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San Diego Cosmetic Plastic Surgery

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Breast Asymmetry Patients

Pectus Excavatum

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This 34 year old had been thinking about breast augmentation surgery to improve her breast size, breast asymmetry and also to camouflage her pectus excavatum.  She searched for the most experienced plastic surgeon to help her achieve her goals and found Dr. Pousti.

silicone implants

pectus excavatum

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.

augmentation

Markings and measurements are performed prior to surgery.  Dr. Pousti has indicated where the patient wants “fullness” (upper pole) and the “red x’s” indicate the area of chest wall depression.

breast augmentation

ba

Immediately after breast implant placement to camouflage pectus excavatum with high profile silicone gel breast implants –
300cc Left..350cc on the right

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Posted in Breast Asymmetry, Pectus Excavatum


Breast Augmentation for Breast Asymmetry

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This 31 year old from New York had been thinking about breast enhancement surgery for several years.

silicone gel implants

After examination and discussion of goals, it was determined that in addition to breast implants, a benelli breast lift would be necessary on the right breast to improve breast symmetry.

right side lift

breast surgery

Markings and measurements are performed prior to surgery.  The “smiley face” indicates the breast that is larger and lower.  Dr. Pousti will do his best to improve the breast asymmetry during surgery.

right sided mastopexy

breast procedure

Immediately after breast augmentation, benelli breast lift on right side and mentor 350cc implant on the right and 375cc implant on the left.

 

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Posted in Breast Asymmetry, Breast Augmentation, Breast Lift


Constricted Breast Correction with Benelli Breast Lift

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This 21 year old patient from Fontana California had been interested in breast surgery for many years. She wanted to increase her breast size but also wanted to improve the shape of her breasts (more round).  After extensive research trying to find the best plastic surgeon to help her with her breast surgery, she found Dr. Pousti

tuberous breasts

After examination and discussion of goals, Dr. Pousti determined that the patient would benefit from not only placement of breast implants but also an areolar breast lift to address the “breast constriction” and improve breast shape and position.  She also has some breast asymmetry that could be addressed during the surgery.

constricted breasts

Markings and measurements were performed  prior to surgery and the procedure was discussed in detail again with the patient.

breast procedure

mastopexy

Above shows the incision around the right areola and the skin that was removed for better symmetry.

breast surgery

correction of bilateral constricted breast

constricted breast

Immediately after breast surgery to address constricted breasts:
Mentor smooth round ultra high profile silicone gel breast implants – 400cc left side, 375cc right side.

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Posted in Benelli Lift, Breast Asymmetry, Limited Lift (Benelli Lift), Tuberous Breast Deformity


Breast Asymmetry

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This 22 year old from San Diego California had been interested in breast augmentation surgery for many years. She was interested in enhancing her breast size as well as addressing her breast asymmetry.

silicone gel implants

She met with Dr. Pousti and breast lifting as well as breast augmentation was discussed.  Her right breast is larger and lower than her left breast and so this would have to be taken into account during the surgery.

breast lift

breast surgery

Markings and measurements are performed prior to surgery and the procedure is discussed in detail once again.

 

breast procedure

breast augemntation mastopexy

lift

Immediately after Breast Augmentation with Mentor ultra high profile, silicone gel breast implants – 650cc on the left and 590cc on the right.  More breast lifting was performed on the right breast as well to achieve more symmetry between the 2 breasts.

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Posted in Breast Asymmetry


Breast Reduction with Auto Augmentation

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This 50 year old nurse from Riverside County had been interested in breast reduction surgery for over 3 years. Her sister was a patient of Dr. Pousti and referred her to our office.  She was having neck, back and shoulder pain due to the size of her breasts. The patient wanted to reduce her breast size and address her breast asymmetry.

breast reduction (3)

After meeting Dr. Pousti and discussing her concerns and goals, she felt very confident in his expertise regarding breast reduction surgery and proceeded to have surgery.

breast reduction (4)

Markings and measurements are performed prior to surgery and breast reduction / mastopexy surgery were discussed in detail with the patient.

breast reduction

breast reduction (2)

reduction

breast procedure

breast surgery

Above photos show the patient immediately after breast reduction surgery -Tissue removed from right side 220g – tissue removed from the left side 448g.

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Posted in Auto Augmentation, Breast Asymmetry, Breast Reduction


Breast Implants for Breast Asymmetry and Breast Constriction

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This 33 year old female from San Diego California, had been thinking about having breast implant surgery for about 1 year. She was not happy with her breast size, shape or breast asymmetry.  She wanted “more perky” breasts that have “more fullness” on top.

bilateral breast augmentation mastopexy

After performing her research online, she determined that she had mild breast constriction that also needed to be addressed.  After finding Dr. Pousti and seeing his experience with breast surgery (specifically with constricted breasts as well as breast asymmetry) she decided that he would be the best plastic surgeon to perform her breast augmentation procedure.

breast lift with implants

After in person evaluation, it was determined that the patient would benefit from a benelli breast lift as well as breast implants to address the breast asymmetry.

breast enhancement

constricted breast

silicone gel implants

Above photos show immediately before and after breast augmentation / benelli breast lift with ultra high profile silicone gel breast implants – 590cc on both sides.

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


Breast Reduction / Breast Asymmetry

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This 29 year old patient had been having issues with neck, back and shoulder pain for many years and was finally ready to find an experienced plastic surgeon to perform her breast reduction surgery.  She had breast asymmetry – her right breast was much larger then the left breast and so she wanted both breasts reduced in size and lifted to be more symmetrical and more perky.

breast reduction

After meeting with Dr. Pousti, she felt very confident in his expertise in the breast reduction surgery and decided to proceed with the operation.

breast asymmetry

Markings and measurement were performed prior to surgery.  As you can see (below), the patient’s right nipple – areola complex is much lower than the patient’s left nipple – areola complex and that would have to be taken into consideration during the surgery.

bilateral breast reduction

Realistic expectations were discussed with the patient and her goals reviewed one more time.

breast lifting

The patient was taken into the operating room and the measurements were checked again prior to Dr. Pousti making an incision.

reducing breast size

Above, you can see the left breast has been reduced compared to the right breast which has not.

breast reduction

Immediately after breast reduction surgery with 996 grams of breast tissue removed from the patients’ right breast and 306 grams of breast tissue removed from the patients’ left breast for improved breast symmetry.

neck back and shoulder pain

breast surgery

 

 

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Posted in Breast Asymmetry, Breast Reduction


Extra Large Augmentation with Internal Bra

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This 38 year old patient from Hawaii previously had breast augmentation surgery many years ago.  Currently, she was experiencing breast implant displacement (bottoming out and falling off to the side). Although she lives in Hawaii, she was searching online for the best plastic surgeon with experience in revision breast surgery and was willing to fly in for surgery.

 

internal bra

She also wanted to increase her breast implant size to the XL size.  She saw Dr. Pousti’s experience with larger breast implants as well as the internal bra procedure and so she was confident that he was the surgeon for her.

bottoming out

The patient was looking for larger, overfilled saline breast implants with more fullness on the top of her breasts

XL breast implants

After further discussion of the patients goals as well as potential risks and complications of this procedure, the patient proceeded to the operating room for her breast augmentation revision surgery.

breast implant removal

Above photo shows the patient in the operating room immediately after her breast implants were removed and below are the 800cc silicone gel breast implants that were removed.silicone gel breast implants

Below shows the patient in the operating room with temporary sizers in place for evaluation of size and shape

saline overfilled breast implants

Once the appropriate amount is placed in the temporary sizer to achieve the patients goals, the sizers are removed and the appropriate breast implants are placed

 

breast augmentation revision surgery

revisionary breast surgery

extra large breast implants

The patient (shown above) on the operating room table immediately before and after her breast augmentation revision surgery with capsulorrhaphy.

 

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Posted in Breast Asymmetry, Capsulorrhaphy (Internal Bra), Overfilled Saline Breast Implants, XL Breast Augmentation


Breast augmentation with Areola Reduction

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This 26 year old patient (in the medical field) had been interested in breast enhancement surgery for many years.  She was not happy with the size and shape of her breasts and she wanted her areola reduced in size as well.

breast asymmetry

After online research, she found that Dr. Pousti had extensive experience with breast surgery.  After speaking with some friends, she found out that they had also had surgery with Dr. Pousti so she came into the office for evaluation. Breast augmentation / mastopexy surgery was discussed.

breast surgery

After discussion of goals and measurements, it was determined that the patient would benefit from breast implants as well as benelli breast lift (that would also reduce the size of the areola at the same time).  The patient was pleased with this plan and proceeded to book her surgery.

breasr augemntation

Above, you will see a “smiley face” indicating some breast asymmetry (left side larger than right).

bilateral breast augmentation mastopexy silicone gel implants

lift with implants

The patient immediately after breast augmentation with Mentor, smooth, round, high profile breast implants – 425cc on right side and 400cc on left.

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


Breast surgery for more symmetrical / more perky breasts

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39 year old patient from North County San Diego had been interested in improving the size and shape of her breasts for many years.  She wanted her breasts “lifted” and also wanted to improve the breast asymmetry.

bilateral breast augmentation mastopexyAfter meeting with Dr. Pousti and discussing her goals, it was determined that breast implants will be needed as well as breast lifting surgery (anchor breast lift).  The patient felt confident in her choice of plastic surgeons and decided to proceed with surgery.

mastopexy

Markings and measurements are performed prior to surgery.

mastopexy with implants

The right breast is lifted and temporarily stapled to assess the size and patient goals.  Compare the right breast with the left (hasn’t been surgically lifted) and you will see a significant difference.

silicone gel implants

bilateral mastopexy

lift

lift with implants

Immediately after breast augmentation (high profile 375cc silicone gel breast implants) and anchor mastopexy

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Posted in Breast Asymmetry, Breast Lift with Implants



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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