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Breast Asymmetry Patients

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.

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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


Correction of Breast Asymmetry

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This 39 year old female from San Diego, California presented with significant breast asymmetry. Breast asymmetry is a condition where one breast is noticeably larger than the other. Patients may start with different sized breasts before surgery (most patients are not perfectly symmetrical). Some cases of breast asymmetry are more severe than others, but there are several surgical options to promote better symmetry.before unilateral breast reduction and bilateral breast lift

The patient was originally interested in a breast augmentation / breast lift and while doing research, was referred to Dr. Pousti through a happy previous patient. At her consultation, Dr. Pousti highly recommended a 2-stage procedure. While breast augmentation or mastopexy surgery performed separately have less potential risk and complications, breast augmentation/mastopexy surgery performed together carry a higher chance of complications and need for further surgery. For example, there is an increased risk of infection, implant exposure, breast asymmetry, loss of nipple-areola sensation, inability to breast feed, mal-positioning of the nipple-areola complex, mal-position of the implants, wound healing problems, tissue necrosis, loss of blood supply to the nipple-areola complexes. Any of these complications may require further surgery, therefore, increasing the likelihood of revisionary surgery. Dr. Pousti’s first priority was safety for the patient and she agreed.

side view unilateral breast reduction and bilateral breast lift

The markings were performed for her procedure. After much discussion, the patient proceeded with unilateral breast reduction (on her left breast) and a bilateral stage 3 breast lift.

markings for unilateral breast reduction and bilateral breast lift

Below, the right breast is temporarily complete and Dr. Pousti along with his staff begin work on the left breast.

unilateral breast reduction and bilateral breast lift

The patient is shown immediately post-surgery. 124 grams of tissue was removed from her right breast and 495 grams of tissue was removed from her left breast.

after unilateral breast reduction and bilateral breast lift

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Posted in Breast Asymmetry, Breast Procedures, Breast Reduction


Breast Reduction

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This 22 year old mother from Victorville, California had been interested in a breast reduction for years. She never thought she would be eligible for the procedure, but after years of the pain and inconvenience she was having, she decided to visit double board certified plastic surgeon, Dr. Tom Pousti, to get his expert opinion on how to alleviate her problem. At her consultation, it turned out that she did qualify for breast reduction surgery. before breast reduction and lift
She was given the opportunity to have all her questions answered. She looked through photos of Dr. Pousti’s work and the planned procedure, risks, and complications were discussed. Within a few weeks, she was ready to proceed with surgery.

side view before breast reduction and lift

One of her main goals was to achieve a look that was proportional to her body frame. She wanted to make sure she achieved breasts that fit her personality and body. The goals and outcome of the procedure were discussed on multiple occasions with Dr. Pousti and the patient.

The markings and measurements are performed. The right breast is lifted and Dr. Pousti and team begins the work on the left breast.

breast reduction and lift

The patient is shown below immediately post surgery. 816 grams of tissue was removed all together.

after breast reduction and lift

side view after breast reduction and lift

Testimonial:

Ever since I first heard about Breast reductions, it been something I wanted. I have had large breasts since junior high. My size before my reduction was a 34 DDD…way too big for my frame. I’ve dealt with intense neck, shoulder & back pain for over 5 years. Emotional pain, from being treated like an object, feeling ashamed of my body, I hated the attention my large breasts attracted. I decided to check what my options were about 5 months ago. I called my insurance & asked about three policy on covering a breast reduction. I was told to find a doctor within our network & after some research, I found Dr. Pousti in San Diego. I went in for my consultation & we filled out my application for the insurance to cover the breast reduction. 2 weeks later I received the best phone call of my life, I was fully approved!

Dr. Pousti is a wonderful doctor. He was empathetic & kind when speaking with me & he made sure that I was comfortable & confident with my decision. I would highly recommend him to any woman who is considering a breast reduction.

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Posted in Breast Asymmetry, Breast Lift, Breast Procedures, Breast Reduction, Excision of Bilateral Excess Breast Tissue


Breast Asymmetry

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This 44 year old female from San Diego, California currently has implants from a surgery performed by another surgeon 6 years ago. She is currently unhappy with the size of her areola and the asymmetry present in her breasts. She presented with bilateral breast hypoplasia/ptosis and left implant displacement (inferior and lateral). She desired breast revision surgery. She was referred to Dr. Pousti by a friend and satisfied previous patient who was very happy with the work he had performed. before remove and replace of implants with internal bra, areola reduction, and unilateral breast lift

Dr. Pousti, a double board certified plastic surgeon, met with this patient and discussed the procedure that would best help her achieve her goals along with the possible risks involved. The patient proceeded with surgery. The markings were performed on the morning of the procedure and the patient and Dr. Pousti get a chance to go over the surgery one last time.

side view before remove and replace of implants with internal bra, areola reduction, and unilateral breast lift

After all questions were answered, the patient was taken to the operating room. The patients current implants were removed. Capsulorrhaphy (internal bra) was performed to close off the breast pocket and reduce implant displacement. A stage 1 breast lift was performed on the right breast and a stage 3 breast lift was performed on the left breast. New cohesive gel breast implants were used to help the patient achieve the fullness she desired. The incision lines are closed and the patient is taken to recovery.

remove and replace of implants with internal bra, areola reduction, and unilateral breast lift

The patient is shown below 2 months post surgery. She has 495cc (left) and 595cc (right) high profile Sientra silicone gel breast implants.

after remove and replace of implants with internal bra, areola reduction, and unilateral breast lift

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Posted in Areola Reduction, Benelli Lift, Breast Asymmetry, Breast Lift, Breast Pocket Correction, Breast Procedures, Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Limited Lift (Benelli Lift)


Breast Implant Removal and Breast Lifting Surgery

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This 42 year old patient flew in from Cedar Springs, Michigan after extensive research for a board certified plastic surgeon who could help her with breast revision surgery to achieve her goals of more rounded and fuller breasts. She is 7 years post breast augmentation surgery performed by another surgeon but was unhappy with the shape of her current breasts. She performed online research and came across Pousti Plastic Surgery and was very impressed with all the breast revision expertise of Dr. Pousti.Before breast implant removal and amstopexy

She began an online consultation. Dr. Pousti recommended the removal of her current breast implants and also the reduction / lifting of her native breast tissue for better nipple/areola placement and to help achieve more perkiness. After the breast lifting incisions heal, a 2nd stage augmentation would be able to be performed. By performing a 2 stage procedure, the patient will more likely reach her goals.  She decided after speaking with Dr. Pousti that she wanted to proceed with this surgery.

side view before breast implant removal and amstopexy

The markings and measurements for the procedure were performed the morning of the surgery. Dr. Pousti and the patient discuss the planned procedure, risks, and possible complications one final time before proceeding.

markings for breast implant removal and amstopexy

The left breast is temporarily lifted and the work on the right breast begins. Dr. Pousti will do his best to achieve as much breast symmetry as possible.

breast implant removal and amstopexy

The patient is shown below immediately post surgery. Both implants were removed along with 1060grams of native breast tissue. The patient will return in 6-12 months in order to have her breasts augmented.

after breast implant removal and amstopexy

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Posted in Breast Asymmetry, Breast Lift, Breast Procedures, Breast Reduction, Breast Revision Surgery, Implant Removal



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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