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She entered the porn business at age 28. She has been called the "lady of the lake" of porn, in that she embodies the myth of the promiscuous woman willing to have sex with anyone at any time. Still, she dislikes dominating attitudes from men. In 2005, Ava had what she called "malpractice surgery" which put a hold on her film career. In October 2005, she underwent breast reduction surgery and had a lift, reducing her bust to 36DD. She resumed working in January 2006 with plans to continue.