| This 29 year old patient had lost a lot of weight but still had the excess skin around her abdominal area that she wanted to remove. She had done all of the hard work to lose the weight and now wanted to feel good about herself. She was looking for a San Diego Plastic Surgeon who was experienced with taking care of patients who have had weight loss and found Dr. Pousti online.

She wasn’t able to improve things with exercise. She was not happy with the “droopiness” and unevenness of her breasts, she wanted them more “perky” with the areola placement improved. She and Dr. Pousti discussed how patients who have had massive weight loss have skin elasticity issues and caution must be taken during surgery to achieve their goals.

Although the patient wanted breast implants in addition to breast lifting surgery, San Diego Breast Surgeon Dr. Pousti recommended that things be performed in 2 stages for safety. The first surgery would include the breast lifting (mastopexy) surgery as well as the extended tummy tuck (abdominoplasty with back lipectomy) and after things have healed, they would perform the breast augmentation portion of the procedure. The patient was happy with the Breast Surgery Experience of San Diego Surgeon, Dr. Pousti and proceeded with surgery.

Markings and measurements were performed the night before surgery. The procedures of mastopexy and extended abdominoplasty were discussed again with the patient. Very precise measurements were taken for both procedures to ensure as much symmetry as possible.

The morning of surgery, the measurements are re-checked prior to beginning the surgery.

In the operating room, after the back lipectomy is completed, the patient is turned onto her back so that the breast and tummy portion of the surgery can be performed. Below you can see the right breast is being worked on and how nice the placement will be compared to the left breast.

The excess skin that will be removed during the tummy tuck procedure is shown below.

Immediately after surgery.



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