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San Diego Cosmetic Plastic Surgery

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XL Breast Augmentation Patients

XL Breast Augmentation Performed in Stages

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This 58 year old teacher from Michigan flew in to have Dr. Pousti perform her XL Breast Augmentation surgery.  She had been thinking about this procedure for years but was wanting to find the best plastic surgeon to help her achieve her goals.

When Dr. Pousti met this patient and understood her goals, he discussed a staged procedure for safety reason.  The patient agreed and proceeded with her journey… Below is her pre op photo.

pre-op

The first surgery performed was in April of 2015 and the patient had breast lifting surgery to improve breast symmetry and nipple/areola placement on the breast mound.

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1050 cc 2015

After the breast incisions had healed (3 months after the mastopexy surgery), the patient returned to San Diego for placement of breast implants. 1050cc Saline overfilled breast implants were placed  on July 2015.

One year later, she returned to San Diego to have Dr. Pousti increase her breast implant size.

breast surgery

This was her starting point, July 2016  1 year after placement of 1050cc saline overfilled breast implants.  Although Dr. Pousti could not promise a specific cc# he would do his best for the patient.

 

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Caps.

 Dr. Pousti was able to increase her  1050cc breast implant size to 1600cc.

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Posted in 2 Stage Procedure, Overfilled Saline Breast Implants, XL Breast Augmentation


Revision Breast Surgery with Overfilled Saline Breast Implants

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This 28 year old RN (registered nurse) from Arizona had been thinking about revision breast surgery for many years. She was interested in increasing her breast size.  Her friend referred her to Dr. Pousti and although she would have to travel to have surgery, she was very impressed by his expertise regarding revisionary breast surgery as well as XL breast implants and so she decided to contact the office.

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After several email communications as well as phone discussions, the patient came into the office ready for breast augmentation revision surgery.  Dr. Pousti had recommended saline overfilled breast implants to achieve the patients’ XL look as well as pocket work for the left breast to improve breast placement.

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The red arrows indicate where the patient wants “more fullness” and the red “x” indicate where the pocket will be internally adjusted for  better positioning.

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Below shows the 450cc silicone gel breast implants that were removed from the patient as well as the patient without implants in place.

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This patient had saline implants filled to 1000cc on left side and 1075cc on the right side — mentor smooth round high profile saline implants.

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Posted in Breast Revision Surgery, Overfilled Saline Breast Implants


Larger Silicone Gel Breast Implants

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This 24 year old patient from Redondo Beach California is a previous breast augmentation patient of Dr. Pousti and had been thinking about revision breast augmentation surgery (go larger in size) for 2 years.  She had a wonderful experience with the first surgery and so she returned to have her revision breast surgery performed by Dr. Pousti.

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revision

It was explained to her prior to her first surgery that to have the XL breast implants, multiple surgeries would be necessary and so she had been planning for this 2nd surgery for some time.

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Above photo shows the “markings” and measurements that are performed prior to surgery as Dr. Pousti and the patient discuss goals in detail.  The “red arrows” indicate where the patient is wanting more “fullness” of the breasts.implant exchange

increase breast size

Previous breast implants were 540cc for bilaterally and now has 800cc ultra high profile silicone gel breast implants bilaterally.

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Posted in Breast Revision Surgery, XL Breast Augmentation


Overfilled Saline XL Breast Implants

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This 55 year old patient previously had breast augmentation surgery with 800cc breast implants placed but was now interested in increasing her breast size to the XL breast implant size.  She searched for an experienced breast surgeon to perform her surgery and found Dr. Pousti.

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She was interested in more upper fullness and more fullness in the cleavage area.

breast procedure

Below shows the patient with her old breast implants completely removed prior to insertion of the new breast implants.

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breast procedure - Copy

implant exchange

The patient is very pleased with the initial results of her revisionary breast surgery with 1200cc moderate plus profile saline breast implants.

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Posted in Implant Exchange, Overfilled Saline Breast Implants


Revision Breast Augmentation with ADM to Address Rippling / Palpability

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This 45 year old patient from  San Antonio Texas was looking for the best revision breast surgery surgeon to help her with the breast implant revision that she needed and found Dr. Pousti on the real self website.  She had been thinking about this procedure for 2 years and was happy to start the process.

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She previously had breast implants placed (450cc saline implants) but was not pleased with the shape, size or the rippling.

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She wanted the XL breast implants as well as wanted to improve the rippling of the breast implant on the right side.

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Dr. Pousti discussed the use of overfilled saline breast implants as well as Acellular Dermal Matrix (ADM) for additional coverage of the area of concern.

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The “arrows” in the above photo indicates where the patient wants more “fullness” after surgery.revision

Above shows the patient with her breast implant removed.

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The photo above shows the right breast with the temporary sizer in place showing the fullness on top.

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The ADM (Strattice) will be placed in the breast for additional coverage to help with the rippling issue.

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breast procedure

implant exchange

The patient understands that the incision will heal and as it heals, it will flatten out.  Also, the patient understands that it takes months to see the final results of the surgery … she is very happy with the early results of her procedure.

 

“The top pic is what I wanted , The bottom pic is me! I don’t think you could get any closer!! I LOVE THEM! Thanks soooo MUCH!”

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


XL Breast Augmentation

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This 32 year old patient of Dr. P0usti previously had breast augmentation surgery and now wanted to increase her breast implant size to the XL breast size.

removal implant

After evaluation, it was determined that she was able to go larger in size and so she proceeded for surgery.

replacement of implants

implant exchange

breast procedure

silicone implants

Her silicone gel breast implants were replaced with 1000cc saline overfilled saline breast implants and the patient is pleased with the initial results of her surgery.

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Posted in Overfilled Saline Breast Implants, XL Breast Augmentation


Revision Breast Surgery with Internal Bra

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This 52 year old patient from San Bernardino County had been interested in Breast Augmentation Revision for  many years.  She researched to find the best breast revision surgeon for her procedure.   Her previous breast augmentation surgery was performed by a different surgeon but after doing her research, she decided to make the trip to San Diego to meet with Dr. Pousti.

capsulorraphy

She was interested in XL breast implants but also wanted to improve the position of her breast implants on her chest wall.  After examination, Dr. Pousti recommended the internal bra procedure as well as benelli breast lifting for better positioning.  The patient currently has 800cc breast implants and wants larger, overfilled saline breast implants.

revision breast surgery

Markings and measurements are performed prior to surgery and the procedure is discussed in detail once again with the patient.  The potential risks and complications of revisionary breast surgery and larger breast implant surgery are reviewed with the patient one last time.

overfilled saline breast implants

Below, the patient is on the operating room table ready for surgery.  The “red arrows” indicate where she was asking for more “fullness” and you can see measurements for the benelli breast lift as well.

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The patient’s silicone gel breast implants were removed – one of those implants had ruptured.

ruptured silicone gel implants

After removal of the ruptured silicone gel breast implants, the breast pocket is cleaned out before new breast implants are placed.

donut mastopexy

saline implants

Above shows the patient before and immediately after implant exchange with 1550 cc overfilled saline implants as well as capsulorrhaphy and benelli breast lifting.  She is very pleased with the outcome of her surgery.

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


XL Breast Augmentation Revision

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This 24 year old patient from Miami, Florida was interested in larger breast implants and after researching for the most experienced plastic surgeon who performs the XL Breast Implants and Breast Revisionary Surgery, she decided to travel from Miami to San Diego for her breast augmentation revision.

Breast Augmentation Revision

Because her current breast implants were in good position, she discussed the internal bra technique with Dr. Pousti but it was determined that this was not necessary in her case.
Saline Overfilled Breast Implants

After starting the process via email with Dr. Pousti, it was determined that she was a great candidate for saline overfilled breast implants to achieve her larger goals.

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breast revision surgery

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The patient’s breast implants were removed and replaced with 800cc saline breast implants overfilled to 1300cc on the left breast and 1270cc on the right. The patient is extremely pleased with the early results of her procedure.

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


Revision Breast Surgery with Arm Lifting

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This 53 year old patient from Northern California had significant weight loss and was now looking for a well experienced plastic surgeon to perform her revision breast surgery as well as arm lifting surgery.  Her previous surgery was not performed by Dr. Pousti.

revision bilateral breast augmentation

She was not happy with the size, shape and positioning of her breast implants and also did not like the loose hanging skin of her upper arms after her weight loss.

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After evaluation, it was determined that Dr. Pousti would remove her current breast implants, perform capsulorrhaphy (internal bra) and replace with new saline overfilled breast implants to the XL size the patient was wanting as well as brachioplasty surgery.

overfilled saline filled implants

Above shows the patient with markings and measurements ready for her revision.

 

 

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Above photo shows one side with a temporary sizer in place for evaluation of breast implant size and shape.  Below shows both breasts being evaluated.

saline overfill

Below photos are in the operating room immediately after her surgery with saline breast implants that are overfilled to 1200cc.

bilateral breast capsulorraphy

bilaeral breast augmentation overfilled saline filled implants

Below photograph shows Dr. Pousti performing the markings and measurements of the arm area prior to the arm lifting surgery. It is very important to remove as much of the loose skin as possible but not to remove too much.

arm lift

bilateral arm liftAbove is the patient immediately after her arm lifting procedure.  She is very pleased with her early results and has returned home.  Will continue to keep in touch with our office via phone and email as she continues to recover.

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Posted in Arm Lift, Breast Pocket Correction, Breast Revision Surgery, Capsulorrhaphy (Internal Bra), Overfilled Saline Breast Implants, Post-Weight Loss


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.

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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.

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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



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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