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Case Number 2928: Extra Large Breast Implants with Internal Bra

This 27 year old from Livermore, California was interested in Breast Revision Surgery after being left unsatisfied with her previous Breast Augmentation procedure by another surgeon. She was not happy with the shape and size of her breasts as well as the placement of her implants. She also complained of the implants falling to the side when lying down, which bothered her as well. The patient wanted fuller and rounder implants with more cleavage concentration towards the mid line of her chest. She was researching the internet for a Board Certified Plastic Surgeon with extensive experience in revisionary breast procedures when she found Dr. Pousti’s website. His credentials and albums of “before and after photos” containing cases similar to hers, helped the patient decide the trip from Northern California to Southern California would be well worth it.

San Diego Breast Revision Surgery

After communicating through emails and phone calls, the patient arrived in San Diego to discuss her options with Dr. Pousti. He felt that she would benefit from revisionary breast surgery as well as capsulorrhaphy, to correct the position of her implants while lying down. The patient felt comfortable with proceeding to surgery with Dr. Pousti. Markings were done prior to surgery and then re -checked before beginning the procedure to make changes as needed.

San Diego Breast Revision Surgery

Dr. Pousti exchanged the patients previous implants with new overfilled Saline implants filled to 1530cc on each breast to give the patient her desired fullness. Capsulorrhaphy, also known as pocket correction or the use of internal sutures or an internal bra, was also performed. This procedure includes closing off a portion of the breast pocket to fix displacement of the implant, in this case to fix the problem of the patient’s implants falling off to the side.

Before Capsulorrhaphy/Revisionary Breast Surgery

The red marked area indicates where the patient wants the implants to be placed closer to the mid line of her chest, while the purple arrows show where the patient wants more cleavage/fullness.

San Diego Revision Surgery

After Capsulorrhaphy/Revisionary Breast Surgery

The picture shows after capsulorrhaphy was performed, the patients implants fall closer to the middle of her chest and more fullness has been achieved.

San Diego Breast Revision

Before Capsulorrhaphy/Revisionary Breast Surgery

Prior to capsulorrhaphy, the patients implants was facing to the side.

San Diego Breast Revision

After Capsulorrhaphy/Revisionary Breast Surgery

The patients breast implant is now facing forward and no longer hangs off to the side.

San Diego Breast Revision Surgery

Before Capsulorrhaphy/Revisionary Breast Surgery

While laying flat, the implants are severely falling to the side.

San Diego Breast Revision Surgery

After Capsulorrhaphy/Revisionary Breast Surgery

Following the procedure, when laying flat, the implants now stay towards the middle of the chest.

San Diego Breast Revision Surgery

The patient sent a picture 10 days post surgery.

San Diego Breast Revision Surgery

The patient is now 3 weeks post-op, she is very satisfied.

San Diego Extra Large Breast Augmentation

Patient Testimonial:

First and foremost I want to thank Dr. Pousti and his staff for such a positive experience.  Prior to meeting Dr. Pousti I had undergone two breast augmentation surgeries.  I had my first in 2005 and my second in 2007. In 2007 I maxed out what was the traditional “conservative” plastic surgeon’s recommendation with 800cc silicone implants. I loved the results but I went on to have two amazing daughters which I breastfed back to back in 2010 and 2011. My breasts needed some work.  They weren’t as perky anymore and I had lost some of my own breast tissue from nursing. I also had lateral displacement of my implants. Basically, when I laid on my back my breasts went into my armpits which left quite a considerable space in my cleavage area. I also knew I wanted to go bigger. Here is when the research started-I met with my former plastic surgeon and his opinion was that I needed a full anchor lift and all the scarring that came with that. I felt it was overkill and was saddened by the recommendation but I booked my surgery trusting his advice. After more thought, I decided to look into the option of over filled saline implants and maybe a little “pocket tightening”.  I first learned about Dr. Pousti from his AMAZING website.  The testimonials and photos said it all. I knew I needed to rethink my decision and have a phone consultation with him. I emailed photos (frontal and side) and he got back to me via telephone very promptly. To my excitement he told me he thought I didn’t need a lift. He also was willing to go as big as was safe for my body. I canceled my other surgery and put down my deposit for my surgery in San Diego. The website and staff had wonderful recommendations on which hotels they recommended their patients stay at and the hotels even offered a discount for being his patient. I was also given the name of a great after surgery recovery nurse who went on to do a phenomenal job of taking care of me post op for the first 24 hours. When I met Dr. Pousti for my pre op the day before surgery I instantly knew I had made the right decision to have my surgery performed by him. He is such a skilled, caring and kind person. At my pre op he recommended I have internal sutures placed to correct my implant displacement and promised he would take great care of me. I am absolutely insanely in LOVE with my new breasts. I would never trust my body to another plastic surgeon after meeting Dr. Pousti.  As a former model, I can tell you that I almost idolize the man for giving me back the breasts I had before having my children. I would recommend Dr. Pousti to anyone who wants the job done right. Flying out for surgery, especially alone, can be a scary thought but it is such a worthy investment. The moment you walk into his office-no matter the distance you have traveled-you will feel at home. Thank you Dr. Pousti for changing my body and my life.



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Patient Testimonial: 
First and foremost I want to thank Dr. Pousti and his staff for such a positive experience. Prior to meeting Dr. Pousti I had undergone two breast augmentation surgeries. I had my first in 2005 and my second in 2007. In 2007 I maxed out what was the traditional conservative plastic surgeon s recommendation with 800cc silicone implants. I loved the results but I went on to have two amazing daughters which I breastfed back to back in 2010 and 2011. My breasts needed some work. They weren t as perky anymore and I had lost some of my own breast tissue from nursing. I also had lateral displacement of my implants. Basically, when I laid on my back my breasts went into my armpits which left quite a considerable space in my cleavage area. I also knew I wanted to go bigger. Here is when the research started-I met with my former plastic surgeon and his opinion was that I needed a full anchor lift and all the scarring that came with that. I felt it was overkill and was saddened by the recommendation but I booked my surgery trusting his advice. After more thought, I decided to look into the option of over filled saline implants and maybe a little pocket tightening . I first learned about Dr. Pousti from his AMAZING website. The testimonials and photos said it all. I knew I needed to rethink my decision and have a phone consultation with him. I emailed photos frontal and side and he got back to me via telephone very promptly. To my excitement he told me he thought I didn t need a lift. He also was willing to go as big as was safe for my body. I canceled my other surgery and put down my deposit for my surgery in San Diego. The website and staff had wonderful recommendations on which hotels they recommended their patients stay at and the hotels even offered a discount for being his patient. I was also given the name of a great after surgery recovery nurse who went on to do a phenomenal job of taking care of me post op for the first 24 hours. When I met Dr. Pousti for my pre op the day before surgery I instantly knew I had made the right decision to have my surgery performed by him. He is such a skilled, caring and kind person. At my pre op he recommended I have internal sutures placed to correct my implant displacement and promised he would take great care of me. I am absolutely insanely in LOVE with my new breasts. I would never trust my body to another plastic surgeon after meeting Dr. Pousti. As a former model, I can tell you that I almost idolize the man for giving me back the breasts I had before having my children. I would recommend Dr. Pousti to anyone who wants the job done right. Flying out for surgery, especially alone, can be a scary thought but it is such a worthy investment. The moment you walk into his office-no matter the distance you have traveled-you will feel at home. Thank you Dr. Pousti for changing my body and my life.

 



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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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