I had a previous breast augmentation surgery that I was happy with, but it had been several years since that one, and it was time to get them redone. I also was unhappy with the flabby extra skin on my upper arms after a good amount of weight loss. I interviewed or consulted with several surgeons, wanting to have both surgeries done at the same time if possible. While the surgeons I met with were all highly qualified, Dr. Pousti was the surgeon that I chose. Why? He was the only surgeon who took the time to talk with my husband and me about what I wanted. He was frank and honest about what the results would be, and honest about the possibility of not being able to do everything at once. He didn't seem to be rushed, or wanting to get the consultation over with quickly. We told him about a complication I had with my last surgery, which changed the way he would approach this surgery. I woke up after the surgery with both my arms and breasts completed. At my after visit, Dr. Pousti stated that my surgery couldn't have gone any better, in fact it was a text book surgery, that he could use as a teaching case. I couldn't be happier with my results. My arms fit in the size clothes I now wear, the sleeves are no longer too tight! My breasts are natural looking, soft, and big, which is what I wanted. His staff is excellent at follow up with the after care. I was an out of town patient, and they never left me feeling like I was out of town. They called daily, answered my questions quickly, and were so patient and kind. I would never go to another surgeon for plastic surgery. I highly recommend Dr. Pousti for his caring bedside manner, attentive staff, and amazing results.