Breast Augmentation Patients

This 26 year old patient from Winchester, California had been interested in increasing the size of her breasts for several years. After doing research she could not find a surgeon that she felt completely comfortable with until she was referred to Dr. Pousti by one of her friends. She knew instantly after meeting with him that he was the best surgeon for her breast augmentation surgery.  After the examination, Dr. Pousti discussed the patient’s slight “pectus excavatum” and how the breast implants would help camouflage the area.

Before surgery, the patient and Dr. Pousti met several times to discuss their expectations and go over the breast procedure in detail. On the last appointment before surgery,  measurements of the patient’s chest are taken and markings are done in order to help prevent asymmetry.  In pectus excavatum, also known as funnel chest, the sternum (breastbone) is depressed relative to the rest of the chest wall. Breast implants can be used to camouflage mild to moderate pectus excavatum. No matter where you decide to have your pectoralis excavatum repair, make sure your surgeon has experience, and that your safety and comfort are your surgeon’s primary concern.

A sizer is set in place through a small incision made on the areola. This sizer is used to help determine the size of the implant needed to give the patient her desired look. The patient is placed in a sitting position several time during the procedure to see if any adjustments to the breast pocket or the size need to be made.

A Smooth Round Moderate Profile 495cc Saline implant was used in the patient’s left breast and a 525cc for her right breast.

Immediately After Surgery

The patient is very happy with the size and shape of her new breasts.

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Posted in Breast Augmentation, Pectus Excavatum, Petite Frame Breast Augmentation

This 22 year old from San Diego, California was interested in a breast augmentation for several years. After childbirth, she felt her breasts had lost fullness and wanted to regain volume. She began researching the internet for experienced plastic surgeons near San Diego and found double board certified surgeon, Dr. Tom Pousti. The patient was very impressed with Dr. Pousti’s credentials and skill with cosmetic surgery. She saw hundreds of “before” and “after” breast enlargement pictures displayed throughout his website and read many testimonials.

The patient met with Dr. Pousti and it was determined that she was a great candidate for breast enhancement surgery. She met with Dr. Pousti several times over the course of a year until she felt comfortable and ready to proceed with her breast augmentation.

The patient met with Dr. Pousti to perform markings and to discuss size and shape of her breasts post-surgery. The patient hoped to achieve a large and round, full look. She wanted to place an emphasis on her cleavage with a lot of fullness on the top of her breasts.

Dr. Pousti used moderate plus profile saline implants filled to 850cc on the right and 890cc on the left. The patient had mild asymmetry present prior to surgery, so her left implant is slightly larger than the right.

Before Breast Augmentation / After Breast Augmentation

The patient is now 1 week post-op and is very happy with her results!

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Posted in Breast Asymmetry, Breast Augmentation, Petite Frame Breast Augmentation, Saline Implants

This 41 year old patient from Corpus Christi, Texas had been unhappy with the size and shape of her breasts for several years. After extensive research she knew she was interested in proceeding with cosmetic surgery. The patient was interested in finding a surgeon around her area until she came across Dr. Pousti’s website. She was impressed with the amount of information and pictures he provided and decided that it was worth the trip to come to California for him to perform her breast surgery.

The patient had been in contact with Dr. Pousti via phone and email and expressed her concerns and expected results. Dr. Pousti was able to answer all her questions and give her options to choose from.

After being examined it was determined that the best option for the patient would be a breast lift along with augmentation. Measurements of the patients chest were taken prior to surgery and markings of the breast procedure were made.

The ‘x’ markings on the breast indicate where the nipple/areola complex should be expected to be when the breast lift is completed. Once the nipple/areola complex is relocated the skin underneath is removed and the breast tissue is rearranged to give the breasts a more firm and perky look.

Sizers are then placed, filled with air and the incisions are temporarily closed. The patient is then placed in an upright position to make sure that her goals are being met.

275cc Silicone Gel implants were used in the patients breast to achieve the look she was going for.

The patient is post op breast augmentation/mastopexy with silicone gel implants and is very happy with her initial results.

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Posted in Breast Augmentation, Breast Lift, Breast Lift with Implants, Breast Procedures, Silicone Gel Implants

This 22 year old patient from San Diego, California had breast augmentation surgery performed by a previous surgeon and was left with unsatisfactory results. The patient was not happy with the overall appearance of her breasts but the breast shape bothered her the most. She did not feel comfortable returning to her previous surgeon and knew that she would have to do research to find a surgeon that was experienced with revisionary breast surgery. During her search she came across Dr. Pousti several times and was very impressed with the vast amount of experience he had with breast revision procedures.

Upon examination it was apparent to Dr. Pousti that the patient had a severe case of ‘Symmastia’. Symmastia occurs when the skin near the cleavage area separates from the sternum; causing the implants to be malpositioned medially. This can cause the breasts to form a ‘bread-loaf‘ appearance.

The patient and Dr. Pousti meet several times prior to the revisionary breast surgery to discuss options and go over the procedure in detail. In this patient’s case the best option was to go with symmastia repair and an implant exchange. The first step of this surgery is to take measurements of the patients chest and mark the areas where correction is needed.

When the patient is in the operating room she is placed in an upright position and markings are re-checked. If any adjustments are needed they are done at this time. The red area indicates where the symmastia repair will need to be done.

The patient’s current breast implants are taken out through a small incision along the areola. To avoid additional scaring the previous incisions were re-used. Once the implants are removed Dr. Pousti begins work on the ‘breast pocket’. A breast pocket is an open pocket created under the muscle where the breast implants sits.

During symmastia repair Dr. Pousti uses internal sutures to re-attach the skin to the sternum in the center of the patient’s chest. Sizers are then used to determine the size of the implant Dr. Pousti will need to use in order to achieve the patient’s desired look.

300cc Silicone Gel Implants were used in both breast to meet her goals.

As you can see when the patient is in a lying down position the symmastia correction has improved the appearance of the chest and the patient no longer has ‘tenting‘ present.

After the procedure is completed, bolster dressings are applied. The dressings help add support to the internal sutures and help ensure that implant malplacement does not reoccur.

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A “thong bra” is then given to patient to wear post surgery and is used to stabilize the area after symmastia reconstruction. This will allow the sutured area between the breasts to heal properly without excessive pressure being applied.

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Posted in Breast Augmentation, Breast Pocket Correction, Breast Procedures, Breast Revision Surgery, Silicone Gel Implants, Symmastia

This 26 year old from Spring Valley, California was interested in a tummy tuck and breast augmentation for several years. After the weight gain/loss associated with pregnancy she wanted to regain some of her confidence back with a mommy makeover procedure. The mommy makeover usually consists of combined procedures to enhance and refine the body. She had heard about Dr. Pousti from her friend/previous patient and decided to schedule a consultation to meet with him.

Upon examination, Dr. Pousti felt the patient was a great candidate for a mommy makeover and would greatly benefit from an abdominoplasty and breast enlargement procedure. She wanted fuller and larger breasts with more roundness on top and cleavage. During her consultation, she was able to meet with many other patient’s who had surgery performed by Dr. Pousti. After seeing their results first hand, she knew she was in good hands with Dr. Pousti and decided to proceed surgery.

Dr. Pousti met with the patient before surgery to perform markings of the breast and tummy. The patient has the opportunity to meet with Dr. Pousti several times prior to the procedure to review her goals and make sure she has realistic expectations. Markings assure that symmetry is met and are used as guidelines throughout the surgery.

In the operating room, markings are checked again and the patient is prepped for surgery. During the tummy tuck portion of the mommy makeover an incision just above the patient’s belly button is made. The patients abdominal muscles are then exposed allowing muscle repair to begin. This muscle repair is not done for every tummy tuck but is for those that are good candidates. It is very common for the abdominal muscles to be damaged after childbirth and/or weight loss. The outer muscles of the patient’s abdomen are brought into the middle of the abdominal wall and sutured together, creating an internal corset.

After muscle repair the excess skin is then removed and the incision is closed with sutures.  Dr. Pousti can then move to the 2nd stage of the mommy makeover, the breast augmentation. Prior to surgery the patient’s size goals and desired look are discussed. Pictures are generally used to show what shape and size the patient is aiming for. These pictures are used in the operating room along with sizers to determine what implant is needed.

Immediately After Mommy Makeover in Operating Room.

850cc saline implants were used in the patients breast to give her that nice, round, full shape she desired. Once the mommy makeover is completed, a significant improvement is immediately noticeable.The patient is now 10 days post-op and is very happy with her surgery.

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Posted in Abdominoplasty, Breast Augmentation, Saline Implants

This 38 year old from Chula Vista, California was unsatisfied with her breast augmentation performed by a previous surgeon. She was interested in revisionary breast surgery but was very cautious about having another surgery performed. She decided it was a good idea to research more and find a board certified plastic surgeons with experience. The patient had heard about double board certified Dr. Pousti from numerous people and decided to research about him and his practice. She was surprised by the amount of information regarding revisionary breast surgery displayed throughout Dr. Pousti’s many websites.

During her consultation, she was able to meet and talk with other patient’s of Dr. Pousti’s who underwent revisionary breast surgery. She couldn’t believe the phenomenal results Dr. Pousti was able to achieve for his patients and how happy they were with their surgical results. The patient’s fears were diminished and she completely trusted Dr. Pousti to perform her surgery. Upon examination, Dr. Pousti felt the patient had accumulated scar tissue that needed to removed and the patient would need internal sutures and an implant exchange.Dr. Pousti carefully performed markings and measurements to achieve symmetry and to correct the current problems. During this time, he also discussed the procedure to the patient from the start of the surgery to her recovery.

The red area indicates where the patient desired more fullness

Dr. Pousti met with the patient again the morning of surgery to reinforce markings and to discuss the procedure with the patient again. He also will answer any questions the patient may have and will try to make the patient feel as comfortable as possible.

Below you can see when the patient is lying flat, her implants will fall to the sides. Internal sutures will be used on the outer portion of the patient’s breasts to correct the malplacement issue.

In the operating room, Dr. Pousti uses temporary sizer implants. This allows him to adjust the implant in size until he reaches the patient’s desired look. Once this has been achieved, the sizer implant is removed, and the permanent implant is placed.

Below you can see, Dr. Pousti has removed the sizer implant and will now prepare and administer the patient’s permanent implant.

After the implants and scar tissue have been removed, Dr. Pousti will tighten the breast pocket using internal sutures. Capsulorrhaphy, the use of internal sutures, will correct the breast pocket preventing the implants from falling to the side and will restrict the patient’s breast implants from falling to the side.

490cc Silicone Gel Implants were used in the patient’s breast o give her the look she wanted. She is extremely happy with her breast revision results.

Click here to see full details on this patient

Posted in Breast Augmentation, Breast Procedures, Internal Bra (Internal Sutures), Silicone Gel Implants

This 33 year old from Santee, California was interested in a breast augmentation and breast lift combined surgery. She was referred to Dr. Pousti by a friend and a previous satisfied patient of Dr. Pousti’s. She was able to see Dr. Pousti’s work first hand and decided to schedule a consultation to meet with him. During her consultation, she was able to meet with other patient’s of Dr. Pousti’s who had previously underwent breast augmentation/breast lifting procedures to ask them questions and to see their results. The patient was very impressed with Dr. Pousti and his skills as a cosmetic surgeon. She was ready to continue with her surgery .

The patient met with Dr. Pousti again prior to her surgery. During this time markings were performed to ensure symmetry is met and her desired goals are achieved. During this time, the patient was encouraged to bring in photos of breasts that she wanted to achieve post surgery. These pictures are hung up on the wall in the operating room and used as a guidance for Dr. Pousti throughout the procedure to guarantee the patient’s desires are met.

Before Breast Augmentation/ Breast Lifting

Dr. Pousti carefully measures and marks the patient and uses these as a guide during surgery. The “x” indicates the area where the nipple will be post surgery.

After Breast Augmentation/ Breast Lifting

During the procedure, Dr. Pousti uses sizer implants. This allows him to temporarily place an implant and fill it to a size that fits the patient’s goals. He then removes the temporary sizer implants, and places the permanent implant.

Before Breast Augmentation/ Breast Lifting

After Breast Augmentation/ Breast Lifting

450cc Saline Implants were used in both breasts to achieve the patient’s desired look.

The patient is now 5 days post-op and is very happy with her results.

Click here to see full details on this patient

Posted in Breast Augmentation, Breast Lift, Breast Lift with Implants, Breast Procedures

This 44 year old from Riverside, California was interested in a breast lift, breast implants, as well as a nipple reduction. She had been considering these surgeries for several years and was trying to find the most experienced surgeon in riverside county to perform them. The patient searched the internet for board certified plastic surgeons with websites that showed actual results of patient’s. She was very impressed when she came across one of Dr. Pousti’s many websites. She read all about his training and was very amazed when she discovered that he was double board certified. After reviewing his entire website, she felt the results he was able to achieve for his patient’s were phenomenal and she knew she wanted Dr. Pousti to perform her surgeries.

The patient met with Dr. Pousti and felt so comfortable with him that she scheduled surgery immediately. She met with Dr. Pousti several times to discuss her pending procedures. During these visits she expressed that she felt her natural breasts were lacking volume and cleavage. She also expressed concern about the size of her nipples. The patient and Dr. Pousti felt that the patient would benefit from a nipple reduction along with her breast lift/augmentation.

Measurements and markings were completed the night prior to surgery. During measurements of the breasts, Dr. Pousti is able to show the patient where her cleavage will be, as well as her new areola/nipple location. The risks associated with breast lifting, breast implants, and nipple reduction are also discussed with the patient during this time.

After breast lifting, sizers are placed temporarily to determine the size the implant needed. Dr. Pousti sits the patient upright in the operating room with the temporary sizer in place to ensure symmetry. Patient’s are encouraged to bring it photos of breasts they like so he can hang them on the wall in the operating room and refer to during surgery.

Saline implants filled to 440ccs were used in both patient’s breasts in order to achieve her desired look.

Before Breast Lift With Implants and Nipple Reduction

After Breast Lift With Implants and Nipple Reduction

Along with the patients breast lift and breast augmentation, she wished to have a nipple reduction performed as well.

Before Nipple Reduction

The nipple is not proportionate to the areola.

After Nipple Reduction

The nipple is now much smaller and more proportionate.

After the breast lift, breast augmentation, and nipple reduction are performed, the patient’s breast are much perkier, fuller, and symmetry has been achieved.

The patient is still very fresh post-op, but is very pleased with her results.

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Posted in Breast Augmentation, Breast Lift, Breast Lift with Implants, Nipple Reduction

This 30 year old from Apple Valley, California was interested in revisionary breast surgery. She was unsatisfied with her results from her previous surgeon. She did not like the shape, size, or placement of her breast implants and she also suffered from implant malposition resulting in symmastia. She researched the internet for experienced breast revision surgeons and found Dr. Tom Pousti. After reviewing many symmastia and breast revision repair cases, she felt optimistic that he would be able to achieve the same results with her and decided to drive to see Dr. Pousti.

Upon examination, Dr. Pousti determined the patient not only had symmastia, but “bottoming out” of her implants as well. Symmastia appears when two implants are touching one another often creating a “uni-boob”. Symmastia often happens if the horizontal muscle that is connected to the sternum is cut during surgery and after overly aggressive attempts to achieve cleavage are made.

The patient and Dr. Pousti met again to discuss the procedure in detail along with recovery. Markings were done the night prior to surgery and were reinforced the morning of surgery. In order to achieve her desired look, internal sutures were used to repair her cleavage area and to also create an “internal bra” for the new position of the implants and to fix the bottoming out of the implants.

Dr. Pousti removed the patient’s previous implants through a small incision of the areola.

Immediately After Symmastia and Bottoming Out Repair

He replaced the patient’s previous implants with 475cc Silicone Gel Breast Implants. After repairs were made, the patient has two distinct breast pockets.

Bolster dressings are worn for several weeks to protect the repaired area during recovery.

The patient is very happy with her results.

Click here to see full details on this patient

Posted in Breast Augmentation, Breast Procedures, Breast Revision Surgery, Internal Bra (Internal Sutures), Silicone Gel Implants, Symmastia

This 34 year old from Santee, California was interested in a breast augmentation for several years. She was referred to Dr. Pousti by a close friend and was very impressed with the results Dr. Pousti was able to achieve for his patient’s displayed on his website. After reviewing several cases on the internet, she decided to  meet with Dr. Pousti.

During her consultation, she met with several other patient’s of Dr. Pousti to see their results first hand and hear about their experience with Dr. Pousti and his staff. After hearing all the great reviews, she felt even more comfortable. Dr. Pousti determined that the patient would be a good candidate for breast augmentation as well as a limited breast lift. Upon examination, he also suggested to create better symmetry the patient should consider an areola reduction along with her breast enhancement and benelli lift procedure. After careful consideration, she wanted to continue with surgery.

Markings and measurements were performed prior to surgery. During this time, Dr. Pousti is able to explain the procedure to the patient in detail and go over pre-operative and post-operative care. All the risks and complications associated with surgery are also reviewed with the patient.

The markings indicate where the patient would like to see cleavage on her chest and where she would like the fullness to be achieved. Markings are extrememly importation for not only Dr. Pousti, but for the patient to understand what will be achieved after surgery. Below, Dr. Pousti demonstrates where the nipple/areola complex will be located after the implants have been placed below the muscle. He will also reduce the size of the areola during the breast lift to achieve better symmetry between the breasts and areola.

Dr. Pousti encouraged the patient to bring in photos of breasts she “likes” as well as “dislikes”. The poster helps him to narrow down the patient’s goals and clearly communicates what she wants to achieve. The patient wanted a natural look, with cleavage and some fullness on top. She didn’t want her breasts too far apart with outer cleavage.

Before Breast Augmentation/Areola Reduction

After Breast Augmentation/Areola Reduction

Dr. Pousti used 450cc Smooth Round Moderate Plus Profile Silicone Gel implants to achieve the patient’s desired look. The patient is now 1 week post-op at is extrememly satisfied with the results of her breast enlargement, breast lift, and areola reduction.

Click here to see full details on this patient

Posted in Aerola Reduction, Benelli Lift, Breast Augmentation, Breast Lift, Breast Lift with Implants, Breast Procedures, Silicone Gel Implants