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San Diego Cosmetic Plastic Surgery

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Case Number 1974: Revisionary Breast Augmentation Surgery – Strattice

This 26-year old patient was interested in breast implant revision surgery and breast reconstruction with the use of Strattice dermis for increased coverage and support. The patient’s surgical history was extensive.  She had injections of silicone gel into the breast in 2001 –this procedure is still experimental and not FDA approved in the United States. In January 2009, the patient had the silicone, which was previously injected, removed from her breasts, which required that almost 95% of her breast tissue be removed as well. She was left with no breast tissue and very thin skin. In the same month, the patient had breast augmentation surgery with saline breast implants performed by a surgeon in Los Angeles, which left her with rippling and other complications. Within the same week, she had breast augmentation revision surgery with the same surgeon; at this time the surgeon overfilled the saline implants to attempt minimizing of the rippling. The patient complained that her breasts didn’t “look like breasts” and were round, fake and asymmetric.

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She urgently researched for a Board Certified Plastic and Reconstructive Surgeon to perform her revisionary breast surgery and after reading through many testimonials and reviews of post revision surgery patients, she decided that Dr. Pousti was the best surgeon to help her with her problem.

After several consultations via e-mail and phone conversations the patient decided to fly into San Diego to meet with Dr. Pousti.

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The patient was in need of reconstructive surgery, her previous breast implants were causing her skin to stretch and separate.

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Understanding her concerns about rippling and her skin being too thin to hold such a large breast implant, Dr. Pousti discussed using Strattice and reducing the size of the breast implants.

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Markings were made prior to surgery and then re-done on the operating room table.

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Dr. Pousti sits the patient upright during markings to achieve the most desirable look possible and also makes sure all measurements are precise. In order to achieve her desired look, Dr. Pousti removed her current saline breast implants, performed internal sutures, an “internal bra” was created, to repair the pockets and therefore correct the breast implant placement on her chest wall.

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Measurements were carefully made for the placements of the internal sutures, and the use of Strattice.

Strattice tissue was used to reconstruct the areas where the her skin was thin and needed more support.

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New 375cc smooth, round, moderated plus profile, silicone-gel breast implants, made by Mentor Corporation.


After 6-months






After 2-weeks


Patient Testimonial: 
t has been 1.5 years since my breast reconstruction procedure, and I am still very pleased with the result. I thank you so much for what you have done, and don't think any other doctor could have saved my breasts like you did. Readers: I had a horrific experience with a previous breast augmentation, as the implants were oversized and my skin was being stretched and was at risk of breaking. Things were complicated further as I am very petite with very thin skin. I visited many surgeons in New York and Los Angeles, but could not find anyone I trusted in fact many doctors turned me down due to the complexity of my case , until I discovered Dr. Pousti's website. I was amazed with the 'before and after' photos and testimonies of other women, as well as the fact that he has so much experience with reconstructive surgery. I contacted his office immediately to arrange to see him in San Diego. The staff were amazing, and within 5 minutes of my conversation with Dr. Pousti, I knew he was the right doctor for me. I was very nervous about the operation, and Dr. Pousti and his staff were very comforting through the whole process. Even the post-op care and attention was fantastic any time I had questions or concerns I could always call or email in to Dr. Pousti for advice and still do sometimes even now . I really believe Dr. Pousti is the best plastic surgeon out there, and would recommend him without reservation to any woman.


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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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