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Case Number 4057: Breast AugmentationRevision – Correction of Bottoming Out of Implants

This 29-year old patient from Arkansas was unhappy with the results of her previous breast augmentation surgeries, due to “bottoming out” and symmastia the patient was interested in breast revision surgery. The patient had tried 2 other surgeons to correct her breasts and each time, each surgeon attempted to correct her breasts twice, which is a total of 4 revisionary surgeries.

After having a baby, the patient explained that the pregnancy had “hidden” most of her concerns but didn’t correct the mal-position of her implants.

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The patient researched online for a Board Certified Plastic and Reconstructive Surgeon who is experienced in complexed breast 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.

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After several consultations via e-mail and phone, planning and preparations, the patient flew into San Diego the night before surgery for markings and measurements for the planned procedure. The patient was extremely confident in Dr. Pousti and decided to proceed with surgery.

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The patient explained she wanted to increase in breast size and achieve fullness and more cleavage.

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While in the laying position, the patient was unhappy with the position of the implants and wanted her breasts to sit more in the center and not on the side.

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Incisions above her areolas were made, the patient wishes to remove  the extra areola skin on her left breast and the same incision was made in her right breast for symmetry. Her previous saline breast implants were removed and internal sutures were used to repair the “bottoming out” and create the “new”  inflammatory fold.

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After the internal repairs, temporary in-sizers where placed and filled to the desired fullness and cleavage.

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500cc silicone-gel breast implants were selected and placed under the muscle.

The patient is now 6-months post-op surgery and is EXTREMELY pleased with her results and writes to us from Arkansas.


6 months






Patient Testimonial: 
It has been ± 18 months since my procedure. As shown in the 18 month photographs, there has been some settling and swelling reduction since the 6 month photographs (as expected and predicted), and I have lost about 10 lbs. Implant placement seems to be holding in place (as was the intended purpose of Dr. Pousti’s procedure). Prior correction attempts were already showing signs of failure by 18 months, so I am still very pleased with my results at this point, and very optimistic of “long term” success provided by Dr. Pousti’s skills and knowledge. My surgery was in the fall of the year, so at this point I have enjoyed my “new look” for one summer/bikini season. I did not tell friends and family of my corrective surgery, however several friends have commented on “how great they look”, or even asked if I had a “re-do”, or asked “where did you get yours done” as shape, volume and overall workmanship display signs of true professional! I truly believe breast augmentation is an art. There is a difference in a surgeon who performs augmentations and a surgeon who display his talent in the augmentations he performs.


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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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