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San Diego Cosmetic Plastic Surgery

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Liposuction Patients

Extended Abdominoplasty and Breast Reduction Combination Surgery with Liposuction

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This 41-year-old patient from Temecula, California had been unhappy with the shape of her body for several years and decided to look into cosmetic surgery. After loosing  more than 70lbs she was still uncomfortable with her appearance and felt that she would greatly benefit from a mommy makeover. She began researching mommy makeovers daily and found that over half the pictures she looked through were all Dr. Pousti’s patients. She wanted to find a surgeon that was not only board certified but also experienced in the breast and body procedures that she was interested in and felt Dr. Pousti exceeded all of her expectations.

Mommy Makeover

Extended Tummy Tuck

After having 2 children and loosing the weight associated with pregnancy, she was left with a lot of excess skin in her breasts and abdomen. After meeting with Dr. Pousti it was determined that the best option was to proceed with the mommy makeover.

Mommy Makeover

Mommy Makeover procedures are combinations of breast and body procedures. In this patients case, she would greatly benefit from a breast reduction, extended abdominoplasty, and liposuction of her flanks and back.

Mommy Makeover

Breast Reduction

Prior to the Mommy Makeover procedure the patient and Dr. Pousti meet several times to discuss options, possible risks and the entire procedure in detail. On the last appointment before the surgery measurements of the patient’s breasts, abdomen and lower back are taken. These measurements are marked and are used as guidelines for the procedures that are to be performed.

Abdominoplasty Markings

Extended Tummy Tuck

On the patient’s breast the ‘x’ markings indicate where the new location for the nipple/areola complex will be located. The excess skin under the breast will be removed and the breast tissue will be re-arranged to give the patient a nice ‘perky’ look she is looking for. The red horizontal lines drawn on the patient’s abdomen and back are where the incisions for the abdominoplasty will take place. And lastly the circular lines indicate liposuction areas.

Prior to the Breast Reduction Portion of the Mommy Makeover

Breast Reduction

During most breast reduction procedures or breast reduction procedures a ‘tailor tacking’ technique is used. This technique is used to help insure that symmetry is achieved and is also used to see what the final result may look like prior to making final incisions.

‘Tailor Tacking’ on Right Breast in Operating Room

Breast Reduction

Immediately After Mommy Makeover Surgery in Operating Room

Once the breast portion of the procedure is completed Dr. Pousti moves onto the abdominoplasty. During the abdominoplasty not only is the patient’s excess skin removed but Dr. Pousti performs muscle repair as well. This gives the patient a nice tight abdomen and small waistline as well. Another part of the abdominoplasty procedure is the revision of the belly button’s appearance. The belly button must be revised because the abdomen tissue has been brought closer together and the old belly button location often lies on/near the incision lines. Immediately a desirable waistline has been achieved.

Mommy Makeover

Below is a picture of the patient 1 week post-op in recovery from her mommy makeover. A walker is used to aide during recovery, since the patient must remain in a hunched over position to protect the incision.

Mommy Makeover

The patient is now 3 weeks post-operative and is extremely satisfied with her extended tummy tuck, breast reduction, and liposuction results! Although swelling is still present, the waistline is already much smaller and will continue to shrink.

Mommy Makeover

Testimonial:

I am a 41 year old and have been fighting my weight gains and losses ever since I was 23 years old. In high school I thought I looked okay. It wasn’t until I married and had 2 children that my weight problem got serious. Every year the pounds just kept adding up until I was at 265 pounds and didn’t know how I got there. I tried many different weightless programs, and always seemed to put the weight back on just as fast as I lost it.

After 2 years of hard work at the gym and watching what I ate, I managed to loose 80 pounds, which left me with what I called my “skin tutu” around my middle and my breast hung down to my waist, which my kids referred to as my “cuddle buddies” because they laid on the bed next to me.

The more I lost the worst I looked! I wanted to love the body I worked so hard to get, but that isn’t what happened. The skin would just hang worse every pound I lost I wanted to love my body.

I started looking on the Internet at “mommy makeovers” before and after pictures, and at people like me who lost a lot of weight, and wanted the skin removed. I would say for every 10 women that I found, that I looked like in there before pictures, and loved their after pictures, 8 out of those 10 women were done by Dr. Pousti.

I looked at before and after pictures for at least a year prior to my surgery, wondering if I should do this or not. I was scared of what was involved and how I would look after. I didn’t want to look like one of those women who have surgeries and look worse afterwards.

Well, with the love and support of my fiancé, my children, my parents and my friends, I decided to make an appointment for a consultation with Dr. Pousti.

The day of my consultation, my fiancé and my mother came with me to my appointment. We went to Dr Pousti’s office in Murrieta, Ca. The moment I walked in, it felt so right. The women who work there were not just stunningly beautiful on the outside, but on the inside. They made me feel so comfortable and at ease! Dr. Pousti came in and looked at me and said he thought I would have amazing results. He suggested having an extended tummy tuck and a breast reduction, with some liposuction.

I weighted in at 207 and knew I had more weight to lose. I wanted to have this surgery in January when my business is slower. Dr Pousti suggested that an ideal weight he would like me to be for surgery was 180 pounds. Well, I was within a few pounds of my goal when surgery day arrived.

About 1 month prior to my scheduled surgery, my fiancé found out he had Thyroid Cancer. I wasn’t sure if I should cancel my surgery with Dr. Pousti. When I came in to see Dr. Pousti he could see I was nervous about my fiancé’s news. Dr Pousti asked who the surgeon was and he personally called every ENT Dr. That he knew to see if anyone had heard of this surgeon, and what his experience was. He called me personally the next day to tell me of his findings. Dr Pousti didn’t have to make those calls, but he did, and that meant the world to me. He doesn’t just care about me, but also about the man I love. My fiancé had his surgery and it was a success!

The day before my surgery my fiancé, and my mother came with me to Dr Pousti’s office in La Mesa ca. He did all his markings of what was going to remove, where he would cut and where he would lipo. He marked my breast so I would have my best results.

We stayed at my aunt’s house ,which was close to the surgery center, and is where I stayed for the first week after surgery. My mom was my nurse for the first week! I can’t thank her enough for helping me. I stayed at my aunts because Dr. Pousti wanted me to stay close by so he could check on me post surgery.

The day finally arrived, and we arrived at the surgery center. Dr Pousti uses the same surgery center, with the same anesthesiologist and the same nurses and assistants. I was so scared and everyone calmed me and made me feel comfortable and so special. They were very professional, and they had a way of making you feel like you were their only patient! Dr Pousti came in and checked his marking and did some minor adjustments,and then they took me back to the operating room. I woke up 8 hours later 6 hour surgery 2 hours of recovery, and I felt like I just got there.

The feeling I had was the feeling of tightness! I’m not going to lie week 1 was the hardest week but it was worth it! He installs a pain pump that numbs the incision area. I had 4 drains 2 from my breast and 2 from my pelvic area. They sent me home the same day of surgery. I really don’t remember too much as I was still really groggy.

I stayed at my aunts house and slept in a recliner for the first week. Dr Pousti and his wife  were so kind to check on me the first night after surgery! They even brought me flowers! Never have I heard of a Dr. doing this before. The compassion and love he has for his patients is very apparent! He has always made me feel like I was his only patient, and his # 1 priority, even though I know he has many more patients.

The nurse or office staff called me everyday to check on me! Everyday was easier than the day before. I got around with my trusty walker, my BFF after surgery!

Dr Pousti told me that after surgery you go through an emotional state, but what found was not what I expected at all! I was expecting tears of pain and thought of regret, but that isn’t what I had at all! I never once thought why did I do this? The emotions I felt were eye opening to my life! The tears I shed were tears of love and joy and how lucky I am to have parents who took care of me for 6 weeks, a fiancé who supported me, no matter what I wanted to do, and my daughters, who stood by my side the whole time. Then the flowers, the cards, and the text messages came from friends, and clients thinking about me. The love I felt was overwhelming! Every tear I shed, were tears of joy of my life, my new body, and my new life to come!

This whole experience was the best thing I could have ever done! The most important thing is I truly feel like I was led to Dr. Pousti, and the results I got are amazing! He is a true artist of the body! He knows what will look the best and what is needed and not needed. He doesn’t just make you feel like he’s just your surgeon, but your friend, with your best interests in mind! The surgery is going to change my life for the better, and can’t thank him enough!

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Posted in Abdominoplasty, Breast Reduction, Extended Tummy tuck, Liposuction, Mommy Makeover, Post-Weight Loss


Extended Tummy Tuck with Breast Augmentation/Breast Lift & Liposuction

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This 33 year old from Harker Heights, Texas was interested in a Mommy Makeover procedure, usually consisting of combined procedures which may include an extended abdominoplasty, breast lift, breast augmentation and liposuction. She had been upset with her abdominal area and breasts for several years after multiple pregnancies. She researched the internet for a board certified plastic surgeon and found double board certified surgeon Dr. Tom Pousti.

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After weight gain and weight loss associated with pregnancy, she was dissatisfied with the amount of excess skin in her abdominal area and felt her breasts were “saggier”. After communicating with Dr. Pousti through emails, the patient felt she had found the experienced surgeon she was looking for. She decided to fly in to have her Mommy Makeover surgeries performed by Dr. Pousti. In her case, her Mommy Makeover would consist of an extended tummy tuck, breast lift and breast augmentation with flank and back lipectomy.

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Prior to the patients Mommy Makeover procedure, Dr. Pousti met with the patient in his office to discuss the patient’s goals further and to perform measurements. Markings of the back, abdomen, and breasts were performed the night before surgery.

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Markings prior to Surgery

The “x” indicates where the new nipple/areola complex will be located following the breast lifting portion of surgery.

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Dr. Pousti uses a ‘tailor tacking’ method when performing markings for breast lifting procedures. This method allows Dr. Pousti to assure that symmetry is met when rearranging the breast tissue as well as the nipple/areola complex. 600cc Silicone Gel Breast Implants were used along in combination with the breast lift achieve the patient’s desired look.

After Breast Lift/Augmentation

Breast Augmentation

During the tummy tuck portion, Dr. Pousti removes all of the excess skin from the abdominal and lower back and also tightens the abdominal wall that is separated during pregnancy and/or weight gain. Before final sutures, the patient’s belly button is brought through a new hole, revising the belly button appearance. Once the excess skin has been removed and the internal abdominal repair has been completed, the stomach is flat and smooth.

Mommy Makeover

She is only 1 week post-op, but is already extremely satisfied with her immediate results.

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Posted in Breast Lift with Implants, Liposuction, Mommy Makeover, Silicone Gel Implants, Uncategorized


Silicone Breast Augmentation with Thigh Lift and Liposuction

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This 29 year old patient  from San Diego, California was interested in a breast augmentation, thigh lift, and liposuction of her outer thighs. She had completed an extended abdominoplasty and breast lift with Dr. Pousti previously and was ready to go forward with the second stage of her surgery.Thigh Lift

After loosing a combined total of 122 pounds, the patient was ready to begin the rest of her transformation. After having her tummy tuck and breast lift completed, the patient was very pleased with her results. She felt she was ready to continue with her breast enhancement and thigh lift surgery.

Thigh Lift

Thigh Lift Markings

Thigh Lift

Once healed from her extended tummy tuck and mastopexy, Dr. Pousti and the patient decided to proceed with the second stage. After meeting with Dr. Pousti and getting the approval to continue with her next procedures, the patient and Dr. Pousti met to perform markings of her inner and outer thighs as well as her breasts.

Breast Augmentation

Thigh Lift

In the operating room, Dr. Pousti removes as much excess skin as possible with combined liposuction to contour the thighs as much as possible.

Thigh Lift

After the thigh lift portion is completed, it is very evident the thighs are appear fresh and tight.

Thigh Lift

Below, you can see the fat after liposuction has been performed on the outer thighs.

Liposuction

Dr. Pousti used Smooth Round MPP Silicone Gel Breast Implants filled to 600cc on the right and 550cc on the left. The left breast was slightly larger than the right, so the right breast has a larger implant.

Breast Augmentation

The patient is extrememly satisfied with the addition of her breast augmentation, thigh lift, and liposuction.

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Posted in Breast Augmentation, Breast Procedures, Liposuction, Silicone Gel Implants, Thigh Lift


Breast Reduction / Lower Body Lifting

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This 43 year old patient was unhappy with her breasts and tummy and was looking for a San Diego Plastic Surgeon to help her with her body make over.   She visited a few surgeons but felt comfortable with San Diego Plastic Surgery Specialist Dr. Pousti.

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She discussed with Dr. Pousti that her large breasts gave her neck, back and shoulder pain and she didn’t like how they “sagged”.  She wanted her breasts smaller and perkier.  She and Dr. Pousti discussed a breast reduction / breast lifting surgery.

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Her abdomen and back had loose, damaged, hanging skin.  She and Dr. Pousti discussed an extended tummy tuck (abdominoplasty surgery as well as back lipectomy) to address the front, back and muffin top area as well.

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After meeting several times, they  decide to proceed with surgery.  Markings are performed prior to surgery.  For the breast reduction/lift procedure, San Diego Breast Surgeon Dr. Tom Pousti takes careful measurements and indicates where the new nipple/areola complex will be after surgery.

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The Lower Body Lifting surgery will include the tummy tuck, back lipectomy and liposuction in areas where it is indicated and safe.Again, careful measurements are taken.

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Below, you see the “red” line which shows where the scar will be and the “purple” section is the section that will be completely removed.

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When the back is completed, the patient is turned onto her back so that the tummy tuck and breast procedures can be performed.

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Below shows the abdominal muscles that have separated and will be put back together.

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In the operating room, the right breast has been reduced and lifted.  See the dramatic difference between the right and left breasts.

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When a breast lift/reduction is performed, the areola are also reduced in size to give a more natural, symmetrical look for the patient.

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Immediately after breast reduction and lower body lifting surgery.

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Posted in Abdominoplasty, Body Contouring, Breast Lift, Breast Reduction, Extended Tummy tuck, Liposuction


Extended Tummy Tuck Surgery

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This 22-year old patient was very unhappy with her post-baby body. She’s had only 1 pregnancy, and carried twins.

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She was interested in extended tummy tuck surgery to remove the excess skin and adipose (fat) tissue around her abdomen and sides.

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She also wanted liposuction surgery of the back and flank areas to contour her body for the “hour glass” shape.

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Dr. Pousti marks the patient’s separated abdomen muscles and prepares the repair them.

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Posted in Abdominoplasty, Extended Tummy tuck, Liposuction


Mommy Makeover (Breast and Abdomen)

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This 33 year old mother of 2 from National City, California was very unhappy with her appearance after childbirth and was interested in getting her pre-baby body back. The patient did some online research and came across the ‘mommy makeover‘ procedure. Most mommy makeovers consist of a combination of a breast procedure and an abdominal procedure. In this patient’s case she was interested in breast augmentation with a lift, abdominoplasty and liposuction.

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After being referred to Dr. Pousti by a close friend, the patient decided to proceed with double board certified plastic surgeon, Dr. Pousti, for her breast and abdominal procedures.

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Prior to surgery measurements are made and markings of the exact incision lines are made. These incisions along with the entire procedure are reviewed with the patient in detail.

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Liposuction Markings

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During the breast examination it was determined that in order to give the patient her desired look, a mastopexy had to be performed followed by a breast augmentation. The ‘x’ marks the new location for the nipple/areola complex.

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Before the final incisions are made a tailor-tacking technique is used to ensure symmetry and prevent multiple incisions. During the tailor tacking a sizer is set in place to determine the size of implant needed to meet the patient’s size goals.

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A 492cc Silicone Gel Implant was used in the patients left breast and a 457cc Silicone Gel Implant was used in the patient’s right breast to ensure symmetry.

Immediately After Surgery

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The patient is post op breast augmentation/mastopexy with Silicone Gel Implants, Abdominoplasty and liposuction of the flank and back area and is very happy with her new body.

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Posted in Abdominoplasty, Breast Asymmetry, Breast Lift, Breast Lift with Implants, Liposuction, Mommy Makeover


Mommy Makeover

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This 27-year old Mom from Escondido, California searched for an experienced mommy makeover surgeon after having 2 children and not being happy with her post-baby body.

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She was interested in a tummy tuck, liposuction, and breast lift surgery (mastopexy). After losing 25lbs, the patient was left with loose, excess skin around her abdominal area and isolated fat in unwanted areas. She tried diet and exercise but that did not help her trouble areas.  She also lost volume in her breasts from nursing her babies and her breasts were more “droopy” than she liked. The patient was ready to improve her look.

During her consultation with Dr. Pousti, he discussed the tummy tuck surgery and also suggested an extended tummy tuck for the patient (standard tummy with a back lipectomy) this surgery would correct her problem areas which she was concerned about in the back.

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For multiple procedures , Dr Pousti likes to meet with the patient the night before surgery to perform markings and measurements. With markings, Dr. Pousti can measure and map out the procedures in detail and to also make the patient comfortable and well prepared for surgery.

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The patient meets with Dr. Pousti the morning of surgery to reinforce markings made the night prior.  She also meets with Dr. Pousti’s board certified anesthesiologist for an exam before surgery.

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For the back lipectomy surgery, liposuction is performed on the flanks and back, excess skin is removed from her sides and back, this will prevent a “muffin top” of occurring after surgery. Also the buttock would be lifted as well.

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After liposuction and back lipectomy surgery. You can see the sides and hips are more contoured.

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Posted in Abdominoplasty, Breast Lift, Breast Reduction, Liposuction, Mommy Makeover


Male Liposuction

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This 34 year old patient from San Diego, California was interested in liposuction of the flank (lower back/’love handles’) and midsection area. The patient found Dr. Pousti online while searching for a board certified plastic surgeon and was impressed with his credentials as well as his experience with male body contouring.

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Although this patient had a strict military work out routine and had healthy eating habits he still had stubborn fat in his back and abdomen area. To give this patient his desired look Dr. Pousti performed liposuction on his abdomen, flanks and back.

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The liposuction procedure takes anywhere from 1-2 hours depending on the complexity of the patients case. The incision are very minimal, generally measuring about a quarter of an inch. Recovery time ranges from patient to patient but most of our patient can return to work after 3-6 days and are able to return to their normal activities in about 3-6 weeks.

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This patient is extremely happy with his results.

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Posted in Liposuction, Male Body Contouring, Procedures for Men


Liposuction

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This 35 year old female patient from Brooklyn, New York found Dr. Pousti online while searching for a board certified plastic surgeon that was experienced in liposuction surgery. After reviewing hundreds of his before and after pictures she was very impressed and decided that the travel to San Diego was worth it.

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After years of diet and exercise the patient could not get rid of stubborn fat in several areas of her body.

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In order to give the patient her desired look Dr. Pousti performed liposuction of the abdomen, thighs, flanks, back and arms.

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Dr. Pousti performed the patient liposuction procedure at the Alvarado Physician Surgery Center with a board certified anesthesiologist and his trusted team of nurses. The liposuction procedure takes between 1-3 hours and the incisions are generally one quarter inch in length.

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This patient is extremely pleased with the results of her surgery.

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Posted in Body Contouring, Liposuction


Breast Lift and Liposuction

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This 43-year old Teacher from Vista, California (North San Diego) was interested in several procedures to enhance her body appearance. She wanted to undergo breast-lifting surgery (mastopexy) for several years, the weight of her breasts bothered her and she also wanted them to look “perky” again.

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She was unhappy with the isolated fat areas of her back and wanted liposuction surgery to take care of those areas.

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Dr. Pousti met with the patient the night before surgery to map out her surgery.

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You can see how the right breast is just slightly larger then the left, with measurements and markings performed every attempt was made to achieve symmetry.

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Before surgery

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You can see the “perkiness” of the completed right breast. The difference is dramatic.

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Posted in Breast Asymmetry, Breast Lift, Liposuction



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
Pousti Plastic Surgery of La Jolla
7301 Girard Avenue, Suite 203
La Jolla, California 92037
Phone: (858) 454-6888 or Email
Pousti Plastic Surgery of Temecula & Riverside
29995 Technology Drive, Suite 103
Temecula / Murrieta, CA 92563
Phone: (951) 501-9822 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. He has offices to serve patients in San Diego, La Jolla, Riverside, Inland Empire and Temecula.


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