Breast Asymmetry Patients

A 25 year old female from Paris, California was interested in Breast Augmentation Surgery.  This mother of two was unhappy with her breasts due to motherhood.  She wanted larger breasts with a gradual slope on top.  She researched Board Certified Plastic Surgeons online and found Dr. Pousti.  She was very impressed with his experience with Breast Surgery.

During her consultations her goals were discussed.  During her examination Dr. Pousti discussed how Silicone Gel Implants would benefit her due to the limited amount of breast tissue.   Also, possible procedure plans were discussed to correct breast asymmetry along with risks and complications.  She felt confident that Dr. Pousti would help her achieve her goal.

Markings are made prior to surgery- this is when Dr. Pousti measures and draws on the patient as he is going over the procedure in detail with the patient.

Before/ Immediately after Breast Augmentation Surgery using Silicone-Gel Implants

600cc of Silicone Gel Breast Implant used for the right breast - 650cc of Silicone Gel Breast Implant used for the left breast
to improve the breast asymmetry.

Dr. Pousti used Sientra Silicone Gel Breast Implants for this patient.

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Posted in Breast Asymmetry, Breast Augmentation, Silicone Gel Implants

A 27 year old female from Corona, California wanted to have Breast Augmentation Revision Surgery.  Her current  breast implants (surgery performed by another doctor) were deflating and her breasts were not symmetrical.  Unhappy with her look she began researching Board Certified Plastic Surgeons with experience in Breast Revisions.  She found Dr. Pousti online and was impressed with his credentials and before and after photos of previous patients.  She met with him for a consultation to discuss her goals.

During her examination Dr. Pousti said that she was a great candidate for Revisionary Breast Surgery and discussed possible procedure plans.  He talked about Exchanging her breast implants and  performing a Breast Lift on the left breast to achieve symmetry. She felt confident that he would help her achieve her goals so she proceeded with scheduling surgery.

Before/ Immediately After Breast Revisionary Surgery

Dr. Pousti removed her current breast implants, performed a Benelli breast lift on the right breast and a lolli-pop breast lift on the left breast and then placed new Silicone Gel Breast Implants to achieve the patients goals.

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Posted in Benelli Lift, Breast Asymmetry, Breast Lift with Implants, Breast Revision Surgery, Limited Lift (Benelli Lift)

A 45 year old female from Temecula, California wanted to find a surgeon who could preform breast augmentation surgery.  Unhappy with her constricted breasts for years  and the way that motherhood had taken its toll on her body she was ready to find the best plastic surgeon to help her achieve her goal.  She came across Double Board Certified Plastic Surgeon, Dr. Pousti while researching the internet.  Impressed with his ratings and qualifications in breast implant surgery she decided to make an appointment with Dr. Pousti for a consultation.The patient expressed to the Dr. Pousti that she wanted her breast to be full with emphasis on cleavage and symmetrical.  After a careful examination, Dr. Pousti suggested a full breast lift along with silicone gel breast implants to achieve the patient’s goals.  After reviewing the risk and complications of the procedure, the patient decided to proceed with surgery.

The red X’s are to show where the areola will be placed. Notice the left breast is 2 cm larger which Dr. Pousti takes into consideration while preforming the Mastopexy. Also, he uses 533cc in the right breast and 492cc in the left breast to achieve symmetry.

Before / Immediately After  Breast  Augmentation and  Breast Lift

In The Operating Room

The patient is only 4 days post-op and very happy with the results.

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

A 26 year old female from Pacific Beach, California wanted to have breast augmentation surgery. She wanted to achieve fullness, emphasis on cleavage, and also improve her breast asymmetry.

She searched online found Dr. Pousti while researching Board Certified Plastic Surgeons with extensive experience in breast surgery. She was impressed by his ratings and loved the before and after result pictures. After her consultation with Dr. Pousti she felt confident that he would help her achieve her goals.

Below are the patient’s “goal” photos that she brought in to show Dr. Pousti.  Dr. Pousti will take these photos to the operating room and use them as a reference when choosing the breast implant size for this patient.  When the temporary sizers are placed, the patient is sat up several times through out the procedure with adjustments being made to the size, shape and pocket dissection and compared to the patient’s “goal photos” to achieve the her goals as closely as possible.

Dr. Pousti preformed a Bilateral Breast Augmentation Surgery – Silicone Gel implants (397cc for left breast and 371cc for right breast to achieve asymmetry). You can see below that the “smily face” indicated the larger breast.

She is now 2 years post-op and very happy with her results.

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Posted in Breast Asymmetry, Breast Augmentation, Petite Frame Breast Augmentation, Silicone Gel Implants

A 28 year old female from San Diego, California wanted to find a surgeon who specialized in Breast Revisionary Surgery.  She wanted “more perky” breast with an emphasis on cleavage and fullness but with a natural look for her athletic build.

She previously had surgery with another surgeon but was very unhappy with her current results. The breast asymmetry bothered her as well as the shape and positioning of her current breast implants.  She wanted to find the best plastic surgeon to perform her revision breast surgery.

She viewed many before and after photos and was able to speak with other patient’s of Dr. Pousti’s during her consultation.  After a careful examination, Dr. Pousti suggested a full breast lift along with silicone gel breast implants to achieve the patient’s goals. The breast lift would allow for more “perky” breasts and also more symmetrical.
After reviewing the risk and complications of the procedure, the patient decided to proceed with surgery.

Before / Immediately After Revisionary Breast  Surgery , Augmentation and Stage III Breast Lift In The Operating Room

After sizing is determined, the silicone gel implants were prepped for placement. The no touch Keller Funnel method was used to place the implants below the pectoralis muscle. This technique uses a funnel to easily distribute the implant, reducing the risk of contamination. Dr. Pousti used 475cc silicone gel implants to achieve a large breast augmentation with upper fullness and cleavage.

The patient went from a C to a D cup and is 5 days post-op and very pleased with her results.  She is so happy with the size, shape and especially the symmetry of her breasts.  She understands that with time, the breast lift incisions will heal and fade.

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Posted in Breast Asymmetry, Breast Lift with Implants, Breast Procedures, Breast Revision Surgery, Implant Exchange

A 22 year old woman from Canada was interested in bilateral breast augmentation and correction of bilateral tuberous breast for several years . Tuberous breasts have a very narrow shape and usually a long skin envelope, and usually an incision around the areola  to help make the breast have a more rounder shape.

The patient was unhappy not only with the size of her breasts but also with the shape and the breast asymmetry.  She researched to find the most experienced plastic surgeon to help her with her tuberous breasts and found Dr. Pousti online.  After viewing his before and after gallery, she decided to contact him and have a virtual consultation.  They communicated several times and finally met the day prior to surgery.

Dr. Pousti performed measurements and markings prior to surgery.  As  you can see above, the distance from the collar bone to the areola on each side differs.  This will be addressed during the surgery and Dr. Pousti will do his best to improve the breast symmetry.  Also, the side with the “smiley face” indicates the side with more breast tissue.  All of this is taken into consideration when choosing the implant size, performing the pocket dissection, and performing the benelli  lift.

Dr. Pousti preformed Bilateral Breast Augmentation with Silicone Gel Implants and Correction of Bilateral Constricted Breast to achieve symmetry.  In her case a full breast lift was not needed – only an incision around the areola was needed to achieve the patients goals.  You can see the significant improvement in breast size, shape and symmetry.  The patient is very pleased.

She was an A cup and went to a C/D cup.  She is now 10 months post-op and very satisfied.

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Posted in Areola/Nipple Procedures, Breast Asymmetry, Tuberous Breast Deformity

This 47 year old female from Palm Desert, California was interested in a breast augmentation procedure. She wanted to achieve fuller breasts with upper fullness and also to correct her breast asymmetry, while keeping her breasts proportionate to her body and not prohibiting her from maintaining her active lifestyle. She researched online for a board certified plastic surgeon and was impressed when she found double board certified plastic surgeon, Dr. Pousti.

Dr. Pousti examined the patient and recommended a silicone gel breast augmentation and a stage 1 breast lift. During her consult, she was able to speak with Dr. Pousti’s previous patient’s to see their results and discuss their experience. She was very impressed with how happy Dr. Pousti’s patients were and decided to proceed with her breast lift with implants surgery.

Prior to the start of surgery, Dr. Pousti and the patient met to take measurements and perform markings. The markings are used as a guideline throughout the procedure and help to achieve the patient’s goals. The patient brought in several goal pictures representing her ideal breast size and shape for Dr. Pousti to refer to throughout the procedure.

An incision around the areola was made to begin the benelli breast lift and breast enlargement. The stage 1 breast lift improves the position of the nipple/areola complex promoting better symmetry. Sizer implants were used to determine the appropriate implant size. The patient was sat upright several times throughout the procedure to view potential results.

The Keller Funnel method was used to insert the silicone gel implants. This method uses a sterile funnel to easily squeeze the breast implants into the breast pocket. A 371cc silicone gel implant was used on her right breast and a 421cc silicone gel implant was used on her left breast to achieve better symmetry.

The patient is very satisfied with her stage 1 mastopexy with implants.

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Posted in Benelli Lift, Breast Asymmetry, Kenner Funnel, Silicone Gel Implants

This 57 year old patient from Upland, California had 2 previous breast augmentations performed in the past by previous surgeons and was not happy with her results. The patient didn’t feel comfortable returning to either surgeons and began her research online to find a cosmetic surgeon with breast revision experience. The patient was very impressed with the results Dr. Pousti was able to achieve with his revisionary breast surgeries and she set up a consultation.

During her visits with Dr. Pousti she expressed that her breast implants were not only disfigured and asymmetric but also that they were very hard and were causing her pain. She also explained to Dr. Pousti that she was interested in removing her breast implants entirely without replacing them.

Dr. Pousti examined the patient and explained that the pain and hardening of her breast was caused by scar tissue that had developed around the implant. Scar tissue is more common with patient’s that have implant placed above the muscle. They discussed possible options and agreed that removal of the implants along with a breast lift would be her best option.

Dr. Pousti takes several measurements and performs markings prior to surgery. The markings illustrate incision locations and also where the new nipple/areola location will be after the mastopexy is performed. After the patient’s previous breast implants are removed the mastopexy portion of the surgery is done. Breast lifting involves shifting the nipple position and increasing the breast firmness by tightening the skin envelope underneath.

Before Revisionary Breast Surgery

Scar Tissue That was Removed from the Patient’s Breasts

The patient is extremely happy with the results of her breast implant removal, capsulectomy and breast lift surgery.

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Posted in Breast Asymmetry, Breast Lift, Breast Procedures, Breast Revision Surgery, Capsular Contracture, Implant Removal

This 27 year old patient from Temecula, California had been unhappy with the size and shape of her breasts for several years and was interested in breast augmentation surgery. The patient was referred to Dr. Pousti by a close friend of hers and previous patient of Pousti Plastic Surgery. She was very impressed with the volume of information and before/after pictures his website provided and she decided to set up a consultation.

During her consultation the patient expressed that she was interested in increasing her breast size as well as adding emphasis on cleavage with the use of breast implants. Dr. Pousti examined the patient and determined that she was a great candidate for breast augmentation surgery with the use of Silicone Gel implants.

The patient and Dr. Pousti meet several times prior to surgery to discuss options as well as the breast surgery procedure. On the final visits before the procedure measurements of the chest are taken to ensure symmetry is achieved during markings. Markings are used as guidelines for incisions and also illustrate the shape of the breast pocket needed for the implant.

Before Breast Augmentation

A small incision is made along the areola and sizer implants are placed in the patient’s breast pockets. The sizer implant are a very important tool in the operating room because they help determine the size of the implant needed to give the patient her desired look. In this patient’s case 2 different sized implants were used to fix the mild asymmetry she had present.

Immediately After Breast Surgery

A 533cc Silicone Gel Implant was used in the patient’s right breast and a 492cc Silicone Implant was used in her right. The patient is very happy with the results of her breast augmentation surgery with Dr. Pousti.

Before/After Breast Augmentation (Side View)

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Posted in Breast Asymmetry, Breast Augmentation, Breast Procedures, Kenner Funnel, Petite Frame Breast Augmentation, Silicone Gel Implants

This 48 year old patient from Riverside, California had been interested in breast surgery after having her last baby and decided to begin her research. She was referred to Dr. Pousti by a previous patient of his and good friend of hers. The patient was very impressed with the results Dr. Pousti was able to achieve for his breast enhancement patients and set up a consultation.

During their visit the patient expressed that she was interested in a fuller look because pregnancy and breast feeding had taken a lot of volume from her breasts. The patient and Dr. Pousti discussed all possible surgery options and he explained to her that a limited breast lift with augmentation would give her the best results.

Measurements of the patients chest are taken to promote symmetry while performing markings. Markings are used in the operating room as guidelines for the mastopexy incision locations. During the mastopexy portion of the breast procedure a doughnut incision is made along the areola shifting the nipple position and increasing the breast firmness by tightening the skin.

A sizer implant is then placed in the patient’s breast pocket to determine the size of the implant needed to meet her goals. In this patient’s case a 421cc saline implant was placed in her right breast and a 457cc saline implant was used in her left breast. Two different sized implants were needed due to the mild asymmetry the patient had present.

She is extremely happy with the results of her breast augmentation and mastopexy surgery with saline implants.

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Posted in Benelli Lift, Breast Asymmetry, Breast Procedures, Limited Lift (Benelli Lift), Saline Implants