doctors tell me I'm crazy because no one really does that. A lot of people will stream here and there or not the whole thing. Well, why did you like that?

Jennifer Hutchison 15:42

Because I'm a control freak.

Dr. Javad Sajan 15:44

So you felt they gave you control because you knew what was going to happen. And that gave you a level of ease.

Jennifer Hutchison 15:50

Yeah. Also prior to the surgery, I had never, I'd never had a surgery. I've never stayed in a hospital. So for that first surgery to be elective was a big deal also.

Dr. Javad Sajan 16:08

Aside from watching the surgery and getting an idea of what was going on, what else did you like about it?

Jennifer Hutchison 16:16

The transparency was key 100%. I mean.

Dr. Javad Sajan 16:22

That's what everyone tells me. That was the number one thing. They love being open. And there's no, basically there's no secret. It's right there. You can see it. And, that gave you a level of comfort.

Jennifer Hutchison 16:33

100%. Absolutely.

Dr. Javad Sajan16:35

Why Is transparency important in a situation like this? Why did it matter?

Jennifer Hutchison 16:41

Because so much of the medical profession in general is a behind the curtain sort of vibe. Like you don't get to know what's happening back here and you completely remove the curtain. Literally There's no curtain.

Dr. Javad Sajan 17:09

Well, I think we know with the pandemic it's become even more. Now, when I understand and respect the restrictions, but some of my friends, they deliver babies. They have to do it solo, you know, it's even become more like that for a necessity. But what do you think about that?

Jennifer Hutchison 17:25

I think that the way the world, we're almost doing a complete one 80 here. I know everyone wants, wanted technology, wanted it fast, instant gratification now. And I think now it's switching backwards. People are craving human interaction and a place to belong, a place to be value and worth are two very different things.

Dr. Javad Sajan 17:59

What's the difference. Tell me

Jennifer Hutchison 18:04

Value and worth like one has a Mon like, monument, monumental, monumental. What is it? What is that called again? Monetary value. And the other and value is what it means to a person.

Dr. Javad Sajan 18:23

And what's different now compared to pre virus.

Jennifer Hutchison18:27

I think they've switched. I used to be about what you had and now it's a little more about who you are in the circle you keep.

Dr. Javad Sajan 18:40

I see it. I agree with you a hundred percent. Absolutely. Everyone's changed what their value, who the value. And I think more importantly, how we value, you know?. Cause you can't really do it the way we used to. I saw this meme on my phone about, or it was during the 1920, 1900 flu pandemic. And this guy wanted to kisses fiance, but they had all these restrictions. So he got on these long stills, climbed on a building Kickstarter window, then went back. The people always find a way. Yeah. So you found me, you saw my Snapchat. You seem to like that. And then you went to my Ig. What other research did you do about local doctors and about me?

Jennifer Hutchison 19:29

Your website is very, whoever built out your website, great job. You clearly took a lot of time for the initial build out. And that is awesome. I like the ease of how I could find everything, including contact information. And you reply, you would be shocked at how few, just general responses you get from other, anything, anything.

Dr. Javad Sajan 20:03

And then I think all customer servers has totally deteriorated because of COVID.

Jennifer Hutchison 20:07

Oh my gosh.

Dr. Javad Sajan 20:08

There's no customer service.

Jennifer Hutchison 20:10

I can't even, I agree. 100% you have not dropped the ball on that. And from initial interaction to even this morning, all of it.

Dr. Javad Sajan 20:24

Thank you.

Jennifer Hutchison 20:24

Uh and that's awesome.

Dr. Javad Sajan 20:27

And, and so you found our website in, did you look at any other local doctors or just me?

Jennifer Hutchison 20:32

I did. I did look at two other local doctors. One was in Bellevue and I think the other was in Seattle. And I love, honestly, I liked your VIP option.

Dr. Javad Sajan 20:47

So tell us about the VIP option. What is that?

Jennifer Hutchison20:50

So the VIP option was the reason it stood out to me was it was a one-on-one consultation, which I'm sure you do for everyone. It was a one-on-one consultation. My husband's schedule is a little wonky. And so I figured we had more of a way to work with his schedule in going this route, which ended up being true. And I'm super thankful for, because I wanted my husband to be a part of that as well. And he doesn't have a normal schedule. So that flexibility was amazing. And the fact that scheduling that consultation, wouldn't push me back on scheduling my surgery, that decrease in the gap between consultation to surgery was the key for me.

Dr. Javad Sajan 21:41

Yeah. So the VIP program, as you know, it's a select program for certain people where we see them in the evening, the whole office is closed. We don't have any other patients in the office at all. So a lot of people like yourself, a lot of celebs people who are known, who don't want anyone to know will come and then you get special snacks. And then in, you can come and we guarantee you a surgery day within six weeks of that consult. And then all of your, and you could have private concierge who is one-on-one with you for the whole journey. Then we are attentive to all of our patients in the VIP patients because they end up going through that expense. They get a private one-on-one person, the whole experience. Did you think it was worth it?

Jennifer Hutchison 22:27

Yes. Yup.

Dr. Javad Sajan 22:30

Do you mind saying how much the VIP consult was?

Jennifer Hutchison22:33

It was a grand.

Dr. Javad Sajan 22:34

Yeah. So something like that. So, and you would do it again if you had to do it.

Jennifer Hutchison 22:39

Absolutely. The difference is I knew that I wanted to have the surgery. If you were on the fence about having the surgery at all, then I could see some hesitation, but if you already know, and you're just working out the details by all means, go for it. Yep.

Dr. Javad Sajan 22:54

So, so the difference between the other doctors and us was we had this VIP program. Did anything else stand out?

Jennifer Hutchison 23:00

Absolutely. So because I had two very different boobs I didn't, I looked for people that worked on not necessarily like botched, cause I didn't feel like I was botched. I just, I had two different issues and I wanted both to be resolved. And so the biggest reason that you stood out to me is because you did so much trans work that I felt like that's near art.

Dr. Javad Sajan 23:35

That's really hard. And you're right.

Jennifer Hutchison 23:37

You're taking something from nothing or vice versa. And it looks flawless. That, that was the biggest thing that stood out is I felt like you were an artist and I needed some corrections to my canvas.

Dr. Javad Sajan 23:58

Surgery is such a science and an art. Well, because when you do art, you create something and you're done. The challenge with surgery is you have to understand how it's going to heal and how it's going to heal isn't necessarily how you finish on the table. You have to have predictions, assessments, and analysis on it. If I make this move, if I make this cut, if I released a pocket over here, if I put the implant in this direction, how is it going to ultimately hand pan out? The art is having a vision for what form you want to create. And we'll talk, yours was especially challenging. I'll talk about that. But then the science part of it is you have to know enough of the medicine and the surgery technically to execute those moves implanted in a way that it ends up where you want to be.

Dr. Javad Sajan 24:45

And with transgender surgery, it's even harder. So when I have someone who's assigned female at birth that person has fold on their breast to work with. They usually have some cleavage. They usually have some side breasts. They have a wider area line nipple, and they have skin that's usually looser. So you can fit an implant in, but when you start with a gender affirming surgery or doing surgery on somebody, who's assigned male at birth, Jennifer, they don't have a fold. They don't have cleavage. They are very tight tissue. They have no side breast and their aerial nipple is very small and harder than that, a woman is assigned female at birth. Her nipple is more in the middle of her chest. Whereas someone is assigned male at birth. The nipple is more to the side. So adjusting an implant around that is quite a bit of effort.

Dr. Javad Sajan 25:33

And I can tell you this, every gender affirming or transgender surgery I do makes me a better surgery for the naan and vice versa. It really compliments each other because if you can create shape and form, when you have nothing to start with, literally, and then when you go in and do a case where a woman has some of these things it's much less challenging and much more predictable. So they feed off each other. By doing the straightforward, more quote, unquote straightforward female cases helps you understand what is the anatomy that's desired, what's favorable. And what am I trying to create? Because to create something new, you have to know where you're going. You're not just throwing an implant in there. You have to create a feminine physique, right? So you came for your consultation on our VIP program with your husband who was such a sweet guy. And we looked at your anatomy and you had some ptosis or sagging. And I know you weren't necessarily expecting that. So when I did my measurements, things were a little bit on the lower side and we were debating whether or not we should do a breast lift. Right?

Jennifer Hutchison 26:35

Well, we were not debating.

Dr. Javad Sajan 26:39

We were discussing.

Jennifer Hutchison 26:40

I was committed. So all of my research got me into your office. Yeah. That conversation, that initial consultation with you sealed the deal and not in the way that I anticipated, because I basically left that appointment with not getting my way because you told me no good reason, which for the record, I am very thankful for.

Dr. Javad Sajan27:15

So what did I say no to?

Jennifer Hutchison 27:17

I wanted huge boobs. Like just fill him up. I've nursed three kids, take the big one, get the other one to match and just fill him up, go for it.

Dr. Javad Sajan 27:29

And, and I remember this was so funny.

Jennifer Hutchison 27:31

I think I even described it that way.

Dr. Javad Sajan 27:32

Yes, yes. And the one thing you said, no one's ever told me this. And you were like, Jennifer, what's your goal? Like I want a motorboat, my husband and our staff, still everybody in the office loves you and remembers you for that comment. So, so you want it very large implants. And my concern with that was because you had some sag. So I don't mind doing large implants. I have nothing wrong. That's what I mainly do. The challenge I had in your situation was your fold was high and it was tight. And your breasts were a little bit on the low side. So if I would have put big implants, my concern was sure I could throw the implants in there. That's not a problem.

Dr. Javad Sajan 28:14

Your look would have been bad because you would have had a double bubble or double crease and you would have ended up regretting it. If you didn't have ptosis or sagging and your fold was more flexible. Absolutely. I could go five, six, 700, 800, whatever you want. I do that all the time. But in your particular situation, we have to adjust the surgery to your anatomy. So we said, okay, Jennifer, I think a big implant is not going to work well for these reasons in your particular case. And we said, if you want a really big implant, then we'll have to do a lift with an implant at the same time, because I'll need to move the whole anatomy. So why? Because if I put a really big implant in a woman whose fold is high and her breast is low, she ends up with two creases, basically two breasts on each side, one with a nipple on top and one with that, right? Nobody wants that.

Jennifer Hutchison 29:00

I felt like one on each side would be enough.

Dr. Javad Sajan 29:03

Yes. And, and so, and then we talked about doing a lift, which many people are okay with, but it's a cut around the areola down on the side. You have more scarring, more recovery twice as long of a surgery. And then I gave you another option. I says, well,

Jennifer Hutchison 29:19

It was your way, you were like, or you could do my way. My recommendation, I think is the words you said,

Dr. Javad Sajan 29:25

And that's correct. Yes. I use, you have to use very qualified words, right? So the other option would be this. We can do an auto lift, big implants and get it done there a bit. Based on your age, your wants your desires. I felt it might not be the best option based on what you're looking for. So we said, Jennifer, what about let's look at the gummy bear implants. It won't be perfect, but I think it will meet your goals where we'll do a nice full-size implant. We'll go through the fold under the muscle and we'll use different size implants to help create some more symmetry. You won't be perfect, but it'll give us more of a match. So you're more comfortable with it. How did you feel about that initially?

Jennifer Hutchison 30:05

Initially, I wasn't convinced. I mean, I committed that night and we booked it and we left and I would say it took me about three days before I was emotionally committed.

Dr. Javad Sajan 30:25

What was your hesitation.

Jennifer Hutchison 30:27

That they weren't going to be big enough.

Dr. Javad Sajan 30:29

And I shared with you that was a risk.

Jennifer Hutchison 30:30

Yeah. Ask me how I feel now?

Dr. Javad Sajan 30:36

How do you feel now?

Jennifer Hutchison 30:36

I love them. They're so good. Oh my gosh. Literally, literally so often I can't even tell you I get into bed and I'm like, Oh, I'm so happy. I have these boobs. They're so cozy. Boobs are so cozy. I did not know that I did not know that boobs were cozy. Oh my God, they're so cozy, cozy. And they're the perfect size. I can still wear a top any bigger. And I would not be able to like, even some tops I squeezed into and I'm like, Oh, I look like a porn star. These are a little big, but most tops I can still wear had I gotten any bigger.

Dr. Javad Sajan 31:23

Yeah. And that was the other thing. You're a very strong personality, very lively, very vibrant and very determined. And when a doctor gets a patient like you I think the naive doc who is an experience, well, sometimes not that patient walk over them and let the patient run wild is what they want. And I think in your situation, that would have been a very dangerous situation because you would have, although I respect your autonomy. I know what you want. The hard part is, is the doctor's job to understand what operation is going to meet the patient's goal. Not just do the implant, the patient. Right. And so that was our discussion. So different sides gummies through the fold, under the muscle, you didn't like it that much, we were concerned, the size would make you happy. But we also said, well, if you don't like it, we can always do a lift or something down the road and put bigger implants. So we had a plan B, right?

Jennifer Hutchison32:22

Yeah. That's true.

Dr. Javad Sajan 32:24

And that's always, that's really important in surgery because had we committed to an all lift right away, which I do a ton of, I did three last week. We would not have had any other options. We're committed to that. That's all we have and we're going to live with it. But based on my reading of your personality wants your desires. I decided, Jennifer, my recommendation is, let's start with this. Let's see how it goes. I feel it's going to work and you're gonna love it. If we're not right, we can always do the other road. And the main reason I did that is based on your goals, what you wanted and your anatomy, I felt based on doing thousands of these, I believe I could get you what you wanted with less risk, less cost, less operation versus doing exactly what you wanted, but I felt what you wanted. Wouldn't have got you to your goal.

Jennifer Hutchison 33:14

I agree.

Dr. Javad Sajan 33:15

So, we did the operation. You committed emotionally three days. How was the lead up to the surgery?

Jennifer Hutchison 33:21

Awesome. Surprisingly,

Dr. Javad Sajan 33:24

You're getting excited.

Jennifer Hutchison 33:25

Yeah. Oh, I was so excited.

Dr. Javad Sajan 33:27

Did you tell people?

Jennifer Hutchison 33:28


Dr. Javad Sajan 33:29

Family, friends? Nobody.

Jennifer Hutchison 33:31

I mean, I told my mom.

Dr. Javad Sajan 33:32

What did she say?

Jennifer Hutchison 33:36

I mean, she was happy. My mom has implants too. She has my whole life.

Dr. Javad Sajan 33:41

How was your husband feeling about all of this?

Jennifer Hutchison 33:45

Good he was good.

Dr. Javad Sajan 33:45

Was he supportive or did he give you some pushback? Don't do it.

Jennifer Hutchison 33:48

No, he's not. But his only pushback I don't even think that we actually talked about. So I hate the size of my nipples, not Ariel, but like actual nipple. I hate them. And I wanted to ask you about like, just drop those bad boys off and like, can I get some new ones? So I'm like some like cute little tiny ones. And he was super antied that and ultimately we had a deeper conversation about it before I met with you or we met with you. So you didn't know about that. That was the only hesitation I got from him as far as actual augmentation goes. No, he's a fan. I had talked about this before our last baby. So it wasn't an overnight development. It had been something talked about for years and he's always been supportive of whatever I want to do my body, my choice.

Dr. Javad Sajan 34:46

Yeah. Yeah. That's cool. And overall, how was he during the recovery?

Jennifer Hutchison 34:51

A little angel. He was, I was nervous about that. The recovery is, I would say number one, the thing I was nervous about,

Dr. Javad Sajan 35:02

You're worried about the pain.

Jennifer Hutchison 35:03

No, not the pain. I don't sit down and be quiet. Very well.

Dr. Javad Sajan 35:13


Jennifer Hutchison 35:13

I know. Shocking. so being required to sit down and be quiet was all stressful. Yeah. So I am glad that we didn't go home. We stayed at the hotel and I think for you two or even three nights, just to be, you know, really comfortable. And I'm glad we, that I highly recommend that for anyone that has any kind of real life at home, including a fish from a fish to children, check out.

Dr. Javad Sajan 35:49

Yeah. So leading up to surgery day, did you stay in the hotel the night before? Or did you stay at home?

Jennifer Hutchison 35:54

We stayed at home the night before

Dr. Javad Sajan 35:57

You came in, in the morning for your case. Were you nervous at all in the morning?

Jennifer Hutchison 36:01


Dr. Javad Sajan 36:04

Then we did our markings. We measured everything, confirmed the size, and then we took you back and we snapped the case.

Jennifer Hutchison 36:11

I was really, really concerned that you guys were going to confuse them. I had a dream night before.

Dr. Javad Sajan 36:17

He told me that I wrote the sizes on your breast. So you would feel better.

Jennifer Hutchison 36:20

Yeah, I, that was being the only puppet I was freaking out about that. I had a dream that you guys couldn't use the boobs and I already had a bad one in a good one. I didn't want a really good one.

Dr. Javad Sajan 36:34

When I was marking her for safety, Jennifer tells me doc, I had a dream. You put the, you put the wrong size in the wrong breast. Cause we were doing different size gummy bear implants. Then you hear these crazy stories of the other places. People take out the wrong kidney and this, that, and the other thing. So basically to help her relax, obviously, thank God I've never done that. I never plan to quadruple check. We are four checks before we do an implant, but we also took a perm, a surgical marker. And I wrote the sizes on each breast. So Jennifer felt good about it. Right. and then we went back anesthesia happened, surgery happened. How was it? Do you remember? Right after

Jennifer Hutchison 37:11

Even the, even the staff in the operating room before you came in, they were like, okay, are you feeling good? Relaxed, like may try was comfortable. And I was like, do not mix them up. And he's like, I'm not, we're not, I promise multiple people.

Jennifer Hutchison 37:27

Everybody knew that.

Dr. Javad Sajan 37:29

Dude. That's so funny. I was really nervous about that. I don't remember waking up.

Dr. Javad Sajan 37:35

That's for a lot of people, we give medicine that actually, it’s a relaxing medicine, it’s called Merced or Midazolam. And actually what it does is it gives people in side effect or effect, whatever you want to say, amnesia, you makes you relax, but you won't remember stuff after getting it usually.

Jennifer Hutchison 37:53

Yeah. I don't remember. I remember being in the hotel waking up and I've been told I was awake before that.

Dr. Javad Sajan 38:03

Were you having pain that same day?

Jennifer Hutchison 38:06


Dr. Javad Sajan 38:06

About the next couple of days?

Jennifer Hutchison 38:08


Dr. Javad Sajan 38:09

And during my surgery. So one of the things I do that a lot of doctors don't do is I use a lot of complacent anesthesia. So what that is is we take fluid saline. We mix it with light cane, mix it with epinephrin and some antibiotics. And I inject that into the area before I make my cuts by doing it that way people oftentimes will have less pain. So they're done studies on this people because some doctors are like, well, the patient's asleep. Why should I still put local? So the funny thing is, if you will know, you're asleep, if you put local and numb the area before making the cut, you have less pain after. Interesting. So I believe in that it takes a little bit more time, but for someone to have a better result, it works.

Dr. Javad Sajan 38:53

So we did that. We did your surgery, you went home, you came for the post-op things went well, but we had a little hiccup, remember the hiccup?

Jennifer Hutchison 39:00

Two weeks later, I thought I was your poster child.

Dr. Javad Sajan 39:05

You still are. But sometimes people have hiccups when especially strong people who do what they want. So right. That's okay. So we did the operation went well and then Jennifer calls us, I think it was two weeks after and saying, "Doc, I'm having a little drainage".

Dr. Javad Sajan39:23

It was longer than that.

Dr. Javad Sajan39:24

Maybe three, maybe three weeks. So it was within a month.

Jennifer Hutchison 39:28

It was right at the, it's gotta be right at the four week Mark, because you had cleared me to ease back into things. And I remember you said you go 50% and then stair step up and day two of my 50%, I went to a yoga class.

Dr. Javad Sajan 39:48

It's hot yoga. Right. If I remember no regular. Yeah. And then, so you did yoga and then you noticed some drainage from your incision on one side. It was the right side, I believe. Day after, correct.

Jennifer Hutchison 40:00

I busted a hole in my boob. Let's just call it what it is. Busted a hole in my boob.

Dr. Javad Sajan 40:06

So suture was damaged and Jennifer had some drainage. And then you waited a one to two days to call us, correct?

Jennifer Hutchison 40:14

Yeah. In hindsight, that was poor choices. That's my bad. That's my bad. And you yelled at me about that too. You were like, you should have called me right away. I'm like, Oh, holes in your boob. Aren't normal. Sorry about that.

Dr. Javad Sajan 40:30

Yeah. I would say I redirected you to the seriousness of the situation.

Jennifer Hutchison 40:35

Anyone else? If you get a hole in your boob call right away.

Dr. Javad Sajan 40:39

So the hole was in the incision and Jennifer had some drainage. What likely happened was during her yoga stretches, she popped us area that was still healing. So during when your wound is healing, it takes about six weeks to get up to 75% of the original wound strain. So of your normal skin. So sometimes during certain maneuvers or movements, you can do that. So you popped a little hole drainage for a couple of days. We got you. You called, I think I called you back within a couple hours of getting your email and within an hour or something like that, you didn't call us, emailed us. Yes. And then they say, you know, obviously when we get something like that, it's red alert. So the team contacted me right away. I was in clinic. So I got you on the phone within me seeing the email within 15 or 20 minutes. And we started on some extra antibiotics to help the healing. You didn't have an infection, you had a little small open area or a hole in the boob, as you say. And then we got.

Jennifer Hutchison 41:42

Didn't feels small.

Dr. Javad Sajan 41:44

It was a big deal,

Jennifer Hutchison 41:45

A smooth area with a hole in it. It didn't feel large to me.

Dr. Javad Sajan41:51

Absolutely. It was a big deal. And that's why I nicely redirected you on that situation. And then we we saw you within a day, we got you an antibiotics immediately. And it slowly heal, right? No problem, no concern. She didn't have any, she didn't have it. Thank God so far, she's not going to, but we had no capsular, contracture, annoying faction implants were perfect. We got her on antibiotics. We had her decrease her activity. And then Jennifer healed perfectly and no issues at all so far. Do you feel, are you happy? You had it done overall?

Jennifer Hutchison 42:24

Yeah. I feel like we're skipping over something super cool and important. That happened though. So because my boobs were so different and I wanted them so big. One of the ways or things you shared with me that I wasn't aware of was that the folds in my breasts were so different where their crease was so different. The magic on my body now, which is the only reason that I really do hope you post the pictures is because you moved my crease from, I don't even the bad boob. The good, it doesn't matter. But you literally that's fo like you made that, whatever you, wherever you wanted it to be.

Dr. Javad Sajan 43:13

That's a good point. So what we did was the Jennifer had different sized breasts mainly to do breastfeeding and tissue volume. One of the reasons she had that is because the infer mammary fold the fold below the breast were at different levels.

Jennifer Hutchison43:28

I knew you were going to explain it better than me.

Dr. Javad Sajan 43:30

So how do you make that better? So a lot of doctors will say, you can't make it better. You got to live with it. But my plan to make that better was to use different size gummy bear implants. I put a smaller implant in the breast that had more tissue and the breast that had less tissue. I put a bigger implant. Now the breasts with the less tissue also had a higher infer mammary fold. So it's not easy to do, but I moved that fold more than the other breast and bring them at the same level. And that's tricky because if you don't do it right, what happens is your nipples will become cross-eyed. And I don't think he know all that.

Jennifer Hutchison44:09

No, I did not know that.

Dr. Javad Sajan 44:10

So if that, if that maneuver, isn't executed perfectly one nipple can point to the sky and weren't complaining to the floor like Snoopy, and it's a disaster.

Jennifer Hutchison 44:18

That didn't happen

Dr. Javad Sajan 44:19

Yes. so that was a, that was a challenging move, but it is a hard move because to do that, you have to understand the pre nipple position, how the implants are going to change the nipples. Because putting the implants in changes the nipples and how changing the fold is going to change where the implant is going to sit. So there's like a million variables that you got to adjust. So we were able to do that very successfully in your case. Now, one of the reasons I prefer the gummy bear shaped implants is because it gives me more control on how I move the fold. Whereas the round implants, in my opinion, I have less control on how exactly the fold is going to settle because the gummies sit where I put them. I know where things are going to end up. So there's a lot of new one’s to them.

Jennifer Hutchison 45:01


Dr. Javad Sajan 45:01

Yeah. So a few things there, but I tell you a lot, but some, some things I w I, you know, you come to me because you expect a level of expertise, you expect a level of dedication and you expect the level of performance. Right? That's what people come to me from all over the country. And so those are all those things I think about sometimes when I see a consult, I'll go through my recommendations. I think sometimes people will think, Oh, he's just recommending it five minutes, right? No, no, no. Before I make a recommendation, I've thought about a million things on how it's going to impact you, what you want and how it's going to heal. And then I make my recommendation. I do that quickly sometimes because I've done it so many times, right? You don't want me sitting there taking notes, writing things down, then what should I do? Yeah. There's no, once, you know, you know, you go with it, but if you don't know it, then it's a different story.

Jennifer Hutchison 45:49

So all of these things we've discussed are the ultimate reasons that I, I did go with you and why I'm so thankful for that. You're you are an artist.

Dr. Javad Sajan 46:01

Thank you. That's very sweet of you.

Jennifer Hutchison 46:02

And moving that crease was a pretty big deal in my mind. And it's made a huge difference after the fact. I'm very happy with all the things. All the changes

Dr. Javad Sajan 46:14

Is your relationship with your husband different now?

Jennifer Hutchison 46:18

I mean, I mean, there's, there's a lot more motorboating.

Dr. Javad Sajan 46:25

There's more different activities.

Jennifer Hutchison 46:26

That's what you mean. Yeah. Lots of motorboating. Yes.

Dr. Javad Sajan 46:31

Has it changed how you dress?

Jennifer Hutchison46:35

Yeah. Yeah. Oh yeah. I wear crop tops now. That's the thing.

Dr. Javad Sajan 46:41

Crop tops are everywhere. Whenever you go shopping, everyone's telling you crop tops.

Jennifer Hutchison 46:44

Yeah. And don't be a hater about that because I freaking love a crop top. Everyone should love a crop top.

Dr. Javad Sajan 46:50

People will come for interviews and crop tops that don't make it past the lobby.

Jennifer Hutchison 46:56


Dr. Javad Sajan 46:56

Yes. Job applicants.

Jennifer Hutchison 47:00

Oh, well, I wouldn't wear a crop top. I don't wear a crop top to a listing appointment. No. Okay. No, I like overalls too, but I'm not going to wear overalls to what? No, stop it.

Dr. Javad Sajan 47:13

That's Jennifer's public service announcement. Don't wear a crop top to a job interview.

Jennifer Hutchison 47:16

No, do not. And don't offer me gum either. I had that's my worst interview experience. I called someone in for an interview and they were like, did you want some gum?

Dr. Javad Sajan 47:29

Oh my God.

Jennifer Hutchison 47:30

No. And neither should you

Dr. Javad Sajan 47:32

Next week's clinic talk. We had an applicant try to jump the one of our executives who refused the interview. Literally we're I'm going to save that one.

Jennifer Hutchison 47:43

Well, let's fight them. I was like, does that mean something different now than what I,

Dr. Javad Sajan 47:49

No. No, it was, it was anyway.

Jennifer Hutchison 47:53

I love the clinic talks.

Dr. Javad Sajan 47:54

How do you feel about your body image now?

Jennifer Hutchison 47:57

I love it. It's great. Here's the thing though. It had like, I didn't have body image issues before. What it's done now is create a whole nother sense of pride. And dare I say ownership because it is ownership technically like it is an aftermarket purchase. I mean, I've, I'd never, I've just been an active person. I quote it because I'm like, not really, but whatever. Now I want to work out and see a difference in my body. Those efforts are more valued and appreciated.

Dr. Javad Sajan 48:41

What's so different. Now, Jennifer, about plastic surgery today in the Instagram Snapchat era that I would say 20 years ago, 20 years ago, when people had surgery, they wanted to fix, fix, fix, and fix. Now people want to enhance whether it's filler, whether it's Botox or implants. The goal is not that I feel there's something wrong with me, but I feel I can be better. Do better look better. And that's why people are having it. I think some of the, or a previous generation of providers don't understand that. Before example, you go to some docs, they'll do very small implants. They won't listen to the patient, let us do what they want. They won't even do sizing. Like we know we do. And that's it one and done, but that's not the goal.

Jennifer Hutchison49:26

No. And all, so since having these, like I said, now I work out, I take much better care of myself now than I did before. And I wasn't, I mean, yeah, I didn't, I wanted them to be corrected, but I wasn't losing sleep at night. It wasn't that bad. It was just, it was a luxury that I didn't feel like I had in hindsight. I didn't know what I was missing going from eight cups to double DS, almost triple DS. I really like these things. These are awesome. Like if the only thing I would do different is I would have done this a long time ago. I think I still would've waited until after kids.

Dr. Javad Sajan50:14

It makes sense. Yes.

Jennifer Hutchison 50:17

But I wouldn't have waited so long. I'm so happy with them and I'm happy with the lifestyle I've created with.

Dr. Javad Sajan 50:25

Makes sense. Makes sense. Yeah. Well, thank you so much for being a guest today, Jennifer, this story is truly amazing and you have one of the most fun, amazing, and really, really beautiful personalities I've ever met. I've learned a lot. I know you're a dealer we'll teach our listeners how and what to expect as they start their own journeys in cosmetic plastic surgery. I appreciate your time and monitor have you as my good patient that would even say friend. Yes. Yes. Thanks for listening to the plastic podcast and please rate and review us on Apple podcast to hear more great content. Tune in next week for clinic talk for my live surgeries on Snapchat and my adventures throughout the week, catch us on all social media at @realdoctorseattle.

Episode 13

Episode 15