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XL Breast Augmentation Patients

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


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

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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.

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

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

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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



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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