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San Diego Cosmetic Plastic Surgery

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XL Breast Augmentation Patients

Right Breast Implant Deflation

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This 34 year old from San Mateo, California, is a previous patient of Dr. Pousti’s and very happy with her XL breast augmentation results.    One morning she noticed that one of her breast implants had changed in size.  She emailed Dr. Pousti and came in for evaluation.

right side revision

It was determined that she had a deflated right breast implant that needed to be replaced.  She scheduled surgery ASAP.

breast operation

 

In the operating room, the right deflated breast implant was removed and replaced with a new breast implant and filled to 1500cc for breast symmetry.

breast surgery

revisionary

Above shows the patient immediately after her revision breast surgery.

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Posted in Breast Revision Surgery, Overfilled Saline Breast Implants


Revision Breast Surgery

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This 40 year old from Riverside County had been thinking about revision breast surgery for many years.  She liked the XL breast implant size but did not like the shape of her breasts.  She was interested in improving the shape of her breasts and keeping her overfilled breast implants.

overfilled implants

She currently has 900cc overfilled saline breast implants in place but he is very unhappy with the shape. She wants her breasts lifted and more “round”.

saline implants

She and Dr.Pousti discussed removing excess breast skin and tissue on the lower pole of her breasts and the internal bra procedure to improve her shape as well as increasing the breast implant size.  Markings and measurements are performed prior to surgery and the patient is taken into the operating room for her breast revision surgery.

revisionary surgery

bilateral breast re-augmentation overfilled saline implants

re-augmentation

Patients  previous breast implants are removed.

revision

revision bilateral breast mastopexy

breast capsulorraphy

Immediately after revision breast augmentation surgery with bilateral mastopexy, capsulorrhaphy, and overfilled saline breast implants.

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


Revision Breast Augmentation with Overfilled Saline Implants

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This 28 year old patient from San Diego California had been wanting breast augmentation revision for many years.  She wanted much larger (XL) breast implants and also wanted to have more upper fullness in her breasts.

overfilled saline implants

She searched for an experienced plastic surgeon to perform her XL revision breast surgery and found Dr. Pousti

saline implants

Markings and measurements were performed prior to surgery and the procedure was discussed in detail.

revisionary

overfill

 

revision

revision surgery

re-augmentation

Above photos show the patient immediately after revision breast surgery with Mentor Smooth round High Profile Saline Overfilled Breast Implants – left side 1150cc, right side 1300cc.

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Posted in Breast Revision Surgery, Overfilled Saline Breast Implants


Revision Breast Implant Surgery

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This 49 year old patient from Indianapolis was interested in revision breast augmentation with larger breast implants.  She didn’t like the shape or size of her breasts.  She did her research to find the best plastic surgeon who has expertise in breast augmentation revision surgeries as well as XL breast implants and found Dr. Pousti.  After multiple emails and phone discussions, she proceeded to book her surgery date.

capsulectomy right breast

She wanted to improve her breast shape and size.

breast lift left side

bilateral breast augmentation saline implants

Markings and measurements are performed prior to surgery and the procedure is discussed in detail once more with the patient.

Removal of ruptured implant

During the surgery, Dr. Pousti found that the patient had a ruptured silicone gel breast implant and so the implant was removed and the pocket cleaned out.

revision bilateral breast augmentation

breast lift one side

Above photos show this patient immediately after revision breast surgery with 1100cc overfilled saline breast implants.

Patient Review:

A few years ago I found Dr. Pousti through a beautiful girl with a Body by Pousti t-shirt. This was right after I went to my first consult with a surgeon in Indianapolis. I wasn’t too satisfied with the consult, so I decided to pursue a consultation with Dr. Pousti. Being a double-board certified plastic surgeon definitely helped me make the decision. I began the process by emailing current photos along with my goal photos, and detailing what I hoped to achieve with the surgery. I received a response from the Doctor himself the very next day. I received pricing information and decided to move forward with the surgery. After arriving to San Diego, I met with the doctor and his staff in his office. My pre-operative visit was great. I declined trying on the sizers as I had already done that before. Not many surgeons have the vectra imaging so that was cool to see. The staff gave me all of my out of town patient information, as far as hotels and after care information which was great. Paula Weddle from Reliable Recovery was amazing! I just had my first post-op visit today. I feel greater than expected. There is some tightness which is expected. Had I not come to this surgeon, I would have never found out I had a ruptured implant, despite having two mammograms. I can’t wait to see my final outcome!

 

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


Breast Augmentation Revision with Internal Bra, ADM and Overfilled Saline Breast Implants

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This 45 year old from Menifee California had been thinking about revision breast surgery for quite some time.  Her previous breast augmentation surgery (performed by a different surgeon) was performed many years ago and she was now ready to improve the bottoming out of her right breast and also increase breast implant size.

allograft

She was referred to Dr. Pousti by a friend and was very comfortable with Dr. Pousti’s experience with breast augmentation revision surgery as well as the XL breast implant size she wanted.

capsulorrhaphy

After examination and discussion of goals, it was determined that the internal bra (capsulorrhaphy) would be needed and ADM (also known as Strattice or AlloGraft) would be necessary on the right side for additional support.

internal bra

Below is the piece of Strattice used on the patients right breast.

Strattice

XL breast implants

overfilled saline breast implants

breast augmentation revision

Above shows the patient immediately after revision breast surgery with 1100cc overfilled saline breast implants as well as internal bra and ADM used on the right breast.  The incision will flatten / smoothen out as it heals.

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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


Revision Breast Augmentation Surgery with Overfilled Breast Implants

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This 46 year old from Texas was interested in XL breast implants.  She looked for a plastic surgeon with expertise in breast surgery and especially the larger breast implants and found Dr. Pousti.

overfilled saline

After email communication, she was confident in choosing Dr. Pousti as the plastic surgeon who would perform her breast augmentation revision surgery.  She decided to fly in for surgery!

revision surgery

Markings and measurements are performed prior to surgery and the potential risks and complications are discussed with the patient in detail.  The patient currently has saline implants overfilled to 1200cc.

saline overfilled breast implants

In the operating room, with breast implants removed (see below photos)

revisioanry surgery

XL breast surgery

Immediately after revision breast augmentation surgery with 2400cc saline overfilled breast implants.

revisionaryrevision

 

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


15 year Progression of Breast Surgeries

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SURGERY #1: November 12, 2002 –Breast Augmentation Surgery with Saline Breast Implants 
breast augmentation

breast surgery

 

Saline implants were placed: Right side 575cc Left side 545cc.

SURGERY #2- October 9, 2003 –Revision Breast Augmentation with XL Breast Implants

The right breast had excess scar tissue and the breast implant did not drop into the pocket so this patient returned for revision breast surgery.  She also was interested in increasing her breast size to the “XL” size.

breast procedure

augmentation

Implant exchange XL Saline Breast Implants-  Right side 775cc Left side 774cc

SURGERY #3: September 2, 2008  Breast Implant Downsizing with Mastopexy

The patient wanted to reduce her breast implant size and “lift” her breasts. She now has 600cc silicone gel breast implants.

downsizing

down sizing breast implants

SURGERY #4: September 8,2016 Breast Implant RemovalFull Mastopexy

The patient was having some medical concerns and wanted to have her breast implants removed.

revision

breast implant removal

 

Below are the patients breast implants and capsule that was removed during her surgery.

 

implant removal

breast implant removal

saline implant removal

Below it the patient after breast implant removal and full breast lifting surgery.

breast implant removal mastopexy

Below shows the progression of this patient during a 15 year span…
breast surgeries

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Posted in Breast Augmentation, Breast Implant Size Reduction, Breast Lift with Implants, Downsizing Breast Implant Size, Implant Removal, XL Breast Augmentation


Revision Breast Surgery with XL Overfilled Saline Breast Implants

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This 23 year old previous patient from Texas, was interested in revision breast surgery to increase her breast size.  She wanted larger, overfilled saline, XL breast implants. Because of her past experience and confidence with Dr. Pousti, she flew in to San Diego for her surgery.

breast asymmetry

She currently has 750cc silicone gel breast implants but wants “more fullness” and “much larger size” so it is decided to use 800cc saline breast implants and overfill them to the larger size for the patient.

breast augmentation

Markings and measurements are performed prior to surgery.  The “smiley face”on the patients left side indicates the breast that is larger -adjustments can be made with the breast implants to address the breast asymmetry.

breast procedure

Below shows the right breast with the temporary sizer in place showing the difference in fullness and size.

breast surgery revision

Below the the patient immediately after breast augmentation revision surgery with overfilled saline breast implants – 1300cc for the right breast and 1250cc for the left breast.

 

overfilled saline breast implants

XL breast surgery

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


XL Breast Augmentation Revision Surgery

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This 26 year old mother of 2 from Temecula, California had been thinking about revision breast surgery for many years.  The patient previously had breast augmentation surgery (performed by another surgeon).  After nursing her children, she saw that her breast implant size was smaller than what she wanted and her breast implants also “fell off toward the armpits” and she wanted that corrected as well.

capsulorraphy

She was looking for a plastic surgeon who specializes in revision breast augmentation surgery as well as increasing to the XL breast implant size. After seeing all of Dr. Pousti’s work online, she came in for consultation and felt confident in him as her surgeon.  She was going to replace her 550cc breast implants for larger overfilled saline breast implants.

implant exchange

Markings and measurements were performed prior to surgery and goals were discussed in detail with the patient.  The red arrows below indicate where the patient is wanting more “fullness”.  The green dotted line shows the tank top the patient wants to wear and have the fullness showing up on top as well.XL breast implants

Internal capsule was adjusted for better placement of the breast implants on the patient’s chest wall.  Below, you can see the difference between the right breast (with the temporary sizer in place) vs. the left breast (with patients own implant).

saline overfill breast implants

Below shows the patient immediately after breast revision surgery with 1150cc overfilled saline breast implants.

 

breast augmentation revision

revision breast surgery

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


XL Breast Augmentation Revision Surgery

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SURGERY #1 with Dr. Pousti

March 2009 -This patient from Canada was looking for the best plastic surgeon to help her perform her breast augmentation revision surgery.  

breast surgery

breast procedure

She previously had breast augmentation surgery performed elsewhere and was left with a left breast deformity on the lower part of the breast(see photo below).  She had a double bubble and indention from scar tissue formation.

double bubble

She discussed her concerns with Dr. Pousti via phone and email and felt confident in his experience with revision breast surgery and double bubble correction and so she flew in for surgery.  Markings and measurements were performed the night before surgery and the breast augmentation / lifting revision surgery was discussed again in detail.

revision

Below shows the patient in the operating room with the right breast revision completed. (below)

revisionary

In the operating room immediately before and after her revision breast augmentation surgery.  Same breast implants were used for this surgery.

revision surgery

SURGERY #2
October 2009- The patient is now 7 months post op revision breast surgery and very pleased with the improvement of the scar indent as well as the double bubble correction of the left breast. (see below).

revisionary surgery

She is now interested in increasing her breast implant size so she returns to San Diego from Canada to have surgery.

breast revision surgery

She discusses her goals with Dr.Pousti and it is determined that 800cc saline breast implants will be used and overfilled to achieve her goals.  The “red arrows” below indicate where the patient wants more fullness

capsulorraphy

Below shows the patient immediately after revision breast surgery with XL overfilled saline breast implants.  1200cc on the right and 1250cc on the left

internl bra

lift

SURGERY #3:
February 2011 – The patient returns to increase her breast size further – 1740cc both sides.

breast lift

SURGERY #4:
February, 2014 – The patient is now 3 years post op and very pleased with her results. She would like to increase her breast implant size further.

breast enhancement

revision

Below shows the patient immediately after revision breast surgery with XL overfilled saline breast implants.

revisionary breast surgery

SURGERY #5:
The patient is 3 years post op from her last surgery. She is interested in increasing her breast size as well as internal bra on the left breast for better positioning.

saline over filled

saline implants

Below shows the patient immediately after revision breast surgery with XL overfilled saline breast implants.  3000 cc on both sides

XL

lasttt

XL

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Posted in Breast Revision Surgery, Double Bubble, Overfilled Saline Breast Implants



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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