Gynecomastia is defined as the visible or palpable development of breast tissue in boys or men. Gynecomastia is a condition in which males develop enlargement of the breast. This is quite common in adolescents and is often first noted at the onset of puberty. Gynecomastia affects an estimated 40% to 60% of men. It may affect only one breast or both.

Markings were carefully made prior to surgery. The lines represent the areas where the excess breast tissue will be removed to improve the contour of the chest.  This procedure removes fat and/or glandular tissue from the breasts for better contouring of the chest.

Below shows the excess tissue and fat removed from each breast.

Before and 3 weeks after Gynecomastia Corrective Surgery

Unhappy with the shape and size of her previous implants (done by another surgeon) she was interested in “round and full” breasts.  After reviewing in detail, the risks and complications of extra large breast implants, the patient decided to proceed with revisionary breast  surgery.

Markings were performed before surgery, arrows show the areas that  fullness was desired by the patient.

Intra-operative photos before & after Breast Revisionary Surgery- Saline Overfilled Implants 1130cc

The patient is now 1 month post-op and very happy with her results.

During her consultation Dr, Pousti said that she was an excellent candidate for Abdominoplasty Extended and Breast Augmentation with a Stage III Lift to achieve her goals.

Markings are made prior to surgery and used as guidelines.

The markings show how the breasts will be lifted and areolas will be moved up.

Intra-operative Abdominoplasy (tummy tuck).  The skin from the stomach is lifted to repair the muscles and excess skin is removed.

Before/ Immediately After Abdominoplasty (Tummy Tuck) Extended and Breast Augmentation Surgery-Silicone Gel Implants with a Stage III Breast Lift.

]]> http://www.poustiplasticsurgery.com/case-of-the-week/body-contouring/abdominoplasty/makeover-after-massive-weight-loss/feed/ 0 http://www.poustiplasticsurgery.com/case-of-the-week/breast-procedures/breast-augmentation/breast-augmentation-with-breast-lifting-after-having-babies/ http://www.poustiplasticsurgery.com/case-of-the-week/breast-procedures/breast-augmentation/breast-augmentation-with-breast-lifting-after-having-babies/#comments Mon, 13 May 2013 19:51:55 +0000 admin http://www.poustiplasticsurgery.com/case-of-the-week/?p=16114 A 24 year old female from San Diego, California was interested in Breast Enhancement Surgery.  This mother of 2  was unhappy with the appearance of her breasts due to breast feeding.  She wanted to have Breast Augmentation & Mastopexy (breast lift) Surgery to give her fuller, “perkier” breasts again.  After researching online for board Certified Plastic Surgeons she found Dr. Pousti, Double Board Certified Plastic Surgeon.  She was very impressed with all of his experience and before and after photos of previous patients. 

During her examination Dr. Pousti said that she was a great candidate for Breast Augmentation Surgery using Silicone Gel Implants and also Mastopexy (breast lift) to achieve her goals.

The patient met with Dr. Pousti the night before surgery to have markings performed to map the surgery in detail.  The reason for the breast lifting is to improve the placement of the areola.  At this time, the areola is too low and needs to be raised.  Once again the planned procedure was explained in detail as well.

The areola will be reduced in size and moved to a more pleasing position on the chest wall. She will have more fullness and “perkier” breasts.

After breast lifting, temporary sizers were used and filled to the patient’s desired look. Dr. Pousti sits the patient upright in the operating room with the temporary sizer in place to determine what size implant will achieve the goals of the patient.  Then 600cc silicone gel breast implants were selected and placed under the muscle.

Before and Immediately After Breast Augmentation & Mastopexy Surgery

]]> http://www.poustiplasticsurgery.com/case-of-the-week/breast-procedures/breast-augmentation/breast-augmentation-with-breast-lifting-after-having-babies/feed/ 0 http://www.poustiplasticsurgery.com/case-of-the-week/breast-revision-surgery/internal-bra-internal-sutures/breast-revision-surgery-with-internal-bra-2/ http://www.poustiplasticsurgery.com/case-of-the-week/breast-revision-surgery/internal-bra-internal-sutures/breast-revision-surgery-with-internal-bra-2/#comments Tue, 21 May 2013 23:58:37 +0000 admin http://www.poustiplasticsurgery.com/case-of-the-week/?p=16240 This 59-year old patient flew in from Oklahoma to have Dr. Pousti perform her revisionary breast surgery.  She was unhappy with her current breast implants (surgery performed by another surgeon). The patient was interested in “round and full” breasts.  After reviewing in detail the procedure of extra large breast implants, the patient decided to proceed with revision breast augmentation surgery.

Dr. Pousti used internal sutures to create an “internal bra” for the new position of the implants which created more fullness and cleavage will be achieved.

Intra-operative before and after photos in the OR.

The patient is still fresh only 3 days post-op and pleased with her results.

During the recovery process, a bolster dressing is placed to offer support in the areas where the internal repair was performed.  This bolster dressing will stay in place for a few weeks to a month.  The patient will keep in touch with the office and Dr. Pousti will let the patient know when she should remove it.

The patient researched for the best Board Certified Plastic and Reconstructive Surgeon to perform her case and after reviewing many successful revisionary breast surgeries online, the patient found Dr. Pousti. The patient met with Dr. Pousti in his San Diego office to discuss her surgery in detail, and after careful consideration the patient scheduled for surgery.

Measurements and markings were carefully made.

Dr. Pousti repaired the “bottoming out” using 2 layers of internal sutures to create an “internal bra” (capsulorrhaphy) and a new pocket for the left breast implant.

The patient researched for an experienced mommy makeover surgeon who is also Board Certified. While doing an Internet search, the patient found Dr. Pousti and after seeing countless before and after pictures of Dr. Pousti’s work, the patient decided to meet with Dr. Pousti in his San Diego office.

During her consultation, the patient was able to speak with post surgery patients who were willing to share their experiences with her. The patient was convinced that Dr. Pousti was the best surgeon for her and decided to proceed with tummy tuck surgery (abdominoplasty).

Dr. Pousti takes his time to mark and measure the patient for the planned procedure the night before surgery. At this time, the risks and benefits were reviewed in detail again.

Markings are re-measured and re-marked to assure as much symmetry as possible.

After pregnancy, the muscles separate and sometimes the abdominal muscles do not “bounce” back and due to loss of skin elasticity, the skin around the abdomen is loose and hangs.

Before/ Immediately after the muscles are repaired.

During her consultation her goals were addressed.  Dr. Pousti went over possible surgical procedures along with risks and complications of surgery.  He said that she was a good candidate for Breast Augmentation with Silicone Gel Breast Implants as well as Breast Lifting to achieve her goals.

Markings are performed prior to surgery and are used as guidelines during the surgery.  While the markings and measurements are performed, Dr. Pousti reviews the procedure with the patient in detail and answers her questions.

Before/ Immediately After Breast Augmentation Surgery, Mastopexy (Breast Lift)

Patient is now 1 month post-op. The incisions lines will continue to heal and breasts will settle with time and massage.

She was impressed with Dr. Pousti’s experience with revisionary breast surgery so she decided to come in and meet with Dr. Pousti.  During her examination Dr. Pousti said that she was a good candidate for Breast Revisionary Surgery.  Possible procedure plans were discussed along with risks and complications of surgery.  Feeling confident the he would help her achieve her goals she proceeded with surgery.

Marking are made prior to surgery and the patient’s goals are reviewed.

In the operating room.  The Blue Arrows indicate where the patient wants “more fullness”.  She has also decided that she wants to have silicone gel breast implants.

Before/ Immediately After Breast Revisionary Surgery.

]]> http://www.poustiplasticsurgery.com/case-of-the-week/breast-revision-surgery/breast-revision-with-silicone-gel-implants/feed/ 0 http://www.poustiplasticsurgery.com/case-of-the-week/breast-revision-surgery/revision-breast-surgery-7/ http://www.poustiplasticsurgery.com/case-of-the-week/breast-revision-surgery/revision-breast-surgery-7/#comments Fri, 03 May 2013 17:42:04 +0000 admin http://www.poustiplasticsurgery.com/case-of-the-week/?p=16066 A 52 year old female from Temecula, California was interested in finding a surgeon to preform her Breast Revisionary Surgery. She previously had her breast implants removed and a full breast lift (mastopexy) performed by another surgeon and she was a ready to have her breast augmentation.   She researched online for Board Certified Plastic Surgeons and found Dr. Pousti.  She was very impressed with his experience with Breast Augmentation Revisions.

During her consultation Dr. Pousti examined her and said that she was a good candidate for re-augmentation. Dr. Pousti also stated that she would benefit from Mastopexy Revision on right breast to get rid of excess tissue and improve symmetry.  Risks and complications were discussed along with possible procedure plans.  She felt confident that Dr. Pousti would help her to achieve her goals.

Markings and measurements are made before surgery and are used to explain the procedure in detail to the patient.

Before/Immediately After Breast Revisionary Surgery