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San Diego Cosmetic Plastic Surgery

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2 Stage Procedure Patients

Breast Lifting / Breast Asymmetry

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This 35 year old was unhappy with the size and shape of her breasts as well as her breast asymmetry.  She wanted to improve things and so she researched for the best plastic surgeon to help her with her breast surgery.

breast asymmetry

After meeting the patient, she and Dr. Pousti discussed that her procedure would be best performed in multiple stages. The first surgery would be mastopexy surgery to improve the shape of her breasts as well as improve the breast symmetry.  After things heal, we can proceed with breast augmentation surgery to achieve fuller breasts.

breast lifting

The patient agreed and proceeded to have surgery.  Because of the significant breast asymmetry, Dr. Pousti preformed an anchor breast lift on her right breast and an areolar breast lift on her left breast.

mastopexyAs you can see below, the results after her breast lifting surgery are very nice.  She has a nice shape to her breasts and the symmetry is much improved.  Now the patient is able to return to the operating room for placement of breast implants.

breast augmentation

breast implants

 

 

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Posted in 2 Stage Procedure, Breast Asymmetry, Breast Lift


Staged Breast Revision Surgery with Strattice

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This 23 year old patient from New York made a trip into San Diego to meet with Dr. Pousti.  She previously had breast augmentation surgery (not performed by Dr. Pousti) and was now unhappy with the shape and positioning of the breast implants.  She had bottoming out as well as breast asymmetry. She wanted the XL breast augmentation.

After meeting with Dr. Pousti, breast augmentation revision surgery was discussed and Dr. Pousti let the patient know that he would need to perform her surgery in 2 or 3 stages to achieve the size, shape and placement that the patient was wanting to achieve.

The patient decided to fly in and proceed with surgery – her first stage (nov. 2017)  involved removal of her breast implants, capsulorrhaphy, full mastopexy surgery to make a solid foundation for the future surgeries.

Above photo shows the patient in the operating room immediately after her breast implant removal / breast lift

Four months later (see above), the patients incisions have healed and she is anxious to proceed with the 2nd stage procedure – replacement of her breast implants.

The second stage procedure involved revision breast augmentation, the use of overfilled saline breast implants, as well as the use of acellular dermal matrix (also called ADM or Strattice)

Below photo shows the pieces of Strattice used in the lower poles of the breast pockets.

Below shows the patient immediately after breast augmentation with 1100cc overfilled saline breast implants.

Below is the progression of where the patient started and where she currently is today.

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Posted in 2 Stage Procedure, AlloDerm, Bottoming Out, Breast Asymmetry, Breast Lift, Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Overfilled Saline Breast Implants, XL Breast Augmentation


Breast Implant Removal / Full Breast Lift- 1st stage

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This 26 year old patient from New York was interested in breast augmentation revision surgery.  She searched for the best plastic surgeon to help her with her revisionary breast surgery goals.  She was willing to fly in to have surgery.

revision

She was not happy with the breast asymmetry or how her current breast implants were positioned on her chest wall.

revision surgery

After meeting with Dr. Pousti and discussing her goals, it was determined that performing surgery in stages would be her best option.  The 1st stage would involve breast implant removal and breast lift.

lift without implants

The patient agreed with the plan and proceeded to book her surgery date.  Prior to surgery Dr. Pousti performed measurements and markings and discusses the procedure in detail with the patient.

lift

Above photo shows the dramatic difference between the 2 breasts (right breast implant removed).

mastopexy

revisioanry surgery

implants removal

Immediately after Breast Implant Removal and Anchor Mastopexy.  This surgery will provide a solid foundation for her 2nd stage procedure down the line.  The incision lines will smoothen out and flatten out as they continue to heal.

 

 

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Posted in 2 Stage Procedure, Breast Lift, Implant Removal


Breast Revision Surgery – 2- Staged Procedure

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This 35 year old patient from Connecticut was interested in having breast revision surgery.  She was not happy with the size, shape or position of her breasts.  She researched for the best plastic surgeon for her who specializes in breast augmentation revision surgery.  She found Dr. Pousti and decided that she would fly in to have surgery.

 

bilaterl breast mastopexy

After examination and discussion of goals, it was determined that she would benefit from a 2-staged procedure.

removal of implants (2)

The first surgery would  involve breast implant removal and full breast lifting surgery to create a solid foundation for future surgeries.  Below you will see that Dr. Pousti is taking measurements and marking the patient for surgery.

bilateral mastopexy

removal

Above photo show the patient ready to proceed with her first surgery of breast implant removal and mastopexy.

 

mastopexy

Removal of the capsule during the operation as well as the breast implant – giving the patient a dramatic change

bilateral mastopexy (2)

Below photo shows the breast implant removal as well as capsules that were removed.

breast procedure

removal of implants

removal of bilateral breast implants

Above is the patient immediately after her 1st breast revision surgery with breast implant removal.  The patient was very happy with the results of this surgery.

2nd stage

A year or so later, she communicated with Dr. Pousti regarding having breast augmentation surgery.  She and Dr. Pousti discussed silicone gel breast implants for her breast surgery.

breast augmentation

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Her 2nd stage procedure is shown below with 590cc silicone gel breast implants. Patient is so happy!

BA

secound stage

reduction lift, breast augmentation

breast reduction, revision,breast augmentation

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Posted in 2 Stage Procedure, Breast Revision Surgery


Breast Augmentation Revision Surgery

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This 35 year old from out of state was in need of revision breast surgery.  After meeting and discussing her goals with Dr. Pousti, they decided to proceed with a 2 stage procedure (due to the complexity of her case).   The first surgery involved breast implant removal and full mastopexy.  Now that she has healed from that surgery, she is ready for her 2nd stage breast augmentation.

breast implant removal

She and Dr. Pousti discuss her goals and proceed with silicone gel breast augmentation surgery.

mastopexy

breast enhancement

breast implants

breast augmentation

Above photo shows the patient immediately after placement of breast implants– Mentor 590cc silicone implants

breast reduction, revision,breast augmentation

Above you see the progression of this patients case.. where she started and her journey.

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Posted in 2 Stage Procedure, Breast Augmentation, Breast Revision Surgery


Revision Breast Surgery performed in 2 Stages

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This 33 mother from Maryland previously breast surgery performed on the East Coast but was not happy with the results.  She was looking for the best plastic surgeon to perform her revision breast surgery and help her achieve her goals.  She wanted very “round, perky, lifted” breasts.  She was not pleased with the current shape, size or position of her breasts.

breast revision surgery

After finding Dr. Pousti online, the patient started a conversation via email and phone calls and discussed her options with Dr. Pousti.    To achieve her goals, Dr. Pousti discussed performing a 2-staged procedure.  The patient decided to fly into San Diego for her breast revision surgery.

breast lifting revision

The first stage would be to remove her current breast implants and perform a full breast lift to make a solid foundation for her breast implant surgery.   Below, shows the markings and measurements prior to the breast lifting surgery.

2 staged procedure

Below you can see the right breast with the breast implant removed and the breast lifting surgery performed – compared to the left side not yet operated on.

lift without implants

Both breast implants are removed.

implant removal

Immediately after breast implant removal and full breast lift (below) – the incisions will smoothen out and lighten as they heal.

 

 

revision

The patient kept in touch with Dr. Pousti regarding her healing process and once the incision lines had healed and Dr. Pousti gave her the “green light” to proceed with the 2nd part of the surgery, she returned to Southern California for her breast augmentation.

breast augmentation

revision mastopexy

Below shows the patient in the operating room prior to her breast implant surgery.  She is wanting silicone gel breast implants.

progress surgery

2nd stage

breast procedure

 

Above photos show immediately after breast implant placement – Mentor Ultra High Profile 590cc silicone gel breast implants were used to achieve this patient’s goals.

 

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Posted in 2 Stage Procedure


2nd Stage Breast Augmentation with XL Breast Implants

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This 54 year old patient (in the medical field) from Maryland traveled to meet with Dr. Pousti and discuss breast surgery.  She had breast lifting performed by Dr. Pousti and was now ready for her breast implants.  Her goal was to have XL breast implants placed and was very confident in Dr. Pousti’s expertise with larger breast implants.

breast surgery

To achieve her goals, she discussed a 2 stage procedure with Dr. Pousti and was now ready for the 2nd part.

overfill saline

breast augmentation

In the operating room, temporary sizers were placed to evaluate what size breast implant can be used safely.

2nd stage breast surgery

secound stage breast surggery

Saline Breast Implants were overfilled to 1000cc for both breasts.

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Posted in 2 Stage Procedure, Overfilled Saline Breast Implants, XL Breast Augmentation


XL Breast Augmentation Performed in Stages

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This 58 year old teacher from Michigan flew in to have Dr. Pousti perform her XL Breast Augmentation surgery.  She had been thinking about this procedure for years but was wanting to find the best plastic surgeon to help her achieve her goals.

When Dr. Pousti met this patient and understood her goals, he discussed a staged procedure for safety reason.  The patient agreed and proceeded with her journey… Below is her pre op photo.

pre-op

The first surgery performed was in April of 2015 and the patient had breast lifting surgery to improve breast symmetry and nipple/areola placement on the breast mound.

lift

1050 cc 2015

After the breast incisions had healed (3 months after the mastopexy surgery), the patient returned to San Diego for placement of breast implants. 1050cc Saline overfilled breast implants were placed  on July 2015.

One year later, she returned to San Diego to have Dr. Pousti increase her breast implant size.

breast surgery

This was her starting point, July 2016  1 year after placement of 1050cc saline overfilled breast implants.  Although Dr. Pousti could not promise a specific cc# he would do his best for the patient.

 

rev

Caps.

 Dr. Pousti was able to increase her  1050cc breast implant size to 1600cc.

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Posted in 2 Stage Procedure, Overfilled Saline Breast Implants, XL Breast Augmentation


Breast Lifting Surgery

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This 53 year old patient from Maryland had been interested in breast surgery for many years.  She is in the medical profession so she and her husband both did a lot of research searching for the best plastic surgeon to help her with her breast lifting surgery.

breast lift

After multiple emails and phone discussions, the patient and  her husband flew to San Diego for evaluation by Dr. Pousti.  After discussion of the patients goals, it was determined that a 2 stage procedure would be necessary.

breast reduction

Markings and measurements are performed prior to surgery.  This is used as a “road map” during the breast lifting surgery.   The “x”indicates the new position of the nipple/areola complex.

DSC05762

 

For the staged procedure, Dr. Pousti will first perform the breast lift portion and once everything is healed, we can return to the operating room for the breast augmentation portion of the surgery.

DSC05770

For patients who need a significant breast lift or want the larger breast implant size, the staged procedure is recommended to increase safety.  Below, you can see the dramatic results of the left breast lift being completed compared to the right breast that has not been “lifted”.

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Beautiful results immediately after breast lifting surgery.  Patient is happy with her early results and will return home for recovery.  Will continue to keep in touch with our office as things heal.

 

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Posted in 2 Stage Procedure, Breast Lift, Nipple Reduction


2 Staged Procedure for Breast Enhancement

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This 49 year old patient was interested in XL breast enhancement for many years.  After doing research and getting referrals from 2 friends, the patient came in to consult with Dr. Pousti.  She was impressed with his expertise regarding breast surgery as well as his bed side manner.
mastopexy

Because of the patient’s starting point and the goals that she wanted to achieve, Dr. Pousti suggested that they proceed with a 2-staged procedure.  This would involve Removal of breast implants and performing a breast lift and then after incisions have healed, return to the operating room for placement of the larger breast implants.

 

2 stage

Markings and measurements were performed prior to surgery. The “x” indicates where the new nipple/areola complex will be placed.  Below you see the immediate result of her breast lifting surgery in the operating room.

removal of implants

 

 

After the patient had healed from the breast lift procedure (many months after the procedure) , she returned to the office for her 2nd stage.  As you can see, the incisions healed and have faded very nicely.

breast lifting

Dr. Pousti returned to the operating room with this patient and placement of 900cc High Profile Saline breast implants were placed to achieve the patient’s “very round, larger” look.

large breast augmentation

XL saline overfilled breast implants

2 staged procedure

Above shows the process of the 2 stage procedure. The patient is very happy with the early outcome of her surgery.

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Posted in 2 Stage Procedure



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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