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Case Number : Correction of Implant Mal-position and Double Bubble Correction

This 41 year old patient flew in from Kentucky to have Dr. Pousti perform her revisionary breast surgery. She previously had 2 other breast surgeries but was not happy with her results. She searched the internet for the “best plastic surgeon for symmastia correction” and found Dr. Pousti in La Jolla, California. After sending pictures via email and speaking with Dr. Pousti on the phone, she scheduled her surgery.

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Notice that the mal-position of the breast implants cause the nipple-areola complexes to be displaced to the side. Also notice the “double bubble” on the lower part of her breast pocket.

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She met with Dr. Pousti the day before surgery to discuss the surgical procedure of removal of her current implants, replacement with high profile silicone gel breast implants, and correction of the mal-position of the implants.


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In the operating room, care was taken to achieve as much symmetry as possible. At first, the markings were checked. You can see that when Dr. Pousti puts pressure on the breasts from the side, they communicate in the middle (symmastia). This was a concern for the patient.

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Markings are then reinforced the morning of surgery. The “red” markings show the mal-position of the implants. The arrows show where the patient wants more fullness in her breasts.

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The patient’s current implants were removed. During the removal of the implants, the right silicone gel breast implant was found to be ruptured.

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700cc high profile silicone gel breast implants were used along with correction of the implant mal-position and internal suturing technique (symmastia repair), the patients breasts show a great improvement in size, shape and position immediately after surgery.

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The patient is doing well and is back in Kentucky, she will follow up with Dr. Pousti via phone and e-mail.

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Updated pictures were sent via e-mail by the patient.


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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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