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San Diego Cosmetic Plastic Surgery

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Breast Procedures Patients

Breast Implant Removal / Full Breast Lift- 1st stage

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This 26 year old patient from New York was interested in breast augmentation revision surgery.  She searched for the best plastic surgeon to help her with her revisionary breast surgery goals.  She was willing to fly in to have surgery.

revision

She was not happy with the breast asymmetry or how her current breast implants were positioned on her chest wall.

revision surgery

After meeting with Dr. Pousti and discussing her goals, it was determined that performing surgery in stages would be her best option.  The 1st stage would involve breast implant removal and breast lift.

lift without implants

The patient agreed with the plan and proceeded to book her surgery date.  Prior to surgery Dr. Pousti performed measurements and markings and discusses the procedure in detail with the patient.

lift

Above photo shows the dramatic difference between the 2 breasts (right breast implant removed).

mastopexy

revisioanry surgery

implants removal

Immediately after Breast Implant Removal and Anchor Mastopexy.  This surgery will provide a solid foundation for her 2nd stage procedure down the line.  The incision lines will smoothen out and flatten out as they continue to heal.

 

 

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Posted in 2 Stage Procedure, Breast Lift, Implant Removal


Double Bubble – Breast Augmentation Revision Surgery

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This 49 year old had her breast augmentation surgery over 15 years ago performed by another surgeon.  She was not pleased with the size, shape or placement of the breast implants. She wanted revision breast surgery.

breast re-augmentation

She wanted them “more round and perky” and wanted to address the “double bubble” and “rippling”.

capsulorraphy

After examination, it was determined that this patient would benefit from breast augmentation revision with saline overfill breast implants and capsulorrhaphy.  The internal bra would help with better placement of the implants on her chest wall.

correction of double bubble

Markings and measurements are very important – Dr. Pousti takes his time prior to surgery to discuss the procedure as well as potential risks and complications associated with the revisionary surgery with the patient.

bilateral breast capsulorraphy

double bubble

Above photo shows the patient with the markings and measurements. You can see the double bubble deformation.implant exchange

revision surgery

The green arrows indicate where the patient wants more “fullness” and the red “X” is where internal work is performed and the ## on the left breast is the double bubble where the pocket needs to be adjusted.

revision bilateral breast augmentationBelow shows the patient immediately after breast augmentation revision with overfilled 1200cc saline implants and internal bra.  You can see the significant improvement.

revision

revisioanry surgery

 

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Posted in Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Double Bubble, Overfilled Saline Breast Implants


XL Breast Augmentation Revision

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This 24 year old patient previously had breast augmentation surgery but was now interested in the XL breast implant size.  She had been thinking about revision breast surgery for quite some time and finally decided to proceed.

re-augmentation surgery

She researched for the best plastic surgeon to perform her breast augmentation revision and found Dr. Pousti.

revision surgery

remove replace

Markings / measurements were performed (above) and during the surgery breast implants removed (below)overfilled saline implants

revisionary surgery

implant exchange

capsulorraphy

Immediately after breast revision surgery with 1650cc overfilled saline breast implants.

 

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Posted in Breast Revision Surgery, Implant Exchange, Overfilled Saline Breast Implants


Breast Implant Removal

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This  48 year old patient had breast augmentation elsewhere and had been thinking about revisionary surgery for a few years.  She no longer wanted to have breast implants and so was looking for an experienced plastic surgeon for breast implant removal.

removal of implants

After meeting with Dr. Pousti, it was determined that the patient was a good candidate for removal of her breast implants and Dr. Pousti recommended a benelli breast lift on the left side to improve breast asymmetry.

breast implant removal

The patient agreed and proceeded to book her surgery date.  Below shows the “markings” and measurements that are performed prior to surgery and serve as a “road map” during the operation

lift

Below shows the silicone gel breast implants that were removed from the patient.bilateral implant removal

mastopexy

lift without implants

Above shows the patient immediately after breast implant removal and benelli breast lift of the left breast.

 

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Posted in Breast Asymmetry, Breast Lift, Breast Revision Surgery, Implant Removal


Breast Augmentation Revision Surgery

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This 35 year old from out of state was in need of revision breast surgery.  After meeting and discussing her goals with Dr. Pousti, they decided to proceed with a 2 stage procedure (due to the complexity of her case).   The first surgery involved breast implant removal and full mastopexy.  Now that she has healed from that surgery, she is ready for her 2nd stage breast augmentation.

breast implant removal

She and Dr. Pousti discuss her goals and proceed with silicone gel breast augmentation surgery.

mastopexy

breast enhancement

breast implants

breast augmentation

Above photo shows the patient immediately after placement of breast implants– Mentor 590cc silicone implants

breast reduction, revision,breast augmentation

Above you see the progression of this patients case.. where she started and her journey.

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Posted in 2 Stage Procedure, Breast Augmentation, Breast Revision Surgery


Ruptured Silicone Gel Breast Implant – Revision Breast Surgery

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This 24  year old from Ohio was interested in breast augmentation revision surgery.  She had a ruptured silicone gel breast implant that she wanted replaced and she wanted to increase her breast size and also wanted her “bottoming out” corrected as well.bilateral removal

As she was doing her research online, she was looking for the best plastic surgeon to perform her revision breast surgery.  She was willing to “fly in for surgery” if she found someone out of her area with the expertise.  She found Dr. Pousti and was very confident in his experience and proceeded to schedule her surgery date.

bilateral breast surgery

After meeting in person and discussing her goals, it was determined that her procedure would involve removal of her breast implants, internal bra (also known as capsulorrhaphy) to improve her breast implant placement on her chest wall and placement with larger silicone gel breast implants.

revision

The above photo shows the markings that are performed prior to surgery.  The “green arrows” indicate where the patient wants more “fullness” after surgery

 

implant exchange

Immediately after breast implant removal (above) and below photos show the ruptured silicone gel breast implant that was removed from the patient.

 

removal replace

capsulorraphy

revisioanry breast surgery

Above photo shows the right side with the capsulorrhaphy performed and a temporary sizer in place.

revision surgery

revision breast surgery

revisionary surgery

Immediately after breast augmentation revision surgery with 450cc silicone gel breast implants.

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Posted in Bottoming Out, Breast Pocket Correction, Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Ruptured Implants


Revision Breast Augmentation with Internal Bra

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This 31 year old had been thinking about revision breast surgery for many years.  She previously had breast augmentation / breast lift surgery (performed by another surgeon) and now was interested in “more perky, more youthful” looking breasts.
A friend referred her to Dr. Pousti and she saw that Dr. Pousti specializes in breast augmentation revision surgery.

 

breast revision

After examination and discussion of goals, it was determined that a breast lift (mastopexy) would be necessary as well as capsulorrhaphy (internal bra) for better placement of her breasts on her chest wall.

internal bra

Markings and measurements are performed prior to surgery and the procedure is discussed in detail.  The green arrows indicate where the patient is wanting “more fullness” and the blue outline is the “road map” of the surgery.

mastopexy

Below photo shows the right breast mastopexy completed with a temporary sizer in place to evaluate size.  You can see that there is a very nice improvement compared to the left breast that has not yet been operated on.

breast surgery

Below photos show the patient immediately after breast revision surgery with Mentor ultra high profile silicone gel breast implants – 430cc on the left and 375cc on the right.

 

revision

revision surgery

 

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Posted in Breast Lift with Implants, Breast Pocket Correction, Breast Revision Surgery, Capsulorrhaphy (Internal Bra)


Pectus Excavatum

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This 34 year old had been thinking about breast augmentation surgery to improve her breast size, breast asymmetry and also to camouflage her pectus excavatum.  She searched for the most experienced plastic surgeon to help her achieve her goals and found Dr. Pousti.

silicone implants

pectus excavatum

In pectus excavatum, also known as funnel chest, the sternum (breastbone) is depressed relative to the rest of the chest wall.  Breast implants can be used to camouflage mild to moderate pectus excavatum.

augmentation

Markings and measurements are performed prior to surgery.  Dr. Pousti has indicated where the patient wants “fullness” (upper pole) and the “red x’s” indicate the area of chest wall depression.

breast augmentation

ba

Immediately after breast implant placement to camouflage pectus excavatum with high profile silicone gel breast implants –
300cc Left..350cc on the right

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Posted in Breast Asymmetry, Pectus Excavatum


Breast Augmentation / Lifting Revisionary Surgery with Internal Bra

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This 37 year old mother of 3, had been thinking about breast augmentation revision surgery for 5 years and was referred to breast revision specialist Dr. Tom Pousti by a close friend.  She wanted her breasts “lifted” and more “perky and youthful”.  She was interested in a “more rounded” shape for her breasts.

re-augmentation

re-augmentation saline filled implants

After examination and discussion of goals, it was determined that the patient would benefit from exchanging her breast implants in addition to breast lifting surgery (mastopexy) as well as capsulorrhaphy (internal bra procedure).

revision

Markings and measurements are performed prior to surgery and the breast revision surgery is discussed in detail.

mastopexy

The photo above shows the “tailor tacking” technique that allows Dr. Pousti to evaluate how much skin can be safely removed during the mastopexy procedure.  The below photo shows the right breast lift procedure completed with a temporary sizer in place to evaluate size and shape of the breast.

removal of bilateral implants

removal of implants

Above photo shows the breast implants that were removed from the patient during this revisionary surgery.

revision surgery

revisionary

lift

Immediately after breast augmentation / lift revision surgery with high profile saline breast implants
520cc on the right and 480cc on the left

 

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Posted in Breast Lift with Implants, Capsulorrhaphy (Internal Bra)


Ruptured Silicone Gel Breast Implant

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This 66 year old patient of Dr. Pousti had an MRI and it was determined that she had a rupture of her silicone gel breast implant on the right side.

bilateral breast re-augmentation

Because of her confidence in Dr. Pousti (he was her previous surgeon), she flew in for her revision breast surgery in San Diego.  She was happy with her size and shape and just wanted to replace the ruptured silicone gel implant.

re-augmentation

removal of ruptured implants

removal of implantsAbove shows the patient with her breast implants removed.

revision

revision surgery

revisionary surgery

 

Patient is very happy with her revision breast surgery.

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Posted in Breast Revision Surgery, Ruptured Implants



Pousti Plastic Surgery Center
Pousti Plastic Surgery of San Diego
8851 Center Drive, Suite 300
La Mesa, California 91942
Phone: (619) 466-8851 or Email
 
Dr. Tom Pousti is a San Diego and La Jolla Plastic Surgery specialist. He has provided plastic surgery treatments to many San Diego and La Jolla facelift, tummy tuck, liposuction, breast augmentation, and rhinoplasty patients. His office is located in San Diego, and also serves the La Jolla, Riverside, Inland Empire and Temecula areas. Disclaimer


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