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The Athlete and Breast Augmentation Surgery

breast augmentation surgeryFrom body builders to basketball players to triathletes, women athletes are in tune with their bodies. They shape them, sculpt them,and sweat them with exercise and proper nutrition. Sometimes the downside to being lean and toned is the lack of womanly curves. For many female athletes, breast augmentation surgery is one way to restore feminine curves to the athletically trained physique.

But, these runners, Crossfit enthusiasts, swimmers, fitness competitors, and other hard-working athletes may be contemplating breast enlargement surgery, and they have questions about how to start the process and what to expect. The two most common questions are about selecting a doctor and what to expect during recovery.

Selecting a Surgeon

Selecting a surgeon for any woman having breast augmentation surgery is important, but for a female athlete there may be another consideration before you decide who will do the surgery. Athletic women may want to talk with potential surgeons about their feelings toward exercise post-surgery. Doctors often given very conservative and precautionary advice about exercise. This is based both on solid science but also on one other thing doctors worry about – liability. Your doctor doesn’t want to be responsible in any way for something that may happen if you exercise too early or too hard after surgery.

Women who are preparing for breast enlargement surgery are warned about possible capsular contracture, which is the most common complication after breast implant surgery. This occurs when the scar tissue hardens around the implant, and though it can happen at any time, it appears more common in the first few months after surgery. There hasn’t been any direct link found between exercise and capsular contracture; most studies say that the cause is unknown and probably due to several different factors.

What to Expect During Recovery

Every woman should expect pain, swelling, and discomfort for a week of so after surgery. You should not expect to do any exercise or lift anything during this time. For female athletes, after the initial swelling goes down and the pain goes away, this is when you will want to slowly get back to your exercise routine. This is where your selection of the right doctor comes in play. If you have chosen a doctor who understands your fitness needs, he or she can help you design a plan that gradually gets you back to the gym. Upper body exercises should probably be avoided for two to three weeks, and women athletes should get more rest than normal between exercise sessions until fully healed.

Quick Tips For Finding the Right Surgeon

Take your time and visit a variety of doctors
Ask your friends, or your workout peers for referrals
Look for reviews and testimonials online
Ask your doctor about his or her own fitness regimen
Ask questions about their thoughts on your post-surgery exercise – if you don’t like the answers, move on!

Posted in Cosmetic Surgery


The Cohesiveness of Breast Implants

No matter what type of surgery you need, collecting as much information as possible prior to the surgery is essential before you go under the knife. This is especially true for elective surgeries such as breast augmentation. The cohesiveness of breast implants is one of the pieces of information you will come across when researching which implant is right for you.

There are three main manufacturers in the United States which offer several different types of breast implants. Information can often be contradictory and confusing – it’s important to talk with your doctor and ask as all the questions you may have.

Breast Implant Brands

Mentor, Allergan, and Sientra ar the three major manufacturers of breast implants in the US.  When you make a decision to pursue breast augmentation, you can feel free to ask for a specific brand, or you can choose a brand and type based on suggestions from your surgeon. Make sure your doctor is a board certified plastic surgeon – this will ensure the best care and the most up-to-date information and techniques.

Silicone or Saline Breast Implants

If you are considering breast implants for your augmentation surgery, you will select between saline-filled and silicone gel-filled implants. They both contain an outer silicone shell; saline implants are filled with sterile salt water while silicone implants are filled with silicone gel.

Silicone implants are the most popular choice, even though they are a bit more expensive than saline implants. Most women feel that silicone implants are more natural feeling and looking. All three companies (Mentor, Allergan, and Sientra) manufacture silicone implants, while only Mentor and Allergan make saline implants.

Silicone implants can be round or shaped. All three manufacturers offer both round and shaped implants. Round is by far the most common, but some women preferred to get the shaped ones for because they feel they look more natural. There is one unique risk with shaped implants – if the implants shifts inside the breast, it could completely change the shape of the breasts. Women who have smaller breasts with no excess breast droop are good candidates for these shaped implants.

The Risk of Implant Rupture

Though many of the risks of breast implants – scar tissue, infection, pain – are similar for both types of implants, rupture is a bit different. When a saline breast implant ruptures, the breast will deflate and the leaking saline solution will be absorbed by your body without any risks to your health. You will need surgery to remove the silicone shell and get a new implant.

If a silicone implants ruptures, you may not notice immediately or even over a long period of time. This is because the silicone remains trapped in the fibrous tissue that forms around the implant. Though the FDA has concluded that silicone implants are safe, a ruptured implant may cause breast pain or changes in the shape of the breast.

Breast Implant Cohesiveness

Older silicone implants were more like liquid, and could leak if the shell broke. However, manufacturers took a giant leap forward in implant safety and spillage reduction. They did this by increasing the cohesiveness of the silicone. They made the silicone thicker – less like a liquid and more like a gel. If you think of a gummy bear – you can visualize what happens when the silicone implants breaks. Pull a gummy bear apart – it doesn’t leak or lose its shape.

Cohesiveness of silicone is measured in centipoise (cPs). Older implants were more liquid-like and had low cPs, while newer implants are more gel-like and have higher cPs. Different manufacturers and different types may have different levels of cohesiveness.  Shaped implants have the highest cohesiveness and are closest to the gummy bear concept. However, round, smooth silicone gel implants have improved significantly in the past few years, and are a good choice for those who are concerned with breast implant cohesiveness.

Posted in Cosmetic Surgery


Vi Cosmetic Facial Peel

Posted in Facial Peels


CoolSculpting

CoolSculpting

CoolSculpting San Diego & La Jolla Specialist

– Dr. Tom Pousti

Description

San Diego/La Jolla Surgeon Dr. Tom Pousti Now Provides CoolSculpting Treatments For Removal Of Unwanted Fat. Approved by the U.S Food and Drug Administration (FDA), CoolSculpting smoothly cools undesired fat cells in the body resulting in a painless, controlled eradication of fat cells. The CoolSculpting method is based on science performed by the Wellman Center for Photomedicine at Massachusetts General Hospital in Boston, Massachusetts. Research determined that fat cells are more vulnerable to cold temperatures and when introduced to these cold climates are effortlessly and permanently demolished. Beginning weeks after the cooling application, the cooled fat cells initiate the process of solidifying the fat cells without destroying surrounding tissues, eventually causing the cells to shrink and disappear naturally. Gradually as the cells diminish, the depth of the fat layer will be reduced.

Different from other techniques of fat loss, CoolSculpting excludes the use of needles, anesthesia or pain medication, recovery time or restrictions, and surgery. Throughout the treatment, controlled cooling is administered with a non-invasive applicator to an area intentionally targeting fat cells. As the procedure is initiated, vacuum pressure draws tissue into an applicator cup between cooling panels. The vacuum pressure may cause sensations of deep pulling, tugging and pinching in the area being treated. The procedure can take one to two hours depending on the area(s) being treated. Undeniable Results are seen with one treatment but for more dramatic effects you may wish to have additional treatments performed. Results are sometimes visible within three weeks following your treatment, but full results will be noticeable within two to four months.

The Procedure

Patient can relax for one hour as the treatment is being performed.

CoolSculpting

CoolSculpting

Immediately after the hand piece is removed from the treated area. The area will be cold, red, and raised.

Female Patient

CoolSculpting Fat Reduction

Male Patient

CoolSculpting

Manual Massage after the hand piece is removed helps achieve better results by involving more fat cells.

CoolSculpting

CoolSculpting

What to Expect After the Surgery & FAQ

1. Which patients are the best candidates?

Ultimately, ideal candidates are active and are at or near their goal weight, but are unable to get rid of stubborn fat with diet and exercise. They should be concerned with specific areas that include stored fat, not concerned with their entire body, but do not consider surgical procedures a solution. The CoolSculpting method is not intended as a weight loss solution.

2. How does the applicator deliver cooling to the fat cells?

The applicator gently holds tissue in the applicator cup grasped between two cooling panels, resembling a vacuum, while extracting body heat from underlying tissue. The skin is monitored through sensors, linked to the control console, built into the machine that control a consistent cooling procedure pattern and provide constant feedback to the physician.

3. How long will my results last?

Patients show full results six months after the CoolSculpting treatment and are expected to last about as long as results from invasive fat cell removal surgeries such as liposuction.

4. Are there any side effects after the treatment?

As a non-invasive procedure, the CoolSculpting treatment allows for immediate return to normal daily activities with no restrictions. Immediately following the treatment, the area may appear red anywhere from the first few minutes to the first few hours, but this is completely along with minimal localized bruising which usually disappears within a few weeks. Some patients may feel a numbing sensation to the treated area lasting up to 8 weeks.

5. What happens during the treatment?

The first step is consulting with a physician and selecting an area(s) to be treated. The applicator available in small, medium, or large, will then be placed on your skin, while the device begins firmly pulling up the skin between the two cooling panels. Once the bulge is obtained in the applicator, the device will continue a sucking motion in a constant rhythm for about an hour or so when the procedure is complete. Immediately following the treatment, your skin may feel stiff and transient blanching (temporary whitening of the skin) may appear.

6. What does the treatment feel like?

The first few minutes can be somewhat uncomfortable as the cooling sensation takes affect,  but usually diminishes. Many patients find it beneficial to read, take a nap, or browse their phones during the treatment. Rarely, you may experience tingling, cramping, or aching which usually subsides within a few minutes.

Posted in Cosmetic Surgery


Latisse

LATISSE-PICTURE-LOGO

Latisse is the first FDA-approved prescription treatment for inadequate or not enough lashes, also known as hypotrichosis. This prescription treatment is used to grow your natural lashes fuller, longer, and darker. For the best results applying the topical solution each night and follow the directions. Results are gradual over time, but dramatically improved. If you stop using Latisse at any time, your eyelashes return to their previous appearance over several weeks to months.

Before/After

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**Buy 1 kit of Latisse and get one free!!**

call our office for details, offer ends April 2011

Posted in Cosmetic Surgery


Neocutis Testimonial

I’ve only been using the neocutis skin line for about 2 1/2 weeks now but i can already feel a difference. Even during the first week I could feel the difference in my skin but I could only fell it and I didn’t think I was seeing results yet. Then last week i went to go get one of my routine microdermabrasions which I had been starting because of my skin discoloration. Of course the first thing I told my esthetician was about my new skin care and if she had heard of it. She had not heard of it but had asked how long I had been using it for because she could see a big difference in my forehead, which was always my problem area. I  can’t wait to see my results in 1 month. Thank you Dr. Pousti for finding this miracle skin care.

PS i highly suggest the Blanche skin lightening cream!!

-M.N

San Diego

Posted in Cosmetic Surgery


Gynecomastia

Gynecomastia is an abnormal enlargement of breast tissue in men, which can be present on one or both sides.  Gynecomastia is fairly common and can be found in about 10% of the adult male population.  The onset usually occurs during puberty and subsides within a year or so.  The characteristics are enlargement of breast tissue or glands, typically under the nipple area that is benign.  The cause is generally unknown but may be caused by hormonal imbalance, medications, inefficient filtration of estrogen by the liver.

Men or boys who exhibit a good amount of fat on their chest may appear as if they have gynecomastia, but typically with diet and exercise the fat will subside.  This is called pseudogynecomastia.  As for the men and boys who have fat pockets that are resistant to diet and exercise will need treatment for true Gynecomastia.

While gynecomastia is not a serious medical condition it can be painful at times and cause embarrassment among those who have developed it.  Treatment of Gynecomastia can be done surgically or with liposuction.  The goals of the surgery are to reconstruct the contour of the chest and to search for any cancerous lesions.  Most of the time the tissue is benign, however it is highly recommended to have the tissue examined.

The first step to diagnosis of true gynecomastia is to contact a board certified plastic surgeon and set up a consultation to see if you are a good candidate for gynecomastia surgery.   A good candidate is healthy, have realistic expectations of surgery, or within healthy a healthy weight, are bothered by feminine look of their chest and breast development has not changed for a good amount of time.

Usually the primary concern and cause is the excess glandular tissue and skin.  Removal of the tissue can be done in a couple ways.  It can be excised by being cut out, liposuction or done in conjunction of each other.   The incisions are made either along the line the areola, to hide the scarring, or in the underarm area.

Breast reduction surgery for gynecomastia is performed on an outpatient basis and the surgery usually last no longer the one hour, but a more extensive surgery can take longer.

When considering surgery it is very important to choose a board-certified plastic surgeon with a great deal of experience in male breast reduction.  This will help you feel comfortable knowing that your surgeon has the knowledge, skill and experience to provide you with the results you want while providing safety throughout the procedure.

Posted in Cosmetic Surgery


Eating Healthy

It seems like now-a-days it is getting harder and harder to go out to eat and find any healthy item on the menu.  However, restaurants are finally providing healthier options for the health conscious with foods that tastes great without adding inches to your hips and thighs.  Let’s review the basic below to help you feel more confident about the choices you make when eating out.

Enjoy, Don’t Indulge

It’s all about portions!  Think quality not quantity and keep your meal sizes small by:

  1. Don’t skip meals – Skipping meals during the day just because you know you are going out later will only make you overeat and consume 100’s of extra calories.  When skipping meals your body going into what is called “starvation mode” which in turn slows down your metabolism making it harder for you to burn calories and fat through out the day.  So make sure to eat small little meals through out the day.
  1. Share dishes – Sharing dishes not only cuts down on portion size of your meal to the appropriate size, it’s cost effective as well.
  1. Skip the pre-dinner bar visit – Try to have reservations if possible, this way you don’t have an opportunity to get a pre-dinner drink at the bar.  Drinking before a meal not only make it harder for your body to digest food but it has been proven to increase your appetite witch leads to overeating.
  1. Ask for a To-Go box at the beginning of dinner – Most of us have been taught to eat everything that is on our plate to avoid wastefulness.  However, portion sizes have doubled at restaurants leaving us to consume twice the amount of calories.  By asking for a To-Go box at the beginning you can put half of your meal away and surprisingly you might feel satisfied after the meal instead of stuffed.  PLUS…you have leftovers for the next day!

The Good vs. The Bad

It can also be tricky at times trying to figure out what is healthy versus unhealthy based on how the foods are prepared.  You also want to monitor your condiments which can surprisingly be the unhealthy part of the meal.  Here are some foods to help you make wiser decisions.

Balsamic vinegar, salsa, soy sauce, tomato sauce, mustard and lemon

vs.

Ranch dressing, alfredo sauce, vodka sauce, buttery based sauces and creams.

Steamed, fresh, baked, roasted, poached, lightly sauteed or stir fried.

vs.

Fried or sautéed (in butter)

Lean steaks such as tenderloin, club, sirloin and chicken.

vs.

Fatty cuts of steaks such as rib eye, porterhouse, ribs, and briskets.

Fruit and sorbets

vs.

Ice cream, milk shakes and pie

What’s for Breakfast, Lunch and Desert?

Here is a quick little reference to help you make more decisions at each meal.

Breakfast:

  • Opt for oatmeal, high fiber cereals, over pastries and donuts.
  • Ask for eggs to be prepared poached, scrambled or hard boiled.
  • Choose 100% whole grain or whole wheat toast over white bread.
  • Whole grain pancakes over regular.  Top with jelly, low-fat yogurt or fruit…
  • Skip on the muffins (Starbucks banana muffins = 400 calories)

Lunch:

  • Sandwiches on whole grain breads
  • No butter, cheese, mayonnaise, or gravy.
  • Choose turkey or ham, they only contain 1-2 grams of fat per serving unlike salami or pastrami which packs 6-8 grams of fat per serving.
  • For salads, skip the croutons and bacon bits and for sunflower seeds and chicken.
  • Skip the chips and ask for a piece of fruit.
  • Drink water or unsweetened tea instead of soda and fruit juices.

Dessert:

  • Fruit is your best option
  • Sorbets and yogurts
  • ½ cup of cool whip and fresh berries
  • Angel food cake with strawberries (150 calories per serving)

Making these healthy decisions will not only help with your waist line but help your heart as well!

Posted in Cosmetic Surgery


Fitness, Nutrition and Plastic Surgery

For many of us, the reality of living a lifestyle that allows us to eat 5 small-well balanced meals a day, exercise 3-5 times a week and get the recommended eight hours of sleep a night isn’t possible, more like the impossible. But if you are considering plastic surgery here are some reasons why living a healthier lifestyle will help you prepare and recover from surgery and achieve the body you’ve always wanted.

Why Nutrition and Plastic Surgery go together?

Do you ever think about why you eat? This is an important question to ask yourself, especially if you are looking to make healthy lifestyle changes, which can greatly improve the way you feel and your appearance. The modern diet lacks the recommended daily allowances of essential vitamins and minerals required to support the body in healing efficiently and effectively. That’s why it’s important to eat with a purpose not just to settle an appetite. To promote excellent results and optimal healing you can do this by eating and supplementing your diet with the following foods and vitamins.

Meat and more meat!

Protein is not just an essential nutrient, but the largest component in the body after water. Amino acids, the building blocks of protein, are essential in building and repairing various parts of the body. They also travel around the body as hormones, red blood cells and enzymes. In order for the body to restore and repair tissues that have been damaged by surgery you want to make sure that you are eating enough protein in your meals prior to and after surgery. Eating proteins prior to surgery will help build your immune system and red blood cells, both, which are fundamental to your recovery after surgery. Here is a list of high quality lean proteins:

Animal Proteins

  • Chicken
  • Turkey
  • Fish
  • Eggs
  • Low-Fat Dairy

Plant Proteins

  • Soybeans (also tofu)
  • Nuts
  • Beans
  • Whole grains
  • Seeds


H2O

The human body is comprised of 60-75% water and every system in your body relies on water; which includes your digestive system, metabolic hormones and skin. After surgery many patients may encounter constipation due to the anesthesia and the narcotics taken after surgery. Water consumption performs an important role in digestion by helping the body eliminate solids, toxins, impurities and bacteria from our body. In turn, this helps speed up the healing process after surgery and release any uncomfortable bloated feeling that may occur. Not only does water keep us healthy and remove toxins from our body; it contains zero calories, is an excellent appetite suppressant and helps metabolize stored fat. If you are looking to lose a couple extra pounds and find something that will help you control your appetite, water is your answer.

Many people don’t realize it, but the amount of water you drink each day has a direct effect on how healthy your skin is. Drinking enough water can help keep your skin be plumper, moister, younger looking, and free from acne and blemishes. Unfortunately the skin is one of the first organs on our body to suffer from a lack of regular water intake. Not getting enough water each day can result in dry skin problems, acne, and premature lines and wrinkles. However, for many of us we still struggle from acne, premature lines and wrinkles. If this sounds like you a TCA peel can be very effective in removing scars and wrinkles and help increase collagen production for healthier younger skin.

Vitamins

As talked about early, most of us eat foods that are deficient in vitamins and minerals needed for a healthy body. One way to combat this is by taking a multi-vitamin to ensure that we are getting the nutrients needed for tissue repair, normal hormone production and metabolic functioning. Below is a list if supplements that will help prepare the body for surgery and for recovery:

Start approximately 2 weeks PRIOR to surgery:

  • Multivitamin: High potency, Antioxidant-rich, mineral-rich vegetable source.
    2 tabs per day
  • Vitamin C: Promotes wound healing, protects against bruising; antioxidant protection.
    1000 mg per day.
  • Zinc/Glutamine: High tissue concentrations of these nutrients prior to surgery aids in faster healing time and in the rebuilding of tissues. Zinc: 1 tsp. twice a day, Glutamine: 1 tsp. twice a day

Post Surgery (make sure to get Dr. Pousti’s approval prior to starting any of these)

  • CoQ 10: Stimulates cell growth 1 tab twice a day
  • Glutamine: Helps prevent tissue/protein catabolism (breakdown) after surgery
    1 tsp. twice a day
  • Arginine: Helps in wound healing and stimulates collagen.
    1 tab three times per day
  • Vitamin C: Essential vitamin that aids in wound healing and collagen.
    2 capsules per day
  • Glucosamine: Glucosamine is an important building block needed by the body to manufacture specialized molecules required for wound healing.
    1 tab twice per day
  • Arnica 30X: Homeopathic; helps reduce discomfort, bruising, and swelling of soft tissue.
  • To avoid constipation, WATER, eat fruit, and supplement with Milk of Magnesia, or Smooth Move Tea, or laxative of choice.


Exercise

Many researchers have confirmed that those who exercise regularly before surgery not only look and feel better but recover much quicker then those who don’t exercise. It’s no surprise that those who have a healthy lifestyle do better in the long run after certain types of plastic surgery such as liposuction. Liposuction is meant for body contouring, not weight loss. The patients that have the best results are the ones who are close to their reasonable body weight. Creating good lifestyle habits before surgery will help ensure that you maintain your results by decreasing your chances of gaining weight back. Another benefit of exercise besides the cardiovascular benefits is exercise, consisting of both weights and aerobics will activate and rejuvenate the skin, while improving circulation. This increased circulation helps deliver nutrients to skin cells, wiping away damaging toxins as well as produce an excellent condition for collagen production.
Dr. Tom Pousti and staff are here to support you in reaching your goals. Please visit our website regularly to get your:

Daily/Weekly Motivations
Exercise Tips
Health Myth Busters
Nutritional Tid-Bits…and much, much more!

Posted in Cosmetic Surgery


Plastic Surgery for Moms – Mommy Makeover

Having children and being a mom is a blessing. Being a mother can be a tough job and it can be tough on your body. Unfortunately with childbearing and breast-feeding comes unwanted changes on your body like stretch marks, loose skin, saggy breasts, and weight gain. It is essential for a mother to take good care of her family as well as herself.
Self-confidence is key when it comes to being a mom.

Each mommy makeover is unique and costumed to benefit each individual woman’s needs. Mommy makeovers are designed to counteract the physical effects of childbearing and nursing or breastfeeding. Every makeover is different and may require multiple procedures to achieve the best results possible.

During your consultation, your plastic surgeon will examine you and discuss the options available for you to begin your transformation. A mommy makeover may include procedures such as a tummy tuck (abdominoplasty), breast augmentation, breast lift (mastopexy), breast reduction, or liposuction.

Exercise and a healthy diet are beneficial during and after pregnancy. Your plastic surgeon will recommend that you be at your goal weight or that you lose as much weight as you can before having the procedures done to get the best results possible. This is to ensure a long-lasting result and avoid any further surgery. Fortunately, as a result of a mommy makeover, many women find themselves motivated to maintain their new and improved look. They feel sexier, happier, and ultimately more confident.

Makeovers require a good amount of recovery. We recommend 4 weeks of taking it easy and following pre-op and post-op care instructions. As long as you follow the doctors orders, expect amazing and complication-free results. Healing time can vary from patient to patient. Look at it as 4 weeks of sacrifice and the rest of your life for you to enjoy the new you!

Posted in Cosmetic Surgery



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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. He has offices to serve patients in San Diego, La Jolla, Riverside, Inland Empire and Temecula. Disclaimer


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