This 29-year old patient from Arkansas was unhappy with her previous breast augmentation, due to “bottoming out” and symmastia the patient was interested in breast revision surgery. She was not happy with the right breast implant placement – as you can see, her right nipple/areola complex is pointing up and out.
The patient researched online for a Board Certified Plastic and Reconstructive Surgeon who is experienced in complex breast revision cases and after reading hundreds of outstanding reviews of Dr. Pousti, the patient and her husband knew that they had to fly into San Diego to have her revisionary breast surgery performed by Dr. Pousti.
Markings were made the morning of surgery. Dr. Pousti performs markings while the patient is in the sitting up position and laying position as a guide to achieve the most symmetry possible. The arrows show where the patient wanted more fullness. The red marks on the bottom pole of the breasts show where Dr. Pousti would be correcting the pocket internally to correct the implant placement.
In order to achieve her desired look, internal sutures were used to create an “internal bra” to correct the “bottoming out” for the new positions of the implants. This is achieved with internal suturing of the breast implant pocket so that there are no additional scars on the patient’s breasts.
The patient with implants removed.
Temporary in-sizers were used and filled to the desired size and shape before selecting silicone gel breast implants.
500cc silicone-gel breast implants were used with submuscular placement made by Mentor Corporation. The patient is now back in Arkansas full healed and recovered and it extremely pleased with her results. The patient sent updated pictures via e-mail. She is 6-months post-op surgery.
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