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Case Number : Revision Breast Surgery

This 37 year old patient from Canada found Dr. Pousti when she and her husband were looking for the best plastic surgeon for her breast augmentation revision. She had previously had breast augmentation surgery performed by another surgeon but had “implant exposure” and had to have the left breast implant removed. After 6 months-1 year, she underwent augmentation of the left breast but had very poor results.

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As you can see in the picture, the patient had scar tissue that changed the shape of her left breast. The patient did not like the deformity and wanted to get it fixed but couldn’t find a surgeon who felt comfortable operating on her.

This patient wanted the area that was scarred down corrected as well as her breasts lifted (mastopexy) and much larger implants. Dr. Pousti discussed the potential risks of mastopexy surgery with XL breast implants and suggested to the patient that they proceed in 2 stages.

The first surgery would be to correct the scarring of the left breast and to perform mastopexy surgery (keeping the patient’s current implants in place).

In the operating room prior to revisionary breast surgery.

In the operating room prior to revisionary breast surgery.

In the operating room immediately after revisionary breast augmentation.

In the operating room immediately after revisionary breast augmentation.

Before surgery was performed by Dr. Tom Pousti

Before surgery was performed by Dr. Tom Pousti

A few days after her first surgery with Dr. Pousti

A few days after her first surgery with Dr. Pousti

7 months post-op breast lifting surgery

7 months post-op breast lifting surgery

Before Surgery

Before Surgery

After- look at the beautiful results (especially on the left breast where the scarring was previously).

After- look at the beautiful results (especially on the left breast where the scarring was previously).

Showing the scar tissue

Showing the scar tissue

The scarring is removed and the shape of the breast is beautiful

The scarring is removed and the shape of the breast is beautiful

The patient returned 7 months after her initial mastopexy surgery to have her breast implants removed and replaced with overfilled saline breast implants. To achieve the results she wanted, Dr. Pousti used 800cc saline breast implants and overfilled them to 1200cc on the right side and 1250cc on the left side.

Before second procedure of replacing implants with larger overfilled saline implants

Before second procedure of replacing implants with larger overfilled saline implants

After second procedure of replacing implants with larger overfilled saline implants

After second procedure of replacing implants with larger overfilled saline implants

Before second procedure of replacing implants with larger overfilled saline implants

Before second procedure of replacing implants with larger overfilled saline implants

After second procedure of replacing implants with larger overfilled saline implants

After second procedure of replacing implants with larger overfilled saline implants

Patient Testimonial:
I just wanted to let everyone out there know what a brilliant doctor Dr. Pousti is. I am sure I had probably one of the most difficult problems any doctor who does plastic surgery has ever encountered.

My problems started when I had my initial implants done in 1997. They looked great but I soon developed a problem with encapsulation on my left side. Within a year or so I became pregnant and my surgeon didn’t want to do anything extreme because of the pregnancy so his plan was to temporarily remove the implant until after I delivered my daughter. Unfortunately in the intervening time, he suffered a massive heart attack and died.

Here is where my problems began. I sought the advice of my family doctor and was referred to a general plastic surgeon in our area. I am sure she thought he would easily replace the implant that had been removed and what could really go wrong from there? The answer? Everything! From day one after the surgery, I complained that the implant felt like it was “falling”. I saw the doctor several time after the surgery with the same complaint but he never paid much attention to my concerns and retired shortly thereafter. A few months later, I noticed what I could only describe as a scab on the underside of my breast that had the implant replaced. I had no idea what it was. I went to my GP who again referred me to another local plastic surgeon. He saw me immediately and upon examination told me that the implant was quite literally “falling out” of the skin and would have to be removed right away. Time was required to heal the damage before I could have the implant replaced and was left with one side much larger then the other for several months. Because of the considerable scar tissue that I now had, after the implant was replaced I was left with a enormous dent on the underside of my left breast. The local plastic surgeon who did my surgery said he was pleased with the results, and although not perfect, he was not comfortable doing further surgery himself to improve the general contour.

After searching the internet, I found another plastic surgeon a few hours away from where we lived. He looked very promising as he did a lot of reconstruction work on other women and I had my fingers crossed. Three surgeries later with him and and I was still left with a deformed breast and him at a loss about what more he could do for me.

Many, many more hours of research later on the internet we found Dr. Pousti. We read hours worth of testimonials from his patients and his website provided many pictures of every type of surgery he performed. I think what impressed us the most is that not every result was perfect but every patient praised the fact that Dr. Pousti had been very honest with what he thought he could do for them. I called his office and requested a consultation. His reception staff were exceptional and we booked our flights to see him.

We first met with Dr. Pousti in December 2008. What can I say? His entire staff was fabulous and he was just as great. He reviewed my problem and was very patient answering all the questions my husband and I had. He never said that he could make me look perfect but definitely said he could improve the look and contour of my breast significantly and assured me that I would be very happy with the results. I also wanted to increase my implant size but had been told by two previous surgeons that this would not be a wise idea. Dr. Pousti assured me he could perform the reconstruction and also increase my breasts to the size I wanted. I booked my surgery for March 2009.

After careful consideration with Dr. Pousti, we decided to break the procedure into two stages. Because of the distance we had to travel, my husband and I really wanted to do everything in one surgery but decided that doctor knew best and took Dr. Pousti’s advice. In March he repaired my “dent” and did a lift. We flew home and gave the first surgery time to heal and returned approximately 7 months later to have the implants replaced from the current 500 ccs to 1200 ccs. You can see from the pictures that the results are phenomenal. I am now about two weeks post op and am loving my new breasts!!! The pictures really do not do them justice. He seemed to be able to do what no one else would even attempt.

After both surgeries, Daisy and Vanessa followed up every day or two to see how I was doing and if I had any questions or concerns about the procedures.

All and all, both my husband and I are thrilled with the outcome and considering the distance we had to travel, we still think it worth every mile. Dr. Pousti and his staff met and exceeded our expectations. They are all wonderful people and Dr. Pousti is very friendly and genuine in his concern for the well being of his patients. Because my problem seemed to be so rare, it was important to seek the best possible plastic surgeon out there and we have not a doubt that we found him. We think that you would be hard pressed to find anyone better and who also had a staff to match. If you are like my husband and I, you will research and read testimonials until you are sick to death of reading “what a great surgeon Dr. Pousti is and what a great staff he has” but every word of it is true. Again, he doesn’t promise perfection all the time but you can trust that he will do what he promises and have your needs and desires in mind.

Thanks to everyone! You made a very difficult time much easier to deal with. I don’t know what else to say other than if you are looking for a plastic surgeon with superior skills, your search can end here. You have found the best there is.

Friend from Canada


 



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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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