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San Diego Cosmetic Plastic Surgery

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XL Breast Augmentation Patients

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


Revision Breast Augmentation for Bottoming Out

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This 33 year old patient from Carlsbad, California (Northern San Diego County) previously had breast surgery but was now experiencing implant displacement of her right breast implant and needed revision breast surgery.  She wanted to fix the “bottoming out” and read that the internal bra (capsulorrhaphy) procedure was the best way to correct this.breast procedure

After in person evaluation and discussion of her goals, it was determined that Dr. Pousti would exchange the patient’s breast implants for larger breast implants and also perform the internal capsule work (capsulorrhaphy) on the right breast to improve placement of the breast implant on her chest wall.

capsulorraphy

saline implants

Above shows the markings and measurements of the patient with the “red arrows” indicating where the patient would like “more fullness”.

overfilled saline implants

Above shows the patient after removal of breast implants.

implant exachange

overfill

saline

Above shows the results after removal of 800cc breast implants and replacement with overfilled saline breast implants –1320cc on right side and 1200cc on left side.

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


Revision Breast Surgery with Overfilled Breast Implants after Capsular Contracture

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This 46 year old patient from San Diego previously had breast augmentation surgery performed by another surgeon but had been thinking about revision breast surgery for many years.  After doing her research, she saw that Dr. Pousti had extensive experience with breast augmentation revision surgery.  She was confident with his expertise and proceeded to schedule a consultation to be evaluated.

implant exchange

implant removal

The patient’s breasts were firm from the capsular contracture (excessive scar tissue) and she was not happy with the placement of the breast implants on her chest wall.

overfill

Markings were performed prior to surgery and the revision breast surgery with overfilled XL breast implants was discussed in detail with the patient.  The “arrows” above show where the patient wants “more fullness”.

removal of implants

Above are the breast implants that were removed during the procedure.

revision breast augmentation

Above shows the patient with her previous breast implants removed and the incision around the areola for performing the benelli breast lift procedure.

XL breast implants

 

saline overfilled breast implants

 

circum areola mastopexy

Above shows the patient immediately after breast augmentation revision / mastopexy surgery with Mentor smooth, round, moderate plus profile 800cc saline breast implants overfilled to 1400cc

 

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Posted in Benelli Lift, Breast Revision Surgery, Capsular Contracture, Capsulectomy, Limited Lift (Benelli Lift), Overfilled Saline Breast Implants, XL Breast Augmentation


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.

lift

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.

 

rev

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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DSC09024

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.

DSC05710

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.

DSC05716

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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DSC05713

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DSC05715

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.

BA

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.

exchange

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.

saline overfill

overfill

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.

saline

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.

saline

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

implants

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

allograft

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.

overfilled

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.

removal

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

replace

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

capsulorraphy

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!”

67765432

 

 

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