| This 29-year old patient from Las Vegas, Nevada was interested in revision breast surgery, the patient is post breast augmentation surgery in 2004 with 350cc, textured anatomical shape, silicone gel breast implants.
Due to “bottoming out” (inferior migration of the implants) and “symmastia” (occurs when two implants touch one another in the center of the chest) the patient was unhappy with the results of her previous surgery (performed by another surgeon).
The patient researched for the most experienced Board Certified Plastic and Reconstructive Surgeon to perform her revisionary breast surgery and found Dr. Pousti. After reading outstanding reviews and looking through before and after pictures of countless patients with the same complications, she knew she had found the best plastic surgeon for her breast augmentation revision surgery. Immediately after several consultations via e-mail and phone, the patient came to San Diego to meet with Dr. Pousti and scheduled for surgery.
The patient laying down with Inferior (Bottoming Out) and Lateral (left and right side) Migration of Implants
Markings were carefully drawn out in detail the night before surgery.
Marking are re-establish morning of surgery.
(Intra-operative) before surgery
(Intra-operative) Prior breast implants were removed and internal sutures were used to create an “internal bra” to correct the implant mal-postion and symmastia. Liposuction of the chest area was also performed at this time.
(Intra-operative) Round, moderate plus profile 525cc silicone-gel breast implants were used in both breasts.
(Intra-operative) Surgical tape used to create separation and also support the “internal bra” while healing. 
The patient is now 2-weeks post-op surgery and is looking forward to the final results of her revisionary surgery.
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