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XL Breast Augmentation Patients

Revisionary Breast Surgery with Saline Overfilled Implants

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This 35 year old patient from Dallas, Texas was unhappy with the size of her current breast implants. She had been considering increasing her implant size for a few years and decided to take action. She began researching plastic surgeons and she came upon double board certified plastic surgeon, Dr.Pousti. She was impressed by the experience Dr. Pousti has in regards to revisionary breast surgery.
revisionary breast surgery
She currently has 492 cc breast implants but wanted a much fuller, much larger breast implant size.
breast revision
saline overfilledHere the patient is prepped and ready for surgery with completed markings.
During the surgery, she exchanged her 492 cc breast implants to 1070 cc saline overfilled implants.
internal bra
revisionary breast surgery (2)
implant exchange (2)
Dr. Pousti will do his best to achieve the patient’s goals but safety always is his top priority!
implant exchange
exchange implantsAbove, the patient is 5 days post and is doing well. She is very extremely happy with her results.

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


Overfilled Saline Implants

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This 31 year old patient from Norco, California received breast augmentation surgery previously from another surgeon.  She had been considering revisionary breast augmentation surgery for many weeks before she decided to  take the steps to move forward with this procedure. She was very impressed by Dr. Pousti’s experience related to revisionary breast augmentation surgery.

Revisonary surgery

Implant exchange

At her consultation, Dr.Pousti deemed her a good candidate for this procedure. She presented breast asymmetry and was interested in revisionary surgery and Dr.Pousti knew that that would involve breast implant removal, placement of new breast implants and a breast lift.

Implant exchange-salineAbove photo shows the patient immediately before surgery.  Dr. Pousti performed markings and measurements.  She currently has a 460cc saline implant in her right breast and a 480cc breast implant in her left breast.

Mastopexy I

Below, the implants are completely removed and the benelli breast lift is being performed.

implants removed

exchanging implants

breast lift-donutThe temporary sizers are placed and the size and shape are evaluated and compared to the patient’s “goal photos” to see what size breast implant will be safe to use to achieve the patients goals.

breats lift (side view)

exchange implants

breast liftAbove, the patient’s breasts have been lifted. Her breasts were lifted using the “donut” or “benelli” method. This method is often requested by patients who understand the results of the procedure and are satisfied with the minimally-invasive incision around the areola.  She is currently 1 week and 2 days post revisionary breast surgery with Mentor smooth round moderate plus profile overfilled saline implants. She is doing well.

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


XL Saline Breast Implants- 2030 cc

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This 41 year old patient from  New Zealand had previously had breast augmentation surgery and had been contemplating increasing her breast size. She was interested in revisionary breast surgery with capsulorrhaphy and XL breast implants.

frontal view of the pt before surgeryShe currently had custom 1500 cc Euro – silicone  breast implants.

side views of the pt before surgeryIn the US, the largest silicone gel breast implant is 800cc so she and Dr. Pousti discussed using saline breast implants and overfilling them to the larger size she desired.

pt directly before surgery

pt with implants completely removedWith implants removed during surgery.

1500cc implants removed from ptAbove are the 1500cc silicone implants removed from the patient.

side view of pt directly before and after surgeryThere was an increase in size from 1500cc sized implants to 2030cc saline overfilled Mentor implants.

pt directly before and after surgery

pt directly after surgeryPatient is doing well and pleased with the initial results.

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


XL OverFilled Saline Breast Implants

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This patient lives overseas and previously had a breast augmentation and lift however, over the years she became interested in revisionary breast surgery and increasing her breast size and shape with an extra large breast augmentation.

front view of patient before surgery

She had been in communication with double board certified plastic surgeon, Dr. Pousti, via phone and email prior to her arriving to San Diego for her pre-op appointment. She was very satisfied with what they had discussed and Dr. Pousti deemed her a good candidate for revisionary breast surgery that they decided to proceed to the operating room.

Dr. preforming markings on patientDr. Pousti is performing markings on the patient at her appointment the day before surgery.

pt directly before and after surgery with completed markingsHere is the patient directly before surgery (on the left) and directly after surgery (on the right). She went from 350cc silicone gel implants to 1000cc saline implants.

side view of pt directly before and after surgery

other side view of pt before and after surgery

DSC03867

Here the patient is 1 month and 3 weeks post revisionary breast surgery.

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


Revisionary Surgery with Saline-Overfilled Breast Implants

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This 37 year old patient from Escondido, California has been considering implant exchange surgery for a few years.  She wanted a very full, very round look with this revisionary breast surgery and found that Dr. Pousti has experience with the XL breast implants.  To achieve the look this patient was wanting, Dr. Pousti discussed the use of overfilled saline breast implants.

DSC05726

Sometimes, internal capsule work (capsulorrhaphy) is also performed to help with support and positioning of the breast implants on the chest wall.

DSC05729

She went from 450cc in both breasts from a previous breast augmentation to 1300cc saline implants in both breasts.

DSC08025

DSC08023

DSC08024She is currently 1 week post overfilled implant exchange surgery and is doing very well.

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Posted in Overfilled Saline Breast Implants, XL Breast Augmentation


Revisionary Breast Surgery with XL Implants and Internal Bra

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This 42 year old patient from Arizona who had been in communication with Dr. Pousti via email had been interested in revisionary breast surgery. Upon her arrival in San Diego, she met with Dr. Pousti, a double board certified plastic surgeon, who determined that she would be an excellent candidate for revisionary breast surgery. The patient desired more fullness on top and more emphasis on cleavage. Dr. Pousti recommended that along with going bigger in size, that she have capsulorrhaphy (internal bra) as well to prevent implant displacement. 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.

before revisionary capsulorrhaphy overfill

The patient found Dr. Pousti online after doing research for revisionary breast surgery. She was very pleased with the before and after photos of Dr. Pousti’s work that she knew she wanted him to do her procedure. The patient presented her goals to Dr. Pousti and pre-op was performed the day before surgery.

side view revisionary capsulorrhaphy overfill

Markings were completed the following morning. The arrows represent where the patient desired more fullness.

markings before surgeryThe patient has bilateral 1150cc Mentor extra large saline overfilled breast implants placed as well as internal capsule work for better placement.

front view revisionary capsulorrhaphy overfill

Bolster Dressing is placed under the breasts to give support to the areas where the internal repair was performed.  This dressing is kept in place for the first month or so.

after revisionary capsulorrhaphy overfill

The patient is currently 3 weeks post revisionary breast surgery and very happy with her results!

after side view revisionary capsulorrhaphy overfill

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


XL Breast Augmentation with Internal Bra

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This healthy 37 year old female from Ceres, California, desired to have larger breasts that had more upper fullness and improved symmetry. She was post breast augmentation-mastopexy and revisionary surgeries. She had concerns regarding her implant positioning.before revisionary breast surgery- implant exchange and capsulorrhaphy

While on www.realself.com, she came across Dr. Pousti. She was impressed with his double board certification and expertise in revisionary breast surgeries. She decided to proceed with surgery after her in-office consultation.

side view before revisionary breast surgery- implant exchange and capsulorrhaphy

The markings were performed the morning of surgery and the operating plan was discussed with the patient. Her current implants would be removed so that her breasts could be re-augmented with larger implants. Per Dr. Pousti’s recommendation, that patient was also going to have capsulorrhaphy performed. 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. This would occur on the medial, inferior, and lateral area of the breasts to secure the implant pocket.

markings for revisionary breast surgery- implant exchange and capsulorrhaphy

A sizer is used in the right breast to help Dr. Pousti determine how large of an implant could and needed to be used to achieve the patients goals.

revisionary breast surgery- implant exchange and capsulorrhaphy

The patient has bilateral 1050cc XL saline overfilled breast implants.

after revisionary breast surgery- implant exchange and capsulorrhaphy

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


Capsulorrhaphy to Support XL Breast Implants

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This 44year old female from Overton, Nevada drove in to San Diego to have her breast revision surgery performed by double board certified plastic surgeon, Dr. Pousti. She desired more top and outer fullness in her breasts than she received from her previous breast augmentation 12 years ago. She began her research on www.realself.com when looking for a surgeon to help her achieve her goals.

before implant exchange with capsulorrhaphy

She communicated with Dr. Pousti via email and Dr. Pousti determined she would be a great candidate for implant exchange with XL saline breast implants. He also recommended performing capsulorrhaphy (internal bra) to help improve the breast implant pocket. She currently;y had medial breast implant malposition. 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.

side view before implant exchange with capsulorrhaphy

The patient sent over photos of her goals. This allowed Dr. Pousti to understand what the patient desired to achieve.

goals for implant exchange with capsulorrhaphy

She scheduled her surgery. Dr. Pousti performed the markings on the patient the morning of surgery prior to going into the operating room. The patient and Dr. discuss her goals one final time before proceeding.

markings for implant exchange with capsulorrhaphy

The red shaded area is where the capsulorrhaphy will be performed in order to close of the breast pocket and prevent symmastia.

implant exchange with capsulorrhaphy

The patient is shown immediately post surgery and has bilateral 1200cc XL saline overfilled breast implants.

after implant exchange with capsulorrhaphy

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


Adding More Volume to Current Breast Implants

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This 34 year old female from Phoenix, Arizona desired to continue to enlarge her breasts with XL saline over filled breast implants. She was previously referred to Dr. Pousti and continued to come back for her procedures because she was very pleased with her results every time and knew he was the doctor to help her achieve her goals.before adding more cc's to current overfilled saline breast implants

The patient followed up with Dr. Pousti post her previous breast augmentations and when the time was right, flew back in for her breast revision procedure. Dr. Pousti and the patient discussed adding more cc’s to her current breast implants and performing capsulorrhaphy as well to provide additional support to the breast implants. 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 and provide support.

side view before adding more cc's to current overfilled saline breast implants

The patient is shown below immediately before and after her breast surgery. She has bilateral 1630cc XL overfilled saline breast implants.

adding more cc's to current overfilled saline breast implants

The patient was seen one day post her procedure and went back home after determining there were no complications. She will continue to follow up via email communication.

after adding more cc's to current overfilled saline breast implants

side view after adding more cc's to current overfilled saline breast implants

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


Revision Breast Surgery with XL Breast Implants

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This 61 year old healthy female from North Hollywood, California was post previous breast augmentation-mastopexy surgery. Although she liked her breasts, she desired to enlarge her breasts with revisionary surgery. She wanted to exchange her current implants with XL saline overfilled breast implants to achieve a more round and full appearance.before implant exchange for XL saline breast implants and internal bra

She did a lot of research on the internet while looking for a skileld surgeon who could help her achieveher goals of XL implants. She noticed that Dr. Pousti had both the credentials and experience she was looking for. At her consultation, Dr. Pousti recommended removing her current implants and replacing them with XL saline implants, revising her breast lift, and performing capsulorrhaphy (internal bra) for addition support.

side view before implant exchange for XL saline breast implants and internal bra

The markings are performed prior to proceeding to the operating room.

markings for implant exchange for XL saline breast implants and internal bra

Her previous implants are removed so her breasts can be re-augmented.

implant exchange for XL saline breast implants and internal bra

Intra-operative sizers are used to aid Dr. Pousti in determining the best size implant for the patient.

sizers for implant exchange for XL saline breast implants and internal bra

The patient is shown below immediately post surgery and has bilateral 1200cc XL saline overfilled breast implants.

after implant exchange for XL saline breast implants and internal bra

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