This 27 year old from Australia, California was interested in an abdominoplasty procedure after extreme weight loss left her with excess skin in her abdomen. She previously had an arm lift and extra large breast augmentation performed by Dr. Pousti and was extremely satisfied with her results. She wanted to increase her breast size and fullness and decided to have her extra large breast implants replaced with larger overfilled saline implants. After communicating with Dr. Pousti through emails and phone calls, she decided to fly to California to have her tummy tuck and breast re-augmentation surgery performed.
Dr. Pousti met with the patient prior to surgery to perform markings and discuss the patient’s goals. Measurements of the abdomen and breasts were carefully taken to achieve as much symmetry as possible. The patient brought in several goal pictures representing the size breasts she wanted to achieve. These pictures are referred to throughout the entire procedure.
The morning of surgery, measurements were checked several times prior to proceeding to the operating room.
The patient wanted to increase her breast size to achieve more upper, outer, and inner fullness.
After weight gain/loss, the patient was left with excess abdominal skin and separated abdominal muscles. Dr. Pousti used internal sutures to carefully bring the muscles together, creating an internal corset.
Before Muscle Repair
After Muscle Repair
After muscle repair, the excess skin is measured again to be excised.
Prior to final suturing of the abdomen, the belly button was brought through a new hole and made more symmetrical on the abdomen.
After Abdominoplasty / XL Breast Augmentation
Dr. Pousti used saline implants overfilled to 1630cc to achieve the patient’s desired breast size. He also performed lateral capsulorrhaphy to improve the placement of the breast implants on the patients chest wall.
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