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Breast Asymmetry Patients

Breast Asymmetry

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This 22 year old patient was interested in improving her breast asymmetry with breast augmentation surgery.  She was referred to Dr. Pousti by her friend. Goals were discussed during her evaluation with Dr. Pousti.  She felt confident that she had found the best plastic surgeon to perform her breast enhancement.

implants

silicone implants

After meeting with Dr. Pousti, the benelli breast lift was discussed as well as placement of silicone gel breast implants.

bilateral breast augmentation

breast procedure

lift

She is very pleased with the size and shape of her new breasts.  325cc implant was placed on the left and 350cc on the right.

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Posted in Benelli Lift, Breast Asymmetry


Breast Augmentation / Breast Lift to address Breast Asymmetry

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This 28 year old patient had been considering breast enhancement surgery for over 4  years.  She was interested in increasing her breast size as well as improving her breast asymmetry.  Her left breast was lower than her right breast.

implants

mastopexy

After examination, it was determined that the patient would benefit from breast augmentation / lifting surgery.  She felt that she had found the best breast surgeon for her situation and proceed to book surgery with Dr. Pousti.

breast augmentation / mastopexy

Markings and measurements were performed prior to surgery. As you can see, the nipple to sternal notch measurement was 19 cm for the right breast and 21 cm for the left breast.  Dr. Pousti performed breast augmentation for the patient’s right side and breast augmentation with anchor breast lift for the patient’s left side.

breast asymmetry

african american breast procedure

BA

The patient is pleased with the early results of surgery and the significant improvement in her breast symmetry.

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Posted in Breast Asymmetry, Breast Lift with Implants


Breast Asymmetry

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This 39 year old patient from Chula Vista, California had been thinking of breast enhancement surgery since she was 20 years old!  She spoke with a few of her friends and they recommended Dr. Pousti as the best plastic surgeon – so she came in for evaluation.

breast augmentation mastopexy

Upon examination, it was determined that the patient needed breast lifting in addition to breast implants to achieve her goals.  She has breast asymmetry (the two breasts are different sizes and the right breast is lower than the left breast) and these concerns would also be addressed during her breast surgery.

breast augmentation

Measurements and markings are performed prior to surgery as a roadmap during the procedure.  All questions are answered and potential risks and complications are discussed with the patient.

breast asymmetry

As you can see, the right areola is 23 cm below the sternal notch – the left areola is 21.5cm therefor requiring more of a breast lift on the right breast versus the left breast.

breast lifting

The right breast also has more breast tissue and so a smaller breast implant is used.   375cc high profile silicone gel breast implant used on right side and 400cc on left.

mastopexy 3

BA mastopexyPatient is so pleased with the early results.  So happy with shape improvement as well as improvement in breast symmetry.

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Posted in Breast Asymmetry, Breast Lift with Implants


Breast Asymmetry Correction with Benelli Breast Lift

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This 25 year old patient had been interested in breast enhancement for several years.  She wanted to improve her breast size and breast asymmetry.  Her right breast was larger and lower than her left breast.  Her goals were to have a nice, natural, proportional outcome.

silicone implants

Dr. Pousti examined the patient and recommended silicone gel breast implants and an areolar breast lift.

breast augmentation

She was impressed by Dr. Pousti’s experience with breast surgery as well as the patient’s reviews online!

bilateral breast augmentation silicone mastopexy

The patient had 350cc High Profile Silicone Gel Breast Implants placed along with benelli breast lifting and is pleased with her early results.

breast augmentation mastopexy

mastopexy

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


Breast Asymmetry Correction with Breast Implants and Breast Lifting

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This 23 year old patient from Las Vegas, Nevada was referred to double board certified plastic surgeon, Dr.Pousti, from a friend of hers. Her friend was very happy with her results and knew that she would have a good experience with Dr.Pousti as well. This patient was unhappy with her “droopy, uneven, deflated” breasts.

breast augmentation

She scheduled a consultation with Dr.Pousti to discuss breast augmentation surgery, as well as, breast lift surgery.   The patient’s breast asymmetry was also a concern.

breast augmentation with a lift

It was decided that the patient would receive saline implants that would better achieve her goals along with  a stage 3 breast lift . The stage 3 breast lift is also called an “anchor” lift. This type of lift is for women who need a significant amount of breast lifting.

breast lift

Dr.Pousti performs “markings” and measurements on the patient the morning-of surgery to once again go over the patients goals and to answer any other questions or concerns they make be having going into surgery.  The measurements are then rechecked again in the operating room.

breast augmentation with a lift (2)

A tailor-tacking technique is used to determine how much breast skin can be removed safely when performing the breast lift along with breast implants. (see below)

saline breast implants

The anchor breast lift procedure involves a surgical incision in a ring around the breast’s areola, along with a straight incision going from the bottom of the areola to the middle of the breast crease and an extension of the incision to the left and right underneath the breast crease, allowing for maximum breast lifting.

breast lift (2)

breast implants

breast augmentation (2)

breast augmentation with a lift (3)

Above are some photos of the patient taken directly after surgery with amazing improvement in size, symmetry and shape of the breasts.

She received 325cc smooth round high profile saline implants produced by the Mentor company, as well as, a stage 3 “anchor” breast lift. She is doing well and healing without any complications. The patient will keep Dr.Pousti updated through email and phone calls once she returns home.

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


Breast Augmentation / Mastopexy

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This 25 year old patient from Vista, California has been considering breast augmentation surgery for a couple years. She began doing some research and heard many good things about Dr.Pousti and decided to schedule a consultation to discuss her options regarding breast augmentation surgery. She came into the office and met with Dr. Pousti and after being examined it was determined that she was a good candidate for breast implants as well as breast lift surgery.   Dr. Pousti believed a breast lift along with a breast augmentation would help achieve the patients’ goals.

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The patient does have breast asymmetry (one side is a little larger and lower than the other side) and so Dr. Pousti would do his best to improve the symmetry during the procedure.

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The patient agreed with Dr.Pousti that a breast lift along with a breast augmentation would help achieve the ultimate look she was going for and they decided to proceed to the operating room. Dr. Pousti performs markings on the patient the morning-of surgery and goes over any last minute questions, concerns, or goals that the patient may have before they proceed with surgery.

breast augmentation

breast lift

silicone implants

Above, the patients right breast has been lifted temporarily. A “sizer” has also been placed inside the breast as well. This method is used by Dr.Pousti so he may see first hand how the breast will look once it is completely sutured and closed up and that he is as close to the patients ultimate goal as possible.

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breast augmentation with a liftThis is the patient directly after surgery and she currently has silicone gel implants produced by the Sientra corporation. She has 415cc in her left breast and 440cc in her right breast and is healing nicely and without any complications.

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Posted in Breast Asymmetry, Breast Lift, Breast Lift with Implants, Silicone Gel Implants


Breast Revision Surgery to Correct Significant Breast Asymmetry

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This 23 year old patient from Australia had previously undergone breast augmentation surgery a few years ago. She was very unhappy with the results of her previous breast augmentation surgery and decided it was time to find a surgeon who could help her improve her results.  She was not happy with the size or shape of the breasts as well as the breast asymmetry she was experiencing and breast implant mal-position.

revisionary surgery

revisionary breast surgery

Dr. Pousti reviewed her case via email and phone conversations and determined that she is a good candidate for revisionary breast surgery.  Other than exchanging her previous implants for new implants Dr. Pousti recommended internal sutures or an internal bra. It is also referred to as capsulorrhaphy or pocket correction and it involves closing a portion of the breast pocket to correct displacement of the implant.

breast liftDr.Pousti performs markings on the patient the morning-of surgery and goes over any last minute questions or concerns that the patient may have. He also goes over the patients goals once more as well just to have that clear line of communication with the patient directly before they go into surgery. Below, you will see the “red markings” that indicate where the internal pocket work is performed to improve the position of the breast implants on the patients’ chest wall.

revisionary breast surgery (2)

implant exchange (3)

implant exchange (4)Above, Dr.Pousti has removed both of the patients previous implants. She will be going from 400cc silicone gel implants made by the Mentor corporation to 565cc silicone gel produced by the Sientra corporation.

internal bra

Above, you will see the before and immediately after surgery photos. Please look at the nipple/areola positioning on the breast mound.  When the implant is not positioned correctly, the nipple/areola points outward – once Dr. Pousti corrects the implant positioning, you can see how much improvement there is with centering the nipple/areola on the breast mound.

implant exchange

Above, the patient is 5 days post revisionary breast surgery.  She is doing well and healing very nicely without any complications. She will keep Dr.Pousti updated with photos via email and phone calls once she returns home.

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Posted in Breast Asymmetry, Breast Revision Surgery, Capsulorrhaphy (Internal Bra)


Breast Surgery to Address Breast Asymmetry

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This 29 year old patient from San Diego,California has been considering breast augmentation surgery for 10 years.  She was unhappy with her breast size as well as her breast asymmetry.

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Dr. Pousti discussed her breast asymmetry and the need for a benelli breast lift on her left side to help improve the symmetry.  The patient agreed and proceeded with surgery.

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She scheduled her consultation and was very happy with her conversation with Dr. Pousti that she scheduled her surgery date soon thereafter.

DSC08005This is the patient directly before and directly after receiving the implants. You can notice the difference in symmetry between the two pictures.

DSC08006Right side view of the patient directly before and after surgery.

DSC08007

Left side view of the patient directly before and after surgery. She has acquired silicone implants. She has 415cc in her right breast and 385cc in her left breast.  She is currently 4 days post breast augmentation surgery with a benelli lift and is doing well.

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Posted in Benelli Lift, Breast Asymmetry, Breast Procedures


Benelli Breast Lifting for Breast Asymmetry

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This 29 year old mom from Murrieta, California was interested in improving her breast asymmetry. She did a lot of research online before meeting with Dr. Pousti and scheduled her first consultation.

before and after (front view)

She met with Dr. Pousti multiple times before deciding to go forward with breast surgery. She was very impressed by Dr. Pousti’s knowledge about the subject that she scheduled her breast augmentation surgery date soon thereafter.

before and after (side view)

Below you can see the patient’s photos before and immediately after breast augmentation and benelli breast lift on the right side.

before and after surgery

This patient is currently 1 month and 2 weeks post breast asymmetry surgery.  She has 465cc in her left breast and 435cc in her right breast.

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Posted in Benelli Lift, Breast Asymmetry


Mommy Makeover

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This 32 year old female from Santee, California was status post 2 pregnancies and desired to have a mommy makeover performed in order to achieve more perky and lifted breasts as well as a tighter and flatter tummy. We understand having a child is one of the most fulfilling experiences a person can have, with new life and energy to any family. Some women, however, feel somewhat self conscious about their new body post-pregnancy. Because of that, this patient had been interested in the breast lifting and tummy tuck procedures for several years.before extended tummy tuck and breast lift

She was referred to Dr. Pousti, double board certified plastic surgeon, through a very satisfied previous patient. She came in for her consultation and the procedures along with their possible risks were discussed. Dr. Pousti recommended a stage 3 breast lift and extended tummy tuck (abdominoplasty) in order to achieve the patients goals.

side view before extended tummy tuck and breast lift

The markings were performed the evening prior to surgery and the measurements were confirmed the following morning.

markings for extended tummy tuck and breast lift

The left breast is temporarily lifted and Dr. Pousti begins the lift the right breast.

breast lift

Below shows the muscle diastasis (separation) present. Dr. Pousti brings the muscle together to tighten the abdomen.

abdominal muscle repair

The excess skin is removed in order to achieve the patients goals.

excess tissue removal for abdominoplasty

The patient is shown below immediately post surgery.

after extended tummy tuck and breast lift

The patient below with her pre operative markings —6 weeks after her procedure.

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Posted in Abdominoplasty, Body Contouring, Breast Asymmetry, Breast Lift, Breast Procedures, Lipectomy of excess skin, Liposuction, Mommy Makeover, Post-Weight Loss



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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