| This 34 year old patient from Menifee, California was interested in a breast lift and breast augmentation to achieve breast symmetry and fullness. She began researching the internet for a board certified plastic surgeon and found double board certified plastic and reconstructive surgeon, Dr. Tom Pousti. She was very impressed with all the positive testimonials Dr. Pousti’s patients had. The patient was also very impressed with his before/after pictures.
During the initial consultation with Dr. Pousti the patient is examined and her expected results are discussed. Dr. Pousti determined that the patient was a great candidate for a mastopexy with breast implants. Pro’s and con’s of silicone vs. saline implants are discussed at this time as well.
Measurements of the patient’s breasts are taken prior to surgery and markings are made. Theses markings are used as a guideline during the patient’s surgery and are checked again in the operating room. The “x” indicates where the nipple/areola complex is located once the breast lift has been completed. The patient’s left breast was slightly larger than her right preoperatively which was kept in mind when choosing implant sizes.
The first step for this procedure is the breast lift. Breast lifting involves re-arranging and reshaping of the patient’s natural breast tissue and relocation of the nipple/areola complex. After the breast lift, the patient’s skin is temporarily fastened together and implant sizers are used to determine the number of cc’s needed to achieve the patient’s goals. The deflated implant sizer is placed into the patient’s breast and then filled with air until the patient’s desired breast size has been achieved. The patient is then sat upright to check for symmetry between the two breasts and adjustments can then be made.
Once the implant size is determined, the patient’s silicone gel implants are prepped for placement. For silicone gel breast augmentation surgery, Dr. Pousti uses the Keller Funnel method to place the implants into the breast pocket. The implant is carefully dropped into a sterile funnel with the petite end placed into the small incision, the implant is then easily squeezed into the breast pocket. This method reduces the risk of implant contamination and allows for a smaller incision usually resulting in a smaller scar.
In order to achieve symmetry 2 different sized implants were used. A 500cc silicone gel implant was placed in the right breast and a 475cc silicone gel implant was placed in the left. The patient is still fresh from surgery but is very happy with her new look.
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