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Breast Lift Patients
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| 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
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| 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.
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Posted in Breast Augmentation, Breast Lift, Breast Lift with Implants, Breast Procedures
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| 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
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| This 38 year old from San Diego, California was interested in revisionary breast surgery and revision of her previous abdominoplasty. She was unsatisfied with the results of her surgeries and did not feel comfortable returning with her previous surgeon. She began researching experienced plastic surgeons in the San Diego County. After reading about double board certified Dr. Tom Pousti, the patient and her husband decided to meet with him in person.

During her consultation, Dr. Pousti examined the patient and felt she would benefit from a two stage procedure. A two stage breast procedure often has less risks and complications then performing a breast lift and breast augmentation at once. The patient decided she wanted to proceed with implant removal, mastopexy, and tummy tuck revision procedures and once healed she would then continue with a breast re-augmentation.

Dr. Pousti met with the patient the night prior to surgery to perform markings and discuss the implant removal and mastopexy procedures in detail. The patient was also unhappy with the bunched up skin on her lower abdomen. Dr. Pousti agreed the patient would benefit from removal of her current adipose tissue on her lower abdomen.

In the operating room, Dr. Pousti removed the patient’s previous implants and performed a breast lift. The patients right breast was temporarily stapled together until comparisons between the left and right breast can be made while the patient is now only lying down, but also sitting up. Once the breasts are symmetrical final suturing is done.

Since the patient decided to proceed with a two stage surgery, once she is healed from her breast lift, she will continue with her breast re-augmentation.

The patient is extremely satisfied with the results from her implant removal, breast lift, and tummy tuck revision surgeries and cannot wait for her breast re-augmentation in the near future.
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Posted in 2 Stage Procedure, Breast Lift, Breast Revision Surgery, Revisionary Tummy Tuck
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| 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.
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Posted in Aerola Reduction, Benelli Lift, Breast Augmentation, Breast Lift, Breast Lift with Implants, Breast Procedures, Silicone Gel Implants
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| This 39 year old from Ukraine was interested in a breast augmentation and mastopexy. She researched the internet for board certified plastic surgeons specializing in breast lifting with implants. The patient felt after researching several surgeons in her area and not being impressed that she should continue searching for surgeons elsewhere. The patient came across San Diego Cosmetic Surgeon, Dr. Pousti. She was impressed with his credentials, certifications, and experience with plastic surgery. The patient communicated with Dr. Pousti online and decided that she would fly in to California to have her surgery performed by Dr. Pousti.

The patient met with Dr. Pousti prior to her surgery and knew instantly she had made the right decision. Dr. Pousti and the patient discussed the breast lift and breast augmentation procedures. The patient expressed that she wanted natural looking breasts with some fullness on top to compliment her body frame.

Measurements and markings were performed the night before surgery. The patient was able to understand where her incisions would be, where fullness would be achieved, and all the risks/complications associated with these procedures. The morning of surgery, Dr. Pousti met with the patient again to answer any questions she might have and to calm her nerves. The patient will also meet with the board certified anesthesiologist and nurses that will be taking care of her during her surgery alongside Dr. Pousti.

A breast lift and 360cc Silicone Gel Implants were used to achieve perkier breasts.

The patient is now 1 week post-op and is extrememly happy with her results from her breast lift with implants.

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Posted in Breast Augmentation, Breast Lift, Breast Lift with Implants, Silicone Gel Implants
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| This 56 year old from Temecula, California was interested in a breast augmentation and mastopexy. She was searching the internet for a board certified plastic surgeon and found Dr. Pousti, a double board certified surgeon. The patient felt Dr. Pousti’s credentials, experience, and website content was superior to those she had previously looked at. She was impressed with the amount of “before” and “after” photos Dr. Pousti’s website displayed as well as all of the testimonials from his patients. The patient scheduled a consultation to meet with Dr. Pousti without hesitation.

During her consultation, she was able to meet with several other patients who had breast lift/augmentation and ask them questions. She was able to see patient’s results first hand and talk to them about their journey with Dr. Pousti and their overall experience with their surgery. The patient felt very comfortable with choosing Dr. Pousti as her surgeon.

She met with Dr. Pousti again prior to surgery, to perform measurements and markings of her chest. The red “x” indicates where the new areola/nipple will be after surgery.

During the breast lifting/augmentation process, the areola’s are also reduced to create symmetry with the new breasts. Dr. Pousti used Smooth Round Moderate Plus Profile Saline Implants filled to 450cc on each breast.

The patient is still very fresh, but is already satisfied with her results.
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Posted in Breast Lift, Breast Lift with Implants, Saline Implants
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| This 21 year old patient from Lakeside, California was interested in removing her current implants and replacing them with much larger implants. She decided to proceed with Dr. Pousti for her breast procedure after finding out that he was very experienced with plastic and reconstructive surgery. She had procedures performed by him before and felt very comfortable with his work.

During her visit with Dr. Pousti extra large breast augmentation options were discussed. Upon examination, Dr. Pousti felt it would be in the patient’s best interest to also have her breasts lifted during her surgery to achieve an overfilled perky look.

The patient decided to continue with breast re-augmentation and breast lift. The patient met with Dr. Pousti to take measurements and perform markings so symmetry would be achieved.

Below, it is very apparent that the right breast is “perkier” than the right after lifting and replacing the implant. The right breast is temporarily stapled until comparisons between the two breasts can be made and symmetry is achieved, following final sutures.

Dr. Pousti used Smooth Round Moderate Plus Profile Saline Implants filled to 1050cc on the right and 1100cc on the left. The left breast was overfilled slight larger than the right to achieve symmetry.

The patient is very happy with her breast lift and extra large breast augmentation results.
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Posted in Breast Augmentation, Breast Lift, Breast Lift with Implants, Breast Procedures, Breast Revision Surgery, Overfilled Saline Breast Implants, XL Breast Augmentation
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| This 40 year old patient from San Diego, California was interested in a breast reduction after loosing 30 lbs. After weight loss, she felt that she was ready to reduce the size of her breasts and make them ‘perkier’ as well.

The patient also had significant back and shoulder pain often associated with larger breasts. She had been considering the surgery for over 10 years and was referred to Dr. Pousti by her primary care physician.

During her consultation, Dr. Pousti reviewed possible options with the patient and discussed the benefits of breast reduction surgery. After discussing the surgery, the patient felt comfortable with choosing Dr. Pousti as her surgeon. She came into the office the night before surgery to meet with Dr. Pousti to perform markings.

During markings, Dr. Pousti is able to show the patient where incisions will be and where the new nipple/areola complex will be located post-surgery.

The patient’s surgery involves not only reducing the breasts size but also reshaping the breast tissue to give her that ‘perky’ look she desired.

After the patient’s tissue has been reduced and rearranged on one breast, Dr. Pousti shows the dramatic difference between the two breasts. The areolas are temporarily stapled to ensure symmetry is achieve prior to final closure of the incisions.

Before, when the patient was lying flat her breasts were so large and heavy they would fall to the side.

The patient’s breasts are now much smaller and wont cause the patient back, neck, and shoulder pain. The breasts also appear “perkier” than before giving them a much more youthful appearance.

The patient is extremely satisfied with her breast reduction results.
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Posted in Breast Asymmetry, Breast Lift, Breast Reduction, Post-Weight Loss
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| This 43 year old from Murrieta, California was interested in a breast lift and breast re-augmentation after her right breast implant had deflated. As a previous patient of Dr. Pousti’s, she knew she wanted to return to him for her revisionary breast surgery.
Upon examination, Dr. Pousti suggested the patient proceed with a two stage surgery meaning she would have her implant removal and mastopexy performed in one surgery and then once healed, a breast augmentation performed. Two stage procedures are often very beneficial to the patient when they are a good candidate. To avoid the risk of infection, breast asymmetry, and mal-position of the implants, the patient trusted Dr. Pousti’s advice and decided to proceed.

Markings were performed for the patient’s current implant removal and breast lifting surgery. The purple “x” indicates where the new nipple/areola complex will be post-surgery. During this time, the first stage of surgery is discussed in detail with the patient.
Before Implant Removal/Breast Lifting



After the patient’s previous breast implants were removed, the breast are lifted. The breast tissue is rearranged during this time and the nipple/areola complex is repositioned to give the breasts a much “perkier” appearance.
After Implant Removal/Breast Lifting

The patient is extremely happy with her breast lift results and cannot wait to heal to continue with the second stage of surgery consisting of a breast augmentation.
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Posted in 2 Stage Procedure, Breast Augmentation, Breast Lift, Breast Procedures, Breast Reconstruction, Breast Revision Surgery
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