La Jolla / San Diego Cosmetic Surgeon Dr. Tom Pousti Talks About Revisionary Breast Surgery

Description

Some patients need to have revisionary breast surgery because of deflation of a breast implant, capsular contracture formed around one or both implants, double bubble formation, etc..

One of the more common problems that patients are seeking Dr. Pousti's help for is symmastia. Symmastia - commonly referred to as breadloafing or uni-boob, occurs when two implants touch one another in the center of the chest. If the horizontal muscle that is connected to the sternum and goes across the implant is cut during surgery, then the implant can move toward the middle of the chest.

Another common problem that we see in our office is the need for AlloDerm Regenerative Tissue use to help cover the implant when the pectoralis muscle has been damaged and is not giving enough coverage to the area.

The Surgical Procedure

The operation time varies depending on what exactly would need to be performed. We will review this with you after you have been examined by Dr. Pousti.

For correction of symmastia, the procedure can take from 2-3 hours depending on how much work is involved. Board Certified Plastic Surgeon, Dr. Pousti takes his time in the operating room to make sure that he does what he can to achieve the patient's results. The repair of symmastia requires additional surgery to move the implant back into the pocket of original placement.
• An incision is made (usually along the breast crease) to expose the underlying tissue, muscle, and implant.
• The tissue that encapsulates the implant is cut and rolled back to fit into the pocket.
• Tissue is sutured together to hold implant in place.
• The muscle is then sutured internally back in place, connecting the sternum.
• The incision is then sutured close.

What To Expect After Surgery

Pain is rarely strong, more commonly being a degree of discomfort. Swelling occurs but usually begins to subside by the third or fourth day. Some degree of swelling may persist for longer periods. A well-fitted bra is worn day and night for three weeks. While there is probably seldom interference with future breast feeding, women are cautioned that it may not be possible to breast feed in the future.

The bra that is worn after symmastia repair is referred to as the "thong bra". It is used to stabilize the area after symmastia reconstruction.

Resumption Of Physical Activities

Driving may be resumed in 1-2 weeks.
Non-contact sports in 3 weeks.
Contact sports in 6 weeks.

Testimonials:

Revisionary Breast Surgery with Alloderm:
Dr. Pousti and Staff,

After suffering a serious injury to my pectoral muscle, I found myself in need of surgery and recognized, after evaluation by several other plastic surgeons, that my case would be difficult with an unpredictable outcome. I began to search for the doctor that would be the best to do the repair- I finally located you after extensive research. Your familiarity of the use of Alloderm as your replacement tissue and your amazing artistic ability has truly been my saving grace. My “revisionary” surgery has proven far superior and much more beautiful than my original breast augmentation. I wish I had found you years ago for the original implants, but I feel blessed to have found you now. My trip from Arkansas was so worth while! Wonderful staff- Awesome you!

Sandra O.
Arkansas

From the patient's significant other:

I would like to express my sincere thank you for such a great job. The original augmentation was less than satisfactory and the injury sustained was drastic, as you well know and the results of your work outshine that tremendously. Sandra is very happy and as a result has a much better outlook regarding her appearance.. She was always great to me regardless and still is. I thank you once again for your skill and judgment in regards to sizing, shape, etc. I feel that you have captured the perfect essence of her femininity with your work, I am sure in the month to come as she heals that your work will only become better as well.. once again thank you for your time, patience, skill, and personal attention to her when she first contacted your office and staff. At the very beginning she was so distraught and after talking to everyone there became much more relaxed and assured that she was in good hands.

I just wanted to take a moment to thank you all for the compassion and quality service that I received while under your care. I could not have achieved the amazing look and feel of my ‘new breasts’ with any other office. I am extremely pleased with the results. Thanks a ton!

To Anyone Considering Revisionary Breast Surgery:

I had breast augmentation preformed about two years ago by a surgeon in North Carolina. Within a year of the surgery I began to have complications. I noticed a small bump forming beneath the skin on my right breast. Within a year the bump had grown and caused the breast to become misshapen and uncomfortable. It was even noticeable when I had a lined bra and clothing on. I later came to find out that the ‘bump’ was actually the implant pushing its way through my skin. I knew that I needed to have the problem corrected right away!
I was apprehensive about finding a surgeon that specialized in revisionary breast surgery. However, I had received many recommendations for Dr. Pousti and decided to schedule an appointment. From the moment that I met with Dr. Pousti I felt at ease with my decision to have my surgery performed by him. Dr. Pousti reassured me that he would to the best possible job to fix my problem. Within the month I scheduled the surgery.
After everything was over and done with I couldn’t have been more happy! My breasts looked awesome! The bump was gone and I could not believe how natural they looked and felt. I could hardly wait to show off my new ‘look’ to my husband.
Dr. Pousti and his staff did an excellent job and I would recommend them in a heartbeat. I appreciated their compassion and outstanding service. Dr. Pousti is knowledgeable and very skilled in his profession yet he is humble and truly cares about each individual that he works with. I am VERY pleased with my results!

"What can I say?" I'm extremely thrilled to be writing and sharing my happiness, and gratitude with my Breast Revision results. My first Breast Augmentation was six years ago, right before my wedding. Every woman wants to feel perfect on her big day. I was an "A" cup for the longest time and I remember since I was 14 years old wanting bigger breasts. I just knew I'd feel more like a woman, sexier too. My soon to be husband was extremely scared for me to have the surgery. Six months after our wedding, I got pregnant... Not enough time for me to enjoy my new, round and perky breasts. Did I mention that my husband loved my new boobies? I am 29 years old now. I have two beautiful children, both of whom I've breastfed uccessfully with the implants. But what happened to the shape of my breasts after the breastfeeding left me feeling depressed, and I also developed horrible scar tissue, the medical term is called Capsular Contracture. My scar tissue got so bad I had trouble sleeping at night. I am a very active woman. I've even
competed in the Boston Marathon. After finishing breastfeeding my son, I immediately went back to my doctor in hopes of him fixing my breasts. Come to find out he retired and a very prominent doctor took over his practice. I met with this doctor but I did not feel like he cared about me at all. He had a very fancy office, with all of his own paintings that he painted, hanging in every room. The staff was also very quiet, no smiles and they seemed unapproachable. I went to three appointments with this doctor dicussing my wants hoping to like him and feel comfortable with his approach in fixing my breasts. This doctor wanted to give me a full lift, and what
that means is a lot of scars basically. I left his office with a fancy price, and I was completely frustrated and confused as to whether or not I wanted this guy to do my operation. I decided that I was going to visit other doctors. During my hunt for the right doctor, my sister mentioned Dr.
Pousti's name. That a lot of the women at her gym have seen him for various operations and were very pleased with their results. I was very afraid when I went into Dr. Pousti's office. When Dr. Pousti came in the room to meet with me I just let it all out. I expressed to him my frustrations, and I asked him how do you know if you found the right doctor? I said I'm scared, I don't know what to look for, I want this operation done right, but how do i know if you're the right one? Dr. Pousti took me around his office and showed me his credentials and explained to me what they meant, and he also took it a step further and had me meet with patients in his office that day only a week or two out of surgery, and I couldn't believe my eyes how stunning everyone's breasts looked. They were women of all ages. Dr. Pousti just kept bringing them in one by one. And the women shared with me there experiences with Dr. Pousti and how happy they were with there results. I needed a doctor to care about me, and to want to give me the best results. When he looked at me I could tell he was an artist, he cared deeply about his work and he told me, "I can fix your breasts without a lift." "You are young and beautiful, and don't need those scars." I couldn't agree more. I went home that night and told my husband that I had found the right doctor. I said that he took over an hour with me, talking with me, wanting me to feel comfortable with him, and that he even showed me several of his patients just out of surgery, and that I couldn't believe how beautiful everyone looked. I said this is the guy I want to do my surgery. Dr. Pousti had his work cut out for him. He had to do a Capsulectomy( removal of the scar tissue) and Breast asymmetry and re-augmentation. The growing scar tissue had severly changed the shape of my breasts, so he had to reshape them as well. I couldn't be happier today. I know I made the right decision in choosing Dr. Pousti. I have not only come to really liking Dr. Pousti, but his staff of women, his team, is amazing as well. I love all of them. We
talk about our kids, we laugh and share stories together, when I walk in that office, I am always greeted with a smile. I feel like a million bucks. Dr. Pousti and his wonderful team have helped improve the quality of my life. Thank you Dr. Pousti for taking the time to help me feel comfortable,
and confident in your abilities, and for helping me now love again, my new boobies.
MB
San Diego, CA

Revisionary Breast Surgery with Alloderm:

Hi to Dr. Pousti and Staff :) I could go on and on, but I tried to make this testimonial as concise as possible for future patients. First let me thank all of you from the bottom of my heart!! Thank you for caring the way that you have :)

I'm writing this for anyone considering breast augmentation surgery, or anyone who is coming to Dr. Pousti for revision surgery. I moved to San Diego in August of '06 and new that finding a doctor to do my revision surgery was a main priority for me. I had lived with a previous complication for two years with increasing difficulty as it kept getting worse and worse. The hardest part of the process for me was learning to trust a surgeon again after my past experience. I'm 23 and had already had two surgeries, and the amount of emotional stress I had for the past two+ years had worn me down. I found Dr. Pousti online and came in for a consultation within a couple weeks of moving here. After meeting with him, looking at pictures online, and reading patients testimonials, I knew he was the man for me!! (Not to mention his wonderful staff)
I had a pretty serious/complicated issue (take a look at the before and after pics!) I was pretty much hopeless that I would ever be anything but deformed... and yet Dr. Pousti. didn't turn me away, instead he worked with me and did research on new techniques in breast revision surgery. He went out of his way to help me, and treated me like and individual person instead of a paying customer. I will be forever grateful for the extra effort he put into my case :) It's now Feb '07 and I am more than a month out of surgery, the revision surgery went better than I could ever have imagined. He did an amazing job!!
One thing I would like to add because I think it is a common misconception with female patients, is about male surgeons. I know that after having a male doctor for my first two surgeries I was frustrated because I felt like men didn't take the time to listen to me, and (with my young appearance) treated me like a child. So before meeting Pousti I had consulted with a female surgeon in the area thinking maybe that was the answer... I was wrong, she was actually worse than my previous surgeon, and made assumptions about what I wanted and didn't want without asking me. In short, It's not about a male doctor or a female doctor, it's about the person.
I would strongly recommend him to anyone considering cosmetic surgery, honestly he is a very talented surgeon. If you are consulting with him because you are facing a revisionary surgery, he is someone you can trust, he's completely honest, and he really does care about his patients. Best of luck with your future surgery :)

Click here to learn more about San Diego Cosmetic Surgeon, Dr. Tom Pousti. To schedule your cosmetic surgery consultation in our San Diego office, call (619) 466-8851 or email appointments@pousti.com.