This 44 year old from El Cajon, California was referred to Dr. Pousti for breast augmentation revision by a good friend. She had previously had berast surgery and was not pleased with her results. She had significant breast asymmetry, encapsulation as well as enlarged areola. She was not happy with the size, shape or placement of her breasts.
After meeting with Dr. Pousti, she knew he was the best plastic surgeon to help her with her revisionary breast augmentation surgery. They discussed performing a revisionary breast lift procedure along with removal of breast implants followed by a 2nd stage breast augmentation surgery after things had healed.
The patient understood the complexity of her case and agreed to doing things in stages. She decided to proceed with the breast implant removal and mastopexy surgery.
Markings and measurements are performed prior to surgery (above) and the procedure is discussed in detail with the patient again.
Above photo shows the left breast with tailor tacking….. Tailor tacking is an important part of the mastopexy and mastopexy/augmentation procedure. It involves TEMPORARY closure of the skin (for example with temporary skin staples) to double check the amount of skin that is to be excised during the procedure. This maneuver is done to ensure that enough skin, but not too much, is removed. On the one hand, it is important that enough skin be removed to achieve the aesthetic breast lifting results the patient is looking for; on the other hand, is important not to move too much skin creating tension upon closure and potential wide scars.
Above photo shows the capsules and breast implants that were removed
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