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San Diego Cosmetic Plastic Surgery

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XL Breast Augmentation Patients

Breast Revision with Internal Bra, ADM and XL Breast Implants

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This 56 mother of 5 previously had breast augmentation surgery with 800cc silicone gel breast implants.  She had been considering revisionary breast surgery for 7  years and wanted to find a plastic surgeon who specialized in breast revision surgery.

re-augemntation

She was not happy with the right breast implant “bottoming out” and wanted “more round, fuller breasts”.  She saw Dr. Pousti’s work and read his reviews and decided to come in for evaluation.

bilateral re-augmmentation saline over filled
After examination and discussion of goals, it was determined that the patient would benefit from the internal bra procedure (also known as capsulorrhaphy) to improve breast implant placement  on her chest wall as well as using saline breast implants and overfilling them to a larger size.  The use of ADM (Acellular Dermal Matrix or Strattice) was also recommended for additional support on the lower pole of the right breast that had bottomed out.

revisionary

Markings and measurements are performed prior to surgery (see above photo) as the goals are discussed again in detail.
revision surgery (2)

Above photo shows the Strattice (ADM) used for this patients surgery.  Below photos show the internal capsule repair performed and temporary sizers in place to evaluate position and size.

capsulorraphy

 

revision

overfilled saline

Above photos show immediately after breast augmentation revision surgery, capsulorrhaphy, ADM and 1100cc overfilled saline breast implants

 

 

 

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Posted in AlloDerm, Bottoming Out, Breast Pocket Correction, Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Overfilled Saline Breast Implants, XL Breast Augmentation


Breast Revision Surgery with Overfilled Saline Breast Implants

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This 46 year old has had 2 previous breast surgeries (not with Dr.Pousti) but was now interested in improving her breast shape as well as increasing her breast size.  She did not like the “double bubble” on her right side (toward the cleavage) and wanted that corrected.  She also wanted the XL breast implant size.

left breast double bubble

To achieve her goals (for very round, full breasts) Dr. Pousti discussed saline overfilled breast implants and the patient agreed.

double bubble

Markings and measurements are performed prior to surgery and the revision breast procedure is discussed in detail again with the patient.

revisioanry surgery

Below you see the patient after breast implant removal in the operating room prior to placement of her new breast implants.

contour improvement

overfilled saline filled implants

These were the breast implants that were removed from the patient (above).

revision

revision surgery

capsulotomy

Above photos show the patient immediately after Revision Breast Augmentation Surgery with Overfilled Saline Breast Implants– 1300cc

 

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Posted in Breast Revision Surgery, Double Bubble, Overfilled Saline Breast Implants


XL Breast Augmentation Revision

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This 54 year old mother of 2 from Louisiana had been interested in breast augmentation revision for many years.  Her first breast augmentation procedure was performed by a local surgeon but was now interested in increasing her breast implant size.

overfilled saline implants

She searched for the best revision plastic surgeon online and found Dr. Pousti.  After a few email communications, she determined that he would be the plastic surgeon who performs her breast augmentation revision surgery.

saline overfilled

She decided to fly into San Diego to have her XL breast implant surgery performed.

breast procedure

Markings and measurements are performed prior to surgery – the “arrows” show where the patient wants more fullness after her breast implant revision surgery.

implant exchange

Above photos shoe the right breast with the temporary sizer in place and the lower photos show the patient after breast implant removal, prior to placement of her new saline breast implants.

implant remove replace

 

breast surgery

revision

Immediately after revision breast surgery with 1000cc overfilled saline breast implants.

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


Breast Augmentation Revision with XL Breast Implants

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This 51 year old mother of 2 had been thinking about revision breast surgery for quite some time.  She previously had breast augmentation surgery (performed by a different surgeon) but was now unhappy with the size and shape of her breasts.  She searched for an experienced plastic surgeon who specializes in breast augmentation revision surgery and found Dr. Pousti.

revision breast augmentation

After examination and discussion of goals, it was determined that the patient would need pocket work to improve shape as well as larger breast implants to achieve her XL breast augmentation goals.

revision bilateral breast augmentation

The patient agreed and proceeding to schedule her surgery.

breast procedure

Markings and measurements are performed prior to surgery and the procedure is discussed in great detail with the patients. The “red arrows” above show where the patient is wanting more “fullness” after her breast revision.

breast surgery

revision

revisionary surgery

Immediately after revision breast surgery with moderate plus profile 1000cc saline overfilled  breast implants

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


Revision Breast Augmentation with Internal Bra and AlloGraft

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This 29 year old from Palm Springs had previous breast enhancement surgeries elsewhere.  She was not happy with the shape and placement of the breast implants on her chest wall and wanted revision breast surgery.  She currently has 750cc saline breast implants and wanted XL breast implants that were “more full on top”.

allograft

She was not pleased with the bottoming out of the breast implants and how close they are in the cleavage area.  After examination, Dr. Pousti decided that performing the capsulorrhaphy in addition to the use of ADM would help achieve the patients goals.

saline implant

Markings and measurements are performed prior to surgery (see photo below) and are an important part of the surgical procedure as these markings are used as a “road map” during the surgery.

 

revisionary surgery

Below shows the patient in the operating room after her breast implant removal.

capsulorraphy

revision breast surgery

The ADM (also known as AlloGraft / Strattice)  is  used for additional support in the cleavage area.

breast revision surgery

Above photo shows the right breast after internal bra completion and placement of temporary sizers… and the dramatic difference compared to the left breast that has not yet been revised.

breast surgery

revision

revision surgeryImmediately after breast augmentation revision using Mentor high profile overfilled saline implants– 1350cc

 

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


Revision Breast Surgery with Overfilled Saline Breast Implants

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This 26 year old make up artist from Las Vegas had breast enhancement surgery years back performed by another surgeon and now was ready for breast revision surgery.  She was interested in the XL breast implants.

implant exhange

She researched for the best plastic surgeon to perform her revision breast surgery and found Dr. Pousti.  She flew in for her consultation and decided to have surgery.

saline over filled implants

breast surgery

Markings and measurements are performed prior to surgery and the procedure is discussed in detail.

Below photo shows the patient in the operating room with after breast implant removal

breast revision

breast procedure

breast re-augmentation

Immediately after revision breast augmentation surgery with Mentor moderate plus profile 1250cc saline implants

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


Breast Augmentation Revision with Overfilled Saline Breast Implants

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This 44 year old patient from Vista California was interested in breast augmentation revision.  She was interested in larger, fuller breasts.  She wanted to have saline overfilled breast implants to achieve the XL breast size.

revision breast surgery

revision

She felt very confident in Dr. Pousti’s experience and proceeded to the operating room for her revision breast surgery.

breast operation

As you can see in the above photo, the right breast was “falling off to the side” and so Dr. Pousti performed the internal bra for better placement of the breast on the chest wall.

lift

Temporary sizer in the left breast to evaluate size and make pocket adjustments prior to the breast implants being placed.

implant exchange

Above shows the patient with breast implants removed.

capsulorraphy

Above are the patients’ previous 850cc breast implants that were removed.

breast surgery

breast procedure

Immediately after breast augmentation revision with moderate plus profile saline implants overfilled to 1400cc

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


Breast Revision with Internal Bra and Overfilled Breast Implants

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This 53 year old from Arizona was interested in revision breast surgery.  She wanted XL breast implants and she wanted them “more round and perky”.  Her breasts fell off to the side when she layed down and she wanted more fullness on top so she was looking for a plastic surgeon with expertise with breast augmentation revision to perform an internal bra (also known as capsulorrhaphy)for her.

bilateral breast re-augmentation

After meeting and having an examination, it was determined that overfilled saline breast implants as well as the internal bra would be what helps achieve this patient’s goals.

saline overfill

Markings are performed prior to surgery . The green arrows show where the patient wants more fullness of the breasts.

revisionary

 

DSC01522

DSC01521

Below photo shows the patient once her breast implant has been removed.

bilateral capsulorraphy

These were the large silicone gel breast implants that were removed from the patient.

re-augmentation

Below photos show the patient immediately after breast augmentation revision surgery with overfilled saline breast implants and the internal bra.  The breast implants used were Mentor, moderate plus profile saline implants overfilled to 1500cc.

revision

revision surgery

breast surgery

 

 

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


Right Breast Implant Deflation

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This 34 year old from San Mateo, California, is a previous patient of Dr. Pousti’s and very happy with her XL breast augmentation results.    One morning she noticed that one of her breast implants had changed in size.  She emailed Dr. Pousti and came in for evaluation.

right side revision

It was determined that she had a deflated right breast implant that needed to be replaced.  She scheduled surgery ASAP.

breast operation

 

In the operating room, the right deflated breast implant was removed and replaced with a new breast implant and filled to 1500cc for breast symmetry.

breast surgery

revisionary

Above shows the patient immediately after her revision breast surgery.

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Posted in Breast Revision Surgery, Overfilled Saline Breast Implants


Revision Breast Surgery

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This 40 year old from Riverside County had been thinking about revision breast surgery for many years.  She liked the XL breast implant size but did not like the shape of her breasts.  She was interested in improving the shape of her breasts and keeping her overfilled breast implants.

overfilled implants

She currently has 900cc overfilled saline breast implants in place but he is very unhappy with the shape. She wants her breasts lifted and more “round”.

saline implants

She and Dr.Pousti discussed removing excess breast skin and tissue on the lower pole of her breasts and the internal bra procedure to improve her shape as well as increasing the breast implant size.  Markings and measurements are performed prior to surgery and the patient is taken into the operating room for her breast revision surgery.

revisionary surgery

bilateral breast re-augmentation overfilled saline implants

re-augmentation

Patients  previous breast implants are removed.

revision

revision bilateral breast mastopexy

breast capsulorraphy

Immediately after revision breast augmentation surgery with bilateral mastopexy, capsulorrhaphy, and overfilled saline breast implants.

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



Pousti Plastic Surgery Center
Pousti Plastic Surgery of San Diego
8851 Center Drive, Suite 300
La Mesa, California 91942
Phone: (619) 466-8851 or Email
 
Dr. Tom Pousti is a San Diego and La Jolla Plastic Surgery specialist. He has provided plastic surgery treatments to many San Diego and La Jolla facelift, tummy tuck, liposuction, breast augmentation, and rhinoplasty patients. His office is located in San Diego, and also serves the La Jolla, Riverside, Inland Empire and Temecula areas. Disclaimer


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