| This 21-year old patient from Winchester, California (Riverside County) was interested in breast augmentation surgery.


The patient researched on the Internet for a surgeon who is Board Certified in Plastic and Reconstructive surgery to perform her surgery.

During her examination, Dr. Pousti informed the patient, she had a mild condition of constricted, tuberous (tubular) breast deformity.
Tuberous Breasts have a very narrow base and usually a long skin envelope. Sometimes people refer to “Tuberous Breast” shape as the shape similar to “snoopy’s nose”.
The patient agreed that she would like to improve the shape of her breasts as well as the size. She proceeded with breast augmentation and correction of tuberous breast deformity.

Markings were performed prior to surgery. Careful measurements were taken to achieve as much symmetry as possible.

Saline breast implants were used– temporary sizers were used to determine the implant size that would make the patient happy.

Side view of right breast with implant, compared to left breast without implant.
With the implant in the pocket that Dr. Pousti created you can see that the roundness on the bottom was able to be achieved as well as the fullness on top.

Incision around the areola were used to release the constricted tissue and slightly lifts the breasts, also removing some excess skin envelope making the breasts into a more desirable shape.


Surgical tape used to protect the incision area and removed at 2-weeks-post-op.
The patient is now 6-months post-op surgery with saline breast implants, filled to 470cc in the left breast and 420cc in the right breast for symmetry. The patient is very pleased with her results.
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