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Benelli Lift Patients

Revision Breast Surgery with Removal of Scar Tissue and Internal Bra

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This 48 year old female and mother of three from Oregon flew in to have breast revision surgery performed by Dr. Tom Pousti. His skill in revisionary surgery and double board certification was very impressive and the patient desired to correct the issues she was having. She was post 2 breast procedures performed by other surgeons. Her goal was to correct her breast asymmetry and achieve more fullness and cleavage in the process.before implant exchange with removal of scar tissue and capsulorrhaphy

The patient was experiencing the buildup of scar tissue, also known as capsular contracture, in her left breast and significant breast asymmetry. After breast augmentation surgery excessive scar tissue may form around the breast implant which causes the breast implants to harden (similar to what a contracted muscle feels like). The cause of capsular contracture is unknown, but it is the most common complication with breast augmentation surgery. There are different grades of capsular contracture ranging from mild to severe. The rate of capsular contracture has decreased from 20-30 years ago when all breast implants were placed above the muscle (sub-glandular). By placing the breast implants below the muscle (sub-muscular), the rate of capsular contracture has significantly decreased.

side view before implant exchange with removal of scar tissue and capsulorrhaphy

She came across Pousti Plastic Surgery while doing online research for a surgeon who could help her achieve her goals. She began an online consultation with Dr. Pousti and decided to arrive in San Diego to have her surgery performed. At her in office consultation, Dr. Pousti recommended a breast implant exchange with the use of an internal bra (capsulorrhaphy). The capsulorrhaphy procedure, also known as pocket correction or use of internal sutures/bra, involves closing a portion of the breast pocket to correct displacement of the implant.

scar tissue removed from implant exchange with removal of scar tissue and capsulorrhaphy

Dr. Pousti also performs a stage one or anchor breast lift. This will help remove some excess skin and move the areola higher on the breasts.

implant exchange with removal of scar tissue and capsulorrhaphy

The patient is shown below immediately post surgery and has bilateral 840cc Saline breast implants.

after implant exchange with removal of scar tissue and capsulorrhaphy

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Posted in Benelli Lift, Breast Pocket Correction, Breast Procedures, Breast Revision Surgery, Capsular Contracture, Capsulorrhaphy (Internal Bra), Limited Lift (Benelli Lift)


Breast Revision Surgery to Improve Implant Displacement

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This 51 year old female from San Jacinto, California was status post-breast augmentation surgery by another surgeon and not as pleased with her results as she desired. Her breasts sat lower on her chest wall than she desired and she began to do research for a board certified plastic surgeon who would be able to help her achieve her goals of more full and perky breasts through revisionary breast surgery.before implant exchange with a stage 1 breast lift and internal bra

She was referred to Dr. Pousti by friends of hers and found his website along with youtube to be very helpful during her research. She reached out to schedule a consultation and was so impressed with the work that Dr. Pousti had performed, that she scheduled surgery shortly after.

side view before implant exchange with a stage 1 breast lift and internal bra

Dr. Pousti recommended exchanging her current implants and replacing them with saline implants. He also recommended a stage 1 breast lift to help move the areola up higher on the chest wall. In order to support the implant, Dr. Pousti would perform capsulorrhaphy. This too would help the implants to have more support and stay higher on the chest wall. The capsulorrhaphy procedure, also known as pocket correction or use of internal sutures/bra, involves closing a portion of the breast pocket to correct displacement of the implant.

markings for implant exchange with a stage 1 breast lift and internal bra

Markings were performed on the morning of surgery and Dr. Pousti discussed the procedure again with the patient to ensure all questions were answered.

implant exchange with a stage 1 breast lift and internal bra

The red lines represent where the breast pocket will be closed off in order to perform the internal bra.

beforeimplant exchange with a stage 1 breast lift and capsulorrhaphy

The implants are removed and the incision is made around the areola to perform the benelli lift.

during implant exchange with a stage 1 breast lift and internal bra

A sizer is used to help Dr. Pousti determine which exact implant he will use in order to achieve the goals of the patient.

implant exchange with a stage 1 breast lift and internal bra before

The patient is shown below immediately post surgery and has bilateral 780cc Moderate Plus Profile Saline Breast Implants.

after implant exchange with a stage 1 breast lift and internal bra

Testimonial:

Many girls told me he was the best. Have gone to many topless pools from here to Las Vegas. He was not pushy …. Very nice. I wanted a left without a scare and he was the only doctor that I have meet that can build an internal bra. Girls come from all over the world to Dr Pousti. He’s my dream doctor!!!!

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Posted in Benelli Lift, Breast Lift, Breast Procedures, Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Implant Exchange, Limited Lift (Benelli Lift)


Mommy Makeover with Use of AlloDerm

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This 35 year old patient from Canyon Lake, California, desired breast revision surgery and an abdominoplasty to achieve better proportions and feel more comfortable in her skin. She was referred to Dr. Pousti through a good friend of hers who is also a very satisfied previous patient. At her consultation, the patient received the opportunity to meet with Dr. Pousti, discuss the procedures of interest, and see hundreds of before and after photos from the double board certified surgeon.

before benelli lift and implant exchange with use of alloderm and abdominoplasty

She was post previous breast augmentation and presented with implant encapsulation, breast asymmetry, and a desire to improve breast size, shape, symmetry, and feel. Dr. Pousti recommended a stage 1 (Benelli) breast lift in order to raise the position of the areola and achieve a better outcome. After 3 pregnancies, the patient presented with excess skin and adipose tissue of abdominal wall associated with abdominal wall laxity.
side view before benelli lift and implant exchange with use of alloderm and abdominoplasty
The markings for the procedure are completed the evening prior to surgery and the measurements are double checked the following morning. The patient is able to express any last minute questions and the procedure is discussed between the patient and the doctor one last time.
markings for benelli lift and implant exchange with use of alloderm and abdominoplasty
The patient was experiencing capsular contracture which is excessive scar tissue buildup around the breast implant post surgery. The cause of capsular contracture is unknown, but it is the most common complication with breast augmentation surgery. There are different grades of capsular contracture ranging from mild to severe.
benelli lift and implant exchange with use of alloderm and abdominoplasty
The rate of capsular contracture has decreased from 20-30 years ago when all breast implants were placed above the muscle (sub-glandular). By placing the breast implants below the muscle (sub-muscular), the rate of capsular contracture has significantly decreased. Also, it is said that massaging of the implants helps decrease the chance of capsular contracture. When a patient is believed to be developing capsular contracture or hardening of the breasts, they may be placed on a medication called Accolate. This is an asthma medication that has shown to improve capsular contracture in patients at an early stage. When a patient develops severe capsular contracture, the treatment would be to return to the operating room and perform a capsulectomy on the patient.
implants from benelli lift and implant exchange with use of alloderm and abdominoplasty
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. It has been shown to reduce and even prevent the chance of capsular contracture from occurring.
allograft for benelli lift and implant exchange with use of alloderm and abdominoplasty
The Allograft is placed between the breast implant and the patients skin to add another layer of support.
alloderm for benelli lift and implant exchange with use of alloderm and abdominoplasty
Below, the abdominal muscle is show prior to the muscle correction. The black lines represent where the muscle will be brought together and repaired.
muscle repair for benelli lift and implant exchange with use of alloderm and abdominoplasty
The excess skin is removed to help the patient achieve her goals.
removal of excess skin for benelli lift and implant exchange with use of alloderm and abdominoplasty
The patient is shown immediately post Mommy Makeover and has bilateral 750cc Natrelle Silicone Gel Breast Implants.
before and after benelli lift and implant exchange with use of alloderm and abdominoplasty

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Posted in Abdominoplasty, AlloDerm, Benelli Lift, Body Contouring, Breast Asymmetry, Breast Lift, Breast Procedures, Breast Revision Surgery, Capsular Contracture, Limited Lift (Benelli Lift), Mommy Makeover


Tuberous Breast And Breast Augmentation Surgery

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This 29 year old patient from Minnesota flew in to have her breast augmentation procedure performed by Dr. Pousti. She desired more cleavage and fullness in her breasts, but more importantly than that, she desired to correct her tuberous breasts. Tuberous breasts are a deformity existing since birth. Tuberous breasts are also known as snoopy deformities, and constricted breasts. This deformity is usually distinguished by deficiency of breast tissue and skin, rupture of breast tissue around the areola and constriction of the breast base. This deformity is generally classified into three categories; minor constriction, consisting of noticeable differences in the size and shape of the breasts; moderate constriction, consisting of a more significant lack of breast tissue as well as differences in size and shape of breast; and severe constriction, consisting of major deficiency of breast tissue and severe abnormalities of the shape and size of the breast. Although this is a challenging deformity, it is possible to improve and repair through procedures such as breast augmentation, mastopexy and tissue expansion. Dr. Pousti does what is possible to achieve symmetry and take into account the patient’s wishes and desired outcome of the shape and size of the breast. Tuberous Breasts have a very narrow base and usually a long skin envelope. In the most severe cases of Tuberous Breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. The patient should be aware that the final result will take months to see and that they will need to be patient.Before tuberous breast corerection and breast augmentation

She found Dr. Pousti online while researching for a doctor that could help her achieve her goals through breast reconstruction. After communicating with Dr. Pousti through email, she decided to fly in for her procedure.

side view before tuberous breast corerection and breast augmentation
The markings for her surgery were performed the morning of the procedure. Dr. Pousti draws out his measurements and discusses the process again with the patient to ensure their clear in communicating their goals.

markings for tuberous breast corerection and breast augmentation

The excess tissue beneath the nipple areola complex is removed.

tuberous breast corerection and breast augmentation

tissue removal for tuberous breast corerection and breast augmentation

A sizer is used to determine what implant would help best achieve what the patient desires.

sizer for tuberous breast corerection and breast augmentation

The patient is shown immediately post surgery with bilateral 465cc high profile silicone gel breast implants.

after tuberous breast corerection and breast augmentation

The tape around the areola will remain in place for as long as possible to ensure that the patient sees the best possible healing results.

before and after tuberous breast corerection and breast augmentation

Testimonial:

I cannot express my gratitude enough for Dr. Pousti and the entire staff. I found Dr Pousti online while researching my tuberous breast deformity. I didn’t even realize that I had tuberous breast until I had my baby and could not breast feed. I always just thought that I had small misshapen breast. It has been the culprit of most of my insecurities and confidence since puberty. I am from Minnesota, yet was able to visit Dr Pousti while visiting a friend in San Diego, and after one meeting I knew I wanted my tuberous breast corrected. Dr Pousti was so personable, and caring. He gave me all the information I needed, and took a lot of time answering my questions giving me all the reassurance I needed…I made the decision that day.

One week before my 30th birthday I travelled from Minnesota for my surgery. I was so impressed with the organization of Dr. Pousti’s team. We did the pre-op appointment by phone, and handled scheduling the entire itinerary for my week in San Diego for my surgery. They even recommended a nurse to me for the aftercare of my surgery. I flew in on a Sunday, had pre-op physical appointment on Monday, surgery on Tuesday, and post-op on Friday, and then flew back to Minnesota on Saturday. Everything went so smooth. My prescriptions I needed were handled the day before surgery, my aftercare nurse was well-known by the surgery center, and I was completely at ease even though I was thousands of miles away from home and on my own.

On surgery day, I was absolutely confident that Dr. Pousti was going to give me the breasts I have always wanted. It was so interesting to me how the typical numbers and letters related to describing size and shape of breasts are really misleading. Dr Pousti had me send goal pictures for the size and look I was going for. I met with Dr Pousti right before surgery we visited went over my goals, and was ready for surgery! The nurses at the surgery center were amazing, and took such great personal care and attention. Even though I had no friends or family with me on surgery day I felt completely comfortable, and well taken care of.

The at-home nurse was at the surgery center waiting to pick me up and bring me to where I would stay for recovery while in San Diego. She got me settled in, and helped make sure everything was at arm height so I didn’t have to reach for anything; she also got my medications in order. The next morning I called the office, because I wanted to know what the size we went with to give me the look I was going for. I ended up being a D cup from an A-, and the implant size was 465 cc’s silicone-gel. It just amazed me at how the numbers and letters sound big, yet the breast look perfectly proportionate to my body. I had complete trust in Dr Pousti, and am thrilled at the results!

The follow-up with the staff with Dr Pousti is amazing! Someone calls everyday checking in and is knowledgeable to answer any questions during recovery…and I had a ton, but every call I was reassured, and they were so patient with me.

I am so happy with my results, my insecurities are completely gone and I feel like these are the breasts I was meant to have. It is fun to shop, and pick out items that actually require cleavage! Thank you, thank you, thank you!!!

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Posted in Benelli Lift, Breast Augmentation, Breast Lift, Breast Procedures, Tuberous Breast Deformity


Mommy Makeover with Benelli Lift

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This 34 year old patient from San Diego, California, desired to have a mommy makeover procedure performed because she was unhappy with the look of her body after children. While looking online and researching for the most skilled plastic surgeon, she came across double board certified, Dr. Pousti. She came in for a consultation and determined she would be a good candidate for tummy tuck.before mommy makeover- tummy tuck and breast augmentation with stage 1 lift

He also recommended breast augmentation with the use of silicone gel breast implants and a benelli (stage 1) breast lift to help her achieve more fullness and cleavage with perky breasts. She proceeded with surgery.

side view before mommy makeover- tummy tuck and breast augmentation with stage 1 lift

The markings were performed the morning of surgery and the procedure was discussed in details to ensure there was clear communication between the patient and Dr. Pousti.

markings for mommy makeover- tummy tuck and breast augmentation with stage 1 lift

The abdominal muscle wall is repaired to help tighten the core of the patient.

muscle repair mommy makeover- tummy tuck and breast augmentation with stage 1 lift

Below is after the muscle repair is completed.

mommy makeover- tummy tuck and breast augmentation with benelli lift

Excess skin is removed from the patient to help her achieve her goals.

mommy makeover- tummy tuck and breast augmentation with stage 1 lift

The patient is shown immediately post surgery with bilateral 435cc silicone gel breast implants. She will recover for 4 weeks and continue to return to Dr. Pousti for follow-up.

after mommy makeover- tummy tuck and breast augmentation with stage 1 lift

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Posted in Abdominoplasty, Benelli Lift, Body Contouring, Breast Asymmetry, Breast Lift, Breast Procedures, Limited Lift (Benelli Lift), Mommy Makeover


Silicone Gel Breast Implants for Pectus Excavatum

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This 26 year old patient from Murrieta, California, was interested in breast augmentation surgery and breast lifting. She desired to camouflage her pectus excavatum. 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. After her consultation with double board certified plastic surgeon, Dr. Pousti, the patient decided to proceed with surgery.

markings for breast augmentation to correct pectus excavatum

The markings were performed the morning of surgery and all the patients questions were answered. Because of the breast asymmetry, different sized implants were used

Below, the patient is shown immediately post-surgery and has 495cc (right) and 435cc (left) silicone gel breast implants.

after breast augmentation to correct pectus excavatum

side view after breast augmentation to correct pectus excavatum

The bolster dressing used between the breasts will help improve healing by preventing the implants to displace and cause symmastia.

breast augmentation to correct pectus excavatum

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Posted in Benelli Lift, Breast Procedures, Keller Funnel, Limited Lift (Benelli Lift), Pectus Excavatum, Silicone Gel Implants


Breast Asymmetry

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This 30 year old patient from Alaska had been interested in breast surgery for quite some time.  She not only wanted larger, more “perky” breasts but she wanted to address her breast asymmetry as well.  She decided to fly to San Diego to have her breast augmentation and breast lift procedure performed by Dr. Pousti because of his expertise with breast surgery procedures.before breast augmentation with lift

She was referred to Dr. Pousti from a satisfied previous patient. At her consultation, she met with Dr. Pousti and learned more about the procedure she was interested in, as well as viewing hundreds of before and after pictures of Dr. Pousti’s work. She felt confident in his double board certification and scheduled her surgery.

side view before breast augmentation with lift

Dr. Pousti discussed her breast asymmetry and determined that he would need to perform a benelli breast lift (incision around the areola) on her right side but a more extensive breast lift on her left side to achieve as much symmetry as possible.  The patient understood that perfect. Her markings were performed the night before surgery and were reviewed and discussed again the following morning.

markings for breast augmentation with lift

The “x” below represents where the areola is planned on being after surgery.

breast augmentation with lift markings

Below, the patient is in the midst of the breast lifting procedure. Her right breast only needed a stage one breast lift while her left breast needed a stage two breast lift.

breast augmentation with lift

The patient has bilateral 545cc high profile silicone gel implants.

breast augmentation with lift after

after breast augmentation with lift

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Posted in Areola/Nipple Procedures, Benelli Lift, Breast Asymmetry, Uncategorized


Mommy Makeover

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This 36 year old patient from Escondido California was interested in a full mommy makeover procedure. After multiple pregnancies, she desired to achieve her body back. The patient was interested in an abdominoplasty (tummy tuck) to tighten her abdomen wall and rid herself of the excess skin on her stomach. She also desired to achieve more fullness and cleavage in her breasts. This would require both a breast lift and a breast augmentation.before mommy makeover abdominoplasty and breast augmentation

The patient was researching for a board certified plastic surgeon who she would feel confident in trusting. She came across Dr. Pousti and was impressed with the hundreds of pictures of his work in addition to his specialty with abdominoplasty surgery and breast lifting with implants.  As you can see below, her abdominal muscles were separated and “bulging” out.

side view before  mommy makeover abdominoplasty and breast augmentation

Dr. Pousti and the patient met and discussed all of the potential risks/ complications associated with these procedures and the patient decided to proceed with surgery. The markings were performed the day before surgery and re-discussed the following morning.

markings for  mommy makeover abdominoplasty and breast augmentation

Below, the abdominal muscle is shown prior to the repair. The black lines drawn on the muscle show where Dr. Pousti is going to bring the muscle together.

before muscle repair for  mommy makeover abdominoplasty and breast augmentation

Immediately after Dr. Pousti tightens the abdominal muscle.

after muscle repair for  mommy makeover abdominoplasty and breast augmentation

The excess skin is removed to achieve the patients goals.

mommy makeover abdominoplasty and breast augmentation

Below, the patient is shown immediately post surgery and has bilateral 440cc silicone gel moderate profile implants and a tighter abdominal muscle.

after  mommy makeover abdominoplasty and breast augmentation

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Posted in Abdominoplasty, Benelli Lift, Body Contouring, Breast Augmentation, Breast Procedures, Keller Funnel, Silicone Gel Implants


Benelli Breast Lift with Breast Implants

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This 29 year-old patient from Escondido, California was interested in breast augmentation and breast lifting surgery after having children.  She was unhappy with her breasts after breast-feeding and pregnancy (post pregnancy issues), she felt like her breasts lost fullness and volume.

She was referred to Dr. Pousti by a friend.breast augmentation with lift

During her consultation, Dr. Pousti and the patient discussed a limited breast lift would for both breasts.  To perform a benelli lift, Dr. Pousti would place the incision around the areola (with time, this incision heals beautifully and is barely visible).

breast lift with implants

Measurements and markings were performed before surgery.

breast augmentation and breast lift

Before and Immediately after breast augmentation and breast lifting surgery.

beneli lift with implants

595cc silicone gel implant was used on the right side and 545cc silicone gel implant was used on the left side to achieve breast symmetry.

limited lift breast augmentation

Patient Testimonial:

Dr. Pousti and his staff are the best thing that ever happened to me … my self-esteem is at a point where I didn’t even know existed. I knew from the day that I came to see him that I was at the right place. Dr. Pousti and his staff are all very nice and professional, they all took the time to answer my questions and made me feel very comfortable. I can now enjoy my intimate life without being embarrassed about my saggy, ugly boobs. I went from a B to a double DD thanks to Dr. Pousti because I was unsure of what I wanted and trusted him and his expertise.

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


Breast Augmentation Revision with Benelli Lift

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This 57 year-old patient from Temecula, California was interested in breast implant revision surgery.  She was interested in removing her current saline breast implants and exchanging for larger silicone gel implants.

She was referred to Dr. Pousti by a friend.implant exchange

In order to achieve her desired look, a limited breast lift would also be needed in addition to exchanging her breast implants.  To perform a benelli lift, Dr. Pousti would place the incision around the areola (with time, this incision heals beautifully and is barely visible).

breast revision

Measurements and markings were carefully made.

breast revision with lift

Before and immediately after breast revision, implant exchange with benelli lift (limited lift)

implant exchange with breast lift

breast revisionwith beneli lift

750cc silicone gel implants were used to achieve the patient’s desired look.

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Posted in Benelli Lift, Breast Revision Surgery, Implant Exchange, Silicone Gel 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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