Pousti Plastic Surgery Logo

San Diego Cosmetic Plastic Surgery

(619) 466-8851Send us E-mailMore Information
San Diego / La Jolla / Temecula - (619) 466-8851

Categories:

XL Breast Augmentation Patients

XL Breast Implants and Tummy Tuck

Click here to see full details on this patient

This 48 year old patient from North Richland Hills, California desired to remove excess skin she had on her abdomen through a tummy tuck while achieving larger breasts through breast revision. Although she was happy with the shape of her breasts, she wanted the size to be much larger.Pre-Tummy Tuck and Breast Revision- adding more cc's to current implants

She was familiar with Dr. Pousti due to previous surgery she had performed by him that she was very happy with. She came in for a consultation and Dr. Pousti determined she would be a good candidate for the procedure she was interested in.

Side view before Tummy Tuck and Breast Revision- adding more cc's to current implants

The markings were performed and the measurements for the abdominoplasty surgery were performed.

Markings for Tummy Tuck and Breast Revision- adding more cc's to current implants

Before Tummy Tuck and Breast Revision- adding more cc's to current implants

The muscle is repaired by bringing together the abdominal wall with sutures.

Before muscle repair for Tummy Tuck and Breast Revision- adding more cc's to current implants

Below, the patient is shown immediately post muscle repair.

After muscle repair for Tummy Tuck and Breast Revision- adding more cc's to current implants

The excess skin is removed from the abdomen to help the patient achieve her goals.

Removal of excess skin for Tummy Tuck and Breast Revision- adding more cc's to current implants

Click here to see full details on this patient

Posted in Abdominoplasty, Body Contouring, Breast Procedures, Breast Revision Surgery, Overfilled Saline Breast Implants, XL Breast Augmentation


Revisionary Breast Surgery

Click here to see full details on this patient

This 38 year old patient from London flew in to have her breast revision surgery performed by double board certified Dr. Pousti.Before breast revision with internal bra

The patient was very unhappy with her breasts after multiple procedures performed by another surgeon. After researching online for the best plastic surgeon to handle her circumstance, she contacted Dr. Pousti. During her email consultation, Dr. Pousti told her that he would be able to improve her situation but that he can not promise “perfection”.  She understood and stated that she had realistic expectations.

Side view before breast revision with internal bra

She had her consultation the day prior to surgery and the markings were performed the following morning. Her current implants were removed and replaced with new saline breast implants. An internal bra was used to help give her implants more support.

breast revision with internal bra

Below, the patient is shown before and after breast revision surgery sitting up and laying down. She has bilateral 1340cc (right) overfilled saline breast implants.

After breast revision with internal bra

Laying down after breast revision with internal bra

Click here to see full details on this patient

Posted in Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Implant Exchange, Overfilled Saline Breast Implants, XL Breast Augmentation


Breast Procedures and Body Contouring

Click here to see full details on this patient

This patient from San Diego, California was interested in breast revision surgery in order to achieve better results due to her unhappiness with her results from another surgeon. She desired to correct the asymmetry in her breasts. 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. Different types of implants may be used, different volumes may be used to fill up the breast implants, or changes in the pocket dissection may be used to help achieve as much symmetry as possible.1. Before implant exchange and correction of breast pocket

She was originally referred to Dr. Pousti through internet research for a board certified plastic surgeon who could help her achieve her goals.

1. side view before  implant exchange and correction of breast pocket

The red lines represent where the patient desires to have more upper fullness.

1.  markings before implant exchange and correction of breast pocket

Her current implants are removed.

1. implant exchange for  implant exchange and correction of breast pocket

Dr. Pousti uses new saline breast implants to achieve the size and shape that the patient desired.

1.after  implant exchange and correction of breast pocket

9 months later, the patient decided that she desired to have a larger look.

2. Before adding cc's

She was already familiar with Dr. Pousti and impressed from her previous experience and decided to return to Pousti Plastic Surgery to help reach her goals.

2. side view before adding cc's

Her implants are removed and replaced to achieve 1420cc (right) and 1540cc (left) XL saline breast implants.

2. adding cc's

16 months post her XL breast augmentation surgery, the patient returned and desired to tighten her abdominal muscles through a tummy tuck. Since this is a specialty of Dr. Pousti’s, she again returned to him to help her achieve her goals.

3. before tummy tuck

Post-pregnancy issues are very common. 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 with symptoms including stretching or sagging of stomach muscles & skin, sagging or drooping breasts, breast deflation, weight gain in mid-section, thighs, & stomach, excessive fat deposits, and/or C section pouch.

3. side view before  tummy tuck

Dr. Pousti performs the markings for the surgery and discusses the procedure with the patient.

3. markings for  tummy tuck

Below, the abdominal muscle is repaired so that the core of the patient will tighten.

3.  tummy tuck

Her excess skin is removed in order to help her achieve her goals.

3. removal of excess skin for  tummy tuck a

6 months after her tummy tuck procedure, the patient desired to downsize her breasts. Dr. Pousti punctured each breast implant in 2 locations ad allowed the sterile water  of the implants to be absorbed by the body. The patient returned 4 months post that procedure and was ready to have her implants removed. Dr. Pousti recommended a breast lift and revision of her tummy tuck scar. The patient proceeded with surgery.

4. before breast lift, revision of tummy tuck scar, and lipo of abdomen

Again, the patient felt confident is choosing Dr. Pousti to help her achieve her goals.

4. side view before breast lift, revision of tummy tuck scar, and lipo of abdomen

The markings were performed the morning of surgery.

4. markings for breast lift, revision of tummy tuck scar, and lipo of abdomen

The breast is temporarily closed and a drain is put in place to prevent excess fluid buildup.

4. sizer for breast lift, revision of tummy tuck scar, and lipo of abdomen

Click here to see full details on this patient

Posted in 2 Stage Procedure, Abdominoplasty, Body Contouring, Breast Asymmetry, Breast Lift, Breast Procedures, Breast Revision Surgery, Implant Exchange, Implant Removal, Liposuction, Overfilled Saline Breast Implants, XL Breast Augmentation, implant deflation


XL Breast Implants with Overfilled Saline Implants

Click here to see full details on this patient

This 29 year old female from San Diego, California was interested in enlarging her breasts to achieve more fullness, cleavage, and roundness. She desired breast revision surgery in order to help her achieve her goals. She had previously had surgery performed by another surgeon and was very unhappy with her outcome. She was seen by Dr. Pousti previously with goals of having overfilled XL saline breast implants. Due to the size she desired, Dr. Pousti was not able to complete it in one stage.before 2nd stage breast enlargement
She was familiar with the incredible quality of work performed by double board certified Dr. Pousti due to her previous surgery and knew coming back to him for an enlargement would help her achieve her goals.

side view before 2nd stage breast enlargement

The morning of surgery, Dr. Pousti examines the patient one more time and measures things out to prepare for the surgery.  Markings are made and gone over with the patient in detail.

2nd stage breast enlargement

Below, she is immediately post surgery and has bilateral 2330cc XL saline overfilled breast implants.

after 2nd stage breast enlargement

side view after 2nd stage breast enlargement

Click here to see full details on this patient

Posted in 2 Stage Procedure, Breast Procedures, Overfilled Saline Breast Implants, XL Breast Augmentation


Breast Revision With Use of AlloDerm for Rippling

Click here to see full details on this patient

This 28 year old patient from Oceanside, California, desired to correct the rippling she was experiencing caused from her saline breast implants from a previous surgery (performed by another surgeon). She desired larger and more full breasts. Her goal was to achieve more roundness.before saline overfilled breast enhancement with use of allograft

She was referred to Dr. Pousti through two good friends of hers who were satisfied patients. While doing her own research, she decided to schedule a consultation due to Dr. Pousti’s double board certification and skill in breast revision surgery.

side view before saline overfilled breast enhancement with use of allograft

The markings for the surgery were performed prior to the procedure. The red lines represent where the rippling is present, and therefore where Dr. Pousti recommends the use of Acellular Dermal Matrix.

markings for saline overfilled breast enhancement with use of allograft

Her current implants are removed and a sizer is used to help Dr. Pousti determine the best size implant to help the patient achieve her goals.

sizer for saline overfilled breast enhancement with use of allograft

AlloDerm, also known as ADM or is an acellular dermal matrix, derived from donated human skin tissue. Since AlloDerm is regarded as minimally processed and not significantly changed in structure from the natural material, the FDA has classified it as banked human tissue. AlloDerm is made from donated human skin. It is handled in much the same way as other transplantable organs. The tissue is processed to remove cells that might cause your body to reject the foreign tissue or react negatively to it. What’s left is the collagen structure (fiber-like proteins) and other proteins naturally found in skin. This structure acts as a frame for your tissue to grow into and around.

acellular dermal matrix for saline overfilled breast enhancement with use of allograft

For this patient, the AlloDerm will help prevent the rippling that was occurring in her breasts by adding another layer between her skin and the implants.

saline overfilled breast enhancement with use of allograft

The patient has 1200cc (right) and 1150cc (left) XL saline overfilled breast implants.

after saline overfilled breast enhancement with use of allograft

side view after saline overfilled breast enhancement with use of allograft

Click here to see full details on this patient

Posted in AlloDerm, Breast Procedures, Breast Revision Surgery, Implant Exchange, Overfilled Saline Breast Implants, XL Breast Augmentation


Revision Breast Surgery with Overfilled Saline Breast Implants

Click here to see full details on this patient

This 29 year old patient from North Field, Massachusetts flew in to have her breast revision procedure performed by double board certified plastic surgeon, Dr. Pousti. She was very unhappy with her breasts after previous breast augmentation performed by another surgeon and came to Dr. Pousti to have her breast corrected.

before XL breast augmentation

While researching on the web, she came across Dr. Pousti’s website and found the XL breast augmentation very interesting. She felt confident in Dr. Pousti because of his skill and experience in this procedure.

Side view before XL breast augmentation

Her current implants were removed so her breasts could be replaced with larger saline implants.

XL breast augmentation

Below, the patient is shown immediately post surgery and has bilateral 1200cc saline overfilled breast implants.

after XL breast augmentation

side view after XL breast augmentation

Click here to see full details on this patient

Posted in Breast Procedures, Breast Revision Surgery, Overfilled Saline Breast Implants, XL Breast Augmentation


2nd Stage Breast Enlargement

Click here to see full details on this patient

This 46 year old patient from Temecula, California was interested in enlarging her breasts. She had breast augmentation performed by Dr. Pousti previously, but due to her desire of large breasts, her enlargement had to be performed in 2 stages.before 2nd stage breast augmentation

She originally found Dr. Pousti while researching on the internet for board certified plastic surgeons and found outstanding reviews that led her to pousti plastic surgery. She knew that Dr. Pousti would be the best plastic surgeon for her and was even more confident in his ability after her first procedure.

side view before 2nd stage breast augmentation

The patient is shown immediately post surgery and has 950cc (left) and 1000cc (right) XL saline overfilled breast implants. She is very happy.

after 2nd stage breast augmentation

Patient Testimonial:

Pre-Surgery:

Well, let me start with saying I just got revisionary surgery on February 6, 2014. My previous surgery was done exactly a year ago. After being small my entire life, I finally decided to lose the weight I had gained over the years and feel better about myself I decided to get my original surgery last year. My breast were not even, needed a breast lift after 2 kids, and wanted a natural look so I decided to go with silicone 523 right breast and 492 left. I also had a lollipop breast lift too. After 1 year of having them, and losing additional 20 lbs and working out with personal trainer and gym my body changed and I wasn’t happy with my look so I decided that I wanted to go bigger, rounder, and bigger on top. This time I decided to go with saline with moderate plus to achieve my look. It has been 2 days and I feel good. Up and about already. A lot easier than last time. I don’t know what they look like but I can’t wait. I am extremely bloated. Up 6lbs since surgery but I know it is just water.. I will post all my photos before 1st augmentation and my second soon. I love my doctor and his work and would highly recommend him. I trusted his judgment on size and I am sure I will love the outcome. Will be going for follow-up this Monday. Haven’t taken any pain meds yet today and I feel good at the moment.

After First Visit:

I just got back from Doctor. Healing nicely. Didn’t get to see them completely out because he wants me to leave them in bra a few more days for healing. Saw my after pictures after surgery and I absolutely love them. Just what I wanted. Nice and full and round with a lot of cleavage.

Click here to see full details on this patient

Posted in 2 Stage Procedure, Breast Procedures, Overfilled Saline Breast Implants, XL Breast Augmentation


XL Breast Implants with Internal Bra

Click here to see full details on this patient

This 49 year old patient from Missouri flew in to have breast revision surgery performed by Dr. Pousti.before saline overfilled implant exchange with capsulorrhaphy

The patient found Dr. Pousti while researching for board certified plastic surgeons who specialized in breast revision surgery. After multiple emails and communication with Dr. Pousti, the patient decided to schedule surgery. She flew out to San Diego for her procedure. She got a chance to meet Dr. Pousti at her pre-op visit. The following morning, the markings were performed and the surgery was completed.

side view before saline overfilled implant exchange with capsulorrhaphy

Below, the patients previous implants were removed so that they could be replaced with new XL implants. The patient also received an internal bra (capsulorrhaphy) to maintain support for her implants. The capsulorrhaphy procedure, also known as pocket correction or use of internal sutures/bra, involves closing a portion of the breast pocket to correct possible displacement of the implants.

implant removal for saline overfilled implant exchange with capsulorrhaphy

Below, the patient is immediately post surgery and has 1530 (right) and 1430 (left) XL saline overfilled implants. The difference in implant size will help the patient achieve better symmetry.

after saline overfilled implant exchange with capsulorrhaphy

side view after saline overfilled implant exchange with capsulorrhaphy

Click here to see full details on this patient

Posted in Breast Procedures, Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Implant Exchange, Overfilled Saline Breast Implants, XL Breast Augmentation


2 Stage Procedure: Breast Lifting and Breast Augmentation

Click here to see full details on this patient

This 50 year old patient from Missouri flew in to have revisionary breast surgery performed by Dr. Pousti. She was unhappy with her breasts from a prior surgery (performed by another surgeon). She desired her breasts to be more “lifted” and have more fullness and cleavage.  She wanted larger implants.Before breast implant removal with breast lift

She found Dr. Pousti while researching online for the best plastic surgeon who was board certified and specialized in breast augmentation revision surgery. She communicated with Dr. Pousti via email and photographs since she was out of state. Dr. Pousti recommended that to meet the patient’s goals (XL look), a 2-stage procedure would be the best option for this patient because revision Breast augmentation/mastopexy surgery performed together carries increased chances of complications and need for further surgery. First stage of her procedure would be a breast lift (sometimes implants are removed, other times they are left alone) – 3-6 months after the first surgery, the patient would return for the breast augmentation portion of the surgery.  After this was discussed with the patient in detail, the patient decided that she would proceed with surgery.

side view before breast implant removal with breast lift

Her consultation and pre-op visit were performed on the same day. The markings were completed the following morning and the details of the surgery were reviewed for the last time before going into the operating room.

markings for breast implant removal with breast lift

The ‘X’s” represent where the desired position of the areola will be after the breast lifting.

breast implant removal with breast lift

Below, the patient is immediately post surgery. Her breast implants were removed and the breast lift was performed. She will return for her second stage procedure after she has healed.

after breast implant removal with breast lift

side view after breast implant removal with breast lift

6 Months post-breast lift, the patient returned for her 2nd stage breast procedure. She was already confident in choosing Dr. Pousti as her surgeon due to her previous experience and results. She again communicated with Dr. Pousti through e-mails and followup and he determined she was ready for breast augmentation surgery. Her 2nd consultation and pre-operative visit were performed the afternoon prior to surgery and the following morning, the procedure was discussed for a final time.

Before 2nd stage breast augmentation- XL Saline

Side view before 2nd stage breast augmentation- XL Saline

She is has bilateral 1020cc XL saline overfilled breast implants and is very happy with her results.

after 2nd stage breast augmentation- XL Saline

right view after 2nd stage breast augmentation- XL Saline

left view after  2nd stage breast augmentation- XL Saline

Click here to see full details on this patient

Posted in 2 Stage Procedure, Breast Augmentation, Breast Lift, Breast Lift with Implants, Breast Procedures, Breast Revision Surgery, Implant Removal, Overfilled Saline Breast Implants, XL Breast Augmentation


Extra Large Breast Enhancement with Internal Sutures

Click here to see full details on this patient

This 31 year old patient from Las Vegas, Nevada, flew in to have breast revision surgery performed by Dr. Pousti.  She was not pleased with her breast asymmetry and breast implant placement.before saline overfilled with capasulorrhaphy

While researching for a board certified plastic surgeon who specializes in breast revision, she found Dr. Pousti. The patient contacted Dr. Pousti via e-mail and decided to fly in to have her procedure performed by him. Dr. Pousti and the patient agreed that an internal bra (capsulorrhaphy) would be used to give the breast implants support.

side view before Saline overfilled with capasulorrhaphy

The pre-op was performed the day before surgery and markings were completed the following morning. The arrows represent where the patient desired more fullness.

Saline overfilled with capasulorrhaphy

The patient has bilateral 1630cc extra large saline overfilled breast implants placed as well as internal capsule work for better placement.

after Saline overfilled with capasulorrhaphy

Bolster Dressing is placed under the breasts to give support to the areas where the internal repair was performed.  This dressing is kept in place for the first month or so.

Click here to see full details on this patient

Posted in Breast Procedures, Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Overfilled Saline Breast Implants, XL Breast Augmentation



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


Site Map
Copyright (c) 1998-2014 Pousti Plastic Surgery Center