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XL Breast Augmentation Patients

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


XL Breast Implants and Correction of Bottoming Out with Internal Bra

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This 33 year old mother of 2 from Arizona was interested in revision breast surgery and had been thinking of this for over 10 years.  She did not like the size, shape, or position of her breasts.  She wanted to address the bottoming out of her right breast implant.  After doing online research to find the best plastic surgeon to help her with her breast implant revision surgery, she found Dr. Pousti and was pleased with his level of experience.

breast surgery

After many emails and discussions, she felt confident and proceeded to fly in for surgery.

revision surgery

Examination was performed and goals were discussed.  This patient wanted XL breast implants and so Dr. Pousti discussed saline overfilled breast implant surgery as well as potential risks associated with larger breasts implants with the patient.  The internal bra procedure was also discussed for correction of her bottoming out.

capsulorraphy

The patient’s silicone gel breast implants were removed.

saline implants

XL

Temporary sizers were placed (below) to determine the best implant size to achieve the patients’ goals after the internal capsule work was performed on the right breast.

saline over filled implants

Below photos show immediately before and after revision breast surgery with 1300cc and 1250cc overfilled saline breast implants.

breast procedure

saline overfilled breast implants

The patient is so pleased with the early outcome of her revision breast surgery.

 

2.22.1

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


2nd Stage Breast Augmentation with XL Breast Implants

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This 54 year old patient (in the medical field) from Maryland traveled to meet with Dr. Pousti and discuss breast surgery.  She had breast lifting performed by Dr. Pousti and was now ready for her breast implants.  Her goal was to have XL breast implants placed and was very confident in Dr. Pousti’s expertise with larger breast implants.

breast surgery

To achieve her goals, she discussed a 2 stage procedure with Dr. Pousti and was now ready for the 2nd part.

overfill saline

breast augmentation

In the operating room, temporary sizers were placed to evaluate what size breast implant can be used safely.

2nd stage breast surgery

secound stage breast surggery

Saline Breast Implants were overfilled to 1000cc for both breasts.

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


Revision Breast Augmentation Surgery with XL Breast Implants

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This 51 year old patient was interested in breast augmentation revision surgery.  She previously had breast lifting surgery and now wanted more “fullness” on top with larger breast implants.

revision surgery

After examination and discussion of goals with the patient, it was determined that she would benefit from revision breast lifting scars, internal bra (capsulorrhaphy) and XL overfilled saline breast implants.

revision

Markings and measurements are performed prior to surgery and the patient is prepped and ready to proceed.

capsulorraphy

The internal bra is performed to keep the breast implants from falling of to the side.  With temporary sizers in place, Dr. Pousti evaluates the patients goals and makes adjustments to know what size breast implant will achieve the patient’s goals.

saline implants

The inferior scar revision is performed and breast implants have been removed and capsulorrhaphy performed.  Now the patient is ready for placement of her overfilled saline breast implants.

lift with implants

breast augmentation mastopexy

lift

breast lift

Immediately after revision breast augmentation / mastopexy, capsulorrhaphy (inferior and lateral), and re-augmentation with high profile, overfilled saline breast implants.

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


Extra Large Augmentation with Internal Bra

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This 38 year old patient from Hawaii previously had breast augmentation surgery many years ago.  Currently, she was experiencing breast implant displacement (bottoming out and falling off to the side). Although she lives in Hawaii, she was searching online for the best plastic surgeon with experience in revision breast surgery and was willing to fly in for surgery.

 

internal bra

She also wanted to increase her breast implant size to the XL size.  She saw Dr. Pousti’s experience with larger breast implants as well as the internal bra procedure and so she was confident that he was the surgeon for her.

bottoming out

The patient was looking for larger, overfilled saline breast implants with more fullness on the top of her breasts

XL breast implants

After further discussion of the patients goals as well as potential risks and complications of this procedure, the patient proceeded to the operating room for her breast augmentation revision surgery.

breast implant removal

Above photo shows the patient in the operating room immediately after her breast implants were removed and below are the 800cc silicone gel breast implants that were removed.silicone gel breast implants

Below shows the patient in the operating room with temporary sizers in place for evaluation of size and shape

saline overfilled breast implants

Once the appropriate amount is placed in the temporary sizer to achieve the patients goals, the sizers are removed and the appropriate breast implants are placed

 

breast augmentation revision surgery

revisionary breast surgery

extra large breast implants

The patient (shown above) on the operating room table immediately before and after her breast augmentation revision surgery with capsulorrhaphy.

 

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


Extra Large Breast Augmentation Surgery

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This 36 year old home maker had been thinking about extra large breast augmentation for many years.  She visited with Dr. Pousti previously and it was recommended a 2-stage procedure – to first have a breast lift performed and then proceed with placement of breast implants after she had healed completely.
breast procedure

She was very pleased with the breast lift procedure and decided to return to have the XL breast implants placed.  Dr.Pousti discussed the potential risks and complications associated with larger breast implants with the patient in detail prior to surgery.

breast surgery

Measurements are taken and goals are discussed again prior to surgery.

lift

revision mastopexy

bilateral re-augemntation

saline overfill

Above shows the patient after placement of 800cc saline breast implants overfilled to 1500cc for both breasts.

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Posted in 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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