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XL Breast Augmentation Patients

Overfilled Saline Breast Implants with Internal Bra

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This 51 year old from Arizona was interested in increasing her breast implant size.  She previously had breast augmentation surgery performed by another surgeon but wanted to increase the “fullness on top”.  She had been thinking about this type of breast augmentation revision surgery for over 3 years.

implant exchange

After research online, she found that Dr. Pousti had extensive experience with revisionary breast surgery and especially with the XL breast implants.  She started the communication with Dr. Pousti and his staff and arranged to have surgery.

implant exchange (2)

She did not like how her current breast implants would “fall out toward her armpits” when she laid down so the capsulorrhaphy procedure was discussed as well. Internal bra / Capsulorrhaphy are interchangeable.   The current capsule that has formed around her breast implants is used and a 2 layered, suture technique is performed to create a “new pocket” for the breast implant and limit the migration of the implant toward the patient’s armpit.

internal bra

This patients previous breast implants were replaced with Mentor 800cc saline breast implants and overfilled to 1300cc.  The patient is very pleased with her initial results.

capsulorrhaphy

implant exchange (3)

Because the patient is from Arizona, she will return home and keep in touch via email / phone calls and visit Dr. Pousti for her follow up appointments.

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


Increasing Breast Implant Size

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This 40 year old patient from Temecula, California previously had a breast augmentation performed by double board certified plastic surgeon, Dr.Pousti. Below, is a photo of her before her initial breast augmentation surgery. Although she was very happy with her results after her breast augmentation surgery she wished that she had gone larger in breast implant size.

revisionary surgery

implant exchange (3)

She came in for a follow up with Dr.Pousti about a couple months post breast augmentation surgery and expressed her interest in revisionary breast surgery or larger re-augmentation surgery with Dr.Pousti. He deemed her a good candidate for revisionary breast surgery, however, he wanted to wait a couple of months to let her think about it a bit more before they proceeded with surgery. She came back in a couple of months later and was ready to proceed with surgery to increase the size of her implants. They discussed the surgery in detail and about  a month later they proceeded to the operating room.

implant exchange

revisionary breast surgery

implant exchange (2)

This is the patient prepped and ready for revisionary breast surgery. Markings were completed with Dr.Pousti the morning of her surgery and all questions were answered before they proceeded to the operating room.

implant exchange (2) - Copy

revisionary breast surgery (2)This is the patient directly after surgery with implants exchanged. She went from 450cc/480cc smooth round moderate plus saline implants produced by the Mentor corporation to 760cc smooth round high profile saline implants produced by the Mentor corporation. She is currently doing well, healing without any complications, and is very pleased with her implant size.

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Posted in Breast Revision Surgery, Implant Exchange, XL Breast Augmentation


Breast Implant Revision with Biosynthetic Mesh and Internal Bra

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This 45 year old patient from Covina, California has been interested in revisionary breast surgery to improve the position of her breast implants.  She wanted them “more perky” with “more fullness” on top.

implant exchange

revisionary breast surgery

After discussing revisionary breast surgery with Dr. Pousti as well as her goals,  Dr. Pousti suggested the use of  biosynthetic mesh for additional support as well as the an internal bra procedure to improve her bottoming out. Bottoming Out involves inferior migration of the implants. This causes the nipple areola complex to appear too high on the breasts. Also, the distance from the areola to the inframammary fold is too great. This is corrected by “raising” the inframammary fold using internal sutures. This is performed after careful measurements are made from the areola to the “new” inframammary fold.  The internal bra or 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. She agreed and they decided to proceed to the operating room soon thereafter.

XL breast augmentation

Dr.Pousti performs markings and measurements the morning of surgery as he discusses the procedure and the patients goals one last time prior to the patient being put under anesthesia.

revisionary breast surgery (2)

mesh

A biosynthetic mesh was placed in each breast to help support the over-sized saline implant that will be placed in each of the patient’s breast. This is used because the skin on her lower breast poles were so thin to start with.  TIGR Matrix surgical mesh is primarily used to reinforce soft tissue where weakness exists. The mesh technology has a high strength for the first 6 months after implantation, and is completely degraded and resorbed after approximately 3 years. TIGR Matrix surgical mesh is being used to help aid correction of breast implant complications such as bottoming-out, capsular contracture, implant repositioning, breast asymmetry, lateral displacement, unnatural implant movement, and more.

implant exchange (2)

XL breast implants

breast liftAbove, is the patient immediately after her surgery. She went from 455cc to 800cc smooth round high profile implants produced by the Mentor corporation. She also received a revisionary breats lift, an internal bra inferiorally and laterally, and the biosynthetic mesh in both breasts. She is only a few days out from surgery and is healing quite nicely.

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Posted in BioSynthetic Mesh, Bottoming Out, Breast Pocket Correction, Breast Revision Surgery, Capsulorrhaphy (Internal Bra), XL Breast Augmentation


Revisionary Breast Surgery with XL Breast Implants

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This 30 year old patient from Houston, Texas was interested in revisionary breast surgery. She previously had a breast augmentation procedure performed by another plastic surgeon and after years went by she was unhappy with the outcome. She wanted to go larger in size and she began to do some research on the internet about plastic surgeons around the world and came across double board certified plastic surgeon, Dr.Pousti. Because she lived out of the area, she decided to start the process with an email consultation with Dr. Pousti.

revisionary surgery

After sending photos and past history for Dr. Pousti to review, she was found to be a good candidate for revisionary breast surgery. It was discussed that Dr. Pousti would remove her previous breast implants and exchange them for overfilled saline implants and also perform the internal bra (capsulorrhaphy) for better placement and support of the XL breast implants.

implant exchangeShe felt very confident that Dr.Pousti was the right surgeon for her that she decided to fly in for surgery shortly thereafter. Below, is the patient directly before surgery with markings that were completed with Dr.Pousti the morning of her surgery. The red arrows indicate where the patient is wanting “more fullness”.

XL breast augmentation

revisionary breast surgery

saline overfilled breast augmentationThis is the patient directly after surgery. Her implants were exchanged and and internal bra was performed for each breast. Her 425cc implants were replaced with 1150cc saline overfilled implants. She is currently doing well and is healing without complications. She will continue to follow up with Dr.Pousti throughout her recovery process.

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Posted in Overfilled Saline Breast Implants, XL Breast Augmentation


Saline Overfilled XL Breast Implants

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This 32 year old patient from San Francisco, California previously had a breast augmentation surgery performed by another surgeon. She was ready to go larger in size with her implants and decided it was time to take steps toward surgery. She began to do some research online and came across double board certified plastic surgeon, Dr.Pousti. He had a great reputation and so she decided to reach out to him via email to discuss her issues and options towards revisionary breast surgery.

breast implants

revisionary breast surgeryDr.Pousti deemed her a good candidate for revisionary breast surgery and they decided they would proceed with surgery. She wanted to go very large in size so it was decided they would go forward with an XL breast augmentation. This would be achieved with overfilled saline implants.

revisionary surgery

saline overfilled implants

Above, are a couple of photos of the patient immediately before and after surgery. She went from 450cc to 1300cc saline overfilled implants produced by the Mentor company.

implant exchange

This is the patient 9 days out from revisionary breast surgery. She has some bruising and swelling but is healing very nicely and loves her results. She will keep Dr.Pousti updated through phone calls and emails as time goes on.

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


Revisionary breast surgery with AlloGraft

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This 28 year old patient from San Diego has been considering revisionary breast surgery for years.  She previously had a breast augmentation performed by another surgeon and was unhappy with the outcome. She wanted to improve her breast shape and increase her breast implant size to and XL size.  She also had capsular contracture (extra scar tissue formation) that she wanted addressed.

revisionary breast surgery

implant exchange

She discussed all of her options with Dr.Pousti and they decided to proceed with revisionary breast surgery. Dr.Pousti would be exchanging her previous implants for larger ones as well as removing any scar tissue and inserting a Allograft.

implant exchange (2)

scar tissue removalAlloGraft is used for cases that involve implant mal-position, rippling, bottoming out and for additional support and coverage.  AlloGraft has been shown to reduce re-occurence of capsular contracture.  This is the scar tissue that was removed from the patients right breast.

AllograftThis is the Allograft that Dr.Pousti will be using on the patient. It is handled in much the same way as other transplantable organs. The tissue is processed to remove cells that might cause your body to reject the foreign tissue or react negatively to it. What’s left is the collagen structure (fiber-like proteins) and other proteins naturally found in skin. This structure acts as a frame for your tissue to grow into and around.

Allograft (2)

saline overfilled breast implantsThe patient started with 960cc high profile saline implants and went to 1400cc moderate plus profile saline overfilled implants made by the Mentor corporation. She is doing very well and pleased with results.

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Posted in AlloDerm, BioSynthetic Mesh, Breast Revision Surgery, Capsular Contracture, Overfilled Saline Breast Implants, XL Breast Augmentation


Mommy Makeover

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This 29 year old mother from San Jacinto, California had been considering a mommy makeover for some time. She was unhappy with her body after having children and was ready for a change. She wanted a tummy tuck to reduce the amount of excess skin and adipose tissue around her stomach and also breast augmentation revision and  liposuction as well.

mommy makeover (3)

mommy makeover (2)

breats lift (4)

tummy tuck (5)

Dr. Pousti performs markings on the patient the night before, as well as the morning of surgery. He likes to also go over any questions, concerns, and goals one last time with the patient before their surgery as well just to make sure everything is clear as far as what the patient is trying to achieve.

tummy tuck (2)

tummy tuck (3)Regarding the tummy tuck portion of the mommy makeover when women have had children, the abdominal muscles can separate and the abdomen can develop a “bulge”. Muscles are brought together during surgery to create the desirable waistline.

implant removal

Dr. Pousti then performs the revision breast surgery. He has removed her previous implants and inserted a “sizer” in her right breast to determine the size implant he will be using.

mommy makeover

This is the patient directly after her mommy makeover. She currently has Mentor smooth round moderate plus profile saline implants and is doing well with no complications.

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Posted in Abdominoplasty, Liposuction, Mommy Makeover, Overfilled Saline Breast Implants, XL Breast Augmentation


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!
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Above, 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)

Implant exchange-saline

Above, 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.

pt directly before surgery

There was an increase in size from 1500cc sized implants to 2030cc saline overfilled Mentor implants. Patient 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



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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