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San Diego Cosmetic Plastic Surgery

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Case Number : Revision Breast Augmentation with Internal Bra and Acellular Dermal Matrix

This 32 year old mother of 2 from Massachusetts had been interested in revisionary breast augmentation surgery for over 5 years.  She did not like how close her breast implants were in the cleavage area.  She also did not like the breast asymmetry.  She was searching for the best plastic surgeon to help achieve her revision breast surgery goals.

breast asymmetry

After extensive online research, she came across double board certified plastic surgeon Dr. Tom Pousti and saw his expertise regarding breast augmentation revision procedures.

breast augmentation revision

After multiple email and phone communications, the patient decided to proceed with breast revision surgery.  She and Dr. Pousti discussed performing the internal bra for better positioning of the breasts (currently too close together) as well as the use of ADM (also called Strattice or Acellular Dermal Matrix) for additional coverage and support in the cleavage area.


Above shows the patient in the operating room after measurements and markings are performed.  The “green” area indicates where the ADM will be placed. The “red” is where the internal bra (also called capsulorrhaphy) will be performed to separate the breasts.

breast implant revision surgery

Below shows the patient in the operating room after breast implant removal.

breast implant removal

Below photo shows the Acellular Dermal Matrix that will be placed in the cleavage area.


Acellular Dermal Matrix

breast augmentation revision

Above photo – the patient immediately after revision breast augmentation, downsizing breast implants, internal bra and the use of Strattice – the breast implants used are Mentor smooth round moderate plus profile 200cc

Tapes and bolster dressings are placed and kept on during the recovery process.


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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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