| This 43-year old patient from Alta Loma, California (San Bernardino County) is status post gastric bypass surgery in 2006 and lost 170lbs. Due to her quick and significant weight loss, the patient had a substantial amount of loose excess skin.



The patient researching for a Board Certified Plastic surgeon who is experienced in post weight loss patients and found Dr. Pousti through referrals and Internet.
During her consultation with Dr. Pousti, the patient was able to speak with patients who were willing to share their surgery experience with her. After seeing excellent results of Dr. Pousti’s work, the patient was convinced Dr. Pousti was the best surgeon for her.


Markings were made prior to surgery for the planned procedure.

“Z-plasty” was performed on the left axilla (armpit).
Z-plasty, is specially useful on the distal extremity and large wounds which, are under extreme tension after closure. Using the Z-plasty technique avoids complications such as scarring and contracture.


The patient is post-op upper body lift, arm lift (brachioplasty), and breast lift surgery (mastopexy) 1071 grams were removed in the right breast and 1072 grams in the left breast.
The patient was also interested in breast implants, but in order to minimize surgical risk, breast augmentation surgery would be safely performed in a 2-step procedure.
The patient is now 2-months post-op surgery with saline breast implants filled to 850cc in both breasts and is very happy with new and improved appearance.
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