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San Diego Cosmetic Plastic Surgery

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San Diego / La Jolla / Temecula (619) 466-8851



CoolSculpting San Diego & La Jolla Specialist

– Dr. Tom Pousti


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.



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


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



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

Skin concern-Acne


Ance is a concern that is often talked about and rarely understood. This only adds to the emotional turmoil that acne causes. People see ads for treatments, creams, tools, and other products that all claim to kill acne. Very often, however, they deliver minimal results, if any at all. So for once and for all, here is the lowdown on acne:


1. Bacteria- When researching acne, this is most often what comes up. The acnes bacteria lives inside the oil gland and when blocked, over-run, or otherwise irritated, painful red lesions appear. Rarely can they be “popped” like a normal zit, but rather they just hurt and scab over. As they heal, the lesion becomes crusty, dried out, and eventually the scab falls off. This leaves a red mark in place of the zit. Great huh?

2. Clogged pore/dead skin build up- A much less talked about subject in terms of acne however equally responsible. Dead skin accumulates on the surface, as well as in the pore itself. This type of acne is not always seen, but it can be felt. When touching the face it feels like bunches of small bumps directly under the skin surface. Sometimes you can actually pull then out by just running your fingernail over them. When pinched, a seed or worm-like thing comes out of the pore, leaving a red hole that closes over time. If the pores are clogged often enough, the pore can become stretched over time.

3.Combination- Very often acne is a mix of a clogged pore and bacteria. Dead skin accumulates in the pore, creating a plug that does not allow oxygen to the oil gland. Bacteria begins to breed in the anaerobic environment, becoming red, inflammed, and generally ticked off looking. When popped, a bunch of fluid/pus will come out, as well as a seed/worm.

Killing Acne:

1. Professional treatments- Acne is a cycle that needs to be broken. Professional extractions (pore cleaning) needs to be done on a frequent basis. Professional extractions are different from popping zits yourself because professionals use a magnifying lamp that can see up to 10 times normal vision. This allows the professional to extract things that you can’t see with the naked eye, (things that aren’t a problem, but will be.) Also, professionals disinfect your face and extract in a sanitary manner. All this minimizes the chances of scarring, not fully extracting the pore, or having the bacteria spread to nearby pores. Also, professional treatments are at higher strengths than anything you can buy over the counter. Professionals have years of training to be handle these acids and chemicals safely.

2. Good homecare- Any professional can and should educate a patient as to what home care best suits their skin. Often times what works well for one type of acne does very little for the other. Combination therapy, hitting acne from many angles, is often the best approach. Professionals should also tell you why they recommend what they do. They need to give you scientific and medically sound reasons behind all of their suggestions. If it doesn’t sound like it makes sense, it probably doesn’t.

3. Diet and water intake- While foods don’t cause acne, it can take a small annoyance and turn it into a huge problem. By having a healthy diet rich in veggies, protien, and minimal junk, this gives our body fuel to function as best as possible. Also, what we eat/drink does come out of our skin by way of the blood stream and the oxygen it carries. Give your skin the most opportunities you can by being healthy, inside and out.

4. Keep things clean- This means makeup brushes, pillowcases, makeup, hands etc. Wash everything frequently and keep your hands off of your face.

Treatments that help:

1. Pumpkin Peel- Mix of glycolic, lactic, and salicylic acid. This breaks up surface dead skin and well as impurities down in the oil gland. Extractions are done after to clean the pores and disinfect the skin. This is good for all types of acne.

2. Retinol/Lactic- These acids are layered on the skin to promote cell turnover, breaking up dead skin, as well as brightening the complextion. Good for clogged pores and non-bacterial acne.

3. TCA Peel- Medium depth in terms of aggression, this peel removes several layers of dead skin, helping oxygen get to the pore, lessens scarring and red marks. This peel requires some prep and downtime, however it is excellent in terms of acne management. Good for all types of acne.

4. Microdermabrasion- This treatment is very good for removing the top layers of skin only. There are no chemicals/ acids so it is tolerated my most skin types. Great for getting more oxygen to the pore as well as helping remove dead skin to make extractions easier. Best for clogged pores and non bacterial acne.

Pousti Plastic Surgery now offers all of these treatments. Earning a Masters in Aesthetics, our Aesthetician Eryka Daemons has battled the most severe acne personally and knows what it takes to kill it.

Posted in Cosmetic Surgery

How to Get Your Face Summer-Ready

Summer is here, and it’s time to put your best face forward. The winter months can be harsh on your skin, so there are many things you can do to improve your chances of showing off that fresh and healthy complexion. Skin care is a major concern for many individuals, especially during the spring and summer months, and are searching for ways to revive and rejuvenate their skin from aging.

There are many anti-aging products and non-surgical procedures to choose from to help reduce the unwanted signs of aging and prepare your skin for the outdoors during the warmer months.

Cold weather, diet, and sun exposure can contribute to the aging process. For some, it can be a challenge to get your skin back into shape. There are many solutions to getting your face sunshine-ready including botox, juvederm, the Neocutis skin care line, and a variety of facial treatments.

Botox Cosmetic is a popular non-surgical treatment for men and women to improve moderate to severe frown lines. Botox relaxes the facial muscles, which cause unwanted wrinkles and creases due to aging, gravity, sun exposure, or a result of facial muscle action. This prescription medicine is injected directly into the targeted muscles and used to temporarily improve fine lines and wrinkles. Ideal areas treated include the area between the eyebrows, forehead lines, and crow’s feet. The advantages of botox are obvious, requiring no surgery and no recovery.

Juvederm is the smooth gel filler administered by your doctor to smooth away facial wrinkles around your mouth and nose instantly. Everyone ages differently and Juvederm may be used to rejuvenate multiple problem areas. From smile lines to vertical lip lines, Juvederm is used to smooth-away unwanted wrinkles and restore natural contours. Fortunately, with just one treatment, you get smooth and natural-looking results that last up to a year.

The popular Neocutis skin care line is known for its ability to achieve visible, lasting results while diminishing the appearance of dark circles, puffiness, fine lines and wrinkles and healing damaged skin to provide a refreshed look.

We all know that it is essential to keep your skin protected from damaging UV rays, but applying an SPF and sunscreen isn’t enough to keep your skin clear of blotchy spots and wrinkles. It is important to take these preventive measures to maintain your flawless complexion. Remember to keep yourself hydrated, take your vitamins and carry sun block in your beach bags.

Posted in Cosmetic Surgery


If you have never had a microdermabrasion treatment, it’s time to start! This fairly new technology uses microscopic sized crystals for a physical exfoliation treatment like no other. Unlike high grade chemical peels, this treatment offers results such as soft supple skin, a glow that gives the appearance of complete hydration, and you can say goodbye to those damaging sun spots that are deep and have acquired over time. If you want to get ahead and start treating those fine lines and wrinkles and expose that new skin, this is the right treatment for you. As microscopic crystals provide deep exfoliation, the vacuum suctioning action lifts dead skin cells away leaving a clear, soft and even complexion. This treatment works best with a series including anywhere from 3-6 facials, helping to achieve the full benefits of the product. The treatment also includes a double cleanse, hydrating mask, essential oil shoulder massage and treatment serums, creams and sun protection.

Posted in Cosmetic Surgery



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.



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

call our office for details, offer ends April 2011

Posted in Cosmetic Surgery

Holiday Gift Sets


Grab one of our wrapped gifts for someone close to you for the holidays. We have sets for those who want long beautiful natural eyelashes or a set for ones who desire brighter clear and glowing skin.

Neocutis Gift Set



Neo-Cleanse Cleanser

Neo-Gel Moisturizer

Journee Day Cream w/SPF

Lumiere Anti-Aging Eye Cream


Pearl Skin Brightening Cream

A $500 Value for only $400

*Limited time offer

Latisse Gift Set


2 Bottles of Latisse



Normally $120 each, Save $40 when buying 2 kits

–$200 Total

*Limited time offer

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!!


San Diego

Posted in Cosmetic Surgery

Trial for Laser Hair removal

Have you ever wondered how good laser hair removal really is? Is it worth the price, is it as pain-free as it claims to be and is it long lasting and effective. Well why not do a trial spot. Try a small spot on an area you’re interested in having laser hair removal performed for a fraction of the cost and see if it’s for you!

Posted in Cosmetic Surgery

Laser Hair Removal

Many times shaving and waxing can be painful. Bumps, ingrown hairs, dark shadows and rashes can be left behind as well. Laser hair removal is a treatment that uses a laser to target and damage hair follicles resulting in decreased hair growth. After laser hair removal treatments are performed the hair becomes thinner and lighter, shadows are gone and the bumps and ingrown hairs are less likely to occur.


as you can see in the picture above this patient had dark shadows and stubble after shaving of the left, on the right are the results after several laser hair removal treatments.

Posted in Cosmetic Surgery

Upcoming Events at Pousti Plastic Surgery

Many times shaving and waxing can be painful. Bumps, ingrown hairs, dark shadows and rashes can be left behind as well. Laser hair removal is a treatment that uses a laser to target and damage hair follicles resulting in decreased hair growth. After laser hair removal treatments are performed the hair becomes thinner and lighter, shadows are gone and the bumps and ingrown hairs are less likely to occur.


as you can see in the picture above this patient had dark shadows and stubble after shaving of the left, on the right are the results after several laser hair removal treatments.

Call our office for holiday pricing! (619) 466-8851


Call our office for holiday pricing! (619) 466-8851

Holiday Laser Hair Removal Special


Call our office for holiday pricing! (619) 466-8851

Get ready for the Holidays with Botox!


Reserve you appointment by calling (619) 466-8851!

Be sure to check weekly for new specials and upcoming events!!

Posted in Cosmetic Surgery


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Complimentary Consultation with Dr. Pousti

Breast Augmentation
XL Breast Implants
New High Strength Gel
Silicone Breast Implants
Breast Reconstruction
Breast Reduction
Breast Lift
Breast Lift (Mastopexy)
with Implants
2 Stage Breast
Revision Breast Surgery
Tuberous Breasts
Pectus Excavatum
Chest Wall
Nipple-Areola Repair
Nose Surgery
Eyelid Surgery
Ear Surgery (Otoplasty)
Chin Implants
Liposuction for Men
Tummy Tuck
Tummy Tuck Scars after
Pec Implant
Arm Lift
Thigh Lift
Labial Reduction
Gender Reassignment
BOTOX® Cosmetic
Laser Skin Resurfacing
Scar Revision

Surgery after Massive
Weight Loss

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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