Pousti Plastic Surgery Logo

San Diego Cosmetic Plastic Surgery

(619) 466-8851Send us E-mailMore Information
San Diego / La Jolla / Temecula - (619) 466-8851

Categories:

XL Breast Augmentation Patients

2nd Stage Breast Enlargement

Click here to see full details on this patient

This 46 year old patient from Temecula, California was interested in enlarging her breasts. She had breast augmentation performed by Dr. Pousti previously, but due to her desire of large breasts, her enlargement had to be performed in 2 stages.before 2nd stage breast augmentation

She originally found Dr. Pousti while researching on the internet for board certified plastic surgeons and found outstanding reviews that led her to pousti plastic surgery. She knew that Dr. Pousti would be the best plastic surgeon for her and was even more confident in his ability after her first procedure.

side view before 2nd stage breast augmentation

The patient is shown immediately post surgery and has 950cc (left) and 1000cc (right) XL saline overfilled breast implants. She is very happy.

after 2nd stage breast augmentation

Patient Testimonial:

Pre-Surgery:

Well, let me start with saying I just got revisionary surgery on February 6, 2014. My previous surgery was done exactly a year ago. After being small my entire life, I finally decided to lose the weight I had gained over the years and feel better about myself I decided to get my original surgery last year. My breast were not even, needed a breast lift after 2 kids, and wanted a natural look so I decided to go with silicone 523 right breast and 492 left. I also had a lollipop breast lift too. After 1 year of having them, and losing additional 20 lbs and working out with personal trainer and gym my body changed and I wasn’t happy with my look so I decided that I wanted to go bigger, rounder, and bigger on top. This time I decided to go with saline with moderate plus to achieve my look. It has been 2 days and I feel good. Up and about already. A lot easier than last time. I don’t know what they look like but I can’t wait. I am extremely bloated. Up 6lbs since surgery but I know it is just water.. I will post all my photos before 1st augmentation and my second soon. I love my doctor and his work and would highly recommend him. I trusted his judgment on size and I am sure I will love the outcome. Will be going for follow-up this Monday. Haven’t taken any pain meds yet today and I feel good at the moment.

After First Visit:

I just got back from Doctor. Healing nicely. Didn’t get to see them completely out because he wants me to leave them in bra a few more days for healing. Saw my after pictures after surgery and I absolutely love them. Just what I wanted. Nice and full and round with a lot of cleavage.

Click here to see full details on this patient

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


XL Breast Implants with Internal Bra

Click here to see full details on this patient

This 49 year old patient from Missouri flew in to have breast revision surgery performed by Dr. Pousti.before saline overfilled implant exchange with capsulorrhaphy

The patient found Dr. Pousti while researching for board certified plastic surgeons who specialized in breast revision surgery. After multiple emails and communication with Dr. Pousti, the patient decided to schedule surgery. She flew out to San Diego for her procedure. She got a chance to meet Dr. Pousti at her pre-op visit. The following morning, the markings were performed and the surgery was completed.

side view before saline overfilled implant exchange with capsulorrhaphy

Below, the patients previous implants were removed so that they could be replaced with new XL implants. The patient also received an internal bra (capsulorrhaphy) to maintain support for her implants. The capsulorrhaphy procedure, also known as pocket correction or use of internal sutures/bra, involves closing a portion of the breast pocket to correct possible displacement of the implants.

implant removal for saline overfilled implant exchange with capsulorrhaphy

Below, the patient is immediately post surgery and has 1530 (right) and 1430 (left) XL saline overfilled implants. The difference in implant size will help the patient achieve better symmetry.

after saline overfilled implant exchange with capsulorrhaphy

side view after saline overfilled implant exchange with capsulorrhaphy

Click here to see full details on this patient

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


Extra Large Breast Enhancement with Internal Sutures

Click here to see full details on this patient

This 31 year old patient from Las Vegas, Nevada, flew in to have breast revision surgery performed by Dr. Pousti.  She was not pleased with her breast asymmetry and breast implant placement.before saline overfilled with capasulorrhaphy

While researching for a board certified plastic surgeon who specializes in breast revision, she found Dr. Pousti. The patient contacted Dr. Pousti via e-mail and decided to fly in to have her procedure performed by him. Dr. Pousti and the patient agreed that an internal bra (capsulorrhaphy) would be used to give the breast implants support.

side view before Saline overfilled with capasulorrhaphy

The pre-op was performed the day before surgery and markings were completed the following morning. The arrows represent where the patient desired more fullness.

Saline overfilled with capasulorrhaphy

The patient has bilateral 1630cc extra large saline overfilled breast implants placed as well as internal capsule work for better placement.

after Saline overfilled with capasulorrhaphy

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.

Click here to see full details on this patient

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


Multiple Surgeries To Achieve XL Breast Implants

Click here to see full details on this patient

This 58 year old from New York was interested in breast augmentation surgery. The patient and been thinking about getting breast implants for many years.before breast augmentation saline

She found board certified plastic surgeon, Dr. Pousti, through the internet.  Although she lives in New York, she wanted the best for her surgery.  She discussed with Dr. Pousti that she was hoping for very large breast implants.  Dr. Pousti explained that every person’s body has limitations as to how large he can go in one surgery and safety needs to be the top priority.  The patient understood that it may take multiple procedures to achieve her goals and she had realistic expectations.

side view before before breast augmentation saline

The markings were performed and discussed in detail prior to the surgery.

DSC09393

Here, the patient is post surgery with bilateral 475cc Mentor saline implants.

breast augmentation saline

Due to the size the patient desired to achieve, she had to complete her surgery in 3 stages. This is to reduce the chances of potential risks and complications. Below is a before the second surgery.

front view before breast augmentation saline

side view before breast augmentation saline

Again, markings are performed to ensure the patients goals are communicated with Dr. Pousti.

markings for breast augmentation saline

Below, the patient is after her 2nd surgery with Dr. Pousti when her 475cc implants were exchanged for  1180cc Mentor overfilled saline implants.

after breast augmentation saline

The patient still desired to be larger..she is so happy with the treatment she is getting from Pousti Plastic Surgery that she keeps flying to San Diego for her procedures.

before saline overfill

side view before saline overfill

The markings are again performed and the surgery is discussed in detail.  Dr. Pousti was planning on adding more cc’s to her current breast implants but also performing internal suture work for better placement of the left breast implant (capsulorrhaphy).

markings for breast augmentation saline overfilled

Below, the patient is show post surgery with bilateral 2080cc Mentor saline implants.

breast augmentation saline overfilled

breast augmentation saline overfill

Patient Testimonial:

Words cannot adequately express the incredibly wonderful experience I have had with Dr. Pousti and his artistry in sculpting my new beautifully augmented breasts. Dr. Pousti has a unique skill set that combines a highly skilled meticulous surgeon, a true artist and the ability to listen and understand a patient’s goals. The result was the best decision of my life! For years I’ve wanted to change my looks. I was always embarrassed by my very tiny breasts and envious of other women who were so well endowed and always looked so beautiful. Now thanks to Dr. Pousti, it’s my turn! I spent several years researching many Plastic Surgeons by reading their websites, viewing their before and after photos, reading their patient reviews, and talking to various surgeons. Nothing even remotely compared to Dr. Pousti’s website with over 1000 before and after photos and hundreds of independent 5 star reviews. True artists are proud of their work and love to display it for the world to admire. With 1000 portraits of his work on display, Dr. Pousti is the Michelangelo of Plastic surgery in my opinion! Briefly my story began when I emailed Dr. Pousti and requested to fly in for surgery. (I live in NYC) Because of my very small breasts and my desire to go fairly large, he requested to see me in person first so that he could give me an honest appraisal of what he could realistically do for me. I respected that request because it spoke volumes about his desire to truly give me an accurate assessment and it made me even more confident that he would be my surgeon. I spent several hours in his office talking with him and other highly knowledgeable members of his team. I was totally impressed and left feeling incredibly confident and empowered. When I returned home, I again emailed and we set the surgery date. Its now less than a week after surgery and my breasts are BEAUTIFUL!!! The entire experience was flawless and the care and follow-up simply amazing. The surgical facility was state of the art and squeaky clean, the medical staff upbeat, friendly and communicative. I knew what and when to expect about everything. Since I didn’t have anyone come with me, Dr. Pousti’s office recommended a nurse who stayed with me overnight after the surgery to monitor everything and make sure I took the proper medication on time. Gloria was wonderful! Now I’m back in NYC, back to work and there is nothing I would have done differently. Dr. Pousti and his team are the best in the world and I give them all my highest personal recommendation. I would love to tell my story in detail to any patient who would benefit from my experience. I Love you all and thank you for everything!!!!!!

Click here to see full details on this patient

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


Implant Exchange Overfill with Capsulorrhaphy

Click here to see full details on this patient

This 45 year old patient from Canada was interested in breast revision surgery. This patient wanted XL breast implants.before XL implant exchange with internal bra

The patient did some extensive research for a Board Certified Plastic and Reconstructive Surgeon and found Dr. Pousti on the Internet.  After communicating with Dr. Pousti via email and phone, she decided to fly in to meet with Dr. Pousti because of his experience in performing revisionary breast augmentation surgery as well as XL breast implants.

before XL implant exchange with capsulorrhaphy

The patient explained that she wanted her breast implants to be as big, round, and full as possible. She wanted emphasis on cleavage and outer fullness.

XL implant exchange with internal bra

Markings were completed prior to surgery being performed.The arrows represent where the patient desires more fullness and the lines under the breast represent where capsulorrhaphy (internal sutures) will be performed.

XL implant exchange with internal sutures

Below, you can see the right breast with a sizer. The sizer is used to check for symmetry and fullness.

Saline overfill implant exchange with internal bra

This patient received bilateral 1520cc overfilled saline implants.

XL implant exchange with capsulorrhaphy

Saline overfill implant exchange with internal sutures

Click here to see full details on this patient

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


Breast Augmentation Revision: Saline Overfilled Implants with Internal Bra

Click here to see full details on this patient

This 45 year old patient from Canada flew in to have breast revisionary surgery performed with Dr. Pousti. She was unhappy with the results of her previous surgery performed by another surgeon and desired larger and more full breasts with as much cleavage as possible.  She wanted XL breast implants placed.before saline overfill breast augmentation with internal bra

She found double board certified plastic surgeon through the internet when searching for surgeons who specialized in revision breast augmentation surgery. She knew Dr. Pousti was the best plastic surgeon for her complicated breast case.

side view before saline overfill breast augmentation with internal bra

Markings were performed prior to surgery. The arrows represent where the patient desires more fullness. The blue section under the breast shows where the capsulorrhaphy will be performed.  For the internal bra procedure , 2 layers of permanent sutures are placed in the capsule to create a new breast implant pocket and stop the breast implants from “falling into the armpits”.

markings for saline overfill breast augmentation with internal bra

The sizer is placed so that Dr. Pousti can choose the size of the breast implant that will achieve the patient’s goals most accurately.  Below you can see the dramatic difference between the 2 breasts.

saline overfill breast augmentation with internal bra

The patient has bilateral 1530cc saline overfilled implants.

after saline overfill breast augmentation with internal bra

side view after saline overfill breast augmentation with internal bra

Click here to see full details on this patient

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


Breast Augmentation Revision with Internal Bra

Click here to see full details on this patient

This 30 year old patient from Washington was unhappy with the results of her previous surgery preformed by another surgeon. She was interested in breast revision surgery in order to achieve more fullness on the top of her breasts.  She didn’t like the breast asymmetry and how her breasts “hung low” on her chest.before implant exchange with capsulorrhaphy with allograft

She found Dr. Pousti through the internet when searching for Board Certified Plastic Surgeons who specialize in breast augmentation revision surgery. It was discussed that an internal bra (capsulorrhaphy) would need to be performed to achieve better placement of the breast implants on this patients chest wall and the patient wanted XL breast implants.

side view before implant exchange with capsulorrhaphy with allograft

The Markings were performed prior to the start of surgery. The patient and Dr. Pousti discuss everything again in detail. The desired areas of fullness and location of internal sutures is discussed.

markings for implant exchange with capsulorrhaphy with allograft

Below you can see the patient with her breast implants removed.

removal for implant exchange with capsulorrhaphy with allograft
Look at the difference in the patient’s breasts with the sizer in her left breast.  The sizer is used to test for fullness, symmetry, and size before the breasts are augmented with the actual implant.  The implant size and the pocket dissection are adjusted many times prior to Dr. Pousti choosing the actual breast implants.

sizer for implant exchange with capsulorrhaphy with allograft

The patients result was bilateral 800cc silicone breast implants.

after implant exchange with capsulorrhaphy with allograft

side view after implant exchange with capsulorrhaphy with allograft

A bolster dressing will be worn for support of the repaired area for about one month.

Click here to see full details on this patient

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


XL Breast Implant Revision with Internal Sutures

Click here to see full details on this patient

This 45 year-old patient traveled from Canada to have Dr. Pousti preform her breast augmentation revisionary surgery. Unhappy with the shape and size of her breasts from her last surgery (preformed by another surgeon) she wanted to significantly increase her breast size. She researched for a Board Certified Plastic Surgeon who is experienced in extra large breast augmentation and found Dr. Pousti on the Internet. Impressed with Dr. Pousti’s website before and after pictures, the patient contacted Dr. Pousti.breast revision

The patient was confident in Dr. Pousti’s experience in complex breast revision cases and decided to proceed with surgery.

saline overfilled implantsMarkings are preformed and used as guidelines during surgery

breast revisionary surgery

implant exchange

She wanted more fullness on top of the breasts and larger breast implants.  Her implants “fell into her armpit” when she was lying down. The marked area underneath the breasts represent where the internal sutures will be preformed. Through an incision on the areola, Dr. Pousti removes the patient’s previous breast implants to begin the capsulorrhaphy. Capsulorrhaphy is performed to correct the implant placement on the chest wall. Internal sutures close off a portion of the breast pocket to improve implant placement.

implant displacement

After the old implants are removed and internal sutures were preformed, temporary sizers are used to achieve the desired look …above you can see the right side lifted and full.  The sizers are adjusted in size and placement until Dr. Pousti is as close as possible to the patient’s desired goals.

capsulorrhaphy

Before and immediately after extra large breast revisionary surgery

XL breast revision

saline overfilled breast revision

Saline implants were used and filled to 1530cc to achieve the patients desired look.  She will wear a bolster dressing for one month or more to support the area that was repaired internally.

Click here to see full details on this patient

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


Breast Implant Revision with XL Implants

Click here to see full details on this patient

This 30 year-old patient from Temecula, California was interested in breast augmentation revision surgery.  She is post breast augmentation surgery and two breast revisionary surgeries (preformed by another surgeon).breast revision

Unhappy with the size, shape, asymmetry, and breast implant positioning the patient searched for a Board Certified Plastic Surgeon who was experienced in extra large breast augmentation and found Dr. Pousti.  Impressed by the many successful extra large breast augmentation surgeries Dr. Pousti has done, the patient proceed with surgery.

implant exchange

Measurements and markings were carefully made.

saline overfilled implants

XL breast revision

In the operating room, Dr. Pousti takes his time to achieve the best results.

breast revisionary surgery

Before and Immediately after extra large breast revision

XL breast augmentation

The patient’s old implants were removed and replaced with saline implants filled to 1,430cc to achieve the patient’s desired look.

Click here to see full details on this patient

Posted in Breast Pocket Correction, Breast Revision Surgery, Implant Exchange, Overfilled Saline Breast Implants, XL Breast Augmentation


XL Breast Revision with Internal Bra

Click here to see full details on this patient

This 45 year-old traveled from Texas to have Dr. Pousti preform her breast revision surgery. She is post breast augmentation/breast lift surgery (preformed by another surgeon) and wanted to significantly increase her breast size. She researched for a Board Certified Plastic Surgeon who is experienced in extra large breast augmentation and found Dr. Pousti on the Internet. Impressed with Dr. Pousti’s website before and after pictures, the patient contacted Dr. Pousti. saline overfilled breast revision

Capsulorrhaphy (internal sutures) procedure was discussed to create an “internal bra”  for better positioning of the breast implants on the chest wall.

internal sutures

Patients are encouraged to bring in goal pictures/poster boards to help communicate their goals.

XL Breasts

capsulorrhaphy saline overfilled

The morning of surgery, Dr. Pousti examines the patient and re-measures the breasts to prepare for the surgery.  Markings are made and reviewed with the patient in detail.

XL breast revision

The red arrows indicate the fullness that the patient wants to achieve.

breast revision

Once the old breast implants were removed from and capsulorrhaphy (internal bra) was performed  temporary sizers are put in place and the patient is “sat up” on the operating room table so that Dr. Pousti can make adjustments in the breast implant size and pocket symmetry to achieve the patient’s goals.  This “sitting up” of the patient and pocket adjustments are performed at least 3-5 times through out the surgery to achieve as close to the patient’s goals as possible.

internal sutures saline overfilled

before and immediately after breast revision surgery

internal bra, saline overfilled

breast revision saline overfilled

Saline implants were used and filled to 1,630cc along with bilateral capsulorrhaphy to achieve the patient’s desired look.

Patient Testimonial:

Never liked my breast from start. I’ve had 2 procedures. None to my satisfaction . Last doctor stated I didn’t have cores skin for it. I wanted big round full breast . I researched Dr on the internet. Looked for Dr who could do just that. All my information lead to Dr Pousti. I called for a consultation . Gave him photos of what I wanted to achieve . I told him I had been through a lot and could he give me what I wanted.  Dr. Pousti stated not only could he do it but safety was his 1st objective.

I felt Dr. Pousti truly listened to me and my needs.

I was so happy when I woke up saw my fullness.  He slammed it with a home run. could he give me what I wanted. Dr pousti stated not only could he do it but safety was hIs1st objective.
I felt Dr pousti truely listened to me and my needs.
I was so happy when I woke up saw my fullness . He slammed it with a home run.

Click here to see full details on this patient

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


Site Map
Copyright (c) 1998-2014 Pousti Plastic Surgery Center