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:

Tuberous Breast Deformity Patients

Mommy Makeover

Click here to see full details on this patient

This 33 year old mother of 2 was interested in mommy makeover surgery.  She had been told that she has tuberous breasts.  She was interested in having the excess skin and adipose tissue of her abdominal area addressed as well.

extended abdominoplasty

liposuction of back

repair of umbilical hernias

Markings and measurements are performed prior to surgery. The potential risks and complications of the procedure were discussed in detail.

correction of bilateral constricted breast

excision of mid line abdominal wall scar

Breast augmentation with benelli breast lift to address the tuberous breasts.

tummy tuck

Above photo shows the plication of the abdominal muscles during the abdominoplasty surgery.

body lifting

Above photo shows the excess skin removed during the tummy tuck surgery.

 

bilateral upper lateral chest lipecotmy

Immediately after mommy makeover with Ultra high profile 650cc silicone gel breast implants

Click here to see full details on this patient

Posted in Abdominoplasty, Hernia Repair, Mommy Makeover, Tuberous Breast Deformity


Breast Asymmetry / Tuberous Breasts

Click here to see full details on this patient

This 23 year old was interested in improving her breast asymmetry.  She had been thinking about breast surgery for many years and after lots of research found Dr. Pousti.  He had expertise in regards to tuberous breasts and breast surgery in general and that made the patient feel very confident in her choice.

lifting surgery

She and Dr. Pousti discussed her goals of improving the shape and size of the breasts as well as the symmetry. Dr. Pousti discussed performing the surgery in 1 stage or 2 stages – discussing all potential risks and complications related to the surgery.

breast lifing surgery

Markings and measurements were performed prior to surgery and the patients goals were discussed again in detail.  Dr. Pousti determined that it would be in the patient’s best interest to perform her surgery in stages.  2- Staged Procedure = The first surgery would be to perform the breast lift portion and have a solid foundation in place for the 2nd surgery – the Breast Augmentation Portion.

lift

The patient trusted her surgeon and proceeded with the mastopexy procedure to improve her breast symmetry and shape.

mastopexy

See the photos showing immediately after breast lifting surgery and the beautiful change in shape and symmetry.

breats surgery

lift no implants

bilateral mastopexy

 

Patient’s Experience:

This may get wordy, but please bear with me because my experience has been more than 20 years in the making. Ever since I hit puberty I’ve known that some day I would have my breasts corrected; I always knew they weren’t “normal”–and I don’t mean that in a societal beauty way, I mean that in a very broad sense. I wasn’t able to put a name to it until I was an adult, but I did eventually learn that I have tuberous breasts. Not only has this condition caused me much embarrassment and shame throughout my life but it’s also made finding bras (any bras) and shirts a nightmare. Bras never fit but I eventually settled on buying the bras that have enough padding to increase my bust by 2 cup sizes even though I get stabbed by underwire constantly and they slide up because I have no lower breast pole. With my 35th birthday fast approaching and being fed up with being poked by underwire I decided that it was finally time to have this corrected. I generally accept and appreciate the body I’ve been given but I’ve just never been able to make peace with my breasts. ‘They’ say to go to at least 3 consults before deciding on your surgeon. Dr. Pousti was consult #2 for me and I booked my surgery with him at my consult visit. Just like I *knew* Surgeon #1 wasn’t the right fit for me, I *knew* that Dr. Pousti WAS. My consult and pre-op appointments were thorough and any questions I had were answered honestly and appropriately. One of my biggest concerns was that given my anatomy, did he believe that I could reasonably achieve a look similar to my goal photos, or was I more likely to only be able to achieve my “NO!” photos. Dr. Pousti believed that I could achieve what I was hoping for and explained my options. The real magic happens on surgery day though, and I say that as someone who had to adjust her expectations after being gowned and marked. We had originally planned for a 1 stage operation to get the lift and implants done at the same time. While Dr. Pousti was making his many, many precise markings on me I felt like I could notice the mental gears turning a bit in his head, and I was right. Upon reviewing my “boob board” again with my desired outcomes and the outcomes I really didn’t want, Dr. Pousti was very up front with me and recommended that I do this in 2 stages. Even though he knew he’d be disappointing me and breaking my heart a little he 1,000% had my best interests at heart with regard to both safety and aesthetics. I trusted him and his expertise and tearfully agreed to do a 2 stage operation, which meant that I’d just be getting a lift right now and would have to come back in a few months to have the implants done. Even with all of these other great points I’ve enjoyed about Dr. Pousti (his staff, his honesty, his attention to detail, double board certification and so on), the simplest thing he did for me meant the most, I think. After getting me comfortably on the table in the OR this morning, Dr. Pousti himself held my hand and verbally comforted me at my side while anesthesia went to work putting me under. Don’t get me wrong, I LOVE nurses, but I’ve had quite a few surgeries and never once had a doctor do this! They’ve always left that to the nurses while they finished doing whatever they needed to. It was such a simple gesture, but I couldn’t believe it! Dr. Pousti has an amazing bedside manner to compliment his exceptional surgical skills. I’m only about 10 hours post-op right now but I am absolutely confident that I made the right choice in going with Dr. Pousti and I look forward to getting my second stage completed with him once I’m ready.

Click here to see full details on this patient

Posted in Breast Asymmetry, Tuberous Breast Deformity


Constricted Breast Correction with Benelli Breast Lift

Click here to see full details on this patient

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

tuberous breasts

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

constricted breasts

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

breast procedure

mastopexy

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

breast surgery

correction of bilateral constricted breast

constricted breast

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

Click here to see full details on this patient

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


Breast Augmentation for Tuberous Breasts

Click here to see full details on this patient

This 31 year old student from Anaheim California had been thinking about breast enhancement surgery for 12 years.  She did not like the  shape and size of her breasts.

constricted breast

After doing some research online, she discovered that she has tuberous breasts (also called constricted breasts) and the breast augmentation procedure for a patient with constricted breasts is different than for a patient who needs a straight forward breast augmentation so she was looking for the best plastic surgeon with lots of experience performing this specific procedure.

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.

mastopexy

This tuberous 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.

do i need a lift

Above shows the patient’s breasts with pre-operative markings and below photo is the breast tissue that was removed to improve the shape of the patients’ breasts.

tuberous

breast enhancement

lift with implants

Immediately after breast augmentation surgery for tuberous breast correction with Ultra High Profile 590 cc Silicone Gel Breast Implants.

Click here to see full details on this patient

Posted in Tuberous Breast Deformity


Tuberous Breast Deformity Correction

Click here to see full details on this patient

This 20 year old patient from England had concerns about her tuberous breasts for many years.  She was very uncomfortable with the size and shape of her breasts.  She was told that she had “constricted” breasts also referred to as “tuberous” breasts, or  “tubular” breasts.  She researched for the best plastic surgeon to achieve her goals with breast augmentation and tuberous breast correction and found Dr. Pousti.

tuberous breast

correction of constricted breast

The patient decided that it was important for her to have the most experienced plastic surgeon she could find to help her with her tuberous breasts and so she decided to fly in for surgery.

silicone implants

Markings and measurements are performed prior to surgery and the procedure is discussed in detail. The “smiley face” indicates the larger breast (most patients have some breast asymmetry).

areola reduction

In the photos, you can see the tissue that was removed from the breast / areola area to reduce the areola puffiness.

breast augmentation

constricted breasts

tuberous breasts

The patient had breast augmentation with areola reduction  / tuberous breast correction with  590cc silicone gel breast implants.

Click here to see full details on this patient

Posted in Areola Reduction, Benelli Lift, Tuberous Breast Deformity


Tuberous Breast Correction

Click here to see full details on this patient

 

This 31 year old traveled from Northern California to have Dr. Pousti perform her breast augmentation surgery. She was not happy with the size and shape of her breasts (tuberous breasts) and did not like how large and puffy her areola were.

DSC00254

After evaluation, it was determined that breast implants as well as benelli breast lift would be necessary to address the size and “puffiness” of the areola as well as nipple/areola placement on the breast mound.

DSC00255

The night prior to surgery, Dr. Pousti performs measurements and markings that will serve as a road map during the procedure.  As he is measuring the patient, he is discussing the surgery and the potential risks/ complications of the surgery as well.

DSC00267

As you can see, there is some breast asymmetry that will also be addressed during the procedure.  Dr. Pousti cannot promise “perfect symmetry” but will have a nice improvement.  The right breast is larger and lower than the left breast.

DSC00270

The incision is made around the areola and extra tissue is removed to address the “puffiness”.  The size of the areola is also reduced during this surgery.

DSC06306

DSC06317

Above you see the tissue removed from the right and left breast / again seeing the asymmetry between the 2.

DSC06319

 

DSC06302

DSC06303

DSC06304

Above photos show the patient after tuberous breast correction with benelli breast lift and Ultra High Profile silicone gel breast implants (480cc on the right and 535cc on the left).  As the breast incisions heal, they will flatten / smoothen out and blend in with the areola.

Click here to see full details on this patient

Posted in Areola Reduction, Benelli Lift, Limited Lift (Benelli Lift), Tuberous Breast Deformity


Benelli Breast Lifting to Address Tuberous Breasts

Click here to see full details on this patient

 

31 year old patient from Lakeside, California had been thinking about breast enhancement surgery for many years.  She enjoys working out and so wanted to make her body more “proportional” with surgery.

silicone implants

She researched for the most experienced breast surgeon and found Dr. Pousti. After the consultation, she was confident in his experience and recommendation.  Dr. Pousti discussed the benelli breast lift with the patient to “lift” her nipple/areola complexes as well as internal pocket dissection to address her tuberous breasts.

breast lift

Silicone gel breast implants were recommended because the patient has very little body fat or breast tissue.

bilateral mastopexy

The “lines” on the lower pole of the breasts show where the pocket was dissected to achieve a more “rounded” shape.

ba

lift

The patient had 400cc HP Silicone gel breast implants placed in addition to the benelli breast lift. She is very pleased with the initial results of surgery.

Click here to see full details on this patient

Posted in Benelli Lift, Breast Lift with Implants, Tuberous Breast Deformity


Breast Augmentation with Benelli Breast Lift for Tuberous Breast Correction

Click here to see full details on this patient

This 26 year old patient was interested in correcting her tuberous breasts (wanted to increase breast size as well as shape).  Tuberous breasts are also known as 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.

silicone gel implants

She started researching and asking her friends, and was referred to Dr. Tom Pousti for breast enhancement surgery. 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.

constricted breast

The patients’ goals as well as the procedure to improve her breast size and also to”round out” the breast shape was discussed prior to surgery and reviewed again the morning of surgery.

bilateral breast augmentation

Markings and measurements were taken to proceed with breast augmentation with benelli breast lift (incision around areola).

lift

mastopexy

Mentor high profile 325cc silicone gel breast implants were placed on each side. The patient is very happy with the early results of her surgery.

Click here to see full details on this patient

Posted in Benelli Lift, Breast Lift with Implants, Breast Procedures, Limited Lift (Benelli Lift), Tuberous Breast Deformity


Correction of Tuberous / Constricted Breasts

Click here to see full details on this patient

This 26 year old patient from San Diego County had been thinking about breast enhancement surgery for many years.

DSC05792 - Copy

She did not like the size and shape of her breasts (constricted) and did not like how large her areola were.  She wanted to reduce the size of her areola at the same time as increasing her breast size.

DSC05794 - Copy

She searched for the best plastic surgeon to help her with her constricted / tuberous breasts and found Dr. Pousti.

DSC04881

Dr. Pousti agreed that breast augmentation as well as the benelli breast lift and internal pocket work to “round out” the breasts would address the constricted / asymmetric breasts and achieve the patients goals.

DSC04884

DSC04882

Above photos show the beautiful improvement of the size / shape of the breasts.   Mentor high profile silicone gel breast implants were used. 450cc right 425cc left. The patient is pleased with the early results of her surgery.

Click here to see full details on this patient

Posted in Benelli Lift, Breast Lift with Implants, Breast Procedures, Limited Lift (Benelli Lift), Tuberous Breast Deformity


Breast Implants for Constricted Breasts

Click here to see full details on this patient

This 28 year old from San Diego was interested in breast augmentation surgery to address her constricted breasts for over 3 years.  After doing online research, she was very pleased with Dr. Pousti’s experience and when she spoke with her friends, they had also had surgery performed by Dr. Pousti so she came in for an in person evaluation.

breast augmentation

BA

 

After examination, Dr. Pousti stated that she would be a good candidate for breast implants and to increase breast size and to improve her breast shape as well.

implants

 

For patients who undergo silicone gel breast augmentation, the Keller funnel will be used.  This Keller Funnel allows for a “no touch technique” to get the silicone gel breast implant in place with less trauma to the area as well as allowing for a smaller incision for insertion.

 

breats surgery

 

 

breast procedure

She received mentor 550cc HP silicone gel breast implants and is currently recovering. She is pleased with the initial results of her surgery. She understands that it will take months to see the final results.

Click here to see full details on this patient

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



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) 1998-2018 Pousti Plastic Surgery Center