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San Diego Cosmetic Plastic Surgery

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XL Breast Augmentation Patients

Revision Breast Surgery / Internal Bra / Double Bubble

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This 37 mother of 4 had been thinking about breast augmentation revision surgery for over a year.  She was unhappy with the size and placement of her breasts.  She also wanted to address her “double bubble” .

overfilled saline filled implants

After multiple email communications, she was comfortable with Dr. Pousti’s expertise in regards to breast revision surgery.

saline implants

After examination, it was determined that saline overfilled breast implants would be needed to achieve her XL breast size as well as the internal bra procedure (capsulorrhaphy) to address the double bubble and for better positioning of the breasts on her chest wall.

revision

Markings and measurements were performed prior to surgery and the potential risks and complications were discussed.

saline overfill

implant exchange

revisionary

 

 

Immediately after revision breast surgery with saline overfilled breast implants – 1140cc on left side – 1200cc on the right side.

 

 

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Posted in Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Double Bubble, Overfilled Saline Breast Implants


Implant Exchange Saline Overfilled implants

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This 33-year-old was interested in XL breast implants.  She searched for the best plastic surgeon to perform her revision breast surgery and found Dr. Pousti.

overfilled saline filled implants

She was looking for larger, rounder breast implants.

bilateral breast capsulotomy

Dr. Pousti discussed the potential risks associated with having large breast implants placed.  The patient understood the risks and proceeded with surgery.  She had her 325cc breast implants removed and replaced with larger, overfilled breast implants.

implant exchange

revision breast surgery

saline overfilled implants

Immediately after her revision breast surgery with saline overfilled breast implants
– 1070cc right side 1100cc left side

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Posted in Overfilled Saline Breast Implants, XL Breast Augmentation


Double Bubble – Breast Augmentation Revision Surgery

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This 49 year old had her breast augmentation surgery over 15 years ago performed by another surgeon.  She was not pleased with the size, shape or placement of the breast implants. She wanted revision breast surgery.

breast re-augmentation

She wanted them “more round and perky” and wanted to address the “double bubble” and “rippling”.

capsulorraphy

After examination, it was determined that this patient would benefit from breast augmentation revision with saline overfill breast implants and capsulorrhaphy.  The internal bra would help with better placement of the implants on her chest wall.

correction of double bubble

Markings and measurements are very important – Dr. Pousti takes his time prior to surgery to discuss the procedure as well as potential risks and complications associated with the revisionary surgery with the patient.

bilateral breast capsulorraphy

double bubble

Above photo shows the patient with the markings and measurements. You can see the double bubble deformation.implant exchange

revision surgery

The green arrows indicate where the patient wants more “fullness” and the red “X” is where internal work is performed and the ## on the left breast is the double bubble where the pocket needs to be adjusted.

revision bilateral breast augmentationBelow shows the patient immediately after breast augmentation revision with overfilled 1200cc saline implants and internal bra.  You can see the significant improvement.

revision

revisioanry surgery

 

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Posted in Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Double Bubble, Overfilled Saline Breast Implants


XL Breast Augmentation Revision

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This 24 year old patient previously had breast augmentation surgery but was now interested in the XL breast implant size.  She had been thinking about revision breast surgery for quite some time and finally decided to proceed.

re-augmentation surgery

She researched for the best plastic surgeon to perform her breast augmentation revision and found Dr. Pousti.

revision surgery

remove replace

Markings / measurements were performed (above) and during the surgery breast implants removed (below)overfilled saline implants

revisionary surgery

implant exchange

capsulorraphy

Immediately after breast revision surgery with 1650cc overfilled saline breast implants.

 

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Posted in Breast Revision Surgery, Implant Exchange, Overfilled Saline Breast Implants


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



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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