Tuberous Breast Deformity Patients

A 27 year old female from Sherman Oaks, California wanted to enhance her breast for years.  She was unhappy with the shape and size of her constricted breast, also known as Tuberous Breast. Tuberous Breasts have a very narrow base and usually a long skin envelope.   Her goal was to achieve fuller, larger breasts with breast augmentation surgery.

She began searching for Board Certified Plastic Surgeons online.  Dr. Pousti was highly recommended to her.  Impressed with his experience in Constricted Breast Correction and countless before and after photos of previews patient and their reviews she decided to meet with him for a consultation.  During her examination Dr. Pousti confirmed her Tuberous Breast Deformity and explained that scar tissue would be removed removed from each breast before augmentation.  Dr. Pousti also went over the risks and complications of surgery in great detail.

Markings are made prior to surgery and are used as a road map.  Notice that her left breast is slightly larger that the right breast.

Scar tissue removed from each breast

Before/Immediately after Correction of Constricted Breast and Breast Augmentation Surgery

An incision was made around the areola and implant sizers were used to reach the patient’s goal of fuller, larger breast. 360cc  Silicone Gel Implants were used.

Patient is now 3 months post-op and very satisfied with her results!

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Posted in Breast Augmentation, Silicone Gel Implants, Tuberous Breast Deformity

A 28 year old female from Simi Valley, California wanted to have breast augmentation surgery for over 7 years.  She wanted to achieve outer fullness, a gradual slope, and a natural look. Also, she wanted to correct her breast asymmetry and right breast that was constricted.  Constricted Breast (Tuberous breast) have a very narrow base and usually a long skin envelope. Dr. Pousti works on the breast implant pocket to make the breast into a more rounded shape.

After researching several websites she found Dr. Pousti’s work and was pleased with his ratings and reviews.  His before and after photogallery was extensive so she met with him for a consultation.   Dr. Pousti left her feeling comfortable and confident that she chose the right plastic surgeon.

Dr. Pousti preformed Breast augmentation Surgery- Silicone Gel Implants (492cc for the right and 533cc on the left) and Correction of Right Breast Constriction. She is now 2 years post op and is happy with her results.

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Posted in Breast Augmentation, Silicone Gel Implants, Tuberous Breast Deformity

A 29 year old female from Albuquerque, New Mexico wanted to have breast augmentation surgery for several years. This mother of two wanted her breast to be fuller and larger.  She had seen other surgeons and was diagnosed with tuberous 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 began searching the web to find the surgeon who would help her achieve her goal.  Impressed by all of the great review as well as Dr. Pousti’s experience with breast surgery, she decided to contact Dr. Pousti for a consultation.  She communicated with him via email and phone.  Feeling confident she decided to have Dr. Pousti preform her breast enhancement surgery.

Dr. Pousti preformed a Bilateral Breast Augmentation with silicone gel breast implants (575cc for each breast), and in her case there was no need for any reconstruction for her tuberous breast.

Above shows the patient’s “goal” photos that she brought in to show Dr. Pousti.

Above is the patient immediately after the surgery was completed in the operating room.
She is now 9 weeks post-op and happy with her results.  She understands that it takes months for the swelling to subside and for the breast implants to “settle” into the pocket for the final result.

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Posted in Breast Augmentation, Silicone Gel Implants, Tuberous Breast Deformity

A 22 year old woman from Canada was interested in bilateral breast augmentation and correction of bilateral tuberous breast for several years . Tuberous breasts have a very narrow shape and usually a long skin envelope, and usually an incision around the areola  to help make the breast have a more rounder shape.

The patient was unhappy not only with the size of her breasts but also with the shape and the breast asymmetry.  She researched to find the most experienced plastic surgeon to help her with her tuberous breasts and found Dr. Pousti online.  After viewing his before and after gallery, she decided to contact him and have a virtual consultation.  They communicated several times and finally met the day prior to surgery.

Dr. Pousti performed measurements and markings prior to surgery.  As  you can see above, the distance from the collar bone to the areola on each side differs.  This will be addressed during the surgery and Dr. Pousti will do his best to improve the breast symmetry.  Also, the side with the “smiley face” indicates the side with more breast tissue.  All of this is taken into consideration when choosing the implant size, performing the pocket dissection, and performing the benelli  lift.

Dr. Pousti preformed Bilateral Breast Augmentation with Silicone Gel Implants and Correction of Bilateral Constricted Breast to achieve symmetry.  In her case a full breast lift was not needed – only an incision around the areola was needed to achieve the patients goals.  You can see the significant improvement in breast size, shape and symmetry.  The patient is very pleased.

She was an A cup and went to a C/D cup.  She is now 10 months post-op and very satisfied.

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Posted in Areola/Nipple Procedures, Breast Asymmetry, Tuberous Breast Deformity

This 29 year old from Georgia was interested in a breast augmentation for several years. She found Dr. Pousti online after searching for an experienced board certified plastic surgeon. After exchanging several emails and telephone calls, the patient felt the trip to California would be well worth it to have Dr. Pousti perform her breast enhancement surgery so she flew into San Diego to meet with Dr. Pousti in person.

Dr. Pousti examined the patient and determined she was a good candidate for a breast augmentation with correction of tuberous breasts as well as breast asymmetry.  Tuberous or constricted breasts, usually have a very narrow base and long skin envelope. The areola can also appear puffy or enlarged. Dr. Pousti discussed the pros and cons of saline vs silicone gel implants and the patient decided to proceed with a silicone gel breast augmentation surgery with correction of her tuberous breast.

The patient and Dr. Pousti met again the night prior to surgery to review the planned procedure in detail. During this appointment, measurements and markings are also performed. Markings are key in achieving as much symmetry as possible.

Markings are checked several times prior to the start of surgery. The patient and Dr. Pousti met again in the pre-operative room at the surgery center to reinforce markings and make any necessary changes needed.

Dr. Pousti used sizer implants to determine what size implant was needed to achieve the patient’s ideal breast size and shape. The sizer implant was placed into the breast pocket and filled with air until the patient’s goal size was achieved. Once sizing in noted, the temporary implant was removed and the silicone gel implant was prepped for placement using the Keller Funnel method. This method uses a sterile funnel to easily place the breast implant into the breast pocket.  For this patient, the incisions were placed around the areola for improvement of areola asymmetry as well as correction of the “tuberous” breast.

After placing the implant, Dr. Pousti performed correction of the patient’s constricted breast. This operation involves removing the fatty tissue of the areola, reducing the puffy areola.

Dr. Pousti removed fatty tissue from both the left and right breast areola.

A 350cc silicone implant was used on the right breast and a 325cc silicone gel implant was used on the left breast. Slightly different size implants were used to achieve as much breast symmetry as possible. The patients breast pockets were lowered to allow room for the breast implants and to give the patient a more rounded look, which is common with tuberous breast patients.

After Breast Augmentation (Side View)

Immediately after the procedure, steri-strips are applied to allow the incision to heal and to prevent the areola from spreading.

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Posted in Areola Reduction, Breast Asymmetry, Tuberous Breast Deformity

This 21 year old patient from Coronado, California was interested in proceeding with cosmetic surgery to increase her breast fullness and cleavage for several years. She heard about Dr. Pousti through a friend and was extremely impressed with the amount of content displayed throughout his website. She reviewed several ‘before’ and ‘after’ photos of Dr. Pousti’s previous breast enhancement patients.

Upon examination, Dr. Pousti determined the patient was a good candidate for breast augmentation surgery. Dr. Pousti also explained to the patient that she had a case of constricted breasts. Constricted/tuberous breasts have a narrow base, long skin envelope and give the areola a “puffy” appearance. Breast implants are usually used to improve the aesthetic appearance of tuberous breasts. In more severe tuberous breast cases a benelli lift is performed in addition to the breast implants. Dr. Pousti and the patient meet several times prior to surgery to discuss possible options and implant sizing. During the final meetings, measurements of the patient’s breasts are taken and markings are made. The patient brought in goal pictures to illustrate exactly what she wanted to achieve with her breast enlargement surgery.

In the operating room, Dr. Pousti uses sizer implants to determine implant sizing. The sizer implant placed into the breast pocket through a small incision along the areola and is filled with air until the patient’s desired breast size has been achieved. The patient is then sat upright to check for symmetry and adjustments are made at this time if needed. Dr. Pousti used 650cc saline filled implants to achieve the patient’s goal size.

Immediately After Breast Augmentation in Operating Room

The patient is post op breast enhancement surgery with correction of constricted breasts and is extremely happy with the results of her surgery.

Patient Testimonial:

I am 21 years old and had Dr. Pousti perform a breast augmentation on me 3 months ago. I was always self conscious about my breasts because being 5′10, and having a small B cup, I always felt like my body was not proportioned. After about two years of thinking of having my breasts done, I decided to visit Dr. Pousti, where two of my friends had their breasts done and gave him great reviews. During my consultation, Dr. Pousti and his staff made me feel very comfortable and not pressured. After talking with Dr. Pousti I felt very comfortable in going forward with my decision and getting my breast augmentation. I scheduled the appointment for a month later and the morning of my surgery at Alvarado Hospital I started to feel very nervous and started to re-think my decision. The nurse I had that morning was great though because she was very calming and then when I talked to Dr. Pousti, it took away my nerves and I was excited. When I woke up I was not in any pain thanks to the anesthesia and over the next few days I found it very easy to control the minor pain with pain medicine. The staff at Dr. Pousti’s office was great calling me every day just to make sure that everything was going good. They have the best customer service and never make you feel like they are too busy to help you. Luckily my breasts healed very easily and I was back to work 5 days post op. In the end I went from a 34b to a 34DD and couldn’t be happier. I would highly recommend Dr. Pousti to anyone that is thinking about getting their breasts done! I am so happy and love my new breasts!

Thanks Again!!

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Posted in Breast Augmentation, Saline Implants, Tuberous Breast Deformity

This 29 year old from Pomona, California was interested in a breast augmentation and correction of her constricted breasts for 8 years. Constricted or tuberous breasts usually have a very narrow base and long skin envelope. She researched online and found double board certified plastic surgeon, Dr. Pousti. She was immediately impressed with Dr. Pousti’s experience in plastic surgery and his many patient testimonials.

Upon examination, Dr. Pousti determined the patient was a great candidate for breast enhancement surgery with a benelli lift to correct the patients constricted breasts. Dr. Pousti and the patient discussed saline vs. silicone breast implants and the patient decided to proceed with her breast enlargement and benelli breast lift with saline implants. The patient and Dr. Pousti met in the pre-operative area in the surgery center to perform markings. The markings are used as a guideline during surgery to try to achieve as much symmetry as possible and to also indicate incision locations.

Sizer implants are used during the breast augmentation when determining implant size. The sizer implant is filled with air until the patient’s goal size has been achieved. The patient is then sat upright to check for symmetry, fullness, and cleavage and then the final implants are prepped for placement. To correct the constricted breasts, a stage 1 benelli lift was performed to help round out the breast and allow the tight skin to loosen.

Before (Side View)

She wanted to achieve much larger breasts with an emphasis on cleavage and round on top with some “perkiness”.

After (Side View)

Dr. Pousti used moderate plus profile saline implants filled to 700cc on the left and 740cc on the right to achieve the patients goals.

The patient is extrememly satisfied with her breast augmentation and correction of constricted breast results.

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Posted in Benelli Lift, Breast Augmentation, Saline Implants, Tuberous Breast Deformity

This 21 year old from Arkansas was interested in a breast augmentation for several years. She researched online for an experienced surgeon to perform her breast enhancement procedure. She found double board certified surgeon, Dr. Pousti and was extrememly impressed with his credentials, patient reviews, and the results he was able to achieve for his patients. She emailed Dr. Pousti and was able to discuss her goals and concerns over the phone and felt the trip to California was well worth it.

Dr. Pousti determined the patient was a great candidate for breast augmentation with the use of either saline or silicone gel implants. The patient decided to proceed with her breast enlargement surgery using saline filled implants. Dr. Pousti and the patient met prior to surgery to discuss the surgical plan and perform markings.  The patient explained she wanted to achieve fuller and rounder breasts with some cleavage. A peri-areolar incision was used to begin the surgery using sizer implants to determine final implant sizing. Sizer implants are placed into the breast pocket and filled with air until the patient’s goal size has been achieved.

The patient had constricted breasts with a short distance from the areola to the inframammory fold. To allow room for the implants, this distance was increased to 5cm by opening the breast pocket on each breast. Dr. Pousti used a 450cc saline implant on the right breast and a 430cc saline implant on the left breast to achieve as much symmetry as possible.

The patient is now one week post-op and already extremely happy with her breast enlargement results.

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Posted in Breast Augmentation, Petite Frame Breast Augmentation, Saline Implants, Tuberous Breast Deformity

This 24 year old from India was unhappy with the size and shape of her breasts and was interested in breast augmentation with correction of tuberous breast deformity. She began researching board certified surgeons to perform her breast enhancement surgery, but was left disappointed by the surgeons in her area. She began further research on blog sites regarding plastic surgery and read through several forums regarding double board certified plastic and reconstructive surgeon, Dr. Tom Pousti. She was extremely impressed with volume of positive testimonials he had and decided to contact him.

The patient sent Dr. Pousti an email about her concerns along with pictures for his review. Dr. Pousti and the patient corresponded several times via phone and email and she felt confident that he was the right surgeon for her. The patient decided to fly in to California to have her breast procedures performed. Prior to surgery markings are performed and discussed in detail. Dr. Pousti also reviewed the procedure with the patient and explained that a stage 1 breast lift around the areola would be her best option to correct the tuberous breasts.

Dr. Pousti suggested the patient bring in goal pictures to illustrate exactly what she wanted to achieve with her breast augmentation. These pictures are hung up on the wall in the operating room for Dr. Pousti to refer to during surgery. Markings are performed prior to surgery and used as a guideline during surgery to achieve as much symmetry as possible.

Before Breast Augmentation

In the operating room, sizer implants are used to determine final implant sizing. These deflated sizer implants are placed into the breast pocket and filled with air until the patient’s desired goal size has been achieved. Once sizing has been determined, the patient is sat upright to check for symmetry, cleavage, and fullness. The sizer implant is then removed and the final implant is prepped for surgery.

Underneath the areola excess breast tissue was present causing the areola to appear “puffy”. To fix this, the extra tissue was removed from underneath each areola for better results.

The areola is also reduced in size to promote better symmetry and results.

Breast Augmentation (Side View)

When placing silicone gel implants, Dr. Pousti uses the Keller Funnel method. This technique allows for easy distribution of the implants to the breast pocket and promotes better control of contamination with a no touch method to the implants during placement. Dr. Pousti used 450cc silicone gel implants, along with an areola reduction, and correction of tuberous breasts to achieve the patient’s goals.

After Breast Augmentation

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Posted in Areola Reduction, Areola/Nipple Procedures, Benelli Lift, Breast Augmentation, Kenner Funnel, Silicone Gel Implants, Tuberous Breast Deformity

This 22 year old from Canada was interested in a breast augmentation for several years. She was mainly concerned with increasing her breast size and fullness while correcting her tuberous breasts. Tuberous breasts have a long narrow base and a long skin envelope with a “puffy” and enlarged areola. She began researching online for a qualified surgeon to perform her breast enhancement surgery and found double board certified plastic surgeon, Dr. Pousti. The patient read through several patient testimonials and was very impressed with the results he was able to achieve for his patients.

After exchanging several emails and telephone calls the patient decided to fly in to California to have her surgery performed. Upon her arrival, Dr. Pousti examined the patient and confirmed she was a great candidate for breast enlargement surgery with an incision around the areola to reduce the areola size and correct the tuberous breasts. The patient brought in goal pictures to illustrate exactly what she wanted to achieve with her surgery and reviewed them with Dr. Pousti prior to surgery.

Dr. Pousti met the patient the night prior to surgery to perform markings and discuss saline vs. silicone implants. The patient decided to proceed with her breast augmentation surgery using silicone gel implants. The smiley face on the patient’s right breast represents mild asymmetry, different implant sizes will be used to achieve breast symmetry. Dr. Pousti uses sizer implants in the operating room to determine an appropriate implant size. The sizers are placed into the breast pocket deflated and then pumped with air until the patient’s goal size has been achieved based on pictures she has brought in. The patient is then sat upright to check for symmetry, cleavage, and fullness. At this time adjustments are made prior to final implant placement.

Dr. Pousti uses the Keller Funnel method when placing silicone gel implants. This technique allows for a no touch method to the implants during placement which reduces the risk of contamination. The implants are easily distributed to the breast pocket through a funnel with a simple squeeze. Dr. Pousti used a 600cc silicone gel implant on the left breast and a 575cc silicone gel implant on the right breast to create better symmetry. An areola reduction was also performed to treat the constricted breasts.

The patient is extremely satisfied with the results of her breast procedures.

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Posted in Areola Reduction, Breast Asymmetry, Breast Augmentation, Kenner Funnel, Silicone Gel Implants, Tuberous Breast Deformity