Dr. Tsujimura did my second breast augment. First one was by a different doctor about 10 years ago and I had saline implants through armpit. I always thought I liked them but when it came time to need them replaced, Dr. Tsujimura fully discussed all options with me leading me to change to silicone implants. I couldn't be happier with the way they look now, and especially having had both kinds of implants I realized how much I actually didn't like my old ones. He really knows what his patients want, is friendly, caring, and has great bedside manner!